15060181Mal
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOM
PERMIT NO: 15060181
21331 COLUMBUS AVE CUPERTINO CA 95014 (362 04 002)
( AAA CONSTRUCTION
SERVICES)
CAMPBELL, CA 95011-
0971
OWNER'S NAME: BHASKAR SREEKANTH AND SREEKANTH BAN
DATE ISSUED: 12/09/2015
OWNER'S PRONE:
PHONE NO:
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class Lie. At�'
Contractor (A A A CONSTRUCTION SERVICES Date
i�
—BLDG _ ELECT PLUMB
MECH RESIDENTIAL COMMERCIAL
,
I hereby affirm that I atm licensed under the provisions of Chapter 9 (commencing
— — —
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
J611 DESCRIPTION:
ADD 703 S.F TO SFD & CONVERT GARAGE (143 S.F.) TO
I hereby affirm under penalty of perjury one of the following two declarations:.
RECONFIGURE KITCHEN & FAMILY RM, ADD (N) MASTER
r. I have and will maintain a certificate of consent to self -insure for Worker's
SUITE, 2 (N) BAY WINDOWS, 112 BATH & FOYER. UPDATE
Compensation, as provided for by Section 3700 of the Labor Code, for the
& REMODEL OTHER AREA 774 S.F. ADD 69 S.F. PORCH
performance of the work for which this permit is issued.
2. I have and will maintain Worker's. Compensation Insurance, as provided for
by Section 3700 of the Labor Code, for the performance of the work for which
Sq. Ft Floor Area:
Valuation: $175000.00
this permit is issued.
APPLICANT CERTi", CATION
I certify that I have read this application and state that the above
APN Number:
Occupancy Type:
Information Is correct. I agree to comply with all city and county
36204002
ordinances and state laws relating to building construction, and hereby
authorize representatives of this city to enter upon the above mentioned
property for inspection purposes. (We) agree to save indemnify and keep
harmless the City of Cupertino against liabilities, judgments, costs, and
PERMIT EXPIRES IF WORK IS NOT STARTED
expenses which may accrue against sold City in consequence of the
WITHIN 184 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally, the applicant understands and will
comply with all non -point source regulations per the Cupertino Municipal
j$a A T ECTION.
Code, Section 9.18.
�— -
SignatulDate f���
Issued
ate: E
O@VNER-BUILDER DECLARATION
R R�rS.
I hereby affirm that I am exempt from the Contractor's License Law for one of the
Ali roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
following two reasons:
a. I, as owner of the property, or my employees with wages as their sole
inspection.
compensation, will do the work, and the structure is not intended or offered
for sale (Sec.7044, Business & Professions Code)
Signature ofAppticant:
a. I, as owner of the property, am exclusively contracting with licensed
Date:
contractors to construct the project(See,7044, Business & Professions Code),
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I hereby affirm tinder penalty of perjury one of the following three declarations:
1. I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued.
I have read the hazardous materials requirements tinder Chapter 6,95 of the
2. 1 have and will maintain Worker's Compensation Insurance, as provided for
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
by Section 3700 of Clic Labor Code, for the performance of the work for which
maintain compliance with the Cupertino Municipal Code, Chapter 9,12 and the
Health & Safety Code, Section 25532(a) should (store or handle hazardous
this permit is issued.
material. Additionally, should I use equipment or devices which emit hazardous
3. 1 certify that in the performance of the work for which this permit is issued, I
air contaminants defined District I
the Bay Area Air Quality ManagementdChapter
shall not employ any person in any manner so as to become subject to the
�i211 maintain compliance with the Cupertino Municipal Code, Clingier 9.12 Arid
p h
Worker's Compensation laws of California. if, after making this certificate of
tiro Health & Safety Code, Sections 25505, 25533, and 25534.
exemption, I become subject to the Worker's Compensation provisions of the
Labor Code, I rust forthwith comply with such provisions or this permit shall
�.
Owner r a t oNzed [ent' .. .
be deemed revoked.
Dat�fi%
C ONSTRUC I IOrI LENDING AGT Nt Y
APPLICANT CERTIFiCATION
I certify that t have read this application and state that the above information is
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
Lender's Address
judgments, costs, and expenses which may accrue against said City in
ARCHITECT'S DECLARATTON
consequence of the granting of this permit. Additionally, the applicant
beT used a
E understand my plans shall be used as public records.
understands and will comply with all non -point source regulations per the
Cupertino Municipal Code, Section 9.18.
Licensed
Professional
Signature Date
of � �ot
rban wv)ocgrv.kw t-� mo Ijd xo- J --,b A-raq-trr
A -0_ 0.d Ckt AO n V?P rn'C)4Q.LP Aj
&%rpt S kwL) J -b tfjQ C.o 1) yr res tie. Qj,,DMA c
t\Jcxm,e Con tr) � O coo.
LtLrA�r�ino 36013
I CITY OF CUPERTINO BUILDING PERMIT I
I BUILDING ADDRESS: 21331 COLUMBUS AVE AND SREEK ONTH BAN
SREEKANTH I PERMIT NO: 15060181 I
OWNER'S NAME: BHASKAR SREEKANTH AND SREEKANTH BAN
OWNER'S PHONE: 6502793750
ri LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor Date
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business. & Professions
Code and that my license is in full force and effect.'
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section' 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
OWNER -BUILDER DECLARATION.
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
21331 COLUMBUS AVE I DATE ISSUED: 12/09/2015
CUPERTINO, CA 95014-4921 1 PHONE NO:
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL M
ADD 703 S.F TO SFD & CONVERT GARAGE (143 S.F.) TO
RECONFIGURE KITCHEN & FAMILY RM, ADD (N)
MASTER
SUITE, 2 (N), SAY WINDOWS, 1/2 BATH & FOYER. UPDATE
Sq. Ft Floor Area: I Valuation:. $175000
APN Number: 36204002.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:. Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections �2505, 2 33, and 25534. *�
Owner or authorized agent: Dater `
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must I I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source r ulations per Cupertino Municipal Code, Section
9.18. pp
t n_._ 10_>�nC�l\10 It
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
CONSTRUCTION IT APPLICATION
2 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
10300 TORRE AVENUE a CUPERTINO, CA 95014-3255
(408) 777-3228 a FAX (408) 777-3333 e buila�dii cuperlino oCUPERTINOrq A� a /
M NEW CONSTRUCTION n ADDITION n ALTERATION / TI n REVISION / DEFERR.EI D ORIGINAL PERMIT #
PROTECT ADDRESS �g
pQ _ C
APN # %
'7
/'I C/. ✓ 00
A��.,,i,,'rfe�- q gJ_ �o^r�
gk
OWNER NAME c, R C-E� K ft1\ t F � dr) t I _S \ rri'°i
COMPANY NAME
PHONF 650 -2,q J-3'�`'i'i_
1
`✓CU
E-MAIL 6 & L 9 rnOl L- �6
STREET ADDRESS 9- 1 3 a I C -c L Liaa nn�� �rr
� 4v
CITY, STATE> ZIP p' E( k( I v= () t
FAX
p��e-��u
CONTACT NAME � " )A1 1 H- t ..
_
DEscxlPlloN of WORK . , r , %
P%
170r
E-MAIL
r �f�-
STREETADDRESS 21 381 (_Q Lt. M a) V._'. �
CITY, STATE, ZIP Ct�1'PE 1rr
�^/��
l�
FAX
1:1 OWNER 0 OWNER -BUILDER 13 OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT 13 ARCHITECT ❑ ENGINEER 13 DEVELOPER 13 TENANT
CONTRACTORNAME r— LICENSE NUMBER LICENSE TYPE BUS. LIC #
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
ARCHITECT/ENGINEER NAMF, ZEptVA
J"D SF
LICENSE NUMBER
BUS. LIC #
FAX
.Zo9
-
OS' �Z.
COMPANY NAME
E-MAIL
J Ze k'dac ca t, 4I b(Z&O
STREET ADDRESS /
rw (_
SECOND STORY
CITY, STATE> ZIP
L"rT 53301.
PHONE
62
9 , 6 -ty,
DEscxlPlloN of WORK . , r , %
r P ,I 1- _ A —ii
� . , _,
6 & A
a
EXISTG NEW FLOOR DEM
AREA ARE, _9 AT
BATHROOM KITCHEN
REMODEL. AREA REMODEL AREA
I TOTAL
NET AREA
1 OTHER
i xEMODEL ART_ E
�9IWO
# DWELLING UNITS:
IS A SECOND UNIT 0 YES
SECOND STORY
BEINGADDED? ONO
ADDITION?
PR&APPLICATION ❑ YEs IF YES, PROVIDE COPY OF
IS THE BLDG AN
PLANNINGAPPL# ONO PLANNING APPROVAL LETTER
EICHLERHOME?
By my signature below, I certify to each of following: I am the property
application and the inform I have p vided is correct.
I have re.a e D
ordinances and state law re f g to b Idin construction.
or
Signature of Applicant/Age
USE I TYPE I OCC. I SQTT.
V
VALUATION (S)
owner or authorized age n the property owner's behalf. I have read this
;scri tion of Work and verify it is accurate. I agree to comply with all applicable local
A;�!
ertino to enter the above-identifiedd property for inspection purposes.
Date: 04- 1 _ 6 12 F%
SUPPLENUKAL H4•O9MA•11UN K�_`7UIKtIJ PLANCHECKTYPE;
_ New SFD or Multifamily dwellings: Apply for demolition permit for 11OVER.THE-COUNTEIR
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. 0 EXPRESS
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTArmAxa
form if any Hazardous Materials are being used as part of this project. 0' LxR
_ Copy of Planning Approval Letter or Meeting with Planning prior to 01 MAJOR
submittal of Building Permit application.
O IILPING PLAN REVIEW
0 PLAN NINGPLANREVIEW
n PUBLIC WORKS
CI FiRF DEPT
SAWARY SEWERD19TRICT
Bldgvlpp_201 1. doc revised 06121111
CITY OF CUPERTINO
FFF ESTIMATOR - R1TI11,I1INV_'nIVl1,Q1nN
21331 COLUMBUS AVE
DATE: 06126/2015
REVIEWED BY: MELISSA
JimADDRESS:
APN: 362 04 002
BP#:
*VALUATION: 1$175,000
'PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
-?
