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140900675� CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7746 CARRIAGE CIR CONTRACTOR: BARRIOS PERMIT NO: 14090067 CONSTRUCTION OWNER'S NAME: SHANMUGASUNDARAM KANNAN AND NAGAMON 7041 ROSANNA ST DATE ISSUED: 02/11/20I5 OWNER'S PHONE: 4082034403 GILROY, CA 95020 PHONE NO: (408) 337 -7664 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL CONSTRUCT ONE STORY ADDITION (636 SQ FT); icense Class_ Lic. # 91 41 7 6 5 BATHROOM REMODEL (60 SQ FT); INTERIOR REMODEL (341 SQ FT); Contractor „a, b t 4_ — Date O REROOF (E) SFD AND GARAGE (1639 SQ FT); UPGRADE I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft-Floor Area: Valuation: $90000 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 APN Number: 35906053.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS F CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, 17 costs, and expenses which may accrue against said City in consequence of the Issued Date: / 04 5' granting of this permit. Additionally, the applicant understands and will comply by: t9• with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ��I;t„f{i'I ,e ;�;y ��. Date �� any roofing All roofs shall be inspected prior to y 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 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 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 declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have 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 Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 2 50 , 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this O Bret �ar �]�Ilio6ized agent: Date: ;Z //O permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.I8. Signature Date CONSTRUCTION PERM11T APPLICATION COMMUNITY DEVELOPMENT. DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPER T INO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building a(-)cuDertino.or4 CUPERTINO F- N71VC'ONSTRUC'TION f�t ADDITION ALT'r.RATTON /TT n REVISION /DEFERRED ORIGINALPERMTT PROJECT .ADDRESS J _ I i I APN." OuTERNP.A4E PHONE STREET ADDRESS %- _ ��� �vC SA,;:,-., ZIP a CA. 4tf�— ® CON''TACT IW ^ PH0 1A0 p V I l STREET ADDRESS �® gyI CITY, STAT, ZIS/{ _ ❑ omER ❑ owNER.BuiLm ❑ OWI,7,--RAGENr ❑ CO1,7RACTOR ❑ COKIRACTORAC --,K kRC =7 ❑ ENGIIdEM ❑ DE\:LOPEZ ❑ 7LNAN'T CONTRACTOR NAME® LICENSE NUh4BER I I LICENSE TYPE I BUS. LIC COMPANY NAME E -MAIL I FAX STREET ADDRESS CITY, STATE, ZIP I PHONE ARCHTTECT/ENGI1\'EER NAME � `9 � L � a� � , _ ry ICENSE M%OER C r i� � � l I BUS. LIC R COMPANY NAME tl, L FAX VL �E- VCITY, STREET ADDRESS STATE, ZIP ESCItIP•TIO • F -4�IC..C.1 1� Y V v \ �hfeA-�Zb t EXISM'GUSE PROPOSED USE CONS PE �«�� STORIES USE TYPE OCC. SQ.FT. VALUATT ON (S) EXISIG f AREA 1 o NEW FLOG& AREA �s� DEMO AREA TOTAL XErAREA [�24 V1-: / �J [-'- 636 BATHROOM ///��� REMODEL AREA GV KITCT�t MIER REMODEL AREA REMODEL AREA .5'Y f 2e W,1DF1 v3 IZ 3 YO � PORCH AREA DECK AREA TOTALDECK/PORCH AREA GARAGE AREA: ❑ DETACH 50 ATTACH m DWEI G UNITS: IS A SECOND UNIT DAMS BEING ADDED? NO SECOND STORY fl-. ES ADDITION? NO - PR-F- rFPPL -iC- ANON- ❑- 1'- 65— Ir�sS,3- .ILOYIDELOP_L' OF _IS-THF PLA4T7NGAPPL� ❑NO ?LA\:kLNG APPROVAL LETTER BLDG AN rl YES EICHLERHOhiE? [j N0 A,'• -� " - "'`'' . `tom r �N - IOU TOTAL VALUATION: - - Y By my signature below, I certit, to each e owing: I pert, owner or author ized agent to act on the property owner's behalf. I h n reaapplication and the information I have pr v' d is c rnct. I he Description of \>�ork and verify it is accurate. I g ee to comply with all applicable local Ithe ordinances and state la%vs relating to u' d' g colst etion. I epresentatives of Cupe; ino to enter the above- identified property for in ection purposes. • Signature of Applicattt/Agent: J1114 Date: --T.