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B-2016-1222CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: PERMIT NO: B 2016-1222 HOMEOWNER BUILDING ADDRESS: 10406 S FOOTHILL BLVD CUPERTINO, CA 95014-2604 (357 03 078) BUILDER OWNER'S NAME: LEE KENNETH MAND DAISY W C TRUSTEE DATE ISSUED: 07/26/2016 OWNER'S PHONE: 408-832-3073 PHONE NO: LICENSED CO —RACTOR'SDECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor HOMEOWNER BUILDER Date X_ BLDG _ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDENTIAL _ COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: Construct a one story second dwelling unit (639sq ft). s. I have and will maintain a certificate of consent to self -insure for Worker's. REV# 1 -CHANGE WEST WINDOW CONFIGURATION; SWITCH TOILET AND VANITY LOCATION - HALLWAY BATHROOM Compensation, as provided for by Section 3700 of the Labor Code, for the - ISSUED 9/21/2016 performance of the work for which this permit is issued. z. 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. Sq. FtF1oorArea: 639 Valuation: sl00000.00 APPLICANT CERTIFICATION 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 ordinances and state laws relating to building construction, and hereby authorize 357 03 078 Deferred Submittal (R-3),R-3 (Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 1 016 Issued by: ABBYAYENDE OWNER-BLn r DER DECLARATION Date: 07/26/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is i. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work .and the structure is not intended or offered for inspection. '' s`ale (Sec.7044, Business & Professions Code) as owner of the property, am exclusively contracting with licensed Signature of Applicant: i1, contractors to construct the project (Sec.7044, Business & Professions Code). Date: /21 2 1 reby affirm under penalty of perjury one of the following three declarations:, i. I have and will maintain a Certificate of Consent to self -insure for Worker's ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the :performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE I h .. and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I exemption, I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sec 'ons 25515 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. , Owner or authorized agent: APPLICANT CERTIFICATION — Date: 9/2112.016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino unicip ARCEEITECTIS DECLARATION Code, Section 9.18. �) / I understand my plans shall be used as public records. G Signature Date 9/2112016 Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 �,.� (408) 777-3228 • FAX (408) 777INO-3333 • buildin c ertino.or ❑ NE�TJ.CONSTRUCTION El ADDITION ❑ALTERATION / TI REVISION DEFERRED ORIGINAL PERMIT PROJECT ADDRESS LA PN u OWNER NAME _ � � �'(� (j� PH E E-AZAIL'li i!(.LI STREET.ADDRESS {-- a c CITY, STATE: ZIP 1� (� Z] FAX Cut CONTACT NAME. c / ' E MAILL),� l_ 0 C� STREETADDRESS l f CITY, STATE, 't-,QY'NER ❑ OWNER-BUH.DER ❑ OWNERAGENT d CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER. ❑ TENANT CONTRACTOR iNsAb�1EE LICENSE NL�vIBER � J � � � � LICENSE TYPE, BUS. LTC N I�tQ,4i.LtC I� iJ F�A�s/CSC COMPANY NAME: + E-MAIL ' r.ho /c)� �%bCC�r1,eC a�lR FAX ovaY STREET ADDRESS V 1 T CITY, STATE, ZIP q� ` gi P_ ONE (� ZJ �(t1,03 ARCHITECT/ENGINEER NAME -- ;y rCJ_ � 01, f LICENSE NUA�IBER O (i`F BUS. LTC 4 COMPANYNAAIE E-MAIL�Qp — 4o C+t e l I n ��Nr t3 caw,FAx STREET ADDRESS CITY, STATE, ZIP U -�_ cam%=iGvtfm to LA -Ct�� CA 9Rk___LLA4-(r,,)ojni EXISTING USE PROPOSED USE CONSTR. TYPE a STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL - -_ AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER i REMODELAREA REMODEL AREA REMODELAREA PORCHAREA DECK AREA TOTALDECKTORCHAREA GARAGE AREA: DETACH ❑ ATTACH DR+ELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEIN-GADDED? ENO ADDITION? ❑NO - PRE -APPLICATION ❑YES IF YES; PROVIDE COPY OF IS THE BLDG AN ❑YLE TOTAL VALUATION: PLANNING APPLri ❑NC PLANNING APPROVAL LETTER EICHLER HOAIE? ❑N' 00/ By my signature below, I certify to each of the following: I am the property owner or authorized agent^to act on the propertyowner's behalf. I have read this application and the information I have pro�'ided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to Qild'c struction. I authorize presentatives of Cupertino to enter the above -identified property for inspection proposes. Signature of Applicant/Agent: Date: f t SUPPLEMENTA IN RMATION REQUIRED New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building o� ER TiIE Coup rER ❑ Iull vu,G rL �� REi�Ew# permit for new building ib . raPREss a �iAtirNGPLizE�iEµ�� _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTAlDARD k❑I BLlcia 9Rhs form if any Hazardous Materials are being used as part of this project. ❑URGE ❑FIRE DPPT' _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Pen -nit application. fl:``� �J©R ❑ s�I�rlAxl sE���R'DsTlticT '� BldgApp_2011..doc revised 06121/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10406 S FOOTHILL BLVD CUPERTINO,, CA 95014-2604 (357 03 078) CONTRACTOR: OWNER -BUILDER PERMIT NO: B-2016-1222 OWNER'S NAME: LEE'KENNETH M AND DAISY W C TRUSTEE DATE ISSUED: 07/26/2016 OWNER'S PHONE: 408-725-8266 PHONE NO: LICENSED CONTRACTOR'SCOMRACTOR'S DECLARATION AR ATION BUILDING PERMIT INFO: License Class Lie. # Contractor OWNER -BUILDER Date X BLDG —ELECT -PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDENTIAL _ COMMERCIAL with Section 7000) of Division-3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: Construct a one story second dwelling unit (639 sq ft). 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. z. 1 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. Sq. Ft Floor Area: 639 Valuation: $100000.00 APPLICANT CERTIFICATION 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 ordinances and state laws relating to building construction, and hereby authorize 357 03 078 Deferred Submittal (R-3),R-3 (Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting this permit. Additionally, the applicant understands and will comply with all non -point all WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 7/26/2016 Issued by: MELI Date: 07/26/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (See.7044, Business & Professions Code). Date: 2 16 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. 1 have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the a. i' 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of 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 exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, S c }ms 505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent APPLICANT CERTIFICATION Date: 7/26/2016 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. /-' Signature / Z922_/�Dte 7/26/2016 Licensed Professional Maim CUPERTIN0 CONSTRUCT[ON PERMIT APPLICATION COMMUNIT Y DEVELOPMENT -DEPARTMENT" BUILDING DIVISiON 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 77 7-3223 - FAX 408) 77 7-3333 - buildinod.cuDeitno. org M AT)T)r1r,1e1)%T M AT'MMATTr%M[TT F7 ?POSECT kDD?rss 40K. kka/k ?H0XA- L F6 C ru�!Ykf,,q c+- Cri-Y, STATE, ZIP COh-1ACT K.AIME - TO,r 7,3 DaJi 0 6 M h I-C-6 e Vh4 ao. tovm STREK ADDR:EsS tit, 37) FAY OwT�AC,_;-NT ❑ COM-RACTOR, M CONIF ACTOR AGENT 0 4RC_-u,_BCT ❑ A-NOLIMM 0 Dz%,:-L0PMLEN", 7 COMMACTOPLNIAN-m 7- 1 SER J oklu V Moo 91 9: L"-L'CwTSw1,.6,iJ, BUS. LIC 4 colaAm Nleul,) FAX OR- IV% STMEFT ADDRESS 1q,6 p CITY, STAIM, Z! 2- �)ran ca hRCrllrFtGi GINIMB --f (L 11 bt)DnCk, 3 OL �aT_15. LTC A eyatwa, unj Flxqok-qqy OW STREET AMMUM gs-g O'�E6 or- 1-3 V —s -,10,q OF W?1, d I J_ /0 FWtCqVi(cl L) EMSM�GUSF, PPOPOS COPS-IRMFE k ST 0 P UP S jj USE occ, j SQ,FT. VALUATION (S) NEW FLOOK DEMO � V AREA AnA d91 1,3q §0 FL I A RAThROOM V MCHT-54 OTHMK v REMODELAREA REMODEL MZEA PORCHAREA 1 16,0 TOTAL DFOQPORCH dtj�:A LIj I CWYA&F1Jt7-_A: LJDETACH A17AC.Ll -RDWELLING . s 1SASECONIDUnrr --DIED? sEcolql) $701,Y []Y--, S BEING All AIDDMOW ;;;vO Jf PRE -APPLICATION El YES IF YES, FROVIDI: COPY OF nA2,1va �k-,PL []]�Q PLAMM�'G /,PPPOvA7_ T_­r Tn IS 'THY BLDG AN YES FICHIIER 11011M NO MW UATIONt 11 R-01- By my signatom, below, I certify to each of the following: I Prnthr propertyowntr orauthorized ?gent to art on the proper­ty owner's behalf, I haveread this application end the information I have provided is c*rnct. I have read the Description of 'Work and verifji it is accura' te. I agree to comply -with PlIapplicable, local Ordinances and state laws relating to bi-, di. g construction. I authorize represent2tivn 'of Cuprr' irio to enter the above -identified property for inspection purposes, SiEnatureofAn PI !cznf/A.-cnt:. X�� D at e,: // 2,.0/ 2-0tEs New qFD or WMknily dwelllin�gs: Apply J'qr dern� olition perrnit lior building(s). Demolition is required to lssuknce� Of buiidin�g 2g).,gw.. ggW - . . . . . . . . . . . . . . . . N-1 "T existing permit prior permit for nt%v building. Cwnwnercipl Mk-s s: Provide a completed Ha-zardous Ma' feriads Disdosura _m W, U. DI: ggg 7C;_rI ary Hp-zardouMaterials used are being �d as pprt of this project. Copy oPlanning Approval to submittal of Bulldin.g Peyrnit application, Bldg;,,kp_2011,docrevised O6l2lllI i CUPlERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION. 