Unit? 0 Yes (F) No
OTC
OTC? 0 Yes 0 No
ENTAMATION
PERMIT TYPE: 1R3SFDADD
WORK
ADD 703 S.F TO SFD & CONVERT GARAGE (143 S.F. TO RECONFIGURE KITCHEN & FAMILY
SCOPE
RM, ADD (N) MASTER SUITE, 2 (N) BAY WINDOWS, 1/2 BATH & FOYER. UPDATE & REMODEL
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(S-0
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
A
11-8,111-B,1V,V-B
965
$2,654.00
JR3PLNCK
$1,666.00
IR31NSP
PME Plan Check:
$0.00
Permit Fee:
$1,666.00
Suppl. Insp. Fee -0 Reg. 0 OT�hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConstructionTax:
TOTALS:
965
$2,654.00
v
$1,666.00
-1,fech. I'lart ('heck
Mech. Peprnhl Fee:
Other -Ikxh. Insp.
Plumb. 11kin Check
Plumb, Peonii Fee:
Other Plumb lrtspn
Elec,.P/an Check
Islet. Permit F4;e:
Other Elec. Imp,
Ilech. Imp, Fee: I fllwnb. hisp . Fee: I Elec. IPK,;P
NOTE: This estimate dnow not inelazle fees due to athor Donartmontv 4i P_ Planning. Pahlic Works. Fire. Sanitary Sewer District. School
rmitart tho Dont fnraddnl info.
FEE ITEMS (Fee Resolution 11-053 Eft.' 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,654.00
774 1 s.f. Remodel, Other
$575.001 IREMRESOTH
Suppl. PC Fee: (j) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,666.00
Suppl. Insp. Fee -0 Reg. 0 OT�hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConstructionTax:
Adinin istrofive F, ee:
0
E)
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee:
IPLLONGR
$135.10
Select a Non -Residential
-1 Building or Structure
0
A
Tre,wi,el Documestation 1"ees:
Strong Motion Fee:
IBSEISMICR
$22.75
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$7.00
j SiMT
"i" '
$4,484.85
$575.00
$5,059.85]
Revised: 05107/2015
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15060181
21331 COLUMBUS AVE CUPERTINO CA 95014 (362 04 002) AAA CONSTRUCTION
SERVICES
CAMPBELL, CA 95011-
0971
OWNER'S NAME: BHASKAR SREEKANTH AND SREEKANTH BAN I J DATE ISSUED: 12/09/2015
OWNER'S PHONE: 650-279-3750 1 1 PHONE NO: (408) 502-2760
t t IT'yi afi7ll_\mil113go
License Class IJ Lic. #984062
Contractor AAA CONSTRUCTION SERVICES Date 06/30/2017
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
t. 1 have and will maintain a certificate of consent to self -insure for Worker's
V,ve
pensation, as provided for by Section 3700 of the Labor Code, for the
once of the work forwhich thispermitis issued.
and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the per
of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino MunicipAL C a Saco�.
Signature Date 4/14/2016
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
t. I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
1. I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
a. I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Worker's Compensation laws of California. If, after making this certificate of
exemption, I become subject to the Worker's Compensation provisions of the
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature Date 4/14/2016
BUILDING PERMIT INFO:
—BLDG —ELECT —PLUMB
_ MECH _ RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
ADD 703 ST TO SFD & CONVERT GARAGE (143 S.F.) TO
RECONFIGURE KITCHEN & FAMILY RM, ADD (N) MASTER
SUITE, 2 (N) BAY WINDOWS, 1/2 BATH & FOYER. UPDATE
& REMODEL OTHER AREA 774 S.F. ADD 69 S.F. PORCH
Rev #I - CHANGE KITCHEN WINDOW FROM BAY TO SLIDER, ADD
2X4 SKYLIGHT, ADD SUN TUNNEL IN OFFICE, ELIMINATE SINK
IN ISLAND, CHANGE BATH TUB TO SHOWER. ISSUED 4/14/16
Sq. Ft Floor Area: I Valuation: $175000.00
APN Number: Occupancy Type:
362 04 002
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: ABBY AYENDE
Date: 12/09/2015
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date: 4/14/2016
ALL ROOF COVERINGS TO BE CLASS "A" OR BF] HA4
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District 1
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 2550 25533, and 25534.
Owner or authorized agent:
Date: 4/14/2016
T �= ENDING AGENCL-----'---
I hereby affirm that there is a cons g agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
4
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ��i
t
(408) 777-3228 • FAX (408) 777-3333 • buildinp(a.cupertino.or4
❑ NEW CONSTRUCTION ❑ADDITION
❑ ALTERATION / TI VlRiVISION /DEFERRED ORIGINIAL PERMIT n
air
PROTECT ADDRESS ( APN R 6
I lt,�„l/DuI.�1 � V o..
0\ NAI✓E � I P _ .�"' E-i`ZAIL
'�-
STREET. SC1
STATE, ZIP FAX
CON NAME O E MAIC', V
STREETADDRESS CITY, TATE, ZIP FAa
❑ 01.'NER ❑ OIANTER-BUILDER ❑ 01;'I."ERAGEN°T ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGA'EER ❑ DE"SLOPER ❑ TENANT
CONTIiACTORNAA4
�
LICENS_ . T ER
LIC ' TYPE
BUS.LIC#
r1-�
COA4PA)\Z'NAE /�
E-MAIL
FAX
STREE •'E S
CITY, STATE, ZIP
PHONE
ARCHITEC NG E ?\`ANE LICENSE NUMBER ^ C 7 A y ^/�
J
BUS. LIC 4
COb4PAN ' �iE� E-NiAIL FAX
209 S? /-oS4 2
STREET ADDRESS CITY, TATE, ZIP PHONE
821 r CA 9S 209 a
_
DESCRIPTION OF WORK �C_�'(/, Caw �.J✓ Y �C'.�..� �� `'uK/\
T—
EXISTING USE PROPOSID USE CONSTR. TYPE n STZ5RIES
USE TYPE
OCC.
SQ.FT.
I VALiJ.ATIOT: (i)
EXISTG
NEW FLOOR
DEMO
TOTAL
-
AREA
I
AREA
AREA
-7
NET AREA
FOR
I
BATHROOM
KITCHEN
OTHER
REMODEL .AREA
REMODEL AREA
REMODELAREA
PORCH AREA
DECK AREA
TOTAL DEC}:.?ORCH ?.RE4
GARAGE .AREA: LJDETACH
--
❑ ATTACH
I
I DwELLII.G UNITS:
IS A SECOND UNIT ❑YES
SECOND STORY E)) 'ES
BEING ADDED? ❑ NO
ADDITION? ❑ NO
PRE -.APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN El: -Es
IV B1
TOTAL VALUATION:
PLANITINGAPPL-, ❑NO PLA?.'NING APPROVAL LETTER
EICHLER HOME? ❑NO
;�
By my signature below, I certify to each of the fo110wing: property owner or authorized agent t act o the property owner's behalf. I have read this
application and the information I have provided i e .ave read the Description of'Work- and verify itis accurate. I agree to comply -x ith all applicable local
ordinances and state la-wS relating to buildi vction. I authorize representatives of Cupertino to enter the zb 'e-idenf r5d property. for inspection purposes.
Signature of Applicant/Agent:—
SUPPLEM L INFORI\4ATION REQtiIR.ED
New SFD or Multifamily d}a ellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
_
form. if any Hazardous Materials are being used as part ofthis project.
_ Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
Bldg4pp_201 Ldoc revised 06121111
CUPERTINO
OWNER -BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 • buildinola cuoertino.org
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITEADDRESS I3.3I CvLuMC�I qVE_ ....APN.,.
OWNER NAME _ _ ER ADDRESS:. A vc
DESCRIPTION OF WORK:
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, signed, and
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.)
SS 1.1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -
Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material
personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those icjuries. I am willfully acting as an Owner -Builder and am aware of the limits of my
insurance coverage for injQries to workers on my property.
cis 2. I understand. building permits are not required to be signed by property owners unless they are responsible for
the construction and are not hiring a licensed Contractor to assume this responsibility.
03. 1 understand as an "Owner -Builder" I am the responsible parry of record on the permit. I understand that I may
protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
name instead of my own.
0 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
�
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer" under state and federal law.
SS 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and
federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject
me to serious financial risk.
9S 7.1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
9S 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for
any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction
defects in the workmanship or materials.
OwnerBuilderForm 2010.doc revised 04/19/10
&S 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments,
and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed
contractors.
SS 10.1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I
am the party legally and financially responsible for proposed construction activity at the site address listed above.
Qa11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner -Builders as well as employers.
S12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the'
information l have -provided on this form. Licensed contractors are regulated by-laws designed to protect .the.. public. If
you contract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any financial loss you may sustain as a. result of a complaint..Your only remedy against unlicensed
Contractors may be in civil court. It' is also important for you -to understand that if an unlicensed Contractor or
employee of that individual or firm is injured .while working on your property, you may be held liable for damages. If
you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS: Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name:
Lender Address:
Before a building permit can be issued, this form must be completed and signed by the property owner and
returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license,
form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued
to verifli the property owner's si nature.
Property Owner's Signature: I Date: r -Lb
e wing uthorizat16n-
------------------------------------------For----m---is----------required---to--be---------------completed---by---the------------property----owner------onl---y--when----------designating-----------an---- -
(NOTE: ThfolloA
agent of the property owner to apply for a construction permit for the Owner -Builder).
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's
signature.
Property Owner's Signature:
Date:
OwnerBuilderForm 2010.doc revised 04/14/10
ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildinaacupertino.orta
CUPERTINO
BP REQUEST FOR MODIFICATION OF CODE (CBC 104.10, CFC 104.8)
❑ REQUEST FOR ALTERNATE MATERIAL, DESIGN OR METHOD OF CONSTRUCTION (CBC 104.11, CFC 104.9)
To aooly for this request comoipta ser:tions 1 7 R 3 fink nr tvna)
SITEADDRESS 1C,1I �� C��RAVY 05 kY e
APN 3 6 Z ^ O4' OO Z
DATE 6 _ 7- 20)S
/.
