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14060187I I CITY OF CUPERTINO BUILDING PERMIT' BUILDING ADDRESS: 10290 SCENIC BLVD CUPERTINO CA 95014 (357 08 011) ANDY HAWN 1448 KINTYRE WAY SAN JOSE, CA 95129 NO: 14060187 OWNER`S NAME: DESAI VIKAS AND RUPAL I I DATE ISSUED: 10/29/2014 I OWNER'S PHONE: (650) 814-6771 I I PHONE NO: 209-768-7001 I Class 5 Lic. # 76 950$ or ANDY HAWN Date 05/31/2016 BUMDING PERMIT INFO: I herey affirm that I am licensed under the provisions of Chapter 9 (commencing with Ntection 7000) of Division 3 of the Business & Professions Code and that my ltcensis in full force and effect. and City may affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code,• for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION that I have read this application and state that the above ition is correct. I agree to comply with all city and county ordinances to laws relating to building construction, and hereby authorize, :ntatives of this city to enter upon the above mentioned property for ion purposes. (We) agree to save indemnify and keep harmless the Cupertino against liabilities, judgments, costs, and expenses which .crue against said City in con se uence of the granting of this permit. , nally, the applicant erstanand will comply with all non -point regulations per th ,/6upertin unicipal Code, Section 9.18. Date 12/01/2016 v :by affirm that I am exempt from the Contractor's License Law for one of the ring two reasons: 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) 2. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). -by affirm under, penalty of perjury one of the following three declarations: 1. 1 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. a. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provsions,ofthe Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. BLDG —ELECT _ PLUMB MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: CONSTRUCT 2 STORY SFDWL 4,448 SQ FT, GARAGE 495 WITH PORCH 835 SQ FT DEFERRED #1 -ROOF TRUSS CALCIS -ISSUED 6/9/15 REVISION #1 - REMOVE SWIMMING POOL FROM SCOPE, REVISE DRAINAGE AND LANDSCAPE PLAN - ISSUED 12/01/2016 Sq. Ft Floor Area: I Valuation: $700000.00 APN Number: Occupancy Type: 357 08 011 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Leeacv Date: 10/29/2014 APPLICANT CERTIFICATION that I have read this application and state that the above information is I agree to comply with all city and county ordinances and state laws I to building construction, and hereby authorize representatives of this city r upon the above mentioned property for inspection purposes. (We) agree : indemnify and keep harmless the City of Cupertino against liabilities, ruts, costs, and expenses which may accrue against said City in luence of the granting of this permit. Additionally, the applicant understands II comply with all non -point source regulations per the Cupertino Municipal Section 9.18. Date 12/01/2016 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 12/01/2016 HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health &Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as deemed by the Bay Area Air Quality Man ement District I will maintain compliance with the Cupertino M opal Cod Chapter 9.12 and the Health & Safety Code, Sections 505, 25533 nd 25534. Owner or authorized agent: Date: 12/01/2016 I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECr RATION I understand my plans shall be used as public records. Licensed CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10290 SCENIC BLVD CONTRACTOR: ANDY HAWN PERMIT NO: 14060187 CONSTRUCTION OWN E R'S NAME: DESAI VIKAS AND RUPAL 1448 KINTYRE WAY DATE ISSUED: 10/29/2014 OWNER'S PHONE: 6508146771 SAN JOSE, CA 95129 PHONE NO: (209) 768-7001 ®s r LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] CONSTRUCT 2 STORY SFDWL 4,448 SQ FT, GARAGE 495 License Class Lic. # 97F 2—_ WITH PORCH 835 SQ FT Contr Z Date 2 eto�with I here )y aam lie nsed under the provisions of Chapter 9 REVISION #1 -REMOVE SWIMMING POOL FROM SCOPE, (com enction 7000) of Division 3 of the Business & Professions REVISE DRAINAGE AND LANDSCAPE PLAN - ISSUED Code nd that my license is in full force and effect. 11/19/2015 1 here 3y affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Comp nsation, 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: Valuation: $700000 j `I have and will maintain Worker's Compensation Insurance, as provided for by Sectio 3700 of the Labor Code, for the performance of the work for which this APN Number: 35708011.00 Occupancy Type: permil is issued. I certi APPLICANT CERTIFICATION that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correc . I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to bui upon 1 inderr.'nify ding construction, and hereby authorize representatives of this city to enter he above mentioned property for inspection purposes. (We) agree to save and keep harmless the City of Cupertino against liabilities, judgments, 180 DAYS FROM LAST CALLED INSPECTION: costs, and expenses which may accrue against said City in consequence of the Issued by: Date: " grant g of this permit. Ad itionally, the applicant understands and will comply with 9.18r� 11 non-point source gulaf ns er the Cupertino Municipa�ode, Section RE-ROOFS: Signa ure Date_ All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection; I agree to remove all new materials for inspection. ❑ 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 I, as owner of the property, or my employees with wages as their sole compensation, will o the work, and the structure is not intended or offered for sale (Sec. 7044, Business 1, as & Professions Code) owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the decl rations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I hav and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Ar Air Quality Management District I will maintain compliance with the Cuper no nicipal Code, Chapter 9.12 and performance of the work for which this permit is issued. Worker's Compensation Insurance, as provided for by the Health &Safety Code, Sections 25 , 2 3, and 25534. /l l 1 had Section and will maintain 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent i Date:L0 permit is issued. I cer ify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I Code, I I hereby affirm that there is a construction lending agency for the performance of becc me subject to the Worker's Compensation provisions of the Labor must work's for which this permit is issued (Sec. 3097, Civ C.) ford with comply with such provisions or this permit shall be deemed revoked, Lender's Name APPLICANT CERTIFICATION Lender's Address I cc ify that I have read this application and state that the above information is co rr ct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION inde nify and keep harmless the City of Cupertino against liabilities, judgments, cost;, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. grar ting of this permit. Additionally, the applicant understands and will comply witl all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9M. Signature : Date --- - CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 r (408) 777-3228 • FAX (408) 777-3333 • bulidincacuoettino.or CUPERTIN0 NEW CONSTRUCTION ADDITION ❑ ALTERATION / TI REVISION /DEFERRED ORIGINAL PERMIT T PROJECT ADDRESS t� pr� APN n d -2 f0 Sc�<,� �1' I _ LO -220 OWNERNAME PHONE�C gc F-MiAlL 4 y �G #C es �d l 1 ! '2el STREET ADDRESS CITY, STATE, ZTP�^ / I FAX CONTACT 20 NAME I PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX oW1,TER ❑: OWNMR-BUIIAER ❑ OH'NERAGENT CONTRACTOR ❑ CONTrRACTORAGENT I] ARCHITECT E ENrammm 12 DEVELOPER ❑ TENANT CONTRACTOR NAME !r ( LICENSE NUI,6BER � I LICENSE TYPE I BUS. LIC 4 C tvIPA2}4'Y 1\1 / E-MAIL I FAX 741C n STREET ADDRESS CITY, STATE, ZIP Cr r PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME E-MAIL FAX _ STREET ADDRESS I CITY, STATE; ZIP PHOPIE DE TION O WoQRK e, X71`1 1� V T" 7 �I°I f3 i� OiJ ! d L`d AND D /'° " EXISTLNG USE I PROPOSED USE I Co -""Tp -TYPE 9 STORIES USE TYPE I 'OCC. -- I SQ.FT. I VALUATION (S) TDC TG ATEW FLOOR DEMO TOTAL, AREA AREA AREA - NE -7 AREA I BATHROOM - REMODEL AREA KTICHEN - REMODEL .AREA OTHER REMODEL AREA _ PORCHAREATDFCK-AP-A. TOTALDECYJPORCHAREA GARAGE AREA:DETACHATTACH gDR%ELLIl�GUISASE•OI�DUIirT ❑YES SECOND$TORY LYES BEINGAD.DED? LINO ADDITION? ANO -�" T V AT O PRE- APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN E] YES � I1�D �$� - .