— SUPPLE'MEI\TTAL II\TFORMATION REQUIRED New SFD or Multifamily d-,vellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building r o1RcoTmTi R' BLTI�I�G Rv f s,, permit for new building. � ©� mss ���� _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure �TA ttn ��r ' s V L a s13c13A>s`� �' Ing" form if any Hazardous Maferials are beP . g used as part of this project 1' _ Copy of Planning Approval Letter or Meetin.- with Planning prior to© r submittal of Building Permit application. �z0f3TflR a s 3�'iNiRARIE1iR7�ISIIiTCI�i gm Bldg.4pp_2011.doc revised 06/21/11 A 7 F"__55 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION igADDRESS: 7746 Carriage Circle DATE: 09/11/2014 REVIEWED BY: Sean PC FEE ID APN: BP #: Qb 1 1:7 U � *VALUATION: 1$90,000 *PERMIT TYPE: Building Permit PLAN_ CHECK TYPE: Addition PRIMARY .USE: SFD or Duplex 2nd Unit? Yes 0 No OTC? 0 Yes No PENTAMATION PERMIT TYPE: 1 R3SFDADD WORK Construct one story addition 636 sq ft); Bathroom Remodel 60 sg ft); Interior Remodel 341 sq ft); SCOPE Upgrade and Relocate electrical panel (200 amp). OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R -3 (Custom) II- B,III- 13JV,V -B 636 $2,654.00 IR3PLNCK $1,666.00 IR3INSP Iilsc. Insp, 1'1ee: I PME Plan Check: $0.00 401 s.f. ® $503.00 Remodel, Other IREMRESOTH Permit Fee: 1,666M� Suppl. Insp. Fee:Q Reg. Q OT F0.0Thrs $0.00 200 amps Electrical $48.00 IBELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $48.00 TOTALS: 636 $2,654.00 C.'urrsnvrction 1 irv: $1,666.00 MECFI, HOURLY 0 Yes 0 No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY 0 Yes Q No ,G1e".:h. Plan Check Phind?. Phai C'hec6 Elec. Plan Check 0.0 1 hrs $0.00 liech. Permil Fee: Plumb. Permit F'<e: Elec, Permit Fee: IEPERMIT 0(her a,lec h. Insp Other Plumb Insp, Other Elea Insp. 0.0 hrs $48.00 Wech. lnsp. Fire: Plumb. Insp. Fee: Iilsc. Insp, 1'1ee: I NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711113) FEE QTY /FEE MISC ITEMS Plan Check Fee :6540`'0'' 60 s.f. $645.00 Remodel, Bath (< =300 sf) IREMRESBAT i Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 401 s.f. ® $503.00 Remodel, Other IREMRESOTH Permit Fee: 1,666M� Suppl. Insp. Fee:Q Reg. Q OT F0.0Thrs $0.00 200 amps Electrical $48.00 IBELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $48.00 C.'urrsnvrction 1 irv: Ac:lmini.Ctrotive Fee: 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: IPLLONGR '631041 P Select a Non - Residential Building or Structure 0 i Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR amto Select an Administrative Item Bldg Stds Commission Fee: IBCBSC s'A"* SUBTOTALS: $4,520.741$1,196. 00 ., TOTAL FEE: 1 $5,716.74 Revised: 08/20/2014 CUPERTINO Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 Telephone: 408 -777 -3228 Fax: 408 -777 -3333 CONTRACTOR % SUBCONTRACTOR I: Vs, JOB ADDRESS: 7-7116 SUBCONTRACTOR PERMIT #_ CG C OWNER'S NAMESAr n/ntf c?5ogdn1, PHONE # 41ec, 7 GENERAL CONTRACTOR: f ,/j ; , �icrYr �-�.: BUSINESS LICENSE # ADDRESS:rG? /dog .e, �, � j oE9 �� c3��.�s CITY /ZIPCODE: *Our municipal code requires all businesses working iri 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. _ 7_ I am not using any subcontractors:_ Signature Date w Please check applicable subcontractors and complete the following information: r_ Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing { Electrical Excavation Fencing Flooring / Carpetingj;` n - Linoleum / Wood U , Glass / Glazing Heating Insulation Landscaping -i Lathirng E� Masonry ' Painting / Wallpaper Paving Plastering Plumbing 4 � Roofing'. Septic Tank Sheet Metal Sheet Rock Tile . 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O rn a (1) cu 0 LL U v O N E C) X O_ 0) U C C [a O UI 2 a7 � (n c� N a7 dj C E c 2 4i SO E ❑ a7 o Z _ a) a) 7 U j � o_ U Mn T a) Q V' N m .Q 0 U N C O .c U a) U cn M w U o U U ro O U ca a) .o y O •• cu O Q. LA CL w C 2 ,O ro .y O) cc V) Q co n' 3 1O O N C C O e° m v O N U v a, y al o, E 2 v o C O (moo Q! N O U a) y O v O .0 a a O 4 Oo y O 4) O j o 0 ro O I-- O O) o 0 Q) 0 O m o Q N y aJ ti co O 0 cc Q W N U .. U a) L 4Z E 7 Q) z � O C •y O m [� ca E S 0 to cl C ai m O a) (n N N 0 m O 0 0 N ca (9 m v c C7 0 O O al U (f) m (n v N O N O 0 O U C O O Q a) cr 0 0 0 N O c U d m E C 7 O U w O '0 cu U L) d c L [a .Q 0 E (o O U 0.. L \v = `° V Q m � cu CL r oa U 0 ,:-% O N O a) O cu CL 0 > (�0 N N O O _ a� c ' C N E O— U O ._ w m E d tu cu OD OO O .O L_ 0) U) - ti CU C LR N 4= 0) 0 N co Q 'If O aa)) o °� °- y, ti C — m o0 •0 U N'M _ -a) ., p 0 m L r � O c C) 0-1 lA N ° �— 03...N °c 2) ) C.0 p 3 a3 r _ C OO -0 E 19i Co ",.; Q... -.._, C C O U O c O o) N a W O O L a) 0 0 w U U ..