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15070106CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10405 MORETTI DR CONTRACTOR: WINGON PERMIT NO: 15070106 " CONSTRUCTION CO OWNER'S NAME: GOLDSILVERISLAND PRORTIES LLC P O BOX 31983 DATE ISSUED: 10/20/2015 OWNER'S PHONE: 4088963369 OAKLAND, CA 94604 PHONE NO: (510) 228-6665 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL' License Class CONSTRUCT A NEW 2 STORY SFD (2087 S.F.) WITH GARAGE (419 S.F.) PORCH AREA Lic. #_� t7 (51 S.F.) AND REAR ,r Contractor r�i V( & H& -J PATIO (433 S.F.) Date I hereby affirm that I am licensed under the provisions of Chap er 9 (commencing with Section 7000) of Division 3 of the Business &i 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. I have and will maintain a certificate of consent to self -insure for Worker's Sq. Ft Floor Area: Valuation:.$450000 Compensation, as provided for by Section 3700 of the Labor Code, for the APN Number: 37514015.00 Occupancy Type: 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is WITHIN RMIT ISSUANCE OR correct. I agree to comply with all city and county ordinances and state laws relating AYS FROM L CALLED INSPECTION. to building construction, and hereby authorize representatives of this city to ente upon the above mentioned property for inspection purposes. (We) agree to s e - indemnify and keep harmless the City of Cupertino against liabilities, judgments, e Date: b costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply wit all non -point so ce re ulations per therupertino Municipal Code, Section 9.18. -RE-ROOFS: Signature Date i 0[" l All roofs shall be insp cted 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. OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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) HAZARDOUS MATERIALS DISCLOSURE 2. I, as owner of the property, am exclusively contracting with licensed contractors to I have read the hazardous materials requirement's under Chapter 6.95 of the construct the project (Sec.7044, Business & Professions Code). California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I hereby affirm under penalty of perjury one of the following three declarations: Safety Code, Section 25532(a) should I store or handle hazardous material. 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Additionally, should I use equipment or devices which emit hazardous air Compensation, as provided for by Section 3700 of the Labor Code, for the contaminants as defined by the Bay Area Air Quality Management District I will performance of the work for which this permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by Health & Safety Code, SecLs255105,25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Own r autho ' ed agnt Date 3. I certify that in the performance of the work for which this permit is issued, I shall tt not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I I hereby affirm that there is construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code, I a for which this permit is issued (Sec. 3097, Civ C:) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION correct. I agree to comply with all city and county ordinances and state laws relating I understand my plans shall be used as public records. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Licensed Professional 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 ❑ NEW CONSTRI1(7-n )N CONSTRUCTION PERMIT APPLICATION 1500106. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (4018) 777-3228 - FAX (408) 777-3333 • buildingna.cupertino.org I I ATITITTTCItrT 1 1 A �Mn her IT i— F-1 ----- PROJECT ADDRESS J 0g� {405 MORSTT 1'.% . APNA - t4- 015 OWNER NAME - CRO eD 7 I UVO/L ( SLA O PHONE A ® GSCI (0 2%Qt E-My (NI&M W I- TOT MAI STREET ADDRESS 4^ �g (*%� /'e � -{� ` � 9 4 i ' `CVf'S�l �`e b(,VD /► eA C� 2c CITY. STATE, ZIP Mk � 4'l� l �10I J P CONTACT NAME F(Iji" 15- (40 PHONE PHONE (� 09 S 1 lrQ� ,/®SA1t E-MAIL R ry � N to. Ho Q_ Y �".!FA V. r1 STREET ADDRESS 0—oto SAPL ``OGA i�E CITY, STATE, ZIP T7�.CA IR5'0'1 E-MAIL 1 OWNER ❑ OWNER-BuiLDER ❑ OWNER AGENT ❑ CONTRACTOR 0 CONTRACTOR AGENT 9v ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT I CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHYTECT/ENGINEERNAME (C i K' w LICENSENUMBER -2 pp./'] 1 C 011 BUS. LIC 9 COMPANY NAME E-MAIL FAX .STREET ADDRESS 9V 'CO'&* t j'i* CITY, STATE, ZIP SYA eti A^C- C 5 0, y PHONE L4 087 'Z{® DESCRIPTION OF WORK ; t.� . - ( 2 Cv � ry 00 I - 45 c t V� � Lt�T MJ EXISTING USE P� PROPOSED USE CONSTR Is F rL` TYPE V Q # STORIES - - USE - TYPE OCC. SQ.FT. VALUATION ( ) AREA I C AREA S ZS©� �`O W ® 91 TOTAL ?-SO NET AREA 4`3 ®� _ 11 ld BATHROOM REMODELAREA KITCHEN - REMODEL AREA. .OTHER REMODELAREA Jt'" ^ n �r „ 9_ ®$ Vj ./.I/17�... AYI�'� _ `� v V' `� PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH ran (WTTACH FDWELLING UNITS:_7(�W IS ASECOND UNIT C] -YES BEING ADDED? I SECONDSTORY ADDT170N? O ! WO PRE -APPLICATION 'ES IF YES, PROVIDE COPY OF PLANVINGAPPL ..O PLANNINGAPPROVAL LETTER TS THE BLDG AN ❑. EICHLER HOMEY,�:`'� .,,..-�""� "' T11f^�-A7-TigTjQN: 50 By my signature below, I certify to each of the following: I am the property ower -or authorized agent to act property owner s oenau. r nave reau u„s application and the information I have provided is correct. I have read the Description of Wo t is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature o ApplicatiNgent: Date: ' iS1 PLA NCHECK TYPE' ROUTING SLIT OVER=THE-COUNTER. (" BUIEBINf�PLANREVIEw EXERES$ "P•tANNING PLAN REVIEW Q STANDAR€Y -PUBLIC WORKS- . 'L SRGE ©' F0X' DEPT' MA7OR Q% SANITARY.SEWER"DISTRICT' ❑Q<- ENVIRONMENTAL.HEALTH •"_ SUPPLEMENTAL. INF RMATION REQUIRED _ New SFD or Multifamily dwellings: 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 of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgApp_201 Ldoc revised 06/21/11 Fm-� CITY OF CIJPERTINO F 1 C.. f'o i i�C-9 - FF, FgTIMAT(iR_ RITII.11I1VP ilIlT74Zlrni T " ADDRESS: 10405 Moretti Dr TYPE OF CONSTR. DATE: 07/15/2015 REVIEWED BY: PAUL APN: 37514015 BP#: *VALUA'T'ION: 1$450,000 *PERMIT TYPE: Building Permit it-B,111-B,IV,V-B PLAN CHECK TYPE: New Construction PRIMARY USE. SFD or Duplex $2,821.63 2nd Unit? 0 Yes 1 0 No PENTAMATION PERMIT TYPE: 1 R3SFO W WORK Construct a new 2 StorV SFD 2087 S.f. with Garage 419 S.f. SCOPE Permit Fee: $2,821.63 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f PC FEES PC FEE ID BP FEES - BP FEE ID R-3 (Custom) it-B,111-B,IV,V-B 2,506 $2,984.61 IR3PLNCK $2,821.63 IR3INSP $0.00 PME Plan Check: $0.00 Permit Fee: $2,821.63 Suppl. Insp. Feer Reg. 0 OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 2,506 $2,984.61 Construction Tax: IBCONSTAXR $2,821.63 # new amts titch. Man Check 1,17w1b. Plan ('iac £ f: � 'ec. Plat t I ek Vech- Perijnl Fee: Pltrrnlr. Pe r nia Fee: Flee. Fermat T,a,e Othe -Uech, Irisp,,EI-L- Other Phiinb Inv?. ofh(2x, /..Z1C. 1.3 1J. Mec-, lns.a