-"`` � TOTAL ATION PLAI,TNING APPL m f-1 NO PLAA'I,TING APPRO\IAL LETTER I EICHLER HOME?Ma By my signature below', I certify to each of the following: I am the property owmer or authori ed agent to act on the property owner's behalf. I hav read this application and the information I have provided ' orrect. I ave read the Description of Work and verify it is accurate. I agree to comply with esti applicable local ordinances and state laws relating to b "ding struction, authorize representatives 'of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Dae SUPPLEMENTALORtvTION REQUIRED 7 Afi CHECK?YPE- z .� �320UTZ�G SLIP_ _ New SFD or Multifamily dwellings: Apply for demolition permit for ng ❑ o��R r�cou�TEx 0r$uu��GPL�rx1 t zE i_ existing building(s). Demolition permit is required prior to issuance of building TREss PL�tnEL4� x IEF_v Permit for new building. _ _ Commercial Bldgs; Provides a completed Hazardous Materials Disclosure- �._ _ , form if any Hazardous Materials are being used as part of this project. � z4RG� �� � kL1ZEIlEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to xLv7ox=�Y�115 Rvisri�rc� submittal of Building Permit application. M'" � � - EI�YSROh'MEI3TST, PIEAITA„�. Bldg4pp_2011.doc revised 06121/11 CITY OF CUPERTINO -V U QrVir-N4 A rirnlD — U1TT1r."1rT%TP- -nYV-F.qT(-)N ADDRESS: 10290 Scenic Blvd 1011212015 REVIEWEDI BY: PAUL VAPN: 357 08 011 BP#: *VALUATION- r$0 "PERIMT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY Select a Misc Bldg/Structure or Element of a Building PENTAMATION SFD or Du U$E: lex hrs PERMIT TYPE: F ME Plan Check: REVISION #1 - REMOVE SWIMMING POOL FROM SCOPE, REVISE DRAINAGE AND LANDSCAPE IORK I ermit Fee: SCOPE I — PLAN Plan Check A,Iech. Perinit hee: 114ech-Insp. - Phimb. Plan Check Plumb. Pennif Fee: Other Plujnb Aup, E'Iec_ Plan Check E'Iev- llerrriit Fee: Other Elea ftlsp- Al?ch, Invp Ice I Plumb. Insp..Fee: I f-'Iec. Insp. Fee.. 1 7 1 NOTE. This estimate does not include fees due to other Departments (ie. Planning, Public Works, Fire, Sanitary Sewer Distract, School --j --- -..J.... tho nant fnr addn.11 info. vistrict,ew.). inese fees are vuwu un 1 EE ITEMS (Lee Resolution 11-053 I lufff. 711113) FEE QTY/FEE MISC ITEMS Yes Ilan Check Fee: Hourly Only? 0 es Q) No .ly $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 1@ Reg. 0 OT 0.0 0 hrs $0.00 F ME Plan Check: $0.00 I ermit Fee: $0.00 Suppl. Insp. Fee -.(j) Reg. 0 OT 0.0 hrs $0.00 IME Unit Fee: $0.00 �ME Permit Fee: $0.00 d'onstruction rax: Athninistralive Fee: 0 E) Work Without Permit? 0 Yes (E) No $0.00 �Idvanced Planning Fee. $0.00 I 1 hours Plan Check, Hourly $143.00 1STPLNCK I Travel Doe-umentalion.Fees: Strong Motion Fee: $0.00 Select an Administrative Item $143.00 t TTALFL j-$143.00 Bldg Stds., Commission Fee: SUI3TUTA $0.00 $0.00 Revisea: 1UNUzu'D CITY OF CUPERTINO BUILDING PERMIT ADDRESS: 14290 SCENIC BLVD CONTRACTOR: ANDY HAWN PERMIT NO: 14060187 CONSTRUCTION pWNE ''S NAME: DESA! VIKAS AND RUPAL 1448 KINTYRE WAY DATE ISSUED: 10/29/2014 OWNE�i'S PHONE: 6508146771 SAN JOSE, CA 95129 PHONE NO: (209) 768-7001 - ,, JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION CONSTRUCT 2 STORY SFDWL 4,448 SQ FT, GARAGE 495 License Class Lie. WITH PORCH 835 SQ FT 6 `�/S- Contrac or, ate DEFERRED # 1 - ROOF TRUSS CALC'S -ISSUED 6/9/15 I have ; Compe perforr. `l have Sectioi permit I certil correct to buil upon t indem costs, grantii with a '9.18. the I, as will I, as affirm Lt I am licensed under the provisions of Chapter 9 ncing with Section 7000) of Division 3 of the Business & Professions A that my license is in full force and effect t affirm under penalty of perjury one of the following two declarations: .id will maintain a certificate of consent to self -insure for Worker's sation, as provided for by Section 3700 of the Labor Code, for the ance of the work for which this permit is issued. nd will maintain Worker's Compensation Insurance, as provided for by 3700 of the Labor Code, for the performance of the work for which this s issued. APPLICANT CERTIFICATION that I have read this application and state that the above information is I agree to comply with all city and county ordinances and state laws relating ng construction, and hereby authorize representatives of this city to enter e above mentioned property for inspection purposes. (We) agree to save ify and keep harmless the City of Cupertino against liabilities, judgments, nd expenses which may accrue against said City in consequence of the g of this permit. Ayiditionally, the applicant understands and will comply t non -point source`regalationAer the Cupertino Municipal Code, Section Sq. Ft Floor Area: I Valuation: $700000' 1 AYN Number: 35708011.00 I Occupancy Type: I PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: RE -ROOFS: Date /- c� --% All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. OWNER -BUILDER DECLARATION y affirm that I am exempt from the Contractor's License Law for one of owing two reasons: ner of the property, or my employees with wages as their sole compensation, the work, and the structure is not intended or offered for sale (Sec.7044, ;s & Professions Code) mer of the property, am exclusively contracting with licensed contractors to ct the project (Sec.7044, Business & Professions Code). I heilgby affirm under penalty of perjury one of the following three ucc. I. .--- I ha and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I ha a and will maintain Worker's Compensation. Insurance, as provided for by Sect on 3700 of the Labor Code, for the performance of the work for which this perp it is issued. I certify that in the performance of the work for which this permit is issued, I shall not • mploy any person in any manner so as to become subject to the Worker's Con pensation laws of California. If, after making this certificate of exemption, I bec me subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I cc rtify that I have read this application and state that the above information is cor ect. I agree to comply with all city and county ordinances and state laws relating to t uilding construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ind mnify 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 wi�i all non -point source regulations per the Cupertino Municipal Code, Section Date - Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices -which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cuperting Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505 5533, a 5534. Owner or authorized agent: Date: ---� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional_ -1 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT •.BULLRING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 _. (408).777-3228 • FAX (408) 777-3333 • buildina aecup rtino.ora- CIiPERTINt �s EI NEW CONSTRUCTION::.. �__ ADDITION ❑ ALTERATION/ TI VI'SI i / EFERRED GINAL PERMIT ri PROJECT ADDRESS S G APN R ,r MINER NAME PHONE E-MAIL s � STREET ADDRESS a CITY, STATE, ZIP. F• 102-010�w I — �I tvo t CONTACT NAME � y � � � I PHONE STREET ADDRESS CITY, STATE; ZIP FAX . '�- ` Q N7 COATRACTOR - -� CONDRACTOR Aam rr " 0 13ENGAEER .. �, :DEVELOPER :. -�. TENAiv 1 ONTER ' OWNER -BUR DER ON73ER AGE.`ARCHITECT CONTRACTOR NAME Aw LICENSE NUh4BER ,*q SOT LICENSE TYPE BUS. LIC COMPANY NAME , cf `l s�t-i c -fj E-MAIL A 1 1 f� >? C l� FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCIETECT/ENGINEER NAIN E LICENSE NUMBER ) BUS, LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS Y, STATE, ZIP PHONE DESCRIPTION OF WORK E-XISTR4GUSE. - - -PROPOSED USE _CONSTR.+ STORIES USE I -TYPE OCC. I SQ.FT. I VALUATION (a) EXISTG AREA TcW FLOOR I... AR_A DEMO I. AREA OTAL ETAREA. BATHROOM KITCHEN OTHER REMODEL AREAREh40DEL AREA REMODEL AREA PORCHAREA - DECK AREA TOTAL DECKlPORCHAREA - GARAGE AREA: ❑DETACH El ATTACH DWELLING U)\9TS: Is A SECOND UNIT LI YES. SECOND STORY ❑ YES - BEING ADDED? [3NO ADDITION? []NO PR_E-APPLICATION ❑ 1 E_1 IF YES, PROVIDE COPY OF IS THE BLDG AN Q YES 4L VALUATION: = - GAPPLR NO PLANIvIIvGAPPROVAL LETTER EICHLERHOh4E? ANO = _M PLA'r'?vL\❑ .� ..r,,. . --.,..