Owner ..... 5.�!(,e.t.l.a....... u nd..5..t � .Canl h .................. _. ..........................
PC #:.. l��. Q. b.Q. �
,/Q Q
Type: R.�
1
Address ... �.1..33.J....... 0 .Q..�ISI.?^'�.4? V.,�..... RI.�.-....C.u.�.r I✓lA
A. 1 ......)................
..a.�.......
Permit
.........Y.. ...................
I
Email............................................................. Phone ..... ......................................
#:......................... ......
PLN #: ...............................
Dept./Div ...............................
Stories:...... ................ .....
Occupancy: .... P-Jju. .....
Floor Area:.7-0WA4& ...
3 On ia
JJ
Applicant.... ,.,�.D..S. .........�.Q .Q aQ.......... Title ...............................................
/+"
Address .......La.�-1.... �.I..lr. M-�....+.�.X/.F..�'a..... C.�?......�}..�„3�..�.........
Job Status: ...........................
Occ. Load:..........................
1
Use of Bldg:..�.C.Si,t!
Email....., i.2.� .... • •. ��iw•.... Phone... CZp.9).19..6-.88.1.0....
2
REQUEST: For code modifications please state the applicable code requirement and the extent of relief desired For alternate requests, state the type of system
proposed and design methods. Subrrit plans if necessary to illustrate request Additional sheets or data may be attached.
Code Section(s):
/Y �1 �,
8/ 1 Z613
1863.1 0-9(—
W 1 vE12 04: GEOTEC-40CAL QiEP01V&E4UiU1nE1�Z5
y r i nr
3
JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications, applicant shall demonstrate that
special, individual reasons exist that crake compliance with the strict letter of the ordinance impractical and that
equivalency is provided. For alternate requests, applicant shall demonstrate suitability. strength, effectiveness. fire
resistance. durabili • sale and sanitation that is equivalent to the code for a similar use.—
Code Section(s):
/Y �1 �,
8/ 1 Z613
1863.1 0-9(—
Attach additional sheets if necessary.
y r i nr
I
No. of Items:...:.. ..
Fee Due: S ......1 . ............... .
Date Paid: ................................
Receipt No .. ..............................
Processed by:
yy........ ........c..........
Petitioner's/
Signature: ....... Position:..Clll.y....C/1 1�i1 Date:. $ .x .+1 �.
Reviewed
By: ................................................Date:.........................
V/ IV --.A - - /
The Request is: GRANTED
❑ DENIED Dept. Comments.
CONDITIONS OF APPROVAL:
No. of Items:...:.. ..
Fee Due: S ......1 . ............... .
Date Paid: ................................
Receipt No .. ..............................
Processed by:
yy........ ........c..........
BuildingOfficial* ..... . ...................................�
...... ...... ..Print: ..........11.V..J1..Y.._.
�%% ((��
_ .. Date:..V.. 1........t..✓_......
FireMarshal. ..... ... ..........................................................................
Print:
.......... ............................................ .......................... Date:..................................
WQIm I MGI\ 1 M%' I IVrm. MIMI UVICl Ih111a11V11, I.UPIV5 [Q. 1) aPp11Gant. Cf perrn11 The
AIfform=20lS.doc revised 0!'06.1 S
W���,��, CITY OF CUPERTINO
- ] FEE ESTIMATOR - BUILDING DIVISION
19'
ADDRESS: 21331 Columbus Ave.
DATE: 08/12/2015
REVIEWED BY: A. Salvador
APN:
BP#: 15060181
'VALUATION: Iso
XPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE: P
0.0
PENTAMATION
PERMIT TYPE: 1 GENRES
WORK
Waiver of Geotechnical Report
SCOPE
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc) Thacp fvoc are based nn the nreliminary information available and are onlv an estimate Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution I l -053 1jf, 7/1. 131
Afech. Man ( '.
Plzimh. Plan Chech
MISC ITEMS
/'/((mh. Perwil h r
Jec. Permit hire:
)ir'te'r ;i- tech. huiz,
11himb hisp. El
Suppl. PC Fee: 0 Reg. Q OT
0.0
hrs
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc) Thacp fvoc are based nn the nreliminary information available and are onlv an estimate Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution I l -053 1jf, 7/1. 131
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construe,lion TCA':
4dininistrative Fee.-
ee.Work
0
WorkWithout Permit? Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
7ruvet Docutrientution I%ses.
Strong Motion Fee:
$0.00
F 71 #
$187.00IALTMAT
Alternate Materials and Methods
Bldg Stds Commission Fee:
$0.00
SUBTOTALS:
$0.00
$187.00
TOTAL FEE:
$187.00
Revised: 07/02/2015
ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingna cupertino.org
❑EQUEST FOR MODIFICATION OF CODE (CBC 104.10, CFC 104.8)
REQUEST FOR ALTERNATE MATERIAL, DESIGN OR METHOD OF CONSTRUCTION (CBC 104.11, CFC 104.9)
❑ REQUEST FOR HARDSHIP EXEMPTION OR EQUIVALENT FACILITATION (HEALTH AND SAFETY CODE 19957)
To apply for this request, complete sections 1, 2, & 3 (ink or type)
SITE
ADDRESS 33/ Gam 1/�i3 ✓5 /�
AP
DATE
Owner... CIC. ........ ...... I. . .. . ....... .............................................
11 11 11
Address .. ....1.-S ......... Ll1.t�w / ../'�•.................................
PC #:
Permit #: I�D�op�Bl..
Type:.......... V.`J .............
Stories:...............
Email .5..... .. 7.Y.. ................. Ptho.
r.4l:. . ........... 4 /
In
/2'j
Reviewed /
By: ........ Date:%
PLN #: ..................................
Dept./Div ...............................
Occupancy:...........................
Floor Area:.............................
//..
Applicant. .(,,F(!: .... C�D'av%�i G4 eTOY�
....................... ......... Title ............................................
ft�-77 �.i6t C&.5. (
Job Status:..1��!//%....
Occ. Load: ............................
EmaiL20
�i,Z i ........
Use of Bldg:...,`� '......
10-93R?
2
REQUEST: For code modifications, please state the applicable code requirement and the extent of relief desired. For alternate requests, state the type of system
proposed and design methods. Submit plans if necessary to illustrate request. Additional sheets or data may be attached.
Code Section(s):
ZC z d --
..-
CONDITIONS OF APPROVAL:
Z \33
In
Petitioner's6
Signature: ... ..... .............. Position: .................... ............ Date: !.i ...... .....
3
JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications, applicant shall demonstrate that
special, individual reasons exist that make compliance with the strict letter of the ordinance impractical and that
equivalency is provided. For alternate requests, applicant shall demonstrate suitability, strength, effectiveness, fire
resistance, durability, safety and sanitation that is equivalent to the code for a similar use.
Code Section(s):
ZC z d --
Attach additional sheets if necessary.
CONDITIONS OF APPROVAL:
Petitioner's6
Signature: ... ..... .............. Position: .................... ............ Date: !.i ...... .....
Reviewed /
By: ........ Date:%
The Request is: ErGRANTED ❑ DENIED
I Dept. Comments:
CONDITIONS OF APPROVAL:
THIS PLAN SHALL REMAIN
ON
No. of Items:........... ..................
Fee Due: $ ...1`7 8... r>e-- ...
Date Paid: ................................
No.: ..............................
Processed by: ........ ...................
THE B AT ALL TIMES DURIN(;
CONSReceipt
01
Building Official:..... .. . .. ....��......................Print:......... ....1
..........................
Date: ... /�• l�P
FireMarshal: ..................................................................................... Print:..................,..............................................................
Date:..................................
DEPARTMENT ACTION: After determination, copies to: 1) applicant, 2) permit file
Altform 2015.doc revised 07101115
ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
I� 10300 TORRE AVENUE • CUPERTINO, CA 9rc3
u (408) 777-3228 •FAX (408) 777-3333 • buildin o
FICECUPERTINO Copy
❑EQUEST FOR MODIFICATION OF CODE (CBC 104.10, CFC 104.8)
R
�.� EQUEST FOR ALTERNATE MATERIAL, DESIGN OR METHOD OF CONSTRUCTION (CBC 104.11, CFC 104.9)
❑ REQUEST FOR HARDSHIP EXEMPTION OR EQUIVALENT FACILITATION (HEALTH AND SAFETY CODE 19957)
Tn onnly fnr Chic rcni acct—rnnlctc cartinnc 1 9 R '2 link nr txmol
SITE ADDRESS / 33� GGL ���3 �s 1-4APN���
• D y ' DDo�
DAT
Owner... �i....... ....... .. C .............................................
11 1`
Address.. '. ...1......... j�ll.tv�a.. ...............................
P C #
Permit �BI
Type• V�.................
S tories:...........�
S, �. �1,i
.......JD�o
�3
Email. .. �.Y. ............... Pho .... ...........
PLN #:..................................
Dept./Div ...............................
Occupancy:
P y :...........................
Floor Area:.............................
Applicant. .(..F(!•........................... U.. (,lO�v�lQ �%�
.............. Title............................................(
Address.a............. bi? . .... 1.1 ` .`7.f.......... �be t[... i4..`� 5� l
Job Status: �v'-�sl%....
Occ. Load :............................
(..
.. ......... IoM....
Emaill�.Cpt�.S•�.l.Ceb.T�r�.r��'.......
142
Use of Bldg:...'.......
2
REQUEST: For code modifications, please state the applicable code requirement and the extent of relief desired. For alternate requests, state the type of system
roposed and design methods. Submit plans if necessary to illustrate request. Additional sheets or data may be attached.
Code Section(s):
Attach additional sheets if necessary.
CONDITIONS OF APPROVAL: //� f%L,L
3
JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications, applicant shall demonstrate that
special, individual reasons exist that make compliance with the strict letter of the ordinance impractical and that
equivalency is provided. For alternate requests, applicant shall demonstrate suitability, strength, effectiveness, fire
resistance, durability, safety and sanitation that is equivalent to the code for a similar use.
Code Section(s):
Attach additional sheets if necessary.