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(ftupertino.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: SITE ADDRESS ( j SI) (�,51 ` f ( 1(j B y N BP# P ' �� b OWNER NAME ` -T G OWNER ADDRESS j DESCRIPTION OF WORK: u e)L- We are providing you with an Owner-Bunder 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. read and initial each statement below to signify you understand or verify this information.) 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. 1, 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 injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I� A� . I understand building permits are not required to be signed by property owners unless they are responsible for nstruction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner -Builder" I am the responsible party 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. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license umbers on permits and contracts. �5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the 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. 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. 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. 8. I 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. Owne7BuilderF617n 2010.doc revised 04114110 �I understand 1 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.cs[b.ca.gov for more information about licensed contractors. 1!L110. 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. kL_1 1. '1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all all applicable laws and requirements that govern Owner -Builders as well as employers. _&/-2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I 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.) 1 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 verify the orooerty owner's sianature. I Property Owner's Signature: M Z a—s ? Date: 1 % 2% / JZ' ----------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an 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 Fisted 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: OwneYBuilder Fonn 2010.doc revised 04114110 BUILDING ENERGY ANALYSIS REPORT PROJECT: Foothill Blvd Residence 10406 S. Foothill Blvd. Cupertino, CA 95014 Project Designer: David Wong Design 958 Meadow Drive San Jose, CA 95120 (408) 605-5335 Report Prepared by: Timothy Carstairs, CEA, HERS, GPR Carstairs Energy Calculations PO Box 4736 San Luis Obispo, CA 93403 (805) 904-9048 Job Number: 15-12108 Date: 12/13/2015 The En authorized the computer program has been Energy Commission f s bothsed to c i sl '�,� � �n this compliance report. This program has approval and is nresidential 2013 Building Energy Efficiency Standards. This progra d liynelrlg o�t"'Iwo energysoft.com. EnergyPro 6.7 by EnergySoft User Number: 6249,, lI l6 , 6.IL L"II' i,,,,,,, J"I i i i iy 1- ID: 15-12108 Reeve a;d a y;13"eai.i II .......... IIatdlh DtEg: W�1:17/1 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 10 Form MF-1 R Mandatory Measures Summary 11 Room Load Summary 15 1I°°I3Uiilll lihn I1'° III rfi n nt EnergyPro 6.7 by EnergySoft F'"iEWEM' I � I � ,,,� � ,w',', User Number: 6249 evuewed a y;13"eai.i II .......... IIatdlh CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 13:09, Thu, Dec 10, 2015 CF1 R-PRF-01 Page 1 of 7 Calculation Description: Title 24 Analysis Input File Name: Foothill Blvd. Residence (2013).xml GENERAL INFORMATION 01 Project Name Residential Building 02 Calculation Description Title 24 Analysis 03 Project Location 10406 S. Foothill Blvd. 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) 180 12 Project Scope Newly Constructed 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft2) 639 15 Number of Zones 1 16 Slab Area (ft2) 0 17 Number of Stories 1 18 Addition Cond. Floor Area N/A 19 Natural Gas Available Yes 20 Addition Slab Area (ft2) N/A 21 Glazing Percentage (%) 35.8% 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. ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 11.18 14.06 -2.88 -25.8% Space Cooling 26.33 36.47 -10.14 -38.5% IAQ Ventilation 2.10 2.10 0.00 0.0% Water Heating 32.65 16.61 16.04 49.1 % Photovoltaic Offset ---- 0.00 0.00 ---- Compliance Energy Total 72.26 69.24 3.02 4.2% Number: 215-N6469347A-000000000-0000 Bul-dina Deoartment stration Date/Time: 2015-12-11 17:16:49 HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CA Building Energy Efficiency Standards - 2013 Residential Compliancy _ _;, fft pip�-��� _, 2 704 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 13:09, Thu, Dec 10, 2015 Input File Name: Foothill Blvd. Residence (2013).xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. NO SPECIAL FEATURES REQUIRED HERS FEATURE SUMMARY Page 2of7 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. Reference Energy Use Energy Design Rating Margin Percent Improvement Total Energy (kTDV/f2-yr)* 161.94 158.92 3.02 1.9% * 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 639 1 2 1 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 Living Area Conditioned HVAC System1 639 9 DHW Sys 1 Number: 215-N6469347A-000000000-0000 Bul-dina Deoartment stration Date/Time: 2015-12-11 17:16:49 HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CA Building Energy Efficiency Standards - 2013 Residential Compliancy _ _;, fft pip�-��� _, 2 704 e CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 13:09, Thu, Dec 10, 2015 CF1 R-PRF-01 Page 3of7 Calculation Description: Title 24 Analysis Input File Name: Foothill Blvd. Residence (2013).xml OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft) Window & Door Area (ft2) Tilt (deg) Front Wall Living Area R-13 Wall 180 Front 248 100.3 90 Left Wall Living Area R-13 Wall 270 Left 209 20 90 Rear Wall Living Area R-13 Wall 0 Back 248 22 90 Right Wall Living Area R-13 Wall 90 Right 209 106.6 90 Roof Living Area R-30 Roof Attic 639 Raised Floor Living Area R-19 Floor Crawlspace 639 ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic Living Area Attic RoofLiving Area Ventilated 5 0.1 0.85 Yes No WINDOWS 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 Window Window Front Wall (Front-180) ---- ---- 1 35.0 0.37 0.32 Insect Screen (default) Sliding Glass Door Window Front Wall (Front-180) ---- ---- 1 33.3 0.37 0.32 Insect Screen (default) Window 2 Window Front Wall (Front-180) ---- ---- 1 12.0 0.37 0.32 Insect Screen (default) Window 3 Window Left Wall (Left-270) ---- ---- 1 20.0 0.37 0.32 Insect Screen (default) Window 4 Window Rear Wall (Back-0) ---- ---- 1 8.0 0.37 0.32 Insect Screen (default) Window 5 Window Rear Wall (Back-0) ---- ---- 1 6.0 0.37 0.32 Insect Screen (default) Window 6 Window Rear Wall (Back-0) ---- ---- 1 8.0 0.37 0.32 Insect Screen (default) Sliding Glass Door 2 Window Right Wall (Right-90) ---- ---- 1 53.3 0.37 0.32 Insect Screen (default) Sliding Glass Door 3 Window Right Wall (Right-90) ---- ---- 1 53.3 0.37 0.32 Insect Screen (default) DOORS 01 02 03 04 Name Side of Building Area (ft2) U-factor Door --TTTO�V-U i KW 20.0 0.50 Bul-dina Department Registration Number: 215-N6469347A-000000000-0000 istration Date/Time: 2015-12-11 17:16:49 CA Building Energy Efficiency Standards - 2013 Residential Compliances _ _;,t �si 2704 HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 13:09, Thu, Dec 10, 2015 Input File Name: Foothill Blvd. Residence (2013).xml Page 4of7 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 RoofLiving Area 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-19 Floor Crawlspace Crawlspace Wood Framed Floor 2x6 @ 16 in. O.C. R 19 0.049 Cavity/Frame: R-19/2x6 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-30 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 30 0.032 Over Floor Joists: R-20.9 insul. 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% 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 0.94 199000-Btu/hr 0 0 Number: 215-N6469347A-000000000-0000 Bul-dina Deoartment stration Date/Time: 2015-12-11 17:16:49 HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CA Building Energy Efficiency Standards - 2013 Residential Compliancy _ _;, fft pip�-��� _, 2 704 e CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 13:09, Thu, Dec 10, 2015 Input File Name: Foothill Blvd. Residence (2013).xml Page 5of7 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 --- --- --- 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 80 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 14 Not Zonal Single Speed Cooling Component 1-hers-cool 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 02 03 04 05 06 07 Name Type Duct Leakage Insulation Rwalue Duct Location Bypass Duct HERS Verification Air Distribution System 1 DuctsAttic 911 and t to _ 6 Attic None Air Distribution System 1-hers-dist _ --ding Department Registration Number: 215-N6469347A-000000000-0000 istration Date/Time: 2015-12-11 17:16:49 CA Building Energy Efficiency Standards - 2013 Residential Compliancy _ _;,t �si 704 Rev�ewed HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 13:09, Thu, Dec 10, 2015 Input