��� R. ( Me— below, I certify to each of the following: I an the property owner or authorized agent to act on the property amier's behalf. I have read this By my signature and the infomiation I have provided is correct, I have read the -Description of Work and verify it is accurate. I agree to comply with all applicable local application ordinances and state laws relating to buildina construction. I authoriMe representatives of Cupertino to enter the above -identified property for inspection purposes. - Date Si—Inatureof Applicant/Agent: _ SLAT CHECKTIPE_ _ — _ - _- SUPPLEMENTAL INFORMATION REQ UIRED t -' = axanTic sL>P - New SFD or Multifamily cl xellings: Apply for demolition permit for � DYER T�eou TEii � _, ��BLILDL�G PL�IvTtEj�\i �z � 4INE- existing building(s). Demolition permit is required prior to issuance of building_ permit for new buildina. © �kP Ess � � � � � P�AI1rnGPv�nR��IE«4 Bldgs: Provide a completed Hazardous Materials Disclosure STvDARn �U�iewarxs z ., _Commercial form if any Hazardous Materials are being used as part of this project. �� iG�7k2EDEPT Copy of Planning Approval. Letter or Meeting with PIanning prior togm�J9 a �� �� yERDISTiuC� Submittal of Building Permit application.t B1dgd.pp_2011.d6c remised 06/21/11 CITY OF CUPERTINO FFF F TIMATOR — BUILDING DIVISION linADDRESS: 10290 SCENIC BLVD DATE: 03/23/2016 REVIEWED BY: MELISSA APN: 357 08 011 BP#: 14060187 *VALUATION: Iso FEE ITEMS (Fee Resolution 11-053..LT 711113} PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair MISC ITEMS RIMARY SE: SFD or Duplex Plan Check Fee: PENTAMATION PERMIT TYPE: 1GENRES =# Deferred Submittal $286.00 rDEFsuaN1 ORK DEFERRED # 1 - ROOF TRUSS CALUS hts COPE rx C $ ==�TAAy: $0.001 $286.00 $286.00 Revised: 02/14/2015 tech. Plcart Check :Vech. Permit 1�ee: Other Afech. InV Mech.: .insl?. Fee: P( imb. Plary Check Plumb. Permit Fee.: Other Plumb h -up. Plumb. Insp. Fee: I (ec. Pinar Check I,lee. Permit Fee: - _ Other Elcc. lnsyp. ED IsleC. Insl7. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc . These fees are based on the prelimina information available and are onl an estimate. Contact the Dept for addn'l in o. FEE ITEMS (Fee Resolution 11-053..LT 711113} FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =# Deferred Submittal $286.00 rDEFsuaN1 Suppl. PC Fee: Q Reg. 0 OT 0.0 hts $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction action lsax: A.dministrafive .F` ee: Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Travel Documental fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 rx C $ ==�TAAy: $0.001 $286.00 $286.00 Revised: 02/14/2015 CITY OF CUPERTINO BUILDING PERMIT RBUILDING ADDRESS: 10290 SCENIC BLVD I CON TRU TOR:ION ANDY HAWN PERMIT NO: 14060187 I OWNER'S NAME: DESAI VIKAS AND RUPAL ' 11448 KIN'T'YRE WAY I DATE ISSUED: 10/29/2014 1 OWNER'S PHONE: 6508146771 SAN JOSE, CA 95129 PHONE NO: (209) 768-7001 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL. ❑ COMMERCIAL CONSTRUCT 2 STORY SFI)WL 4,448 SQ FT, GARAGE 495 License Class_ Lic. # ec- 7 �- WITH PORCH 835 SQ FT Contractor ate t`s / f DEFERRED # I -ROOF TRUSS CALC'S -ISSUED 6/9/1.5 1 hereby affirm d.t Ham licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. A ditionally,, the applicant understands and will comply with all non -point sous egulations er the Cupertino Municipal Code, Section 918. Signature Date 0 ® OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 (See.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -'.insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, i have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, 1 Sq. Ft Floor Area: ) Valuation: $700000 APN Number: 35708011.00 ! Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection, Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use equipment or deviceswhich emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertm Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505 5533, a 5534. g Owner or authorized agent: ° Date: CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, l must Thereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (See. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. l agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 918. Signature Date Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records, Licensed Professional .M ` CUPERTINO NEw CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 85014-3255 (408)77.-7-3228 - FAX (408) 777-3333 ^ building cu etino.orp ❑ ADDITION ❑ ALTERATION 1 TI > REVISI / EFERR.D GINAL PERMIT # d L> PROJECF ADDRESS [ I I AYN Ou•R+'ER 1.�AI3E PHONE E-MAIL N Pr r, STREET ADDRESS CITY, STATE ZIP. g C 02-9ss��t� � tv��1 f C V �. � 0 �2T I no0 la `� 1-01 � ^ CONTACT NAa4E PHONE. E-MAIL aj D Z STREETADDRESS•- CITY, STATE, ZIP FAX. - OWNER ' ® OIVT,t"R-BUILDER'''. • .' ❑ OWN9MAGEhT`' ❑ COhrMkCTOR :- ❑ CONTRACTOR AGENT El -ARCHITECT LlENGINEER .•..-q .D_ -.,ELOPER. 0 TENANT CON71RACTOR NAME^ LICENSE NUN4BER LICENSE T1`PE Ar C -D BUS. LIC» _ COMPANY NAME � '1 � � (��I J �i.v t i E-MAIL 7 A TO &ry)N�-L Pq�{ STREET ADDRESS CITY, STATE, ZIP PHONE ARCHMCT/ENGINEER NJLME LICENSE NUMBER BUS. LIC» COMPANYNAME E-MAIL FAX STREET ADDRESS Cn Y,; STATE, ZIP PHONE DESCRIPTION OF WORK EXISTPNO USE - PROPOSED USE CONSTR'lYPE » STORI'eS USE TYPE OCC. I SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO - TOTAL - - AREA AREA AREA NET AREA BATHROOM KITCHEN R.OTHER - - - Eb40DEL AREA M, 40DEL AREA =ODEL AREA PORCH AREA DECK AREA TOTAL DECKRORCH AREA GAR4GE AREA: _: DETACH - - ❑ATTACH. DWELLING UNITS: IS A SECOND UNIT [1 YES SECOND STORY ❑YES - • BEING ADDED? ONO ADDITION? ❑NO - PPM -APPLICATION ❑ YES IF YES, PROVIDE COPY OF I » []NON: PLANNINGARPLNO PLANNING APPROVAL LETTER, IS THE BLDG A.N❑YES - - EICHLERHOME? ©NO r `� x - <<�UATIO By my Signature beloNv, I certify to each of the following: I am the property O%vner or authorized agent to act on the property owier's behalf. I have read this application and the information I have provided 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 buildin,g construction. I authori representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 1 SUPPLE-MEINTTAL 1AIFORMATION REQUIRED New SFtD or Multifamily dwellings: Apply for demolition permit for building(s). L' ODER?��COL3R ERe � i BUSID G PL1yr� existing Demolition permit is required prior to issuance of building permit for new building. � �; Y z a �' A 4 �'•��� W -w.: QL',.,a =t9P^` w,� e M. 5E f -�S^'r Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Form if any Hazardous 1\4aterals being R' Y rtluz " - L.-T%wo ' are used as part of this project. c�n WQ I ARE el�5 sem' r°> st, I E res' PI.f. _ Copy of Planning Approval. Letter or Meeting with Planning prior to submittal of Building Permit application.lO fir+'. 'zir��''" ` �_� �SAr> IaRY5E,�5rEr:ISIS RIC�� :: Bldgdpp_2011.doc I-evised 06/21111 CITY OF CUPERTINO BUILDING PERMIT IBUILDING ADDRESS: 10290 SCENIC BLVD I CONSTRUCTION ANDY HAWN PERMIT NO: 14060187 I OWNER'S NAME: DESAi VIKAS AND RUPAL 1110683 MT BROW RD 1 DATE ISSUED:/0129/2014 1 OWNER'S PHONE: 6508146771 SONORA, CA 95030 PHONE NO: (209) 768-7001 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL t0Ah1, CONSTRUCT 2 STORY SFDWL 4,448 SQ FT, GARAGE 495 License Class Lic.# 0 WiTH PORCH 835 SQ FT Contractor Date 1 hereby affirm that am licensed under the provisions of Chapter (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 1 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 erformance of the work for which this permit is issued. Sq. Ft Floor Area: `I v nd 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 APN Number: 35708011.00 permit is issued. APPLICANT CERTIFICATION i certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -paint source regulations per the Cupertino Municipal Code, Section 9 18 u. 61!l,1W'dr Wui�'�u , i.� �s��•t St natdied,)r�oua 14 Date Date 13 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (S.ec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall Valuation: $700000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS O LAST CALLED INSPECTION. Issued by: Date 016 RE ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, i agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino 11�unieipal Code, Chapter 9.12 and the Health & Safety Code, SectionL25105, 25533, and 25534. Q,w;ner�or,au,&h sized agent. 6 Date - 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 become subject to the Worker's Compensation provisions of the Labor Code, I trust I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this pennit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION i certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. Date Lender's Address ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO I --1I FEE ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10290 SCENIC BLVD DATE: 10/29/2014 REVIEWED BY: SUEW W APN: BP#: 14060187 *VALUATION: $700,000 TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY USE: SFD or Duplex 2nd Unit? Yes • No PENTAMATION PERMIT TYPE: 1 R3SFD i WORK NEW 2 STORY HOUSE 4,448 SQFT PORCH 835 SOFT & GARAGE 495 SQFT-5 778 SQFT TOTAL SCOPE HAD TO RECREATE -MISSING FROM FILE ORIG 6/30/14 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 5,778 $3,313.00 / R3PLNCK $4,451.70 / R31NSP $0.00 PME Plan Check: $0.00 Permit Fee: $4,451.70 Suppl. Insp. Fee -E) Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 5,778 $3,313.00 Construction Tax: IBCONSTAXR $4,451.70 N newunits NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). Thesefees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolulion 11-053 Eff.' 7%1.!13) 1YIe'ch. Plan (3teck Plui;ib. Plan Check Elec. Plan Cheek. hle,.h. Perrnii Fee: Pllunb. Pennir Pe(-.