CONDITIONS OF APPROVAL: //� f%L,L
�%C,«Z �/ HC/7�C�
GG ' �
Cy� "— /6 6
Petitioner's / Reviewed e/
Signature: Position:.. .................... Date: �I .......... By: .......f—�N..(... R�L..Date:
The Request is: ErGRANTED 11DENIED
Dept. Comments:
CONDITIONS OF APPROVAL: //� f%L,L
�%C,«Z �/ HC/7�C�
GG ' �
Cy� "— /6 6
No. of Items:........ . ....... I..........
Fee Due: $ ...yB................
Date Paid: ................................
Receipt No.: ..............................
Processed by: ............................
Building Official:. ... .. `/.......................
...
Print:...... cEfiN�/
..........
Gi ............................
�a llv
Date:.......... '......................
FireMarshal: .............................................. . ..... . .. . . ........................
Print:..................,..............................................................
Date:..................................
ULPAK 1 MLN I AG I iUN: Atter (jetermmatlon, copies to: l) applicant, z) permit The
Aliform 2015.doc revised 07/01/15
t
CUPERTINO
PURPOSE:
CALGREEN RESIDENTIAL CHECKLIST - MANDATORY
ITEMS
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL RECEIVED
J
Y ED
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org JUN 2 9 2015
The 2013 CalGreen Code applies to additions or alterations of existing residentiaPg ' s w ere the addition
or alteration increases the building's conditioned area, volume, or size and also applies to all new low-rise
residential buildings, high-rise residential buildings, or both. Existing site and landscaping improvements that
are not otherwise disturbed are not subject to the requirements of CALGreen.
Project Name:
Project Address:
Project Description:
Instructions: S"' UP AOITrA i
1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California
Green Building Standards Codes to verify and assure that all required work described herein is properly
planned and implemented in the project.
2. The licensed professional, in collaboration with the owner and the design professional shall initial Column
2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the
checklist printed on the approved plans for the project.
3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3
and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the
completed form to the Building Inspector.
Page I of 5
CalGreen 2014.doc revised 11/04/14
Column 2
Column3
MANDATORY FEATURE OR MEASURE
Project
Verification
Re uirements
.. .1 PLANNING AND DESIGN
Planning and Design - Site Development
4.106.2 Storm water drainage and retention during construction. A plan is
developed and implernented to manage storm water drainage during
EJ
El
construction.
m
4.106.3 Grading and paving. The site shall be planned and developed to
keep surface water away from buildings. Construction plans shall indicate how
site grading or a drainage system will manage all surface water flows.
s1
Page I of 5
CalGreen 2014.doc revised 11/04/14
A4.2
General
4.201.1 Low-rise residential buildings shall meet or exceed the minimum ® ❑
standard design required by the California Energy Standards.
A4.3 WATER EFFICIENCY AND CONSERVATION
Indoor Water Use
4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures
(water closets and urinals) and fittings (faucets and showerheads) shall comply
with the following:
S f 60
13 4.303.1.3.2 Water Closets. The effective flush volume of all water closets
shall not exceed 1.28 gallons per flush. Tank -type water closets shall be
certified to the performance criteria of the U.S. EPA WaterSense
Specifications for Tank -type Toilets.
❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not
exceed 0.5 gallons per flush.
4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum
flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads
shall be certified to the performance criteria of the U.S. EPA WaterSense
Specification for showerheads.
❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a
shower is served by more than one showerhead, the combined flow rate of
all showerheads and/or other shower outlets controlled by a single valve
shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be
❑
designed to allow only one shower outlet to be in operation at a time.
4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of
residential lavatory faucets shall not exceed 1.5 gallons per minute at 60
psi. The minimum flow rate of residential lavatory faucets shall not be less
than 0.8 gallons per minute at 20 psi.
❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The
maximum flow rate of lavatory faucets installed in common and public use
areas (outside of dwellings or sleeping units) in residential buildings shall
not exceed 0.5 gallons per minute at 60 psi.
❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in
residential buildings shall not deliver more than 0.25 gallons per cycle.
4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets
shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may
temporarily increase the flow above the maximum rate, but not to exceed
2.2 gallons per minute at 60 psi, and must default to a maximum flow rate
of 1.8 gallons per minute at 60 psi.
4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures
and fittings shall be installed in accordance with the California Plumbing Code,
❑
❑
and shall meet the applicable standards referenced in Table 1401.1 of the
California Plumbing Code.
Page 2 of 5 CalGreen_2014.doc revised 11/04/14
Outdoor Water Use
4.304.1 Irrigation controllers. Automatic irrigation systems installed at the t
time of final inspection shall be weather -based. /
❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers
that automatically adjust irrigation in response to changes in plants' needs
as weather conditions change. 1�1
C�1
❑
❑ 4.304.1.2 Weather -based controllers without integral rain sensors or
communication systems that account for local rainfall shall have a separate
wired or wireless rain sensor which connects or communicated with the
controller(s). Soil moisture -based controllers are not required to have rain
sensor input.
.. .4 MATERI I L CONSERVATION AND RESOURCE EFFICIENCY
Enhanced Durability and Reduced Maintenance
4.406.1 Rodent proofing. Annular spaces around pipes, electric cables,{two
conduits, or other openings in plates at exterior walls shall be protected
13
❑
against the passage of rodents by closing such openings with cement mortar,
concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste Reduction, Disposal and Recycling
4.408.2 Construction waste management plan. Where a local jurisdiction
S 6 VN
does not have a construction and demolition waste management ordinance, a
❑
construction waste management plan shall be submitted for approval to the
enforcing agency.
Building Maintenance and Operation
4.410.1 Operation and maintenance manual. At the time of final inspection,
an operation and maintenance manual shall be provided to the building ® ❑
occupant or owner.
.. .5 ENVIRONMENTAL QUALITY
Fireplaces
4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed
r
�I
❑
wood -burning fireplace, or a sealed woodstove.
Pollutant Control
4.504.1 Covering of duct openings and protection of mechanical
lick Z 6w.i
equipment during construction. Duct openings and other related air
E3
❑
distribution component openings shall be covered during construction.
4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks
ti -ox 3` 1SHf-
® ���
❑
shall be compliant with VOC and other toxic compound limits.
4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be
❑
❑
compliant with VOC limits.
4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings
IT* 3. Z
shall be compliant with product weighted MIR Limits for ROC and other toxic
f ��
❑
compounds.
Page 3 of 5
CalGreen 2014.doc revised 11/04/14
4.504.2.4 Verification. Documentation shall be provided to verify that
d6jk
�`" icompliant ��
❑
VOC limit finish materials have been used.
i
4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with
No �l ,rl�
❑
VOC limits.
4.504.4 Resilient flooring systems. Eighty (80) percent of floor area
No
5
receiving resilient flooring shall comply with the VOC-emission limits defined in
the Collaborative for High Performance Schools (CHPS) Low -emitting
®
❑
Materials List or be certified under the Resilient Floor Covering Institute (RCFI)
FloorScore program.
4.504.5 Composite wood products. Particleboard, medium density
4'
N�I7A
fiberboard (MDF), and hardwood plywood used in interior finish systems shall
fl
❑
comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Concrete slab foundation. Required vapor retarders and capillary
❑
breaks are also required to comply with CalGreen Section 4.505.2.1.
�f Pak>
4.505.3 Moisture content of building materials. Moisture content of building
��SAf-
❑
materials used in wall and floor framing is checked before enclosure.
(�N{
Indoor Air Quality and Exhaust
4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the
®
❑
building are provided in every bathroom.
Environmental Comfort
4.507.2. Duct systems are sized and designed and equipment is selected
AJ /a -
using the following methods:
1. Establish heat loss and heat gain values according to ACCA Manual J or
equivalent.
E
❑
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent.
3. Select heating and cooling equipment according to ACCA 36-S (Manual S)
or equivalent.
INSTALLER ANDSPECIAQUALIFICATIONS
L INSPECTOR
Qualifications
702.1 Installer training. HVAC system installers are trained and certified in
sa
❑
❑
the proper installation of HVAC systems.
702.2 Special inspection. The Licensed Professional responsible to verify
CALGreen compliance is qualified and able to demonstrate competence in the
❑
❑
discipline they inspect and verify.
Verifications
703.1 Documentation. Verification of compliance with CALGreen may
include construction documents, plans, specifications, builder or installer
certification, inspection reports, or other methods acceptable to the enforcing
®
❑
agency which show substantial conformance. Implementation verification shall
be submitted to the Building Department after implementation of all required
measures and prior to final inspection approval.
Page 4 of 5 CalGreen_2014.doc revised 11/04/14
Project Name:
Project Address:
Project Description:
CALGREEN SIGNATURE DECLAIRATIONS llote
SECTION 1 - DESIGN VERIFICATION
Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the
plans and building permit application to the Building Department.
The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and
certify that the items checked above are hereby incorporated into the project plans and will be implemented into the
project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as
adopted byte Cityuper o. a
Owner's Signature
Sre� b�
Owner's Name (Please Print) ---\S
Design Professional's Signature 6u -
X056 ZEE
Design Professional's Name (Please Print)
Signature of License Professional responsible for ClIGr compliai e"
Name of License Profession I responsible for CalGreen compliance (Please Print)
-I?j /I� 6-(- (9) L4 0 k,60, CO u-.
Email Address for Licerfse Professional*6sponsible for CalGreen compliance
SECTION 2 - IMPLEMENTATION VERIFICATION
Date
IZ61(-5'-
Date
(?, 09)
Phone
Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section
2 to the Building Department prior to Building Department final inspection.
I have inspected the work and have received sufficient documentation to verify and certify that the project identified
above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of
the 2013 California Green Building Standards Code as adopted by the City of Cupertino.