File Name: Foothill Blvd. Residence (2013).xml Page 6of7 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 Handler 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 28.89 0.25 Default 0 Required Number: 215-N6469347A-000000000-0000 Bul-dina Deoartment stration Date/Time: 2015-12-11 17:16:49 HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CA Building Energy Efficiency Standards - 2013 Residential Compliancy _ _;, fft pip�-��� _, 2 704 e CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 13:09, Thu, Dec 10, 2015 Input File Name: Foothill Blvd. Residence (2013).xml Page 7of7 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Timothy Carstairs Company: Signature Date: Carstairs Energy Calculations 2015-12-11 10:12:42 CA BT� I-- Address: CEA/HERS Certification Identification (If applicable): P.O. Box 4736 R13-06-10042 City/State/Zip: Phone: San Luis Obispo, CA 93403 805-904-9048 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 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: 50"e*I&V David Wong Company: Date Signed: David Wong Design 2015-12-11 17:16:49 Address: License: 958 Meadowood Dr NA City/State/Zip: Phone: San Jose, CA 95120 408-605-5335 Digitally signed by Ca10ERTS. 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-N6469347A-000000000-0000 EUNO Bul-dina 0mn stration Date/Time: 2015-12-11 17:16:49 HERS Provider: CaICERTS inc. Report Generated at: 2015-12-10 13:09:37 CA Building Energy Efficiency Standards - 2013 Residential Compliancy _ _;, fft pip�-��� _, 2 704 e RESIDENTIAL MEASURES SUMMARY RMS-1 Project Name Foothill Blvd Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1211312015 Project Address 10406 S. Foothill Blvd. Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 639 Addition n/a # of Units 1 INSULATION Construction Type Area Cavity (ft) Special Features Status Floor Wood Framed w/Crawl Space R 19 639 New Wall Wood Framed R 13 665 New Door Opaque Door - no insulation 20 New Roof Wood Framed Attic R 30 639 New FENESTRATION I Total Area: 229 Glazing Percentage: 35.8 New/Altered Average U-Factor: 0.37 Orientation Area(ft) U-Fac SHGC Overhang Sidefins Exterior Shades Status Front (S) 47.0 0.370 0.32 none none Bug Screen New Front (S) 33.3 0.370 0.32 none none Bug Screen New Left (M 20.0 0.370 0.32 none none Bug Screen New Rear (N) 22.0 0.370 0.32 none none Bug Screen New Right (E) 106.6 0.370 0.32 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 14.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R-Value Status HVAC System Ducted Ducted Attic 6.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Small Instantaneous Gas 0 0.94 Standard New �' III III III III t 5—L° Ff CRt EnerqyPro6.7 by Ener Soft User Number: 6249 RunCode: 2015-12-13T11:12:34 ID: 15-12108 Pa e 10 of 15 u°7757.77.77 FuF a 77 -. 7uMo-,ii..oMNu-ii.-: Revuewed a y;1° &,i II .......... IIatdIh DtEg: W�:17/1 2013 Low -Rise Residential Mandatory Measures Summary NOTE 7 Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. Exceptions may appiv. Review the respective code section for more information. Building Envelope Measures: § 110.6(a)l : 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(i): 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. § 110.8(j): 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. § 150.0(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)l: walls, vented attics and unvented attics with air -permeable insulation. § 150.0(g)2: 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 II vapor retarder. In a building having a controlled ventilation crawl space, a Class I or Class II 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 § 110.8(g). 150.0 § (�' 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. §150.0(e)1B: 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 damper or a combustion -air control device. §150.0(e)1C: 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 ands a heaters. § 150.0(h) l : 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. § 150.0(i): Heating systems are equipped with thermostats that meet the setback requirements of § 110.2(c). § 150.0(j)IA: 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. §150.00)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 pir er buried or unburied: the first 5 feet of hot and cold water pipes from the storage tank, all piping with a nominal dia 4 inc ssociated with a domestic hot water recirculation system rrce § 150.0(j)2A: regardless of the pipe diameter, pi g he hea mg sou t o s orage tank or between tanks, piping buried below grade, and all hot water pipes