� . U) a� O (a N a) Q v 7 O O L ❑ m U (L 0 0 Q. � ❑ m o U O:� M 4= U U a) a) 0- U a) 0) N U) (V I'M CL cmc `E - a) _ O- U '0 O m (�'' L) . E O m a) U) Fu p C 0 C a7 o O 'O •0 (1) O U C w .O - m d U N E Z ul O 0 LLI U) W a) Z W (v v d a) rw c , Q o c o - a) E W N 0).16, - u) Q O f/i j a% Q' O 3 z 0 °',u� [0 O o N o`^ m .c (v >� m -0 w O_ O d O C w M 7 a7 W O- 0 U U W o o N U) O m U) N 0 a) •5 2 w O N E CD (B Z ❑ C C c0 moo •U 7 O Z U p O o .N 0 c c d o m Z Oi C > O~ Q o 0 L p � 3 3� -0 U a� Q Q LO z U w U) W iv c 0) o) �7 p OC 06 a) U W J O O1 10 3 L a) C U w ° > > ..� co Cn o a O ) — a) E J ca ° co N us E (v 1 w m a) O oc E m E w :° c"�U U O — 3 O o O d -00 d T= O. W a) a 0 a) L o p O L a� ti '00 O to L CU 0 �- ❑ U Q U V w ° N M 2 U Q N CO O U cn M w U o U U ro O U ca a) .o y O •• cu O Q. LA CL w C 2 ,O ro .y O) cc V) Q co n' 3 1O O N C C O e° m v O N U v a, y al o, E 2 v o C O (moo Q! N O U a) y O v O .0 a a O 4 Oo y O 4) O j o 0 ro O I-- O O) o 0 Q) 0 O m o Q N y aJ ti co O 0 cc Q W N U .. U a) L 4Z E 7 Q) z � O C •y O m [� ca E S 0 to cl C ai m O a) (n N N 0 m O 0 0 N ca (9 m v c C7 0 O O al U (f) m (n v N O N O 0 O U C O O Q a) cr MANDATORY MEASURES SUMMARY: Residential (Page 1 of 3 WAR Project Name Date Kannan Shanmugasundaram's Residence Remodel (Existing +Addition) 91212014 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: 110.6(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §110.6(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 the requirements of §rl 0 -111 (a). 110.7: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 110.8(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -2R Form. §110.8(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §110.8(i) when;the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50.0(a): Minimum R -30 R -19 for Additions /Alterations) insulation in wood -frame ceiling or equivalent U- factor. §150.0(b): Loose fill insulation shall conform with manufacturer's installed design labeled R- Value. *§1 50.0(c): Minimum R -13 insulation in 2x4 wood -frame wall R -19 in 2x6) or equivalent U- factor. *§1 50.0 d : Minimum R -19 insulation in raised wood -frame floor or equivalent U- factor. §150.0(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CFA R Form. 1 50.0 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150.0(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 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. §150.0(q) Fenestration Products. Fenestration separating conditioned space from unconditioned space or outdoors shall meet the requirements of either Item 1 or 2 below: 1. Fenestration, including skylight products, must have a maximum U- factor of 0.58. 2. The weighted average U- factor of all fenestration, including skylight products, shall not exceed 0.58. ! EXCEPTION to Section 150.0(q)1: Up to 10 square feet of fenestration area or 0.5 percent of the Conditioned Floor Area, whichever is reater, is exempt from the maximum U- factor requirement. §150.0 r Solar Ready Buildings. Shall meet the requirements of Section 110.10 applicable to the building project. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150.0(e)IA: Masonry or factory-built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150.0(e)1 B: Masonry or factory-built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equi ped with a with a readily accessible, operable, and tight-fitting damper and or a combustion -air control device. §150.0(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110.0- §110.3: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §110.3(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 §11 0.3(c)5. §110.5: 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. 