I, e: 7'h!Hlb, l ta). , "ee: Elec. lrssp Fee: NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These ees are based on the prefimina in ormation available and are only an estimate. Contact the Dept or addn'l into. FEE ITEMS (Fee Resolution 11-053 Eff. Z./I/13 FEE QTY/FEE . MISC ITEMS Plan Check Fee: $2,984.61 Select a Mise Bldg/Structure or Element of a Building Suppl. PC Feer Reg.OT 0:0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,821.63 Suppl. Insp. Feer Reg. 0 OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 # new amts $684.98 t dirinistrc7tive 'ee Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Feer IPLLONGR $350.84 Select a Non -Residential Building or Structure 1'i'tJ wl 1ioewne'nlafi n f'e'es: Strong Motion .Fee. IBSEISNIICR $58.50 Select an Administrative Item Bldg: Stds Commission Fee: IBCBSC $18.00 SI7BTUTALS;- $6,918.56 $0.00 TOTAL FEE• n $6,918.56 Revised: uuu2rzu-i5 FIS. r r CALGREEN SIGNATURE DECLARATIONS Project Name. GOLDSILVERISLAND PROPERTY Project Address 10405 MORETTI DRIVE Project Description New 2 stories building with 2,087sf living and 419sf garage. SECTION 1 — DESIGN VERIFICATION Complete all ilnes 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 by the CilygF Cupertino Owners Signa>:u G� Date GOLDSIL ERISLAND, YING-MIN LI Owners Name (Please Pent) 0711012015 esign Professioral's Signature FRANK LINH HO Design Profess onal s Namel (Please Print) S,gnaTAe of L)krse Professional responsible for CalGreen compliance cam► -- Name of License Professionai responsible for CalGreen compliance Please Print) Email Address for L.cense Prcfess,onal responsible for CaiGreer compliance SECTION 2 — IMPLEMENTATION VERIFICATION Date Date ` 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 nave 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 Equilcing Standards Code as adopted by the City of Cupertino Signature of L cel4e Profess orai responsible for CaiGreer compliance Name of License ProofesDs Oona responsible for CalGreen compliance (Please Print) Email ,Address for cense refess.ona: -espors.c e ;cr CalGreen compliance Date ��cre -�4 �m /�' FA L E CERTIFICATE OF INSTALLATION CFZR=IGICH-20-H Duct Leakage Diagnostic Test (Pa Project Name: IM-AayVloretti Enforcement Agency: Cupertino Building Department Permit Number: 15070106 Dwelling Address: 10405 Moretti Dr Ci : Zip Code: 95014 A. System Information -- 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served whole house 03 Building Type from CF -1R Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category Replacement MCH -20d - Complete Replacement or Altered Duct System B. Duct Leakage P'1%','.lc . 01 Condenser Nominal Cooling Capacity (ton) U.S. ERergy Raters Association 02 Heating Capacity (kBtu/h) 78.00 03 Conditioned Floor Area served by this HVAC system (ft2) 2300 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor .06 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Heating system method 08 Measured AHUAirflow 0 09 Calculated Target Allowable Duct Leakage (cfm) 102 10 Actual duct leakage rate from leakage test measurement (cfm) 70 11 it, Compliance Statement System passes leakage test Registration Number: 316-A1029356A-M2015624A-0000 Registration Date/Time: 2016-08-03 23:26:36 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 23:27:36 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3 ) C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation 02 Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements 07 of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. U.S. Energy Raters Association Registration Number: 316-A1029356A-M2015624A-0000 Registration Date/Time: 2016-08-03 23:26:36 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 23:27:36 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Joe Novelo Signature Date: Company: California Air Duct Testers 2016-08-03 Address: CEA/ HERS Certification Identification (if applicable): 1630 Oakland Rd, Suite A205-3 410231432 City/State/Zip: Phone: San Jose CA 95131 408-824-0740 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforrrys to all applicabiq codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 understand that a HERS rater will check the installation to verify compliance, and that if such checking Identifies defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. S. I reviewed a copy,.gf,$hia Certificate of Compliance approved by the enforcement agency that identifies the specific requirements forthe scope of construction or installation identified on this Certificate of Installation,nd I have ensured that the requirements that apply to the construction or installation have been met. U.S. Energy Raters Association 6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: yuejun chen Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): NN n Builder/Owner) construction ue n chen (Aug 3, 2016) wing on construction inc. Address: CSLB License: 1130 trojan ave B949206 City/State/Zip: Phone: Date Signed: san leandro CA 94579 (510)786-8838 12016-08-03 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): TY TMS 050t.4 signature rs iu�vrded in onier &� w-vre Me content 0thes tegistemd document. and nr tic) way impfws f egisbation Frnwtier n Sptxrsrbrtify Mir U.S. Energy Racers Aseociallon the acarraCy of the r ACW77k iron. Registration Number: 316-A1029356A-M2015624A-0000 Registration Date/Time: 2016-08-03 23:26:36 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 23:27:36 2013 Residential Compliance Schema Version: 2013.1.007 CER`rIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD ProjeJ Namg: Residential Building Calculation DatelTime: 22:26, Tue, Sep 29, 2015 Calcination Description: Title 24 Analysis Input File Name: MORETTI-T24.xml CF1 R -PRF -01 Page 1 of 9 GENERAL INFORMATION 01 Building Complies with Computer Performance 0'' T 01 Project Name Residential Building 03 This building incorporates one or more Special Feat es shown below C: 02 Calculation Description Title 24 Analysis 08 Energy Use (kTDV/ft2-yr) 03 Project Location 10405 MORETTI DR Compliance Margin Percen Improvement 04 City SAN JOSE 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) 90 12 Project Scope Newly Constructed 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft) 2087 15 Number of Zones 2 16 Slab Area (ft) 0 17 Number of Stories 2 18 Addition Cond. Floor Area N/A 19 Natural Gas Available Yes 20 Addition Slab Area (ft) N/A 21 Glazing Percentage (%) 26.3% COMPLIANCE RESULTS 01 Building Complies with Computer Performance 0'' T 02 This building incorporates features that requiel testing and/or vert(ication by a certified HERS rater under the supervision of a CEC-approved HERS provider. 