-: lilac. Permit I'ec: Other.Alcch. lisp. Orl'icr PI1rn1h 111sp. 0111cr Flec. 11',p. Alech. brip. Fe(. MIJ1171). 111.11. her: 1:Icc. hlsp. Fec. NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). Thesefees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolulion 11-053 Eff.' 7%1.!13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,313.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: O Reg. () OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $4,451.70 Suppl. Insp. Fee -E) Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 N newunits $659.99 ° dminislrotive Fee: O 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Plannint, Fee: IPLLONGR $808,92 Select a Non -Residential Building or Structure 0 0 Travel Documentation Fees: Strom Motion Fee: 1BSEISMICR $70.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $28.00 SUBTOTALS: $9,331.61 $0.00 'TOTAL -FEE: $9,331.61 Revised: 04/01/2014 C�U�PERTINO PC;, IC\II / !�T 1 CTD T i! TihA CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building@cupertino.org F-1 t nnrTlnl r n AI TF•R ATTON / TI F1 REVISION / DEFERRED ORIGINAL PERMIT # PRONE �ADDRRE$S d 2 —1 4—, p7 UV APN V % OWNERNAitE. PHONE E-MAIL ] �G S b 3t I �T� C', b --SA � -741 g. ,. �;� 6 STREET. ADDRESS t ' l7 CITY, STATE, ZIP UP�.T i'J4 40 FAX a xx 1L�f� COINTA r l I�?i'130„aNE �rJ .rte f',, � Q Z Z Q � Z.tCJ � Frl;� y.r.,arm„ ifsn / p r- 'c ��E'•tvl'AIT:aY � pi l.e (CY {.i i�SY l � a� i I STREET ADDRESS Po i� x 1 '` �ry CITY, STATE, ZIP > IV q+5;sj g� FAX ❑ OWNER ' ❑ OWWk-BUILbtk- M'OWNERAGEtiT 11 coNrRACTOR 13 CONTRACTOR AGENT •--0 -ARCHITECT, >tC-� ENGINEER.. Q.•DEVELOPER .- 0 TENA-r-;T, CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE . AQWRc�ff/ENGINEER NAME �� STI /" ` LICENSE NUMBER 3 BUS. LIC # COMPANY NAME E-P4AIL�Lt:IYUY1ShLt�CtY1GtlSOG I Coni STREET ADDRESS CITY, STAT£, ZIP PHONE DESCryryRIPTIO OF ORK D . /S L VJ FLL ( C7 J . NsTCOCT NOV Two -sr 51 tr- `{ --G w1 p� IEISTING USE w,USE �� PROPOSED USE - CONSTR. TYPE At STORIES TYPE OCC. SQ.FT. VALUATION (5) ne EX[STG NEW FLOOR Q�, DEMO TOTAL i'REA AREA / g AREA TdEI' AREA l BATHROOM KITCHEN OTHER "'REMODEL AREA REMODEL AREA REMODEL AREA - ,la - PORCHAREA DECKAR'cA TOTALDECK/PORCHAREA GARAGE AREA. DETACH .._.- ... ...-_. .... .........TACH 8�5 .... ....-... ... ,n ltu# DWELLING UNITS: IS ASECOND UNIT ❑YES SECONDSTORI'VnYES Mlt I BEING ADDED? �A10 ADDITION? []NO . PRE -APPLICATION YES IF YES. PROV[D COPY OF IS THE BLDG AN ❑YES HOME? NO RECEflFED.BYr i -� - f }S'i'r i�'t � 1 r� PLANNING APPL # NO PLA PP VALLETTER EICHLER ❑ � } ��,a�(ty�� . 7a}p?:•• t. By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided 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 t b 'fd'ng constructio I authorize representatives of Cupertino togpLeerothe aboa;e=;i.dentified property for inspection purposes. Sign tures f pp tc nt/Agent- KI Date SUPPLEMENTAL INFORMATION REQUIRED �4,�arl ° ' > r p , R UTINGSLFPId 1 ., PI,AI3 CHECK TYPE � ti � ' Sf� �,r�'s- New SFD or Multifamily dwellings Apply for demolition permit for [] TACOUNTEEd " BUILDInGPTiN REVIEW', r �• OF ER .Q Ihk Is existing building(s). Demolition permit is required prior to issuance of building r a t' o nNttEvisn r permit for new building. EamxEssr , ,t �b� R INc PI fli J L rM l/ �fi Iv atSti�Olj} 'y6 _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Y,4STAISDAW!,VZ1} s kTs form if any Hazardous Materials are being used as part of this project. s n,; Planning tois Copy offlanning Approval Letter or Meeting with Prior _submittal RF ICr of BuildingPcnnitapplication. R�r t�2t�af'i'It��r .:- kElVvi7RONM14ETTAHEALTA�.. B1dgApp_2011.doc revised 06/21/11 I iCu 'Ovl "i -"n Building Department.. City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 4.08-777-3333 CONTRACTOR / SUBCONTRACTOR LIST *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. _ NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following infooration: .. SUBCONTRACTOR JOB ADDRESS: 10 2 p PERMIT # BUSINESS LICENSE # Cabinets & Millwork OWNER'S NAME: k PHONE # O ^ '746 P /0 6 GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: tqq;— :� CITY/ZIPCODE: ElectricalQ *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. _ NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following infooration: .. daA Q C, -/ Contractor Signature - �dr3d Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork �o ��, Cement Finishing ElectricalQ (P, y[ L� Excavation Fencing Flooring /Carpeting Linoleum / Wood Glass / Glazing, Heating. InsulationLC—Lk04 Landscaping Lathing �. ;S &6 16 Masonry pI�f'3 Painting / Wallpaper Ap / p . Paving : o av Plastering a CF y;�cf q Plumbing F 4 C Roofing 4� C04 Sheet Metal a/4., Sheet Rock Tile daA Q C, -/ Contractor Signature - �dr3d Date 20�M PURPOSE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildin cu ertino.or For residential single family or duplex construction, there are cases where gas and electric utilities are requested to be released prior to the issuance of the certificate of occupancy. Upon approval from the building inspector, the City of Cupertino is allowing both utilities to be released prior to the final sign -off of the building. INSTRUCTIONS 1. Download this form at: htto:/./wNv"/.ci' ertino.ori,/index. asDx?page=297. 2. Complete the form and obtain signatures from both the owner of the property and the primary contractor. 3. Fax, E-Mail,,Mail or hand deliver the original signed form to: City of Cupertino Building Division Attn: Utility Release Request Form 408-777-3228 office 10300 Torre Ave. 408-777-3333 fax Cupertino, CA 95014 building(?cui ertino.or 4. Schedule a Gas Meter Release inspection (#403) and/or Electric Meter Release inspection (#404). Please note, a Gas Test inspection (#506) is required ',prior to or at the same time of the Gas Meter Release inspection. BUILDING INFORMATION (Please complete the following information): APN 7 �i _0S - U / ,/ BLDG ERMIT #: _ DATE: i SITE ADDRESS: 102-90 .C. -11i C C V - Cly o e/ f 1),00 C -4—,S o I 'U -j OWNER'S NAME: 91)PA LL % S PHONE #- IFAX#: (6 S-0 MAILING ADDRESS (if different from site address): CONTRACTOR:r � !� ►J �� PHONE #: FAX #:O ar TACT: r PHONE #: FAX #: I request the City to release my utilities prior to obtaining a final inspection approval for the building. I fully understand the occupants of the building cannot move into the residence until they receive all of the required final sign -offs and the City has issued a certificate of occuiDancv for the buildina. Owner ............ ............................................ Print - `./�.U11):.� ......./... - ....................... Date: 71:; --I 16 Contractor... ... ......... .........Print:..r'.l,,, .. ...... 7.cr..s.......... ............. Date:7 .^.� � .. ��....,. UtilityReleaseForm 2011. doe revised 08/09111 209-772-2501 1800-464-1675 wwW.TQlnsulation.corrj O�Kw swA� ' V 1? FILE le -1 0 60 Ig- -1 �-4 Daw 7-wat rnmv for ma-aalw— 7 ot Insulation Certification Congratulations! This home was professionally insulated with premium Johns Manville products to provide the R -values indicated: Address: 10290 Scenic Blvd City: Cupertino County: Subdivision: Lot #: ATTR WALLS & FLOORS Blowing Wool: NIA Interior Walls: R-11 Batts: R-38 Exterior Walls: R-21 Cathedral Ceiling Batts: N/A Garage Walls: R-11 Garage Ceiling Batts: R-30 Between Floors: R-19 Blow-in (# Inches): N/A Subfloor: R-30 Blow-in (# Bags): N/A Overhang: R-30 Insulation Contractor: revolutionizesthe building Top Quality Insulation & Fireplaces insulation industry... P.O. Box 775. 105 Main St. Valley Springs, CA 95252 Robert DeMarco, CEO Date:- 11/30/2016 Builder Signature: Company: Address: C:\Users\UserkDesktopkFORMS\Insulation Certificate 3-05.doG Date: Zfalxz Phone: BUILDING ENERGY ANALYSIS REPORT PROJECT: Rupal & Vikas Desai 10290 Scenic Blvd - Cupertino, Ca 94014 CUPERTINO Building Departmeni Project Designer: OCT 2 0 2014 Arun Shah & Associates PO Box 1805 REVIEWED FOR CODE COMPLIANCE Fremont, CA 94538 Reviewed By: La 4�4- ` 510.220.4264 Report Prepared by: . Arun Shah Arun Shah & Associates PO Box 1805 �-' Fremont, CA 94538 510.220.4264 Job Number: DESAI Date: 6/21/2014 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft. LLC — www.energysoft.com. EnergyPro5.1byEnergySof1 User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI N The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft. LLC — www.energysoft.com. EnergyPro5.1byEnergySof1 User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI TABLE OF CONTENTS Cover Page 1. Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 10 HVAC System Heating and Cooling Loads Summary 13 Room Load Summary- 14 Room Heating Peak Loads 15 Room Cooling Peak Loads 17 EnergyPro 5.1 by EnergySoft Job Number: ID: DESAI User Number: 5617 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Rupal & Vikas Desai Building Type IZI Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/21/2014 Project Address 10290 Scenic Blvd Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 4,384 Addition n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes IZ1 No. HERS Measures -- If Yes, A CF -4R must be provided per. Part 2, of 5 of this form. ❑ Yes IZ1 No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area, Special Construction Type Cavity (ft) Features (see Part 2 of 5) Status Wall Wood Framed R-21 3,196 New Door Opaque Door None 48 New Roof Wood Framed Attic R-38 2,891 New Floor Wood Framed w/Crawl Space R-30 2,874 New FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC 'Overhang Sidefins Shades Status Front (lM 297.0 0.340 0.33 none none Bug Screen New Left (N) 287.3 0.340 0.33 none none Bug Screen New Rear (E) 141.8 0.340 0.33 none none Bug Screen New Rear (E) 330.0 0.450 0.27 none none Bug Screen New Right (S) 208.5 0.340 0.33 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Qty. Type Gallons "Min. Eff Distribution Status 2 Instant Gas 0 0.84 Kitchen Pipe Ins New Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 201406-21718:09:21 ID: DESAI Page 3 0l 21 PERFORMANCE CERTIFICATE_: Residential (Part 2 of 5) CF -1 R Project Name Rupal & Vikas Desai Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/21/2014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification -and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 4 of 21 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date Rupal & Vikas Desai ❑ .Multi Family ❑ Existing+ Addition/Alteration 6/21/2014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 21.87 18.17 3.70 Space Cooling 6.38 7.91 -1.53 Fans 4.41 4.81 -0.41 Domestic Hot Water 8.01 6.66 2.35 Pumps 0.00 0.00 0.00 Totals 41.67 37.55 4.12 Percent Better Than Standard: 9.9% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (►9 270 deg Ext. Walls/Roof Wall Area. Area Number of Dwelling Units: 1.00. 1,098 297 Fuel Available at Site: Natural Gas (N) 1,156 287 Raised Floor Area: 2,874 (E) 1,098 472 Slab on Grade Area: 0 (s) 1,156 209 Average Ceiling Height: 9.2 Roof 2,891 0 Fenestration Average U-Factor: 0.37 TOTAL: 1,265 Average SHGC: 0.31 Fenestration/CFA Ratio: 28.8% REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of.the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete.. Documentation Author Company Arun Shah & Associates 612112014 _ Address PO Box 1805 Name Arun Shah City/State/ZipCity/State/Zip Fremont. CA 94538 Phone 510.220.4264' Si ed Date The individual"with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct-design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner(per Business & Professions Code) Company Arun Shah & Associates Address PO Box 1805 Name Arun Shah S43455 6.21.14 City/State/Zip Fremont, CA 94538 Phone 510.220.4264 Sig ed License fI Date Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI Page 5 of 21 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Rupal & Vikas Desai Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration bate 6/21/2014 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavit Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 447 0.069 R-21 270 90 New 4.3.1-A6 Zone 1 : First Floor Door 24 0.500 None 270 90 New 4.5.1-A4 Zone 1 : First Floor Wall 481 0.069 R-21 0 90 New 4.3.1-A6 Zone 1: First Floor Door 24 0.500 None 0 90 New 4.5.1-A4 Zone 1 : First Floor Wall 299 0.069 R-21 90 90 New 4.3.1-A6 Zone 1 : First Floor Wall 565 0.069 R-21 180 90 New 4.3.1-A6 Zone 1 : First Floor Roof 1,062 0.025 R-38. 180 18 New 4.2.1-A21 Zone 1 : First Floor Floor 2,619 0.028 R-30 0 180 New 4.4.1-A7 Zone 1 : First Floor Wall 330 0.069 R-21 270 90 New 4.3.1-A6 Zone 2: Second Floor Wall 364 0.069 R-21 0 90 New 4.3.1-A6 Zone 2: Second Floor Wall 327 0.069 R-21 90 90 New 4.3.1-A6 Zone 2: Second Floor Wall 383 0.069 1 R-21 180 90 New 14.3.1-A6 Zone 2: Second Floor Roof 1,829 0.025 R-38 180 18 New 14.2.1-A21 Zone 2: Second Floor Floor 255 0.028 R-30 0 180 New 14.4.1-A7 Zone 2: Second Floor FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 1 Window 22.5 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 1 : First Floor 2 Window 35.0 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 1 : First Floor 3 Window 23.4 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 1 :.First Floor 4 Window 54.0 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 1 : First Floor 5 Window 35.0 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 1 : First Floor 6 Window 22.5 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 1 : First Floor 7 1 Window 28.01 0.340 NFRC 1 0.33 NFRC 1 0 New Andersen Permashield Zone 1 : First Floor 8 1 Window 33.81 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 1 : First Floor 9 Window 33.8 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 1 : First Floor 10 Window 11.3 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 1 : First Floor 11 Window 33.8 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 1 : First Floor 12 Window 33.8 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 1 : First Floor 13 Window 33.8 0.340 NFRC . 0.33 NFRC 90 New Andersen Permashield Zone 1 : First Floor 14 Window 1 180.0 0.450 NFRC 0.27 NFRC 90 New La Cantina Door E272-18.1 Zone 1 : First Floor 15 Window 150.0 0.450 NFRC 0.27 NFRC 90 New La Cantina Door E272-181. Zone 1 First Floor 16 Window 24.0 0.340 NFRC 0.33 NFRC 180 New I Andersen Permashield Zone 1 : First Floor (1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value (2) SHGC Type: 116-B = Default Table from Standards; NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Overhang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 lBug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 Bug Screen 0.76 Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 6 of 21 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) . CF -1 R Project Name Rupal & Vikas Desai Building Type m Single Family 0 Addition Alone 0 Multi Family 0 Existing+ Addition/Alteration Date 6/21/2014 OPAQUE SURFACE DETAILS Surface U- Type Area Factor Insulation Joint Appendix Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments -FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC-'Azm Status Glazing Type Location/Comments 17 Window 42.0 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 1 : First Floor 18 Window 20.0 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 1 : First Floor 19 Window 28.0 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 1 : First Floor 20 Window 22.5 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 2: Second Floor 21 Window 29.8 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 2: Second Floor 22 Window 29.8 0.340 NFRC 0.33 NFRC 270 New Andersen Permashield Zone 2: Second Floor 23 lWndow 22.51 0.340 NFRC 1 0.33 NFRC 270 New Andersen Permashield Zone 2: Second Floor 24 Window 33.8 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 2: Second Floor 25 Window 22.5 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 2: Second Floor 26 Window 22.5 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 2: Second Floor 27 Window 34.0 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 2: Second Floor 28 Window 22.5 0.340 NFRC 0.33 NFRC 90 New Andersen Permashield Zone 2: Second Floor 29 1 Window 1 63.01 0.340 NFRC 0.33 1 NFRC 90 New Andersen Permashield Zone 2: Second Floor 30 Window 22.5 0.340 NFRC0.33 NFRC 90 New Andersen Permashield Zone 2: Second Floor 31 Window 7.5 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 2: Second Floor 32 Window 22.5 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 2: Second Floor (1) U -Factor Type: (2) SHGC Type: 116-A.