Signature of License Professional responsible for CalGreen compliance Date
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
Email Address for License Professional responsible for CalGreen compliance
Page 5 of 5 CalGreen_2014.doc revised 11/04/14
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Remodel addition
21331 Columbus AvRECEIVED
Cupertino, CA 95014 JUN 2 9 2015
Project Designer: BY
0 OIgE ZEPEDA
0'F"tF-ICE C 1 1 Fir Lane
CERES, CA
Report Prepared by:
Tailored Energy Services - Title 24 Calculations,
Kevin Laughton
www.TailoredEnergyOnline.com
Kevin@TailoredEnergyOnline.com
Job Number:
5531
Date:
26-Jun-15
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
Ener Pro 6.6 by Ener Soft User Number: 5308 ID: 5531
I TABLE OF CONTENTS I
Cover Page 1
Table of Contents 2
Form CF -1 R -PRF -01-E Certificate of Compliance 3
Form RMS -1 Residential Measures Summary 11
Form MF -1 R Mandatory Measures Summary 12
HVAC System Heating and Cooling Loads Summary 16
Room Load Summary 17
Room Heating Peak Loads 18
EnergyPro 6.6 by EnergySoft
ID: 5531
User Number: 5308
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01`
Page 1 of 8
GENERAL INFORMATION
01
Building Complies with Computer Performance
01
Project Name Remodel addition
03
This building incorporates one or more Special Features shown below
02
Calculation Description Title 24 Analysis
08
Energy Use (kTDV/ft2-yr)
03
Project Location 21331 Columbus Ave
Compliance Margin
Percent Improvement
04
City Cupertino
05
Standards Version Compliance 2015
06
Zip Code 95014
07
Compliance Manager Version BEMCmpMgr 2013-4 (744)
08
Climate Zone CZ4
09
Software Version EnergyPro 6.6
10
Building Type Single Family
11
Front Orientation (deg/Cardinal) 270
12
Project Scope Addition and/or Alteration
13
Number of Dwelling Units 1
14
Total Cond. Floor Area (ft2) 3002
15
Number of Zones 2
16
Slab Area (ft2) 0
17
Number of Stories 1
18
Addition Cond. Floor Area 818
19
Natural Gas Available Yes
20
Addition Slab Area (ft) 0
21
Glazing Percentage (%) 17.6%
COMPLIANCE RESULTS
01
Building Complies with Computer Performance
02
This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider.
03
This building incorporates one or more Special Features shown below
06
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-06232015-744 Report Generated at: 2015-06-26 08:03:44
ENERGY USE SUMMARY
04
05
06
07
08
Energy Use (kTDV/ft2-yr)
Standard Design
Proposed Design
Compliance Margin
Percent Improvement
Space Heating
19.38
22.58
-3.20
-16.5%
Space Cooling
7.93
7.21
0.72
9.1%
IAQ Ventilation
0.00
0.00
0.00
0.0%
Water Heating
10.11
7.16
2.95
29.2%
Photovoltaic Offset
----
0.00
0.00
----
Compliance Energy Total
37.42
36.95
0.47
1.3%
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• Cathedral Ceiling
• Ceiling has high level of insulation
HERS FEATURE SUMMARY
CF1 R -PRF -01 -
Page 2 of 8
The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is
provided in the building components tables below.
Building -level Verifications:
--None --
Cooling System Verifications:
--None --
HVAC Distribution System Verifications:
• Verified low -leakage ducts located entirely in conditioned space
Domestic Hot Water System Verifications:
--None --
ENERGY DESIGN RATING
This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual
TDV energy consumption for lighting and components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an
on-site renewable energy system.
02
Reference Energy Use
Energy Design Rating
Margin
Percent Improvement
Total Energy (kTDV/f2-yr)*
80.97
80.50
0.47
0.6%
* includes calculated Appliances and Miscellaneous Energy Use (AMEU)
BUILDING - FEATURES INFORMATION
01
02
03
04
05
06
07
Project Name
Conditioned Floor Area (ft2)
Number of Dwelling
Units
Number of Bedrooms
Number of Zones
Number of Ventilation
Cooling Systems
Number of Water
Heating Systems
Remodel addition
3002
1
7
2
0
1
ZONE INFORMATION
01
02
03
04
05
06
07
Zone Name
Zone Type
HVAC System Name
Zone Floor Area
(ft2)
Avg. Ceiling
Height
Water Heating System 1
Water Heating System 2
Current
Conditioned
currrentl
2184
8
DHW Sys 1
new areas
Conditioned
currrenti
818
8
DHW Sys 1
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-2608:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Calculation Description: Title 24 Analysis
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01
Page 3 of 8
OPAQUE SURFACES
01
02
03
04
05
06
07
08
09
10
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window & Door
Area (ft2)
Tilt
(deg)
Status
Verified
Existing
Condition
W Wall
Current
Default Wali Prior to 197
270
Front
270
84
90
Existing
No
s Wall
Current
Default Wall Prior to 197
180
Right
200
47
90
Existing
No
N Wall
Current
Default Wall Prior to 197
0
Left
110
72
90
Existing
No
E Wall
Current
Default Wall Prior to 197
90
Back
250
55
90
Existing
No
Roof 4
Current
roof
0.33
18.43
2180
0.85
0.1
Existing
No
Raised Floor
Current
Default Floor Crawlspace
2184
Existing
No
N Wall
new areas
R-19 Wall
0
Left
200
180
90
New
N/A
S Wall
new areas
R-19 Wall
180
Right
75
New
90
New
N/A
E Wall 2
new areas
R-19 Wail
90
Back
165
84
90
New
N/A
s Wall 2
new areas
R-15 Walla
180
Right
175
20
90
New
N/A
W Wall
new areas
R-15 Walll
270
Front
100
90
New
N/A
E Wail 3
new areas
R-15 Wall1
90
Back
100
90
New
N/A
Roof 5
new areas
R-38 Roof Attic
676
New
N/A
Roof 6
new areas
R-38 Roof Attic
140
New
N/A
Raised Floor 2
new areas
Default Floor Crawlspace
676
New
N/A
Raised Floor 3
new areas
Default Floor Crawlspace
142
Existing
No
OPAQUE SURFACES — Cathedral Ceilings
01
02
03
04
05
06
07
08
09
10
11
12
13
Roof
Framin
Verified
Orientatio
Area
Skylight
Roof Rise
Roof
Roof
Reflectan
Roof
g
Statu
Existing
Name
Zone
Type
n
(ft2)
Area (ft2)
(x in 12)
Pitch
Tilt(deg)
ce
Emittance
Factor
s
Condifion
Roof 2
Current
roof
Left
4.1
2
4
0.33
18.43
0.1
0.85
0.1
Exigstin
No
Roof 3
new areas
R-38 Roof Attica
Left
2.1
2
4
0.33
18.43
0.1
0.85
0.07
New
N/A
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01^
Page 4 of 8
ATTIC
01
02
03
04
05
06
07
08
09
10
Name
Construction
Type
Root Rise
Root Reflectance
Roof Emittance
Radiant
Barrier
Cool Root
Statu
s
Verified Existing
Condition
Attic Current
Attic RoofCurrent
Ventilated
4
0.1
0.85
No
No
Existi
ng
No
Attic new areas
Attic Roofnew areas
Ventilated
1 4 1
0.1
0.85
Yes
No
New
No
WINDOWS
01
02
03
04
05
06
07
08
09
10
11
Name
Surface (Orientation -Azimuth)
Width(ft)
Height (ft)
Multiplie
r
Area (ft2)
U -factor
SHGC
Exterior Shading
Status
Verified
Existing
Condition
Window e
W Wall (Front -270)
----
----
1
78.0
0.23
0.19
Insect Screen (default)
Existing
No
Window n
W Wall (Front -270)
----
----
1
6.0
0.30
0.25
Insect Screen (default)
Altered
N/A
Window n 2
s Wall (Right -180)
----
----
1
47.0
0.30
0.25
Insect Screen (default)
Altered
N/A
Window e 2
N Wall (Left -0)
----
----
1
72.0
0.23
0.19
Insect Screen (default)
Existing
No
Window e 3
E Wall (Back -90)
----
----
1
55.0
0.23
0.19
Insect Screen (default)
Existing
No
Skylight
Roof 2 (Left -0)
----
----
1
2.0
0.30
0.25
None
New
N/A
Skylight e
Roof 2 (Left -0)
----
----
1
2.0
0.23
0.19
None
Existing
No
Window
N Wall (Left -0)
----
----
1
150.0
0.55
0.67
Insect Screen (default)
New
N/A
Window e 4
N Wall (Left -0)
----
1
30.0
0.23
0.19
Insect Screen (default)
Existing
No
Window 2
E Wall 2 (Back -90)
----
----
1
84.0
0.30
0.25
Insect Screen (default)
New
N/A
Skylight 2
Roof 3 (Left -0)
----
1
2.0
0.30
1 0.25
None
New
N/A
DOORS
01
02
03
04
05
06
Name
Side of Building
Area (ft2)
U -factor
Status
Verified Existing Condition
Door
s Wall 2
20.0
0.50
New
No
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - MR -06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Calculation Description: Title 24 Analysis
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01
Page 5 of 8
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
Total Cavity
Winter Design
Construction Name
Surface Type
Construction Type
Framing
R -value
U -value
Assembly Layers
• Cavity / Frame: no insul. / 2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
Roof Deck: Wood Siding/sheathing/decking
Attic RoofCurrent
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
• Inside Finish: Gypsum Board
• Cavity/ Frame: no insul. / 2x4
• Exterior Finish: Wood
Default Wall Prior to 197
Exterior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
none
0.302
Siding/sheathing/decking
• Inside Finish: Gypsum Board
Ceilings (below
Cavity/ Frame: R-9.1 / 2x4
roof
attic)
Wood Framed Ceiling
2x4 @ 16 in. O.C.
R 19
0.049
Over Floor Joists: R-9.9 insul.
• Inside Finish: Gypsum Board
• Cavity / Frame: R-19 / 2x4
• Roof Deck: Wood Siding/sheathing/decking
roofs
Cathedral Ceilings
Wood Framed Ceiling
2x4 @ 16 in. O.C.
R 19
0.061
Roofing: Light Roof (Asphaft Shingle)
• Floor Surface: Carpeted
Floors Over
Floor Deck: Wood Siding/sheathing/decking
Default Floor Crawlspace
Crawlspace
Wood Framed Floor
2x12 @ 16 in. O.C.
none
0.216
Cavity/ Frame: no insul. /2x12
• Cavity / Frame: no insul. / 2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
Roof Deck: Wood Siding/sheathing/decking
Attic Roofnew areas
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
• Inside Finish: Gypsum Board
• Cavity / Frame: R-19 / 2x6
• Exterior Finish: Wood
R-19 Wall
Exterior Walls
Wood Framed Wall
2x6 @ 16 in. O.C.