03 This building incorporates one or more Special Feat es shown below C: r-. Registration Number: 215-N01900348-000000000-0000 Registration Date/Time: 2015-09-29 22:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 ` ` ENERGY .4E SUMMARY 04 X15 06 07 08 Energy Use (kTDV/ft2-yr) Standar.. es n F roposed Despn Compliance Margin Percen Improvement Space Heating 17.0 D 20.06 Z .79 16.2% Space Cooling 11.2 10.09 -rT3 110.1% IAQ Ventilation 1.8(i ti 1.80 0.00 0.0% Water Heating 13.5 9.27 4.29 31.6% Photovoltaic Offset ---- 0.00 0.00 ---- Compliance Energy Total 43.85 41.22 2.63 6.0% Registration Number: 215-N01900348-000000000-0000 Registration Date/Time: 2015-09-29 22:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 4 f CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Residential Building Calculation Date/Time: 22:26, Tue, Sep 29, 2015 Page 2 of 9 Calculation Description: Title 24 Analysis Input File Name: MORETTI-T24.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Ducts with high level of insulation • Raised heel truss • Ceiling has high level of insulation • Floor has high level of insulation • Window overhangs and/or fins HERS FEATURE SUMMARY 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: • IAQ mechanical ventilation Cooling System Verifications: • Minimum Airflow • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • Duct Sealing 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)' 93.06 90.43 2.63 2.8% 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 Residential Building 2087 1 7 2 0 1 Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-2922:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 CERTIFICATE Ol: COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name,: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 22:26, Tue, Sep 29, 2015 Input File Name: MORETTI-T24.xml CF1 R -PRF -01 Page 3 of 9 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 Zone 1 Conditioned HVAC System1 1302 9 DHW Sys 1 Gross Area (ft2) Zone 2 Conditioned HVAC System1 785 9 DHW Sys 1 Front OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft2) Tilt (deg) Front Wall Zone 1 R-13 Wall 90 Front 355 94.9956 90 Left Wall Zone 1 R-13 Wall 180 Left 392 48 90 Rear Wall Zone 1 R-13 Wall 270 Back 283 166.995 90 Right Wall Zone 1 R-13 Wall 0 Right 360 80 90 Roof Zone 1 R-38 Roof Attic 517 Raised Floor Zone 1 R-30 Floor Crawlspace 1302 Front Wall 2 Zone 2 R-13 Wall 90 Front 228 60 90 Left Wall 2 Zone 2 R-13 Wall 180 Left 310 50 90 Rear Wall 2 Zone 2 R-13 Wall 270 Back 232 56 90 Right Wall 2 Zone 2 R-13 Wall 0 Right 297 63 90 Roof 2 Zone 2 R-38 Roof Attic 785 Raised Floor 2 Zone 2 R-30 Floor Crawlspace 785 ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic Zone 1 Attic RoofZone 1 Ventilated 4 0.1 0.85 Yes No Attic Zone 2 Attic RoofZone 2 Ventilated 4 0.1 0.85 Yes No Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-2922:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD ProJect Name: Residential Building Calculation Daterrime: 22:26, Tue, Sep 29, 2015 Calculation Description: Title 24 Analysis Input File Name: MORETTI-T24.xml CF1 R -PRF -01 Page 4 of 9 WINDOWS 01 02 03 04 Name Side of Building 01 02 03 04 05 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Width (ft) Height (ft) Multipli er Area (ft2) U -factor SHGC Exterior Shading Window606O Window Front Wall (Front -90) 6.0 6.0 1 36.0 0.39 0.37 Insect Screen (default) Window Transom Window Front Wall (Front -90) 6.0 1.7 1.078 11.0 0.39 0.37 Insect Screen (default) Window1060 Window Left Wall (Left -180) 1.0 6.0 1 6.0 0.39 0.37 Insect Screen (default) Window2050 Window Left Wall (Left -180) 4.0 5.0 1 20.0 0.39 0.37 Insect Screen (default) PATIO DOOR Window Rear Wall (Back -270) 18.0 8.0 1 144.0 0.39 0.37 Insect Screen (default) Window 4650 Window Rear Wall (Back -270) 4.5 5.0 1.022 23.0 0.39 0.37 Insect Screen (default) Window Window Right Wall (Right -0) 10.0 5.0 1 50.0 0.39 0.37 Insect Screen (default) Window 2 Window Right Wall (Right -0) 5.0 6.0 1 30.0 0.39 0.37 Insect Screen (default) Window505O Window Front Wall 2 (Front -90) 10.0 5.0 1 50.0 0.39 0.37 Insect Screen (default) Window2640 Window Front Wall 2 (Front -90) 2.5 4.0 1 10.0 0.39 0.37 Insect Screen (default) Window 3 Window Left Wall 2 (Left -180) 16.0 2.5 1.25 50.0 0.39 0.37 Insect Screen (default) PATIO DOOR 2 Window Rear Wall 2 (Back -270) 6.0 8.0 1 48.0 0.39 0.37 Insect Screen (default) Window204O Window Rear Wall 2 (Back -270) 2.0 4.0 1 8.0 0.39 0.37 Insect Screen (default) Window 4 Window Right Wall 2 (Right -0) ---- ---- 1 63.0 0.39 0.37 Insect Screen (default) DOORS 01 02 03 04 Name Side of Building Area (ft) U -factor Door Front Wall 48.0 0.50 Door 2 Left Wall 22.0 0.50 Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-29 22:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-08252015-744 Report Generated at: 2015-09-29 22:27:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 22:26, Tue, Sep 29, 2015 Calculation Description: Title 24 Analysis Input File Name: MORETTI-T24.xmi CF1 R -PRF -01 Page 5 of 9 OVERHANGS AND FINS 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Overhang Lett Fin Right Fin Window Depth Dist Up Left Extent Right Extent Flap Ht. Depth Top Up DistL Bot Up Depth Top Up Dist R Bot Up Window606O 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window Transom 6 0.1 6 6 0 0 0 0 0 0 0 0 0 Window1060 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window205O 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 PATIO DOOR 14 0.1 10 10 0 0 0 0 0 0 0 G 0 Window 4650 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 2 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window505O 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window2640 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 3 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 PATIO DOOR 2 10 0.1 B 8 0 0 0 0 0 0 0 0 0 Window2040 2.5 0.1 2 2 0 0 0 0 0 0 0 0 0 Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-2922:40:39 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 HERS Provider: CaICERTS inc. Report Generated at: 2015-09-29 22:27:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Projgct Name: Residential Building Calculation Date/Time: 22:26, Tue, Sep 29, 2015 Calculation Description: Title 24 Analysis Input File Name: MORETTI-T24.xml C F 1 R -PRF -01 Page 6 of 9 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 RoofZone 1 Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Floors Over Floor Deck: Wood Siding/sheathing/decking R-30 Floor Crawlspace Crawlspace Wood Framed Floor 2x10 @ 16 in. O.C. R 25 0.038 Cavity/Frame: R -25/2x10 • Inside Finish: Gypsum Board • Cavity / Frame: R-13 / 2x4 • Exterior Finish: Wood R-13 Wall Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 13 0.095 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. • Cavity / Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofZone 2 Attic Roofs Wood Framed Ceiling in. O.C.