= Default Table from Standards. NFRC = Labeled Value 116-B = Default Table from Standards. NFRC. = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Overhanq Len H t LExt Left Fin Ri ht Fin RExt Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0.76 25 Bug Screen 0.76 26 lBug Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 30 Bug Screen 0.76 31 Bug Screen 0.76 1 1 32 Bug Screen I 761 1 Ener Pro 5.1 by Ener Soft User Number: 5617 Run Code: 2014-06-21T18:09:21 ID: DESAI Pa e 7 of 21 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project NameBuilding Rupal & VikaS Desai Type m Single Family 0 Addition Alone EI Multi Family 0 Existing+ Addition/Alteration Date 6/21/2014 OPAQUE SURFACE DETAILS- Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame 'Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area LI-Factor' SHGC Azm Status Glazing Type Location/Comments 33 Window 8.0 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 2: Second Floor 34 Window 22.5 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 2: Second Floor 35 Window 34.0 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 2: Second Floor (1) Ll-Factor Type: 1 16-A = Default Table from Standards, NFRC = Labeled Value (2) SHGC Type: 1 16-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Overhang Left Fin Right Fin ID Exterior Shade Type SHGC H t Wd Len H t LExt RExt Dist Len H t Dist Len H t 33 Bug Screen 0.75 34 Bug Screen 0.76 35 Bug Screen 0.76 Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI Page 8 of 21 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Rupal & Vikas Desai Building Type © Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/21/2014 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built HVAC System First Floor 2,619 26,190 Second Floor 1, 765 14,120 Totals i 4,3841 01 01 01 1 HVAC SYSTEMS System Name Qty Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 94%AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Coolin Duct Location Duct Ducts R -Value Tested? Status HVAC System Ducled Ducted Attic, Ceiling Ins, vented 8.0 ❑ New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE . Standby Loss or Pilot Ext. Tank Insul. R- Value Status Takagi T -K2 2 Instant Gas Kitchen Pipe Ins .185,000 0 0.84 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hol Water Piping Length (ft)o moo. Q — System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried ❑ Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 9 of 21 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Rupal & Vikas Desai Date 6/21/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent, energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (') below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets therequirements of 10-111 (a).' 117: Exterior doors and windows are weather-stripped; all joints and 1penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emitlance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM Ell 677-95(2000) when specified on the CF -1 R Form. 1 50 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge_ insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)l B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(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-§113: HVAC equipment, water heaters, showerheads, faucets and all.other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve. backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 1 12(c). §150(j)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-13. §150(j)2: Cooling system piping (suction, chilled water, or brine Iines),and piping insulated between healing source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150 3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction, lines includes a vapor retardant or is enclosed entirely in conditioned space. 150 4: Solar water -heating systems and/or collectors are certified,by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 10 of 21 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Rupal & Vikas Desai 6/21/2014 §150(m)l : All air -distribution system ducts and plenums installed, are sealed and insulated to meet the -requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181,'UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings realer than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: 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. §150(m)2D: Joints 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(m)7: Exhaust fans stems have back.draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. - 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and"E ui ment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions-, and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 1 14(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(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 programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve re uirements of §150 Residential Lighting Measures- easures:§150(k)l:•High §150(k)l:-Highefficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the re uirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to,2,500 ft2or 100 watts for dwelling units larger than 2,500 ft2 may be exempt.lrom the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer; energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 11 of 21 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Pupal & Vikas Desai 6/21/2014 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the Iumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features; or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to § 1 30 d . , §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)16: Permanently installed lighting in the enclosed; non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 12 of 21 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name ' upal & Vikas Desai Date 6/21/2014 System Name HVAC System Floor Area 4,384 . ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 2,006 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System ° 75,000 42,088 1,918 985 49,050 Total Output (Btuh) 75,000 0 Output (Btuh/s ft) 17.1 1,238 1,798 Cooling System 0 0 Output per System 55,100 0 0 0 0 Total Output (Btuh) 55,100 0 1,918 0 Total Output (Tons) 4.6 1,238 1,798 Total Output (Btuh/s ft) 12.6 Total Out ut'(s ftfTon) 954.8 1 44,564 52,646 Air System - CFM per System 1,750 HVAC EQUIPMENT SELECTION Airflow cfm 1,750 Carrier 58MVB80-20 CNP 38HD 5 T 48,529 3,786 75,000 Airflow (cfm/s ft) 0.40 Airflow (cfm/Ton) 381.1 Outside Air (%} 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 48,529 3,786 75,000 Jan 1 AM Outside Air (cfm/s ft) 0.00 Note: values above given at ARI conditions Aug 3 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 28 OF 67 OF Outside Air 0 cfm Supply Fan 1,750 cfm 67 OF 67 OF 115 OF Heating Coil 114 OF ROOM 9 68 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 88 / 68 OF 76 / 62 OF 76 / 62 OF 55 / 54 OF ® c C Outside Air c 0 cfm Supply Fan Cooling Coil 56 / 54 °F 1,750 cfm 46.3% ROOM 76 / 62 OF 75 / 61 OF EnergyPro 5-1 by EnergySoft User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI Page 13 of 21 ROOM LOAD SUMMARY 42,088 1,918 985 Project Name Rupal & Vikas Desai 2,006 42,088 Date 6/21/2014 System.Name, HVAC System Floor Area 4,384 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible Zone 1 : First Floor First Floor 1 1,299 27,262 948 1,299 27,262 948 633 31,508 Zone 2: Second Floor Second Floor 1 707 14,826 969 707 14,826 969 352 17,542 Total includes ventilation load for zonal systems. EnergyPro 5.1 by EnergySoft User Number: 5617 PAGE TOTAL TOTAL " 2,006 42,088 1,918 985 49,050 2,006 42,088 1,918 985 49,050 ROOM HEATING PEAK LOADS Project Name Rupal & Vikas Desai Date 6/21/2014 ROOM INFORMATION DESIGN CONDITIONS Room Name First Floor Floor Area 2,619.0 ft2 Indoor Dry Bulb Temperature 68 OF Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X to Ceiling U -Value X X X X X X X X X X X X X X X X X X' X X X X X X X X X X_ X X X AT *F = = = = = = = = = = = = = = = = = _ = = = = = = = = = _ = = = , Btu/hr R-21 Wall 1,791.5 0.0690 40 4,945 Andersen Permashield 514.7 0.3400 40 7,000 Wood Door 48.0 0.5000 40 960 La Cantina Door E272-181 330.0 0.4500 40 5,940 R-38 Roof Attic 1,062.0 0.0250 40 1,062 R-30 Floor Crawlspace 2,619.0 0.0280 40 2,933 Items shown with an asterisk.(') denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction through an interior surface X 2,619 X Area another room 10.00 X 0.461 Height ACH Page Total /60] X AT 22,840 TOTAL HOURLY HEAT LOSS FOR ROOM 31,508 EnergyPro 5.1 by EnergySoft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 15 of 21 s. ROOM HEATING PEAK LOADS Project Name Rupal & Vikas Desai Date 6/21/2014 ROOM INFORMATION DESIGN CONDITIONS Room Name Second Floor Floor Area 1, 765.0 ft' Indoor Dry Bulb Temperature 68 °F Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area X X X X •X X X X X X X X X X X X X X X X X X X X X X X X X X• X to Ceiling U -Value X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X AT °F = = = = = = = = = = = = = = = = = = = = = = = = _ = = = = = 40 Btu/hr R-21 Wall 11-404.1 0.0690 40 3,875 Andersen Permashield 419.9 0.3400 40 5,711 R-38 Roof Attic 1,829.0 0.0250 40 1,829 R-30 Floor Crawlspace 255.0 0.0280 40 286 Items shown with an asterisk {') denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction through an interior surface X 1,765 X Area another room 8.00 X 0.576 Height ACH Page Total /601 X AT 11,701 = 5,842 TOTAL HOURLY HEAT LOSS FOR ROOM 17,542 EnergyPro 5.1 by EnergySoft User Number: 5617 RunCode: 2014-06-21T18:09:21 ID: DESAI Page 16 of 21 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Date Rupal & Vikas Desai 6/21/2014 . ROOM INFORMATION DESIGN CONDITIONS Room Name First Floor Outdoor Dry Bulb Temperature 88 OF Floor Area 2,619.0 ft2 Outdoor Wet Bulb Temperature 68 OF Indoor Dry Bulb Temperature 75 of Outdoor -Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R-21 Wall (lM 446.6 X 0.0690 X 13.0 = 401 Wood Door (Vlr) 24.0 X 0.5000 X 13.0 = 156 R-21 Wall (N) 480.5 X 0.0690 X 3.0 = 99 Wood Door (N) • 24.0 X 0.5000 X 3.0 = 36 R-21 Wall (E) 299.2 X 0.0690 X 13.0 . = 268 R-21 Wall (S) 565.2 X 0.0690 X 6.0 = 234 R-38 Roof Attic (S) 1,062.0 X 0.0250 X 37.0 = 982 R-30 Floor Crawlspace 2,619.0 X 0.0280 X 4.0 = 293 X X Page Total 2,470 Items shown with an asterisk (') denote conduction through an interior surface to.another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Living Room Window 0.0 X 13.3 + 22.5 X 33.4 = 751 Living Room Window (lM 0.0 X 13.3 +' 35.0 X 33.4 = 1,168 Front Door Sidelites (VV) 0.0 X 13.3 + 23.4 X 33.4 = 781 Front Door 0.0 X 13.3 + 54.0 X 33.4 = 1,802 Dining Room Window 0.0 X 13.3 + 35.0 X 33.4 = 1,168 Dining Room. Window 0.0 X 13.3 + 22.5 X 33.4 = 751 Dining Room Window (N) 0.0 X 13.3 + 28.0 X 13.3 = 372 Living Room Window' (N) 0.0 X 13.3 + 33.8 X 13.3 = 449 Billiard Room Window (N) 0.0 X 13.3 + 33.8 X 13.3 = 449 Page Total 7,688 .Internal Gain Btu/hr Occupants 2.0 Occupants X 230 B16h/occ. = 460 Equipment 1.0 Dwelling Unit X • 1,600 Btu Infiltration: 1.077 X 0.83 X 162.17 X 13 = 1,892 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 27,262 Latent Gain Btu/hr Occupants 2.0 Occupants X 200 B1uh/occ. = 400 Infiltration: 4,830 X 0.83 X 162.17 X 0.00084 = 548 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 948 Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI Pae 17 of 21 a RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Rupal & Vikas Desai ROOM INFORMATION DESIGN CONDITIONS Room Name First Floor Outdoor Dry Bulb Temperature Floor Area 2,619.0 ft2 Outdoor Wet Bulb Temperature Indoor Dry Bulb Temperature 75 of Outdoor Daily Range: ue Surfaces Orientation Date 6/21/2014 Area X X X X X X X X X U -Factor X X X X X X X X X CLTD' = = = = = = = = = 0.0 13.3 0.0 13.3 0.0 13.3 0.0 10.5 0.0 10.5 0.0 13.3 0.0 13.3 0.0 13.3 1.0 Dwelling Unit X 1,600 Btu Infiltration: 1.077 X 0.83 X 162.17 X 13 = 1,892 Page Total Items shown with an asterisk (') denote conduction through an interior surface to another room_. 1. Cooling Load Temperature Difference (CLTD) Shaded Fenestration Bath #1 Window Bedroom #1 Window Breakfast Window Bedroom #1 Window Great Room Slider Breakfast Slider Bedroom #1 Door Kitchen Window Laundry Window Orientation (N) (N) (N) (E) (E) (E) (S) (S) (S) Area X X X X X X X X X, GLF + + + + + + + + + 0.0 13.3 0.0 13.3 0.0 13.3 0.0 13.3 0.0 10.5 0.0 10.5 0.0 13.3 0.0 13.3 0.0 13.3 Unshaded Area 11.3 33.8 33.8 33.8 180.0 150.0 24.0 42.0 20.0 GLF X 13.3 = X 13.3 = X 13.3 = X 33.4 = X 27.0 = X 27.0 = X 18.3 = X 18.3 = X 18.3 = Page Total 88 OF 68 OF 30 OF Btu/hr 01 Btu/hr 150 449 449 1,128 4,851 4,043 438 767 365 12,6411 Internal Gain Btu/hr Occupants 2.0 Occupants X 230 Btuh/occ. = 460 Equipment 1.0 Dwelling Unit X 1,600 Btu Infiltration: 1.077 X 0.83 X 162.17 X 13 = 1,892 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 27,262 Latent Gain Btu/hr Occupants 2.0 Occupants X 200 Bluh/occ. = 400 Infiltration: 4,830 X 0.83 X 162.17 X 0.00084 = 548 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 948 Ener Pro 5.1 by Ener Soft User Number: 5617 RunCode: 2014-06-21 T18:09:21 ID: DESAI Pae 18 of 21 r RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Dale Rupal & Vikas Desai 6/21/2014 ROOM INFORMATION DESIGN CONDITIONS Room Name First Floor Outdoor Dry Bulb Temperature 88 OF Floor Area 2,619.0 ft' Outdoor Wet Bulb Temperature 68 OF Indoor Dry Bulb Temperature 75 OF Outdoor Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr X X X X X X X X = X X - X X X X = X X X X Page Total 0 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Living Room Window (S) 0.0 X 13.3 + 28.0 X 18.3 = 511 X + X - X + X - X + X - X + X - X + X - X + X X + X = X + X Page Total 511 Internal Gain Btu/hr Occupants 2.0 Occupants X 230 Btuh/occ. = 460 Equipment 1.0 Dwelling Unit X 1,600 Btu Infiltration: 1.077 X 0.83 X 162.17 X 13 = 1,892 Air Sensible CFM ELA AT. TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM' 27,262 Latent Gain Btu/hr Occupants 2.0 Occupants X 200 Btuh/occ. 400 Infiltration: 4,830 X 0.83 X 162.17 X 0.00084 = 548 Air Sensible CFM ELA pW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 948 Ener Pro 5.1 bV Energ ySoft User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI ' Pae 19 0/ 21 r RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Rupal & Vikas Desai ROOM INFORMATION DESIGN CONDITIONS Room Name Second Floor Outdoor Dry Bulb Temperature Floor Area 1, 765.0 h' Outdoor Wet Bulb Temperature Indoor Dry Bulb Temperature 75 OF Outdoor Dailv Range: Opaque Surfaces R-21 Wall R-21 Wall R-21 Wall R-21 Wall R-38 Roof Attic R-30 Floor Crawlspace Orientation Date 6/21/2014 Area X X X X X X X X X U -Factor X X X X X X X X X CLTD' = = = = = = - = = 330.4 0.0690 13:0 364.2 0.0690 3.0 327.0 0.0690 13.0 382.5 0.0690 6.0 1,829.0 0.0250 37.0 255.0 0.0280 4.0 0.0 13.3 33.8 13.3 0.0 13.3 22.5 13.3 13.3 22.5 Page Total Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded. Fenestration Playroom Window Playroom Door Hallway Door Bedroom #2 Window Playroom/Bedroom Window Playroom Window Library Window Hallway Window Library Window Orientation (K9 (K9 (E) 88 OF 68 OF 30 OF Btu/hr 296 75 293 158 1,692 29 1 25441 Area X X X X X X X X X GLF - + + + + + + + + + Area X X X X X X X X X GLF = = = = = = = = = 0.0 13.3 22.5 33.4 0.0 13.3 29.8 33.4 0.0 13.3 29.8 33.4 0.0 13.3 22.5 33.4 0.0 13.3 33.8 13.3 0.0 13.3 22.5 13.3 13.3 22.5 13.3 E0.0 0.0 13.3 34.0 13.3 0.0 13.3 22.5 33.4 Page Total Btu/hr 751 994 994 751 449 299 299 452 751 5.738 Internal Gain Btu/hr Occupants 3.0 Occupants X 230 Btuh/occ. = 690 Equipment 0.0 Dwelling Unit X 1,600 Btu = 0 Infiltration: 1.077 X 0.83 X 109.29 X . 13 = 1,275 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 14,826 Latent Gain Btu/hr Occupants 3.0 Occupants X 7 Btuh/occ. = 600 Infiltration: 4,830 X 0.83 X 109.29 X 0.00084 = 369 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 9691 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Date Rupal & Vikas Desai 6/21/2014 ROOM INFORMATION DESIGN CONDITIONS Room Name Second Floor Outdoor Dry Bulb Temperature 88 OF Floor Area " 1, 765.0 ft2 Outdoor Wet Bulb Temperature 68 OF Indoor Dry Bulb Temperature 75 OF Outdoor Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr X X = X X = X X = X X = X X = X X = X X = X X = X X = Page Total 0 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area' GLF Btu/hr Master Bedrom Window (E) 0.0 X 13.3 + 63.0 X 33.4 = 2,102 Master Bath Window (E) 0.0 X 13.3 + 22.5 X 33.4 = 751 Master Bath Window (S) 0.0 X 13.3 + '7.5 X 18.3 = 137 Bedroom #3 Window (S) 0.0 X 13.3 + 22.5 X 18.3 = 411 Bath #2 Window (S) 0.0 X 13.3 + 8.0 X 18.3 = 146 Bedroom #2 Window (S) 0.0 X 13.3 + 22.5 X 18.3 = 411 Playroom Window (S) 0.0 X 13.3 + 34.0 X 18.3 = 621 X + X = X + X = Page Total 4,579 Internal Gain Btu/hr 'Occupants 3.0 Occupants X 230 Bluh/occ. = 690 Equipment 0.0 Dwelling Unit X 1,600 Btu = 0 Infiltration: 1.077 X 0.83 X 109.29 X 13 = 11275 Air Sensible CFM ELA c1T TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 14,826 Latent Gain Btu/hr Occupants 3 0 Occupants X 200 Btuh/occ. = 600 Infiltration: 4,830 :x 0.83 X 109.29 X 0.00084 = 369 Air Sensible CFM ELA pW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 969 Ener Pro 5.1 bV Ener Solt User