from the heatin i according to the requirements of TABLE 120.3- A. §150.00)2B: All domestic hot water pipes that a�e buried q b lgr must be installed ina waterproof and non -crushable casing or sleeve �I Iae m s that allows for installation, remov �' d°��id insulation. DtEg: 06/r:17/1 2013 Low -Rise Residential Mandatory Measures Summary § 150.0(j)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 water systems with pressure > 15 psig shall meet the requirements in TABLE 120.3-A. § 150.0(j)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(j)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 shielding 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 § 150.0(j)3B: or Class II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class 11 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)l: 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 §I10.3(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 ANSUSMACNA-006-2006 HVAC Duct Construction Standards Metal and Flexible 3rd Edition. Supply -air and return -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)l: with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 18113 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than '/4 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 § I50.0(m)l 1: 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(o): central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the Whole Building Ventilation. _ g T„ r §150.0(o)IA: - Whole Building Ventilation airtlo ontir tl itication and diagnostic testing, in accordance with ' Reference Residential Appendix LIIF. Pool and Spa Heating Systems and Equipment M 110.4 An pool or a heating system shy l . L �If I I I PT CJ th t II that complies with the Appliance Efficiency Any p g Y Regulations; tl the heater the thermostat a : § O an on -off switch mounted outsi e of without adjusting g a1eO III"rtl"ill'°1i"ill;"r1uctions; shutting off setting; a permanent weatherprootllat�^A".kilr"is and shall not use electric resistance heating. i' IL1 1t'" W�;,:17/1 2013 Low -Rise Residential Mandatory Measures Summary § 110.4(b)1: 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- grammed 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 §150.0(k) in accordance with TABLE 150.0-A or TABLE 150.0-13, as applicable. § 150.0(k)1B: 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)1C: § I30.0(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 per electrical box. §150.0(k)1D: 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)1 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. § 150.0(k)1 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 § I50.0(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)2L• 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 §I50.0(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. § 150.0(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 § 150.0(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 sisame ngle-familyore lighting erm ntl mounted to a residential building or other buildings on the g y g g „ an it re shall g ; he following requirements: h efficacy, � automa i. Controlled by a manual ON and 'F' h t, III II nth IItG Nthe tic actions of Items ii or iii below; and 'ovem ' § 150.0(k)9A: ii. Controlled by a motion sensor n e yp ss swi c t at disables the motion sensor, or controlled by a motion sensor having a temporary witch which temporarily bypasses the motion sensing function and automatically reactivates the motion sensor with P EBOO R CODE CONA ['I[JN II'.w.� m. Controlled y one of the following methods Rewe4"u By-1Z. lj�:!!YAIf� 11 Ih�!,YALLAII 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. § 150.0(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)l 1: 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)l : 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)l : 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 perman _ i d as "For Future Solar Electric'. I1111111, I11`t IIII 11 1I'°°I3Uiilll lihn I1'° III rfi n nt REWEMED FOR CODE CONA[III.JANCf: evuewed a y: ° II.i II .......... katdIh DtEg: 06/r:17/1 ROOM LOAD SUMMARY Project Name Date Foothill Blvd Residence 1211312015 System Name Floor Area HVAC System 639 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM I Sensible Latent CFM Sensible Latent CFM Sensible Living Area 1st Floor 1 445 9,016 367 445 9,0161 367 2431 9,282 Total includes ventilation load for zonal CwhillulAyo 445 9,016 367 243 9,282 445 9,016 367 243 9,282 Reve a;d 1 y;13"ea,i II .......... IIatdIh L tEg: W�:17/1 CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(a)-cupertino.org PURPOSE: The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. J0 GG S Project Name: 'I Project Address:r 06 go�A � at 4' U /3 tvc f_ - &A_y Project Description: b_zw ti-f -,v in sq Sit' ' I-)(e-eJ(,( U 6 Instructions: 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 I - 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. CUI°IEI11140 1°°111UHAl ing 13elparfirnent - Page I of 5 [iEVH�W.