- none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Floor Deck: Wood Siding/sheathing/decking • Cavity / Frame: R-25 / 2x10 R-30 Floor No Crawlspace Interior Floors Wood Framed Floor 2x10 @ 16 in. O.C. R 25 0.037 Ceiling Below Finish: Gypsum Board BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50 Not Required Not Required Not Required --- WATER HEATING SYSTEMS 01 02 03 04 05 06 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 - 1/1 DHW Standard DHW Heater 1 1 .0% Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-29 22:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Pro1ect Name: Residential Building Calculation DatefTime: 22:26, Tue, Sep 29, 2015 Calculation Description: Title 24 Analysis Input File Name: MORETTI-T24.xml CF1 R -PRF -01 Page 7 of 9 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 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 Control Central DHW Distribution DHW Sys 1 - 1/1 --- --- --- Cooling Component 1 SplitAirCond 11 SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name HVAC System1 Other Heating and Cooling System Heating Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 HVAC - HEATING UNIT TYPES 01 02 03 Name Type Efficiency Heating Component 1 CntrlFurnace - Fuel -fired central furnace 94.1 AFUE HVAC - COOLING UNIT TYPES 01 02 03 04 05 06 07 Efficiency Multi -speed Name System Type EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond 11 13 Not Zonal Single Speed Cooling Component 1 -hers -cool Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-29 22:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08252015-744 Report Generated at: 2015-09-29 22:27:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD ProJect Name: Residential Building Calculation Description: Title 24 Analysis Calculation DatelTime: 22:26, Tue, Sep 29, 2015 Input File Name: MORETTI-T24.xml CF1 R -PRF -01 Page 8 of 9 HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1 -hers -cool Required 350 Not Required Not Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 01 02 03 04 05 06 07 Name Type Duct Leakage Insulation R -value Duct Location Bypass Duct HERS Verification Air Distribution System 1 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 1 -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 07 08 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Location Verified Duct Design Buried Ducts Deeply Buried Ducts Low -leakage Air Handier Air Distribution System 1 -hers -dist Required 6.0 Not Required Not Required Not Required Not Required --- HVAC -FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1 -hers -fan HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan Required 0.58 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ Watts/CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 80.87 0.25 Default 0 Required Registration Number: 215-N0190034B-000000000-0000 Registration Date/Time: 2015-09-2922:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 22:26, Tue, Sep 29, 2015 Calculation Description: Title 24 Analysis Input File Name: MORETTI-T24.xm1 CF1 R -PRF -01 Page 9 of 9 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Frank Ho Company: Signature Date: Studio 61 Architects Inc. 2015-09-29 22:40:39 Address: CEA/HERS Certification Identification (If applicable): 12480 Saratoga Ave City/State/Zip: Phone: Saratoga, CA 95070 408-892-5020 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: �k Frank Ho Company: Date Signed: Studio 61 Architects Inc. 2015-09-29 22:40:39 Address: License: 12480 Saratoga Ave C29889 City/State/Zip: Phone: Saratoga, CA 95070 408-892-5020 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-N0190034B-000000000-0000 Registration Date/Time: 2015-09-29 22:40:39 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-29 22:27:33 A 'Tcly Y �j$ STATEMENT wit CG a +L INSFEC, i . f v'hiY':Y: il'M7 ✓.e 'G*'l.: A� 1 4:."wt1c�: i�i�it ' BUILDIN3 `,D.. fl •'i=3G'S SALVADOR, .'. "..2a.v . :.' -�.s i..l.•^•r'vIAL � e'"' '^+•�" U GR� rkY " .0 .*a�IN �t y.�� t f� fill' CLl rRT1?�!s? _ 4,. Alrvr(ti1f� jtVt'� Gwrier ro°;ogrtizss r c '^e,, c^li;2tor, to ensure that tie ^or'struct or, co Ciies )M*r vne app'lr ve''pe.mit AJC , ^ S clivi tc T:oferrte nt :,?�75'x� ;Ri'? v: SLSeGa: it'$}3$Ctly S. Ir'..ai°',d6 f,,rslimert cf I,.. $ aAl C82i,:^S. 6 l�W. er Wli re', , an rtreiil &y #'.+r Sh6 SreLial jrszec7,ons as :-Kutred it CBC Se° ;cr1 'I 753d 7W Liar has 6 --em Cevel zed witn the u . erstand rs„ nzt -; e Builoing Official will: s a x Y • Reli'e ' and ap; fl' ve the qual av, o S of -e Smcm; i^SpeC'O'S wh c, will perorrrik' e • ' i iLr 9 ±S B's '13 acticir, acivilies on ti ajctG sm :C assvre that *re special l specIO s am �wallw ar is are f jC^TicR�^ t"',r "p G 3t .S as Ca;Ad;wr in ..'''tits Stale tett of Soacia! lrs; ecti r. 77- 4 - Review sO rrtited i=ecticn We s. • Perform inspections as requiFed by the ic-cal tui.di"g Code. ;rave mmmd £#astir Pokmicinei in tle97e ,�jr4C,-rmpil Lk iw' W ASN I E. 0-F-. .sizing offih;:al Cr Ceslr:ee. Hoc Doan 1IVI'- a by 062142 aztes4 crS S�rrp:cfrSj.e:i:��:F>�rr_ `"� r?'.ttrc rr.c:e[s.�y'rt%'12 — ADDRESS ------------- %r.. ............. r.._....................................................................... i x .:................................................. .. ... oa...._ Z�,^ : Y31;......�, o. � �ti� fa 96 2 1M. 6L .......... .............x.�...^.,...(.�.(. i:;.i�,.n......�.�.wr..//.��..}�.}rya�^y��..��......{i{.}}.�+�//��_.... ........ ... .hj���E:G:I '1fr;111i."4i'....:...� �851t 11 PI[� li re li3 . 3l •�..s..,y F tYCn..BR; ................................................ ............. Zi 4h�r ( ........ ...n t i^�t?�:........................ ................ �`....,.,................._-. ................. r; +Cj':...:Y1s�i'.��i�.'�33.� �� ��113i "e' ,i PMWEC T 3ESCRIPT?OW NE%"l RESIDENCE CONST RUCTION � 7iis "STA'"cVEN. 17 OF SPCA. tNSPE ."iCNS` is summed in �ji&tu er.t c•<he requirer er"I Of. CSC S4KbO-S X70= ano 5. This tm' is Si: tCt:.lred after and. :sad ty perr-nission ftrn the Engineer .=.Ssc cc32i'Jf Sia?i'!?Efic �` Sper al Ala;-. included wtt •" s f',R'-"` is the tiioon� . l,,.t,S7 OF SPECIAL IAL lr SPE ; riCiiy AGENCIES 1page f : ASt of •es:,^g age c -'es a to. vi`e;$'v'E.^.!E`c i•-Ns;;--aors �'^.I' c, . retained M Wndu:;x ,tie teats and insoec ion's tr mig proiez' -SCHEDULE 07 SPECIAL INSPECTION` ;Dace 3 - S'. 7ne Scrieavie of Soe--Wlns0ecbons surnrranzes tie SO4-v = :r ui? r, r a' ?ri tR$ts reCc.ireC. Jo8 a i^so9Co Cts vitt refer tt.. � e aD^u: Y' d pians arr scie P:aboris tsr deta ler:: ices:B. ir5:-@^.ft^!? '$�4,iir>st^@'"„5. nr'V a^wsitl^.^ni FwSts art ,.V .eau, mV@G V$r5 3r6 S^.'TDC:�-`ii'3''s $hiig 315ti: ?? u3'tL`�`".� dam. �•. SyL:$', insnec :ins c"» 'les*mN,,^ will be cerrnrme; in accoda7Ce wtt4 te apDrcaed ptarte ana s:.ecAlcatior's., '`tisS'a26^:lehr t 3C I MC Sc-cti` n 704, Lr. a 'c 07, and :7.n8. Rterrn .'e'JL'rts fiill De Submr Ie t,^. ne .BufiKi N offi al anc t`E Regis2aretd .f -"r �. . 4 Fires; Repot', ot', of Special hsps°,.tons uQ^v er r?^ 6 1 irk SpeGai l^specaiorS testing and CorreCti)r :)f $rt} disw a a':L-* ,opsi 1^ 7be Zewc kne rtspevz ::r,s snail be submr tte_ nor,o :ss�;arce V a CeT:,tcate o' 1 anc C' tiiDancy (Seehon �74. 