Number: 5617 RunCode: 2014-06-21718:09:21 ID: DESAI Page 21 of 21 CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS - The 2013 CalGreen Coda applies to all newly constructed hotels, motels, todging 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 regatrp Y, CAL Project Name: OE:SAI RESIDENCE Project -- ------ — Project Address: 10290 SCENIC BLVD Project Description: N.EW SINGI E FAMILY RESIDENCE Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Greece Bili ng Standards Codes to verify and as` that aft regn;.red wont desuibeed herein is pt ewly .plarrrteid and implemented in the project 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - Design Venfication at the end of this chest: 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 summit the completed form to the Building inspector. Planning and f esi ign: -:Site lDevetoprnent 4,106.2 Star rr waber drairuige and retention during conshwcban. A plan is I developed and implemented to manage storm water drainage during construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. Page ] of 5 CalGrecn- 2014.doc revised 01/15/14 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildina(a)cupertino.org - The 2013 CalGreen Coda applies to all newly constructed hotels, motels, todging 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 regatrp Y, CAL Project Name: OE:SAI RESIDENCE Project -- ------ — Project Address: 10290 SCENIC BLVD Project Description: N.EW SINGI E FAMILY RESIDENCE Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Greece Bili ng Standards Codes to verify and as` that aft regn;.red wont desuibeed herein is pt ewly .plarrrteid and implemented in the project 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - Design Venfication at the end of this chest: 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 summit the completed form to the Building inspector. Planning and f esi ign: -:Site lDevetoprnent 4,106.2 Star rr waber drairuige and retention during conshwcban. A plan is I developed and implemented to manage storm water drainage during construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. Page ] of 5 CalGrecn- 2014.doc revised 01/15/14 4.363. Water comerving plumbing fixtufss and fittings.. Plumbing fixtures (water closets and urinals) and fittings (faucets and'showerheads) shall comply with the following: El 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not. exceed 9.28 gallons per flush.. Tank -type water dosets shall be cer-fied to the performance criteria of the U.S. EPA WaterSense Specifc�5ions for T ank-type Toilets. ❑ 4.303.1.3.2 Urinals_ The effective Rush volume of urinals shall not exceed 0.5 gallons per flush. El 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 --Y'itifi d to the per..: mance miteria r it,-- U.S. EPA Waterlz',Lnse Spe6fir.ation for;showerheads. 4.303.1.3.2 Multiple Showerheads serving one shower. When a i 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 SO psi, or the shower shall be designed I'D a !ow oriy.ane shower ouflet to be ?n operation ata f -me. � 4.303.1.4-1 Residential fav-dtw)f faucets. The maximum &)w 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. ❑ 4303-1.3.2 Lavatory faucets in common andd public use areas. The maximum Row rate of lavatory fauca'is installed :in common and public use areas (outside of dwellings or slaeptng units) ir.. residential tiisiidir gs 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 025 gallons per cycle. 4-3t#.:_1._4-4 K tchen Fauc0m_ Tha -, iaY muYr gInw laic of kil hen f�3uvxnfs shalt not exceed 1.8 gallons per minute at. 60 pst.. Hitchen .%ucel.s may temporarily increase the flow above the maximum rate, but. Trot 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 fu'tings shall be installed in accordance with the C.Miforria Plumbing Code, and shat! meet. the applicable standards referenced in Table 1401.1 of the lv7 California Plumbing Code. "a e f C n1Gr to 2U14.dL+t rca is. d ftl%l_9l1 Page 3 of 5 CcdGreen Z0.I4.doe revised 01/15114 Outdoor Water Use. . 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 ccntrol_liers 1 that. automatically adjust irrgation in response to changes in plants' needs as weather conditions change. ❑x 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 Enhanced"Durability aind:Reduced Maihienance :..:. :... 4.405.1 Rodent-proofing. Ann tar spares around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected 1EM Uj against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Waste eduction, Dis qsa... and .Racy... i..:.9 `:.::; ; :.... ;.: ` :;.; ::' :::::.:':: Construction R P .. clan 4.408,2 Construction waste rnanage.ment plan. Where a local jurisdiction does not have a ronstructon and d; moSiton waste management. ordinance, a UJL! 3 p— construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation. 4.4$0.9 operation and maintenance manual. At te tune of Canal inspection, an oper8tion and maintenance manual shall be p-rovided to the bu:iding occupant or owner. . • p Q, Fireplaces 4.503.1 General, install oniy a direct:-vent sealed-combustion gas or sealed wood-buming fireplace, or a sealed woodstove. Pollutant.Control . .. 4.504.9 Covering of duct openings and protection of mechanical equipment Taring construction Duct openings and other related air FM distribution component openings shall be covered during construction. 4.504.2.9 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 I US ❑ compliant with VOC Ifmits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weighted MIR Limits for ROC and other toxic compounds. Page 3 of 5 CcdGreen Z0.I4.doe revised 01/15114 4.504.2.4 Verification. Documentation shall be provided to verify that compliant VOC limit finish materials have been used. 4.504_3 Carpet Systerns. Carpet and carpet systems shall be compliant with FM VOC limits. 4.504.4 Resilient flooring systems. Eighty 160) perc-ent of floor area receiving resilient flooring shalt comply with the VOC-emission limits defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4:584.5 Composite wood products. Particf ard, medium density fiberboard (MDF), and hardwood plywood used in interior finish, systems shall comply with low formaldehyde emission standards. interior,�Roisfure.;:ontrbl:.>.� 4.505.2 Concrete slab foundation. Required vapor retarders and capillary trreatcs are also required. to compty . pith CaiGreer, Scctian 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building materials used in wall and floor framing is checked before enclosure. 1ritorRr Qualify and'Exhaust; 4.506.1 iaathroam exhaust fans. Exhaust fans which tef minate outside the ® 1 building are provided in every bathroom. Er ygonmentai°.Comfort :. 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: i 1. Establish heat loss and heat gain values according to RCCA Manual J or equivalent. LU F-1 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 the proper installation of HVAC systems. 702-2 Special inspe-ctmn. The Licensed Professicn:ai respo%. Ibte 0 verify CAL.Green compliance is qualified and able to demonstrate competence in the discipline they inspect and verify. va' .d" ecaWns 703A ocumerfa#ion. Verification of compliance with CALGreen may u include construction documents, plans, specifications, buitder or installer------- z certification, inspection reports, or other methods acceptable to the enforcing ® ❑ agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Nee 4 of 5 LalGreen 201. ,duc: reirsaJ (!1./1:5/1' CALGREEN SIGNATURE DECLARATIONS _ Project Name. DESAI RESIDENCE Project Address: 10290 SCENIC BLVD- - Project Description: NEW SINGLE FAMILY RESIDENCE I — DESIGN VERIFICATION Complete all lines of Section 1 - "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City,9•-�upertino. Owner's Signature Date RUPAL & VIKAS DES Ownefs Name (Please Print) l ` 08.11.14 Design Professional's Signature - _ -- Date — ARUN SHAH Design Professional's Name 08.11.14_ _ Signature of Ucense Professional responsible for CalGrsen compliance Date ARUN SHAH 510.220.4264 Name of License Professional responsible for CalGreen compliance (Please Print) Phone arun@ArunShahandAssociates.com ....... ... ..--- Email Address for License Professional responsible for CalGreen compliance 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 idenEfied above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. ...... ..... __...__..... ---- - . _......._._ _..........- . _ ..._..... -.. _.._............. ... ......... _.......... _...-- .._._... - Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreea._20.14.doc• revised 01115114