R 19
0.069
Siding/sheathing/decking
• Inside Finish: Gypsum Board
Ceilings (below
Cavity/Frame: R-9.1 /2x4
R-38 Roof Attic
attic)
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 38
0.025
Over Floor Joists: R-28.9 insul.
• Inside Finish: Gypsum Board
• Sheathing / Insulation: R4 Sheathing
• Cavity/ Frame: R -15/2x4
R-15 Walls
Exterior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
R 15
0.050
Exterior Finish: R4 Synthetic Stucco
• Inside Finish: Gypsum Board
• Cavity / Frame: R-38 / 2x4
• Roof Deck: Wood Siding/sheathing/decking
R-38 Roof Attica
Cathedral Ceilings
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 38
0.036
Roofing: Light Roof (Asphalt Shingle)
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - MR -06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01
Page 6 of 8
WATER HEATING SYSTEMS
01
02
03
04
05
06
07
08
Name
System Type
Distribution Type
Water Heater
Number of
Heaters
Solar
Fraction
M
Status
Verified Existing
Condition
DHW Sys 1
DHW
Standard
DHW Heater 1
1
Annual
Altered
No
WATER HEATERS
01
02
03
04
05
06
07
08
Name
Heater Element Type
Tank Type
Tank Volume
(gal)
Energy Factor or
Efficiency
Input Rating
Tank Exterior
Insulation R -value
Standby Loss
(Fraction)
DHW Heater 1
Natural Gas
Small instantaneous
0
0.84 EF
185000-Btu/hr
0
0
WATER HEATING - HERS VERIFICATION
01
02
03
04
05
06
07
Name
Pipe Insulation
Parallel Piping
Compact Distribution
Point -of Use
Recirculation with
Manual Control
Recirculation with
Sensor Control
DHW Sys 1
n/a
n/a
n/a
n/a
n/a
n/a
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
Heating System
Cooling System
Distribution
Fan
Floor Area
Verified Existing
Name
System Type
Name Ducted
Name Ducted
System
System
Served
Status
Condition
currrenti
Other Heating and
Heating
Yes
Cooling
Yes
Air Distribution
HVAC Fan
3002
Existing
No
Cooling System
Component 1
Component 1
System 1
1
HVAC - HEATING SYSTEMS
01 02 03
Name Type Efficiency
Heating Component 1 CntrlFurnace - Fuel -fired central furnace 80 AFUE
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Calculation Description: Title 24 Analysis
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01
Page 7of8
HVAC - COOLING SYSTEMS
01
02
03 04
05
06
07
07
08
Efficiency
10
Multi -speed
Duct Leakage
Verification
Name
System Type
EER SEER
Zonally Controlled
Compressor
HERS Verification
Cooling Component 1
PkgAirCond - Central packaged A/C
9.8
11
No
No
N/A
Location
system (< 65 kBtuh)
Status
Condition
Verification
Air Distribution
Ducts located entirely in
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
08
09
10
Name
Duct Leakage
Verification
Duct Leakage
Target (%)
Insulation
Supply Duct
Return Duct
N/A
F
Verified Existing
HERS
Name
Type
Duct Leakage
R -value
Location
Location
Bypass Duct
Status
Condition
Verification
Air Distribution
Ducts located entirely in
Existing (not
4'2
Conditioned
Conditioned
None
Existing
No
N/A
System 1
conditioned space
specified)
Zone
Zone
HVAC DISTRIBUTION - HERS VERIFICATION
01
02
03
04
05
06
Name
Duct Leakage
Verification
Duct Leakage
Target (%)
Verified Duct Location
Verified Duct Design
Return Supply
Air Distribution System 1 -hers -dist
N/A
F
Ducts located entirely in conditioned space
IAQ (Indoor Air Quality) FANS
01 02 03 04 05
Name IAQ CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification
SFam IAQVentRpt 0 Default 0 Not Required
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-06232015-744 Report Generated at: 2015-06-26 08:03:44
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Remodel addition Calculation Date/Time: 08:02, Fri, Jun 26, 2015
Calculation Description: Title 24 Analysis
Input File Name: 5531 21331 Columbus Ave add rmdl.xml
CF1 R -PRF -01
Page 8 of 8
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Kevin Laughton
�evc�aL�
Company:
Signature Date:
Tailored Energy Services
2015-06-26 08:08:46
Address:
CEA/HERS Certification Identification (If applicable):
1640 West Longview Ave
City/State/Zip:
Phone:
Stockton, CA 95207
888 310 0808
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance.
2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Jose Zepeda
Company:
Date Signed:
Zepeda Engineering
2015-06-26 08:44:44
Address:
License:
1821 FIR LN
tba
City/State/Zip:
Phone: 6
CERES, CA 95307
2095310592 alSo 996 - F-5'70
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 215-A0169582B-000000000-0000 Registration Date/Time: 2015-06-26 08:44:44 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-06232015-744 Report Generated at: 2015-06-26 08:03:44
RESIDENTIAL MEASURES SUMMARY
RMS -1
Project Name
Remodel addition
Building Type
m Single Family ❑ Addition Alone
❑ Multi Family m Existing+ Addition/Alteration
Date
26 -Jun -15
Project Address
21331 Columbus Ave Cupertino
California Energy Climate Zone
CA Climate Zone 04
Total Cond. Floor Area
3,002
Addition
818
# of Units
1
INSULATION
Construction
Cavity
Area
(ft) Special Features
Status
_Type
Wall Wood Framed - no insulation
572
Existing
Roof Wood Framed Attic R 19
2,180
Existing
Floor Wood Framed w/Crawl Space -
no insulation
2,326
Existing
Wall Wood Framed R 19
176
New
Roof Wood Framed Attic R38
816
New
Floor Wood Framed w/Crawl Space - no insulation
676
New
Demising Wood Framed R 15
565 Rigid=R-9.0
New
Door Opaque Door -
no insulation
20
New
FENESTRATION TTotal Area: 528 Glazing Percentage: 17.6 %
Orientation Area(ft) U -Fac SHGC Overhang Sidefins
New/Altered Average U -Factor:
Exterior Shades
0.43
Status
Front (W) 78.0 x230
0.19 none
none
Bug Screen
Existing
Front (W) 6.0 0.300
0.25 none
none
Bug Screen
Altered
Right (S) 47.0 0.300
0.25 none
none
Bug Screen
Altered
Skylight 2.0 0.300
0.25 none
none
None
New
Skylight 2.0 0.230
0.19 none
none
None
Existing
Left (N) 102.0 0.230
0.19 none
none
Bug Screen
Existing
Rear (E) 55.0 0.230
0.19 none
none
Bug Screen
Existing
Left (N) 150.0 0.550
0.67 none
none
Bug Screen
New
Rear (E) 84.0 0.300
0.25 none
none
Bug Screen
New
Skylight 2.0 0.300
0.25 none
none
None
New
HVAC SYSTEMS
Qty. Heating Min. Eff
Cooling
Min. Eff
Thermostat
Status
1 Central Furnace 80% AFUE
Packaged Air Condition 11.0 SEER
Setback
Existing
HVAC DISTRIBUTION
Location Heating
Cooling
Duct Location
Duct
R -Value
Status
currrent Ducted
Ducted
Conditioned
4.2
Existing
WATER HEATING
Qty. Type Gallons Min. Eff Distribution Status
1 Small Instantaneous Gas 0
0.84
Standard
Altered
Ener Pro 6.6 by Ener Soft User Number., 5308
RunCode: 2015-06-26T08:05:52
ID: 5531
Pae 11 of 20
2013 Low -Rise Residential Mandatory Measures Summary
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the
compliance approach used. Exceptions may apply. Review the respective code section for more information.
Building Envelope Measures:
§I 10.6(a)1:
Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§ 110.6(a)5:
Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of § 10-111 (a).
§ 110.7:
Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed.
§ 110.8(a):
Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the CF2R.
§ 110.8(1):
The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of § 110.8(i) when the
installation of a cool roof is specified on the CFIR.
§ 110.80):
A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CF 1 R.
Minimum R-30 insulation in wood -frame ceiling; or the weighted average U -factor shall not exceed 0.031. Minimum R-19 in a
§ 150.0(a):
rafter roof alteration. Attic access doors shall have permanently attached insulation using adhesive or mechanical fasteners. The
attic access shall be gasketed to prevent air leakage.
§ 150.0(b):
Loose fill insulation shall conform with manufacturer's installed design labeled R -value.
§I50.0(c):
Minimum R-13 insulation in 2x4 inch wood framing wall or have a U -factor of 0.102 or less (R-19 in 2x6 or 0.074 maximum U -
factor).
§ 150.0(d):
Minimum R-19 insulation in raised wood -frame floor or 0.037 maximum U -factor.
In Climate Zones 14 and 16 a Class II vapor retarder shall be installed on the conditioned space side of all insulation in all exterior
§ 150.0(g)1:
wails, vented attics and unvented attics with air -permeable insulation.
In Climate Zones 1-16 with unvented crawl spaces the earth floor of the crawl space shall be covered with a Class I or Class 11
§ I50.0(g)2:
vapor retarder.
In a building having a controlled ventilation crawl space, a Class I or Class 11 vapor retarder shall be placed over the earth floor of
§150.0(g)3:
the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section
150.0(d).
§ 150.0(1):
Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, no greater than 0.3%;
have water vapor permeance rate is no greater than 2.0 perm/inch, be protected from physical damage and UV light deterioration;
and when installed as part of a heated slab floor meets the requirements of § 1 10.8 .
§ 150.0(q):
Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum U -
factor of 0.58; or the weighted average U -factor of all fenestration shall not exceed 0.58.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§150.0(e)IA:
Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§ I50.0(e)1 B:
Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a readily accessible, operable, and tight -fitting dam er or a combustion -air control device.
§ 150.0(e)IC:
Masonry or factory -built fireplaces have a flue damper with a readily accessible control.
§ 150.0(e)2:
Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside
of the building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§ 110.0-§ 110.3:
HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified to the Energy Commission.
§ 110.3(c)5:
Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention, pump isolation
valve, and recirculation loop connection requirements of § 110.3(c)5.
Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appli-
§ 110.5:
ances without an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool
and spa heaters.