2;. r,=sai s+ docs-ertt . Re;gji spa a(1rrspi wic>ris. w Cwredo't yt -disiwelar ce$ noted sR irspe :ions. • Gwrier ro°;ogrtizss r c '^e,, c^li;2tor, to ensure that tie ^or'struct or, co Ciies )M*r vne app'lr ve''pe.mit AJC , ^ S clivi tc T:oferrte nt :,?�75'x� ;Ri'? v: SLSeGa: it'$}3$Ctly S. Ir'..ai°',d6 f,,rslimert cf I,.. $ aAl C82i,:^S. 6 l�W. er Wli re', , an rtreiil &y #'.+r Sh6 SreLial jrszec7,ons as :-Kutred it CBC Se° ;cr1 'I 753d 7W Liar has 6 --em Cevel zed witn the u . erstand rs„ nzt -; e Builoing Official will: s a x Y • Reli'e ' and ap; fl' ve the qual av, o S of -e Smcm; i^SpeC'O'S wh c, will perorrrik' e • ' i iLr 9 ±S B's '13 acticir, acivilies on ti ajctG sm :C assvre that *re special l specIO s am �wallw ar is are f jC^TicR�^ t"',r "p G 3t .S as Ca;Ad;wr in ..'''tits Stale tett of Soacia! lrs; ecti r. 77- 4 - Review sO rrtited i=ecticn We s. • Perform inspections as requiFed by the ic-cal tui.di"g Code. ;rave mmmd £#astir Pokmicinei in tle97e ,�jr4C,-rmpil Lk iw' W ASN I E. 0-F-. .sizing offih;:al Cr Ceslr:ee. Hoc Doan 1IVI'- a by 062142 aztes4 crS S�rrp:cfrSj.e:i:��:F>�rr_ `"� r?'.ttrc rr.c:e[s.�y'rt%'12 In STATEMENT OF SPECK CT10NS, 2 013 CSC COMMUNITY DEVELOPMENT DEPAR II � ION ALBERT SALVADOR, P.E C.B.O. BUILDING 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255Co (408) 777-3228 •FAX (408) 777-3333 • buildingacueertino.org SITE tC)4iDS hAOQri.TTi ©9-tQF- APN - BP# 150 -71#10'a ADDRESS Project A Engineer O Architect Hoc Doan........ Owner ...701.�I.VuFi�...4/1!!...[RR1!)<ES......�I.M.I.. Contractor........T. �j�i.................................................................................. Address..IS.�i5.. MC•. ........ ....%lw.Q.................................. Address........................................................................................................... City/StlAkV? TAS ................... Zip ... 06.Q.35 ...... Phone.4>Z.%9(? 7L,t►j/St.................................................Zip...................Phone........................ Applicant .......... O.W...N..6t .. ....................................................................... Engineer/ArcNtect.... HD Design and Engeerring; Inc:...... Address........................................................................................................... Address...........1570 Mission Avenida................................... City/St............................................. Zip ........................... Phone .....................City/St..... Sinature...............:.................................................... M.Qrgari.H&............ Zip.9.507. Phone t408)6d5-8855 PROJECT DESCRIPTION: NEW RESIDENCE CONSTRUCTION This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705. This form is structured after and used by permission from the Structural Engineer Association of Northern California's (S1AONC) mode statement of Special Inspections. Also, included with this form is the following: ® "LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and othelApecial inspectors that will be retained to conduct the tests and inspections for this project "SCHEDULE OF SPECIAL INSPECTION' (page 3 — 6). The Schedule of Special Inspection arizes the Special Inspections and tests required. Special Inspectors will refer to the aped plans and �pecifica r detailed special inspection requirements. Any additional tests and inspections required y the approved plans and tions shall also be performed. j �� Special Inspections and Testing will be performed in accordance with the approved plans and cifications,statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reports will be submitted to the Building Offic and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704.1.2. A Final Report of Special Inspections documenting required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 1704.1.2). The Final Report will document:# • Required special inspections. • Correction of discrepancies noted in inspections. The Owner recognizes his or her obligation to ensure that the construction complies wi 7�, permit documents and to implement this program of special inspections. In partial fulfillment of these obligations, the 45&retain and directly pay for the Special Inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: • Review and approve the qualifications of the Special Inspectors who will perform the ' pections. x • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualifie and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. • Perform inspections as required by the local building code. --h/ with the forme anrf ennrfitinn.c of this statement SpecialnspectionForm_2012.doc revised 09106/12 - Prepared By: Project A Engineer O Architect Hoc Doan........ 09-24-15 Date:.......................... Registered Design Professional in Charge Signature .................................................................... Lic.#....................................... Owner Name: t-1 Y Date:... n' Owner's Authorization Signature ..... ....................................................... ... Inspection Agency / Inspector Name: Sinature...............:.................................................... Lic.#....................................... Date:.......................... Building Official or designee: Signature.................................................................................................................... Date:.......................... SpecialnspectionForm_2012.doc revised 09106/12 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS Each special inspection agency, testing facility, and special inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency:s listed on this form must be pre -approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing and Ins eection Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow two weeks to complete the application process. The following are the testing and special inspection agencies that will be retained to conduct tests and insUection on this project: EXPERTISE FIRM /INSPECTOR INFORMATION ` a ex ...,n Ineerin nc evl e , ace ....................... 1. Special Inspection (except for Firm .........�.....•• ••�•����•••� •• �� '���•����•• •�-•••�-• geotechnical) City...... Fremont ....... .. State ...CA ............ zip .... 94539, .......................r.......................................... . Telephone....15.�.�..668-181.` ax....�.`J..10) 490-8690.... Email......................................................... 2. Material Testing Firm.....................................................................Addr......................................................................................... City ...................... ... State .......................Zip ...................... ..................................................... Telephone.......................................Fax........................................... Email........................................................ 