�.D ICUi CODS.. CO�\A[I[JANC­ CalGieen 2014.doc revised 01115114 Revewed u y; 13"ea, i II....... atdh Date: 06/:)7/16 General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. 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: ❑ 4.303.1.3.2 Water Closets. The effective flushvolume of all water closets shall not exceed 128 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. `�I°°°fuuillltlliiiur�E I�"tollluamtuinrmt Page 2 of 5 p° 1� IL. W �::I V° U L V V IL.V Clhw: CalGreen_2014.doc revised 01115114 Revv ewa;d By; II .......... IIatdIh Date: 06//:)7/1 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the 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. ❑ 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. 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the El enforcing agency. 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building QX occupant or owner. 4.503.1 General. Install only a direct -vent sealed -combustion gasor sealed wood -burning fireplace, or a sealed woodstove. 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air 0 ❑ distribution component openings shall be covered during construction. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be El with VOC limits. 4.504.2.3 Aerosol paints and coatings. aint �i E s p 9 shall be compliant with product weighted I ui�ut QX compounds. III Page 3 of 5 U'�iEVH 1O ED F U' CODE COVOU���'IU..UONCIP1 CalGreen 2014.cloc revised 0l/IS/14 Revewa; d u y;13"eai.i II...°°II atdlh Date: 06//:)7/1 4.504.2.4 Verification. Documentation shall be provided to verify that El compliant VOC limit finish materials have been used. ^II 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with 0 VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in -emitting ❑ ❑ the Collaborative for High Performance Schools (CHPS) Low Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard,medium density systems 0 ❑ fiberboard,(MDF), and hardwood plywood used in interior finish shall 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. 4.505.3 Moisture content of building materials. Moisture content of building 0 materials used in wall and floor framing is checked before enclosure. 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 using the following methods: - 1. Establish heat loss and heat gain values according to ACCA Manual J`or ❑ equivalent. 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. Qualifications 702.1 Installer training. HVAC system installers are trained and certified in 0 the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify JCALGreen compliance is qualified and able to demonstrate competence in the Q discipline they inspect and verify. Verifications 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, ns, builder or installer ❑ ❑ certification, inspection reports, or other cce o tw cing agency which show substantial conform e; Ieme i i c, shall be submitted to the Building Department Idihekd10t measures and prior to final inspection a U° U IL. U:: C U° 0 U C U . C V U: IL. U Uy C II. CalGreen_2014.doc revised 01115114 Page 4 of 5 o evuewed a y;13"ea,i II .......... IIatdIh Date; 06//:)7/1 Project Name: Project Address: Project Description CALGREEN SIGNATURE DECLARATIONS R e In 0 bct,I s 637 SECTION 1 — DESIGN VERIFICATION (f ACe 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 by the City of Cupertino. Owner's Signature Date Owner's Name (Please Print) Design Professional's Signature V ( qG Date Design Professional's Name (Pie se Print) d -3/%qo�0 1(9 Signature of Licen Professional responsible for CalGreen compliance Date 03 4 1�- s G� Name of icense Professional responsible for CalGreen compliance (Please Print) /r Phone Email Address for License Professional responsible for CalGreen complianceCA WL) L"L SECTION 2 — IMPLEMENTATION VERIFICATION 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 Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License P Green co ll°faliillldl ing 13ell arfoirnent Date Phone Page 5 of 5 [' EV�ll � ll.[:� FOR COV��'- CMA ���'I[JA�"� Ilw'.� CalGreen 2014.doc revised 0l/IS/14 Reviewed a y;13"ea, i I...°°I atdh Date: 06//:)7/1