§ 150.0(h)1:
Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA using design conditions specified
in § 150.0(h)2.
§150.0(h)3A:
Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any
dryer vent.
§ I50.0(i):
Heating systems are equipped with thermostats that meet the setback requirements of § 110.2(c).
§ 150.00)1A:
Storage gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§ 150.0(j)1B:
Unfired hot water tanks, such as storage tanks and backup storage tanks for solar water -heating systems, have R-12 external
insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank.
For domestic hot water system piping, whether buried or unburied: the first 5 feet of hot and cold water pipes from the storage
tank, all piping with a nominal diameter of 3/4 inch or larger, all piping associated with a domestic hot water recirculation system
§150.00)2A:
regardless of the pipe diameter, piping from the heating source to storage tank or between tanks, piping buried below grade, and
all hot water pipes from the heating source to kitchen fixtures must be insulated according to the requirements of TABLE 120.3-
A.
§ 150.00 )2B:
All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve
that allows for installation, removal, and replacement of the enclosed pipe and insulation.
. 2013 Low -Rise Residential Mandatory Measures Summary
§ 150.00)2C:
Pipe for cooling system lines shall be insulated as specified in § 150.00)2A. Piping insulation for steam and hydronic heating
systems or hot waters stems with pressure > 15 psig shall meet the requirements in TABLE 120.3-A.
§ 150.00)3:
Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Insulation exposed to weather shall either be rated for outdoor use or installed with a cover suitable for outdoor service. For
§ 150.0(i)3A:
example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation protected as specified or
painted with coating that is water retardant and provides shieldinit from solar radiation that degrades the material.
Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I
§ 150.00)3B:
or Class II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class II vapor
retarder.
Systems using gas or propane water heaters to serve individual dwelling units shall include: a 120V electrical receptacle within 3
feet of the water heater; a Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the
§ 150.0(n)1:
space where the water heater is installed; a condensate drain that is no more than 2 inches higher than the base of the installed
water heater, and allows natural draining without pump assistance; and a gas supply line with a capacity of at least 200,000
Btu/hr.
§ 150.0(n)2:
Recirculating loops serving multiple dwelling units shall meet the requirements of § 110.3(c)5.
§ 150.0(n)3:
Solar water -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC)
or by a testing agency approved by the Executive Director.
Ducts and Fans Measures:
All air -distribution system ducts and plenums installed are sealed and insulated to meet the requirements of CMC §601.0, §602.0,
§603.0, §604.0, §605.0 and ANSI/SMACNA-006-2006 HVAC Duct Construction Standards Metal and Flexible 3rd Edition.
Supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R-6.0 (or higher if required by CMC
§605.0) or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing
(RA3.1.4.3.8). Connections of metal ducts and inner core of flexible ducts are mechanically fastened. Openings shall be sealed
§ 150.0(m)1:
with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or
aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than '/, inch, the
combination of mastic and either mesh or tape shall be used. Building cavities, support platforms for air handlers, and plenums
defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying
conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms
shall not be compressed to cause reductions in the cross-sectional area of the ducts.
Factory -Fabricated Duct Systems shall comply with specified requirements for duct construction, connections, and closures; joints
§ 150.0(m)2:
and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is
used in combination with mastic and draw bands.
§150.0(m)3-6:
Field -Fabricated Duct Systems shall comply with requirements for: pressure -sensitive tapes, mastics, sealants, and other
requirements specified for duct construction; duct insulation R -value ratings; duct insulation thickness; and duct labeling.
§ 150.0(m)7:
All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic
dampers.
§ 150.0(m)8:
Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers
except combustion inlet and outlet air openings and elevator shaft vents.
Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not
§ 150.0(m)9:
limited to the following: insulation exposed to weather shall be suitable for outdoor service. For example, protected by aluminum,
sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is
water retardant and provides shielding from solar radiation.
§ 150.0(m)10:
Flexible ducts cannot have porous inner cores.
When space conditioning systems use forced air duct systems to supply conditioned air to an occupiable space, the ducts shall be
§ 150.0(m)11:
sealed and duct leakage tested, as confirmed through field verification and diagnostic testing, in accordance with Reference
Residential Appendix RA3.
Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 feet in length and through a thermal
§ 150.0(m)12:
conditioning component, except evaporative coolers, shall be provided with air filter devices that meet the requirements of
150.0 m 12.
Space conditioning systems that utilize forced air ducts to supply cooling to an occupiable space shall have a hole for the
placement of a static pressure probe (HSPP), or a permanently installed static pressure probe (PSPP) in the supply plenum. The
§ 150.0(m)13:
space conditioning system must also demonstrate airflow > 350 CFM per ton of nominal cooling capacity through the return
grilles, and an air -handling unit fan efficacy <_ 0.58 W/CFM as confirmed by field verification and diagnostic testing, in
accordance with Reference Residential Appendix RA3.
Zonally controlled central forced air cooling systems shall be capable of simultaneously delivering, in every zonal control mode,
§ 150.0(m)15:
an airflow from the dwelling, through the air handler fan and delivered to the dwelling, of>_ 350 CFM per ton of nominal cooling
capacity, and operating at an air -handling unit fan efficacy of <_ 0.58 W/CFM as confirmed by field verification and diagnostic
testing, in accordance with Reference Residential Appendix RA3.
All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Neither window operation nor continuous operation of
§ 150.0(0):
central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the
Whole Building Ventilation.
§150.0(o)lA:
Whole Building Ventilation airflow shall be confirmed through field verification and diagnostic testing, in accordance with
Reference Residential Appendix RA3.
Pool and Spa Heating Systems and Equipment Measures:
Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
§ 110.4(a):
Regulations; an on-off switch mounted outside of the heater that allows shutting off the heater without adjusting the thermostat
setting; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating.
' 2013 Low -Rise Residential Mandatory Measures Summary
§110.4(b)l:
Any pool or spa heating equipment shall be installed with at least 36 inches of pipe between filter and heater or dedicated suction
and return lines, or built-up connections for future solar heating.
§ 110.4(b)2:
Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§110.4(b)3:
Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or pro -
mmed to run only during off-peak electric demand periods.
§ 110.5:
Natural gas pool and spa heaters shall not have a continuous burning pilot light.
§ 150.0(p):
Residential pool systems or equipment shall meet specified pump sizing, flow rate, piping, filters, and valve requirements.
Lighting Measures:
§ 110.9:
All lighting control devices and systems, ballasts, and luminaires shall meet the applicable requirements of § 110.9.
§150.0(k)IA:
Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with §I50.0(k) in accordance with TABLE
150.0-A or TABLE 150.0-B, as applicable.
§ 150.0(k)I B:
When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply
with the applicable provisions of § 150.0(k).
The wattage and classification of permanently installed luminaires in residential kitchens shall be determined in accordance with
§ 150.0(k) I C:
§ 130.0(c). In residential kitchens, the wattage of electrical boxes finished with a blank cover or where no electrical equipment has
been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan, shall be calculated as 180
watts of low efficacy lighting er electrical box.
§150.0(k)ID:
Ballasts for fluorescent lamps rated 13 watts or greater shall be electronic and shall have an output frequency no less than 20 kHz.
Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no
§ 150.0(k) I E:
more than 5 watts of power per luminaire or exhaust fan as determined in accordance with § 130.0(c). Night lights do not need to
be controlled by vacancy sensors.
§ I50.0(k)I F:
Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable
requirements of § 150.0(k).
§ 150.0(k)2A:
High efficacy luminaires must be switched separately from low efficacy luminaires.
§ 150.0(k)2B:
Exhaust fans shall be switched separately from lighting systems.
§ 150.0(k)2C:
Luminaires shall be switched with readily accessible controls that permit the luminaires to be manually switched ON and OFF.
§ 150.0(k)2D:
Controls and equipment are installed in accordance with manufacturer's instructions.
§ 150.0(k)2E:
No control shall bypass a dimmer or vacancy sensor function if the control is installed to comply with § 150.0(k).
§ 150.0(k)2F:
Lighting controls comply with applicable requirements of § 110.9.
An Energy Management Control System (EMCS) may be used to comply with dimmer requirements if: it functions as a dimmer
§ 150.0(k)2G:
according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of § 130.5; and all other
requirements in § 150.0(k)2.
An Energy Management Control System (EMCS) may be used to comply with vacancy sensor requirements of § 150.0(k) if. it
§ 150.0(k)2H:
functions as a vacancy sensor according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements
of § 130.5; and all other requirements in § 150.0(k)2.
§ 150.0(k)21:
A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the
functionality of a dimmer according to § 110.9, and complies with all other applicable requirements in § 150.0(k)2.
§ 150.0(k)3A:
A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
Kitchen lighting includes all permanently installed lighting in the kitchen except internal lighting in cabinets that illuminate only
§ 150.0(k)3B:
the inside of the cabinets. Lighting in areas adjacent to the kitchen, including but not limited to dining and nook areas, are
considered kitchen lighting if they are not separately switched from kitchen lighting.
§ 150.0(k)4:
Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§ I50.0(k)5:
A minimum of one high efficacy luminaire shall be installed in each bathroom; and all other lighting installed in each bathroom
shall be high efficacy or controlled by vacancy sensors.
§ 150.0(k)6:
Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and
controlled by vacancy sensors.
§ 150.0(k)7:
Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high
efficacy, or shall be controlled by either dimmers or vacancy sensors.
Luminaires recessed into ceilings shall: be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other
nationally recognized testing/rating laboratory; have a label that certifies that the luminaire is airtight with air leakage less than 2.0
CFM at 75 Pascals when tested in accordance with ASTM E283; be sealed with a gasket or caulk between the luminaire housing
§ I50.0(k)8:
and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk; and
allow ballast maintenance and replacement without requiring cutting holes in the ceiling.
For recessed compact fluorescent luminaries with ballasts to qualify as high efficacy for compliance with § 150.0(k), the ballasts
shall be certified to the Energy Commission to comply with the applicable requirements in § 110.9.