3. Geotechnical Inspections 4. Other: Firm................... ....................................... ......... ..Addr......................................................................................... State .......................Zip ...................- City.- ..................... ......... Telephone...................................... Fax ..................... I...................... Email ........................................................ Firm........................................................... .......... Addr................................................................................ ........ . State .......................Zip .,.................... City.......................................................... ............................................... Telephone.................................. Fax............................................ Email- ...... ........... .................. ............ 'All agencies specified on this form must be pre -approved and listed on the City of Cupertino's Approved Special Inspector's List. 7nr I ci Description of seismic -force -resisting system and designated seismic systems subject to special inspections as per Section 1705.3: 1. EPDXY HOLDOWN ANCHOR BOLTS AS OCCURS. 2. PLYWOOD SHEAR WALLS WHICH REQUIRE NAILING SPACED CLOSER THAN 4" O.C. 3. FINAL FRAMING STRUCTURAL OBSERVATION BY THE DESIGN ENGINEER IS REQUIRED PER 2013 CBC 1704.5 4, HARDY FRAME !NSTALLATIONS: (ICC EVALUATION REPORT ESR -2089) A. FOOTING DIMENSIONS AND REINFORCEMENTS PRIOR CONCRETE POUR. B. TIE DOWN ANCHORAGES PRIOR CLOSING SHEATHING. The extent of the seismic -force -resisting system is defined in more detail in the construction documents. WIND REQUIREMENTS (Section 1705.4.1 Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section 1705.4.2: The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents. SpecialnspectionForm_2012.doc revised 09.•'06/12 SCHEDULE OF SPECIAL INSPECTION SITE APN BP# ADDRESS PROJECT DESCRIPTION: Notation Used in Table Column headers: C Indicates continuous inspection is required. P Indicates periodic inspections are required. The notes and/or contract documents should clarify. Box entries: X Is placed in the appropriate column to denote either "C" continuous or "P" periodic inspections. --- Denotes an activity that is either a one-time activity or one whose frequency is defined in some other manner. Additional detail regarding inspections and tests are provided in the project specifications or notes on the drawings. REFERENCED IBC REFERENCE VERIFICATION AND INSPECTION T—C P .STANDARD INSPECTION OF FABRICATORS - -------------- 1. ❑ Inspect fabricator's fabrication and quality control 1704.3 procedures. INSPECTION OF STEEL 1. Material verification of high-strength bolts, nuts and washers. ❑ Identification marking to conform to ASTM stds AISC 360, Section A3., and specified in the approved construction documents. _ X applicable ASTM material standards ❑ Inspect fabricator's fabrication and quality control X— procedures. 2. Inspection of high-strength bolting: ❑ Snug -tight joints. '– X ElPretensioned and slip -critical joints using turn -of -nut i with matchmarking, twist -off bolt or direct tension — X AISC 360, 1704.3.3 indicator methods of installation. Section M2.5 ❑ Pretensioned and slip -critical joints using turn -of -nut without matchmarking or calibrated wrench methods X of installation. 3. Material verification of structural steel and cold -formed steel deck. ❑ For structural steel, identification markings to conform _- X AISC 360, to AISC 360. Section M2.5 ❑ For other steel, identification markings to conform to Applicable ASTM ASTM standards specified in the approved — X material standards construction documents. ❑ Manufacturer's certified test reports. -- X SpecialnspeclionForm_2012.doc revised 09.-06112 VERIFICATION AND INSPECTION C P �,R��EFERE�NCED J IBC � REFERENCE r4. Material verification of weld filler materials: _ _� _ _ ' AISC 360, ❑ Identification marking conform to AWS specification T_T A3.5 and in the approved construction documents.Section u i – X applicable AWS AS documents ❑ Manufacturers certificate of compliance required. — X -- X 5. Inspection of welding: a. Structural steel and cold -formed steel deck: ❑ Complete and partial joint penetration groove welds. X -- I ❑ Multipass fillet welds. X -- r ❑ Single -pass fillet welds > 5/16" i_ X AWS C1.1 1704.3.1 i — ❑ Plug and slot welds. X --- ❑ Single -pass fillet welds <= 5/16" -- X ❑ Floor and roof deck welds. — X AWS D1_3 i b. Reinforcing steel: ❑ Verification of weldability of reinforcing steel other than — X 7 ASTM A 706. ❑ Reinforcing steel resisting flexural and axial forces in intermediate and special moment frames, and X __ AWS D1.4 ACI 318 — boundary elements of special structural walls of Section 3.5.2 concrete and shear reinforcement. ElShear reinforcement. X --- ElOther reinforcing steel. -- X 6. Inspection of steel frame joints details for compliance: I �-- ❑ Details such as bracing and stiffening. -- X ❑ Member locations. — X --- 1704.3.2 – ❑ Application of joint details at each connection. -- I XX VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE INSPECTION OF WELDING 1. ❑ Welded studs when used for structural diaphragms — X — 1704.3 2. ❑ Welding of cold -formed steel framing members. -- X 3. ❑ Welding of stairs and railing systems. — X SpecialnspectionForm_2012.doe revised 09.-06112 1 IBC REFERENCE 1913.4 1911.5, 1912.1 1912.1 1904.2.2,1913.2, 1913.3 1913.10 1913.6, 1913.7, 1913.8 1913.9 ❑ Direct tension testing of new bolts. - X See ICC ES Reports form special ❑ Torque testing of new bolts. - X inspection requirements for proprietary products ❑ Prequalification test for bolts and other types of X anchors. 14. ❑ Other: SpecialnspectionForm_2012.doc revised 091106/12 VERIFICATION AND INSPECTION =CP 1 REFERENCED STANDARD INSPECTION OF CONCRETE X ACI 318: 3.5, 7.1-7.7 1. ❑ Inspection of reinforcing steel, including prestressing tendons and placement. -- AWS D1.ACI 318: 3.55 .2 2. EI Inspection of reinforcing steel welding in accordance with Table 1704.3 Item 5b. X 8.1.3, ACI 31218: 8: 8 3. ❑ Inspection of bolts to be installed in concrete prior to and during placement of concrete where allowable loads have been increased or where strength design is used. -- X ACI 318: 4. ❑ Inspection of anchors installed in hardened concrete. X ACI 318: 5. ❑ Verifying use of required design mix. 6. ❑ At time fresh concrete is sampled to fabricate specimens for strength tests, perform slump and air content tests and determine the temperature of the X _ ASTM C 172 ASTM C 31 ACI 318: 5.6, 5.8 concrete. X - ACI 318: 5.9, 5.10 7. ❑ Inspection of concrete and shotcrete placement for proper application techniques. 8. ❑ Inspection for maintenance of specified curing i temperature and techniques. w X ACI 318: 5.11-5.13 X - ACI 318: 18.20 9. Inspection of prestressed concrete: ❑ Application of prestressing forces. ❑ Grouting of bonded prestressing tendons in the X ACI 318: 18.18.4 seismic force -resisting system. 10. ❑ Erection of precast concrete members. - X AGI 318: Ch. 16. 11. ❑ Verification of in-situ concrete strength, prior to stressing of tendons in posttensioned concrete and X ACI 318: 6.2 prior to removal of shores and forms from beams and structural slabs. 12. ❑ Inspect formwork for shape, location, and dimensions X ACI 318: 6.6.1 of the concrete member being formed. 13. ❑ Bolts Installed in Existing Masonry or Concrete ❑ Direct tension testing of existing anchors. - X IBC REFERENCE 1913.4 1911.5, 1912.1 1912.1 1904.2.2,1913.2, 1913.3 1913.10 1913.6, 1913.7, 1913.8 1913.9 ❑ Direct tension testing of new bolts. - X See ICC ES Reports form special ❑ Torque testing of new bolts. - X inspection requirements for proprietary products ❑ Prequalification test for bolts and other types of X anchors. 14. ❑ Other: SpecialnspectionForm_2012.doc revised 091106/12 SpecialnspecfionForm 2012.doc revised 09106112 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C I P IBC SECTION TMS 4021ACI 530/ASCE 5 1 TMS 402/ACI 530/ASCE 6 INSPECTION OF LEVEL 1 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved — X — -- Art. 1.5 submittals shall be verified. 2. ❑ Verification of fm and fAAc prior to construction except where specifically exempted by this code. — X –_ — Art. 1.413 3. ❑ Verification of slump flow and VSI as delivered to the site for self consolidating grout. X — — — Art. 1.513.1.b.3 4. As masonry construction begins, the following shall be verified to ensure compliance: ❑ Proportions of site-prepared mortar. — X — — Art. 2.6A ❑ Construction of mortar joints. — X — -- Art.3.313 ❑ Location of reinforcement, connectors, prestressing tendons, and anchorages. — X — — Art. 3.4, 3.6A ❑ Prestressing technique. — X — — Art. 3.613 ❑ Grade and size of prestressing tendons and — X — — Art. 2.413, 2.4H anchorages. 5. During construction the inspection program shall verify: ❑ Size and location of structural elements. --- X — — Art. 3.31F ❑ Type, size, and location of anchors, including other details of anchorage of masonry to structural members, frames or other construction. — X –' Sec. 1.2.2(e), 1.16.1 — ❑ Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and — X — Sec. 1.15 Art. 2.4, 3.4 anchorages. ❑ Welding of reinforcing bars. X — — — ❑ Preparation, construction and protection of masonry during cold weather (temperature below 40 degrees F) or hot weather (temperature above –_ X Sec. 2104.3, 2104.4 — Art. 1.8C, 1.81D 90 degrees F). ❑ Application and measurement of prestressing X — — __ Art. 3.613 force. 6. Prior to grouting the fallowing shall be verified to ensure compliance: ❑ Grout space is clean. — X --- --- Art. 3.2D ❑ Placement of reinforcement and connectors and prestressing tendons and anchorages. — X — Sec. 1.3 Art. 3.4 ❑ Proportions of site-prepared grout and prestressing grout for bonded tendons. — X __ ___ Art. 2.613 ❑ Construction of mortar joints. -- X — -- Art. 3.36 7. Grout placement: ❑ Grout placement shall be verified ensure compliance. X — — __ Art. 3.5 ❑ Observe grouting of prestressing bonded X — __ __ Art 3.6C tendons. SpecialnspecfionForm 2012.doc revised 09106112 -— REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 4021ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 8. ❑ Preparation of any required grout specimens, Sec. Art. 1.4 mortar specimens, and/or prisms shall be — X 2105.2.2, --- observed. 1 2105.3 INSPECTION OF LEVEL 2 MASONRY 1. ❑ Compliance with required inspection provisions Art. 1.5 of the construction documents and the approved — X — — i submittals. 2. ❑ Verification of f m and f AAc prior to construction and for every 5,000 square feet during — X — — Art. 1.413 construction. 3. ❑ Verification of proportions of materials in Art. 1.513 premixed or preblended mortar and grout as --x — — delivered to the site. 4. ❑ Verification of slump flow and VSI as delivered to x — — - Art. 1.5B.1.b.3 the site for self consolidating rout. 5. The following shall be verified to ensure compliance: ❑ Proportions of site -prepared mortar, grout, and — x - - i, Art. 2.6A prestressing grout for bonded tendons. _ ❑ Placement of masonry units and construction of — x — - Art. 3.3B mortar joints. ❑ Placement of reinforcement, connectors and — x — Sec. 1.15 Art. 3.4, 3.6A prestressing tendons and anchorages. ❑ Grout space prior to grouting. X — — — Art. 3.21D ❑ Placement of grout. X — — — Art. 3.5 i _ ElPlacement of prestressing grout. x — — Art. 3.6CY~ ❑ Size and location of structural elements. — X -- Art. 3.3F ❑ Type, size, and location of anchors, including other details of anchorage of masonry to structural members, frames and other x — — Sec.1.2.2(e) — construction. ❑ Specified size, grade, and type of reinforcement, x — Sec. 1.15 Art. 2.4, 3.4 anchor bolts, prestressing tendons and — anchorages. ❑ Welding of reinforcing bars. x — __ Sec. 2.1.9.7.2, - 3.3.3.4 (b) ❑ Preparation, construction, and protection of masonry during cold weather (temperature below — x Sec. 2104.3 — Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 90 degrees F). r— ❑ Application and measurement of prestressing — — Art. 3.513 force. 6. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be x -- 2105.2.2, — Art. 1.4 observed. 2105.3 SpecialnspeciionForm_2012.doc revised WiO6112 VERIFICATION AND INSPECTION REFERENCED IBC C P STANDARD REFERENCE �— INSPECTION OF WOOD r ❑ Inspect prefabricated wood structural elements and assemblies in accordance with Section 1704.2. — 1704.6 2. ❑ Inspect site built assemblies. 3. Inspect high -load diaphragms: ❑ Verify grade and thickness of sheathing. — -- ❑ Verify nominal size of framing members at adjoining panel edges. ❑ Verify nail or staple diameter and length, --- — -- 1704.6.1 ❑ Verify number of fastener lines, -- -- ❑ Verify spacing between fasteners in each line and at r __ edge margins. 4. ❑ Metal -plate -connected wood trusses spanning 60 feet or greater: Verify temporary installation 1704.6.2. restraint/bracing and the permanent individual truss --- X member bracing are installed in accordance with the approved truss submittal package. REQUIRED VERIFICATION AND INSPECTION OF SOIL 1. ❑ Verify materials below footings are adequate to X achieve the desired bearing capacity. 2. ❑ Verify excavations are extended to proper depth and X have reached proper material. 3. ❑ Perform classification and testing of compacted fill ___ X Table 1704.7 materials. 4. ❑ Verify use of proper materials, densities and lift thicknesses during placement and compaction of X compacted fill. 1 5. ❑ Prior to placement of compacted fill, observe subgracle -_ X I and verify that site has been prepared properly. REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS 1. ❑ Verify element materials, sizes and lengths comply _ X with the requirements. 