For single-family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the
same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements:
i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of Items ii or iii below; and
§ I50.0(k)9A:
ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a
motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically
reactivates the motion sensor within 6 hours; and
iii. Controlled by one of the followin methods:
2013 Low -Rise Residential Mandatory Measures Summary
a. Photocontrol not having an override or bypass switch that disables the photocontrol; or
b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is
programmed to automatically turn the outdoor lighting OFF during daylight hours; or
c. Energy management control system which meets all of the following requirements: At a minimum provides the functionality of
an astronomical time clock in accordance with § 110.9; meets the Installation Certification requirements in § 130.4; meets the
requirements for an EMCS in § 130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and,
is programmed to automatically turn the outdoor lighting OFF during daylight hours.
For low-rise multifamily residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor
lighting for residential parking lots and residential carports with less than eight vehicles per site shall comply with one of the
§ 150.0(k)9B:
following requirements:
i. Shall comply with § 150.0(k)9A; or
ii. Shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0.
§ 150.0(k)9C:
For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by § 150.0(k)9B or 150.0(k)9D
shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0.
§ I50.0(k)9D:
Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply
with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0.
§ 150.0(k)10:
Internally illuminated address signs shall comply with § 140.8; or shall consume no more than 5 watts of power as determined
according to § 130.0(c).
§ 150.0(k)11:
Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for
nonresidential garages in § 110.9, § 130.0 § 130. 1, § 130.4, § 140.6, and § 141.0.
In a low-rise multifamily residential building where the total interior common area in a single building equals 20 percent or less of
§ 150.0(k)12A:
the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or
controlled by an occupant sensor.
In a low-rise multifamily residential building where the total interior common area in a single building equals more than 20
percent of the floor area, permanently installed lighting in that building shall:
§ 150.0(k)12B:
i. Comply with the applicable requirements in § 110.9, § 130.0, § 130. 1, § 140.6 and § 141.0; and
ii. Lighting installed in corridors and stairwells shall be controlled by occupant sensors that reduce the lighting power in each
space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of
ingress and egress.
Solar Ready Buildings:
Single family residences located in subdivisions with ten or more single family residences and where the application for a
§ 110.10(a)l:
tentative subdivision map for the residences has been deemed complete, by the enforcement agency, on or after January 1, 2014,
shall comply with the requirements of § 110.10 b through 110.10(e).
§ 110.10(a)2:
Low-rise multi -family buildings shall comply with the requirements of § 110.10(b) through § 110.10(d).
The solar zone shall have a minimum total area as described below. The solar zone shall comply with access, pathway, smoke
ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or in any requirements adopted by a
local jurisdiction. The solar zone total area shall be comprised of areas that have no dimension less than 5 feet and are no less than
80 square feet each for buildings with roof areas less than or equal to 10,000 square feet or no less than 160 square feet each for
§ 110.10(b)1:
buildings with roof areas greater than 10,000 square feet.
For single family residences the solar zone shall be located on the roof or overhang of the building and have a total area no less
than 250 square feet. For low-rise multi -family buildings the solar zone shall be located on the roof or overhang of the building or
on the roof or overhang of another structure located within 250 feet of the building or on covered parking installed with the
building project and have a total area no less than 15 percent of the total roof area of the building excluding any skylight area.
§ 110.10(b)2:
All sections of the solar zone located on steep -sloped roofs shall be oriented between 110 degrees and 270 degrees of true north.
§ 110.10(b)3A:
No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be
located in the solar zone.
Any obstruction, located on the roof or any other part of the building that projects above a solar zone shall be located at least twice
§ 110.10(b)3B:
the distance, measured in the horizontal plane, of the height difference between the highest point of the obstruction and the
horizontal projection of the nearest point of the solar zone, measured in the vertical plane.
§ 110.10(b)4:
For areas of the roof designated as solar zone, the structural design loads for roof dead load and roof live load shall be clearly
indicated on the construction documents.
The construction documents shall indicate: a location for inverters and metering equipment and a pathway for routing of conduit
§110.10(c):
from the solar zone to the point of interconnection with the electrical service (for single family residences the point of
interconnection will be the main service panel); a pathway for routing of plumbing from the solar zone to the water -heating
system.
§110.10(d):
A copy of the construction documents or a comparable document indicating the information from § 110.10(b) through § 110.10(c)
shall be provided to the occupant.
§ 110.10(e)1:
The main electrical service panel shall have a minimum busbar rating of 200 amps.
The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a
§ 110.10(e)2:
future solar electric installation. The reserved space shall be: positioned at the opposite (load) end from the input feeder location or
main circuit location, and permanently marked as "For Future Solar Electric".
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Remodel addition
Date
26-Jun-15
System Name
curr-ent
Floor Area
3,002
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 1,274
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK
COIL HTG.
PEAK
Heating System
Sensible
Latent
CFM
Sensible
Output per System 35,000
27,259
1,686
755
38,058
Total Output (Btuh) 35,000
0
Output Stuhl ft 11.7
284
478
Cooling System
0
0
Output per System
59,500
0
0
0
0
Total Output Stuh
59,500
2,302
1,6861
-2,302
Total Output ons
5.0
284
478
Total Output (Btuh/s ft)
19.8
Total Output s ft/Ton
605.4
1 30,1291
36,711
Air System
CFM per System
1,916
HVAC EQUIPMENT SELECTION
Alrflow cfm
1,916
current
49,403
7,280
35,000
Alrflow cfm/s ft
0.64
Airflow (cfm/Ton)
386.4
Outside Air %
0.0%
Total Adjusted System Output
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
49,403
7,280
35,000
Jan 1 AM
Outside Air cfm/s ft)
0.00
Note: values above given at ARI conditions
Aug 3 PM
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating
Peak
28 OF 68 IF
Outside Air
0 cfm Supply Fan
1,916 cfm
68 IF
69 OF 115,
Heating Coil
115 OF
Roots
68 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
88 / 68 OF
Outside Air Ar
0 cfm
76 162 OF 55 / 54 OF
Supply Fan Cooling Coil
1,916 cfm
55 / 54 OF
46.2% ROOM
75 / 61 OF
EnergyPro 6.6 by EnergySoft User Number: 5308 RunCode: 2015-06-26T08:05:52
ID: 5531
Page 16 of 20
ROOM LOAD SUMMARY
Project Name Date
Remodel addition 26 -Jun -15
System Name Floor Area
currrent 3,002
ROOM LOAD SUMMARY
PAGE TOTAL
TOTAL*
1,274
ROOM COOLING PEAK
COIL COOLING PEAK
COIL HTG. PEAK
Zone Name Room Name Mult.
CFM
Sensible
Latent
CFM
Sensible Latent
CFM I
Sensible
Current curent 1
796
17,040
1,227
796
17,040 1,227
528
26,625
new areas addition rear 1
435
9,309
380
435
9,309 380
186
9,385
addition garage conversiol 1
43
910
80
43
910 80
41
Z048
PAGE TOTAL
TOTAL*
1,274
27,2591
1,6861
755
38,058
1,274
27,2591
1,6861
551
38,058
* Total includes ventilation load for zonal systems.
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ROOM HEATING PEAK LOADS
Project Name
Remodel addition
Date
26-Jun-15
ROOM INFORMATION
DESIGN CONDITIONS
Room Name curent
Floor Area 2,184.0 ft2
Indoor Dry Bulb Temperature 68 OF
Time of Peak Jan 1 AM
Outdoor Dry Bulb Temperature 28 OF
Conduction
Area
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
to
Ceiling
U-Value
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
AT OF
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
40
Btu/hr
Default Wall Prior to 1978
572.0
0.3560
40
8,145
dual
207.0
0.2300
40
1,904
new
55.0
0.3000
40
660
roof
2,180.0
0.0490
40
4,273
Default Floor Crawlspace Prior to 1991
2,184.0
0.0970
40
8,474
Items shown with an asterisk (*) denote conduction
Infiltration:[ 1.00 X 1.077
Schedule Air Sensible
Fraction
through an interior surface
X 2,184 X
Area
another room
8.00 X 0.253
Height ACH
Page Total
/60] X
AT
23,456
= C 3,168
TOTAL HOURLY HEAT LOSS FOR ROOM 26,625
EnergyPro 6.6 by EnergySoft User Number: 5308 RunCode: 2015-06-26708:05:52 ID: 5531 Page 18 of 20
ROOM HEATING PEAK LOADS
Project Name
Remodel addition
ROOM INFORMATION
Room Name
Floor Area
Indoor Dry Bulb Temperature
Conduction
R-19 Wall
nano wall
dual
R-38 Roof Attic
Default Floor Crawlspace Prior to 1991
*R-15 Wall
addition rear Time of Peak
676.0 ft2 Outdoor Dry Bulb Temperature
68 °F
Area U -Value AT OF
176.0
150.0
30.0
676.0
676.0
155.0
84.0
0.0740
0.5500
0.2300
0.0250
0.0970
0.0512
0.3000
26 -Jun -15
Jan 1 AM
28 OF
Btu/hr
521
3,300
276
676
2, 623
0
1,008
Items shown with an asterisk (*) denote conduction through an interior surface to another room Page Total 8,404
Infiltration:[ 1.00 X 1.077 X 676 X 8.00 X 0.253 / 60 1 X 40 _ 981
Schedule Air Sensible Area Ceiling Height ACH AT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM 9,385
ROOM HEATING PEAK LOADS
Project Name
Remodel addition
Date
26 -Jun -15
ROOM INFORMATION
DESIGN CONDITIONS
Room Name addition garage conversion
Floor Area 142.0 ft2
Indoor Dry Bulb Temperature 68 OF
Time of Peak Jan 1 AM
Outdoor Dry Bulb Temperature 28 OF
Conduction
Area
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
to
Ceiling
U -Value
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
AT OF
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
e
=
=
=
40
Btu/hr
R-15 Wall
355.0
0.0512
40
727
Wood Door
20.0
0.5000
40
400
R-38 Roof Attic
140.0
0.0250
40
140
new
2.0
0.3000
40
24
Default Floor Crawlspace Prior to 1991
142.0
0.0970
40
551
'R-15 Wall
55.0
0.0512
0
0
Items shown with an asterisk (`) denote conduction
Infiltration:[ 1.00 X 1.077
Schedule Air Sensible
Fraction
through an interior surface
X 142 X
Area
another room
8.00 X 0.253
Height ACH
Page Total
/60] X
AT
1,842
= 206
TOTAL HOURLY HEAT LOSS FOR ROOM 2,048
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