2. ❑ Determine capacities of test elements and conduct X additional load tests, as required. 3. ❑ Observe driving operations and maintain complete X _ and accurate records for each element. 4. ❑ Verify locations of piles and their plumbness, confirm type and size of hammer, record number of blows per- Table 1704.8 foot of penetration, determine required penetration; to X -- achieve design capacity, record tip and butt elevations and document any damage to foundation element. 5. ❑ For steel elements, perform additional inspections in accordance with Section 1704.3. 6. ❑ For concrete elements and concrete filled elements, perform additional inspections in accordance with --- -- Section 1704.4. SpecialnspectionForm_2012.doc revised 09.061'12 --P VERIFICATION AND INSPECTION REFERENCED STANDARD IBC - -- REFERENCE �7. ❑ For specialty piles, perform additional inspections as i I Table 1704.8 determined by the registered design professional in - -- _ responsible charge. REQUIRED VERIFICATION AND INSPECTION OF CAST -IN-PLACE DEEP FOUNDATION ELEMENTS 1 ❑ Observe drilling operations and maintain complete and i X I _ accurate records for each element. 2. ❑ Verify placement locations and plumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable), and X -- --- Table 1704.9 adequate end -bearing strata capacity. Record concrete or grout volumes. 3. ❑ For concrete elements, perform additional inspections in accordance with Section 1704.4. HELICAL PILE FOUNDATIONS 1. ❑ Record installation equipment used, pile dimensions, X — — 1704.10 tip elevations, final depth, final installation torque. _ — SPRAYED FIRE-RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. ❑ Inspect surface for accordance with the approved fire- resistance design and the approved manufacturer's — — written instructions. _ Verify minimum ambient temperature before and after _ X application. - — 1704.12.1 ❑ Verify ventilation of area during and after application. -- X 2. ❑ Measure average thickness per ASTM E605 and — — Section 1704.12.4. 3. ❑ Verity density of material for conformance with the approved fire-resistant design and ASTM E605. (Ref. — — Section 1704.12.5) 4 Test cohesive/adhesive bond strength per Section — — 1704.12.6. 5. ❑ Condition of finished application. MISCELLANEOUS 'I 1. Mastic and Intumescent Fire -Resistant Coating. — -- --- 1704.13 2. Exterior Insulation and Finish Systems (EIFS). Water- 1704.14 resistive barrier coating when installed over a sheathing — — --' I substrate. -- 1704.15 j 3. Special Cases -- --- 4. Smoke Control System — -- -- 1704.16 5. Seismic Resistance El Suspended ceiling systems and their anchorage. -- — -- 1705.3 [4.3] SpecialnspecuonForm_2012.doc revised 09.%0672 VERIFICATION AND INSPECTION i C –T P REFERENCED � STANDARD IBC REFERENCE 6. Wind Resistance ❑ Roof cladding and roof framing connections. _ --- ❑ Wall connections to roof and floor diaphragms and framing. ❑ Roof and floor diaphragm systems, including collectors, drag struts and boundary elements. ❑ Vertical wind -force -resisting systems, including braced frames, moment frames, and shear walls. ❑ Wind -force -resisting system connections to the foundation. ❑ Fabrication and installation of systems or components I required to meet the impact resistance requirements i --- -- — of Section 1609.1.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood _J ❑ Inspect field gluing operations of elements of the main X wind -force -resisting system. 1706.2 ❑ Inspect nailing, bolting, anchoring, and other fastening— of components within the main windforce-resisting — X system, including wood shear walls, wood diaphragms, drag struts, braces and hold-downs. 2. Cold -Formed Steel Framing J ❑ Welding of elements of the main wind -force -resisting — X system. — 1706.3 ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main wind -force -resisting system including shear walls,. -- X braces, diaphragms, collectors (drag struts) and hold- downs. 3. Wind -resisting components ❑ Roof cladding. -- X — 1706.4 ❑ Wall cladding. -- X SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. ❑ Special inspection for welding in accordance with theX — 1707.2 quality assurance plan requirements of AISC 341. 2. Structural Wood M Inspect field gluing operations of elements of the X — seismic -force -resisting system. 1707.3 X Inspect nailing, bolting, anchoring, and other fastening of components within the seismic -force -resisting system, including wood shear walls, wood — X diaphragms, drag struts, braces, shear panels and hold-downs. 3. Cold -Formed steel light -frame construction ❑ Welding of elements of the seismic -force -resisting — X 1707.4 system. SpecialnspectionForm_2012.doc revised 09106112 ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the seismic- X force -resisting system including shear walls, braces, diaphragms, collectors (drag struts) and hold-downs. 4. Storage racks and access floors ❑ Anchorage of storage racks 8 feet or greater in height X 1707.5 and access floors. 5. Architectural components -T- • Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet — X above grade or walking surface. ❑ Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade — X or walking surface. — 1707.6 ❑ Inspect erection and fastening of all exterior non- X bearing walls higher than 30 feet above grade or — walking surface. ❑ Inspect erection and fastening of all interior non- X bearing walls weighing more than 15 psf and higher — than 30 feet above grade or walking surface. 6. Mechanical and Electrical Components ❑ Inspect anchorage of electrical equipment for — X emergency or stand-by power systems. ❑ Inspect anchorage of non -emergency electrical — X equipment. ----- ed ❑ Inspect installation of piping systems and associated 1707.7 mechanical units carrying flammable, combustible, or X — highly toxic contents. ❑ Inspect installation of HVAC ductwork that contains — X hazardous materials. ❑ Inspect installation of vibration isolation systems — X where required by Section 1707.7. 7. ❑ Verify that the equipment label and anchorage or mounting conforms to the certificate of compliance — — — 1707.8 when mechanical and electrical equipment must be seismically qualified. 8. ❑Seismic isolation system: Inspection of isolation — X — 1707.9 system per ASCE 7 – Section 17.2.4.8 9. ❑ Obtain mill certificates for reinforcing steel, verify 1708.2 compliance with approved construction documents, — — — i and verify steel supplied corresponds to certificate. 10. ❑ Structural Steel: Invoke the QAP Quality Assurance — 1708.3 requirements in A►SC 341. 11. ❑ Obtain certificate that equipment has been seismically — — 1708.4 qualified. 12. ❑ Obtain system tests as required by ASCE 7 Section — — — 1708.5 17.8. — SpecialnspectionForm_2012.doc revised 09/06112