150.0(h): Heating and /or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150.0(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 11 0.2 c . §150.00)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally I wrapped with insulation having an installed thermal resistance of R -12 or greater. §150.00)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. EnergyPro 6.2 by EnergySoft User Number., 4970 ID: 070814 Pagel of 3 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Kannan Shanmugasundaram's Residence Remodel (Existing +Addition) 91212014 §150.0@2A: All domestic hot water system piping conditions listed below, whether buried or unburied, must be insulated per TABLE 120.3 -A. i. The first 5 feet (1.5 meters) of hot and cold water pipes from the storage tank. ii. All piping with a nominal diameter of 3/4 inch (19 millimeter) or larger. iii. All piping associated with a domestic hot water recirculation system regardless of the pipe diameter. iv. Piping from the heating source to storage tank or between tanks. v. Piping buried below grade. vi. All hot water pipes from the heating source to the kitchen fixtures. §150.00)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 120.3 -A. 5150.0(j)3A: Insulation is protected from dama e, including that due to sunlight, moisture, equipment maintenance, and wind. §150.00)4: Solar water- heating systems and /or collectors are certified by the Solar Rating and Certification Corporation. §150.0(m)1: 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 -6 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, LIL 181A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150.0(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. §150.0(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. 150.0(m)7: Exhaust fans stems have back draft or automatic dampers. §150.0(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150.0(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. 150.0 m 10: Flexible ducts cannot have porous inner cores. §150.0(n)1: Systems using gas or propane water heaters, whether tank or on- demand, to serve individual dwelling units shall include all the following components A. A 120V electrical receptacle that is within 3 feet from the water heater and accessible to the water heater with no obstructions; B. A Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the space where the water heater is installed; C. A condensate drain that is no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assist, D. A gas supply line with a capacity of at least 200,000 Btu /hr. §150.0(o): All dwelling units shall meet the requirements of ANSI /ASHRAE Standard 62.2 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 Equipment Measures: §110.4(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 or a pilot light. §110.4(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. 110.4(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §110.4(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to beset or programmed to run only during off-peak electric demand periods. 150.0 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §1 50.0 Residential Lighting Measures: §150.0(k)1A: Installed luminaires shall be classified as high - efficacy or low- efficacy for compliance with Section 150.0(k) in accordance with TABLE 150.0 -A or TABLE 150.0 -B, as applicable. 150.0 k 1 C: The wattage of permanently installed luminaires shall be determined as specified by §1 30.0(c). 150.0 k 1 D: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency <= 20 kHz. §150.0(k)'I E: Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no more than five watts of power per luminaire or exhaust fan as determined in accordance with Section 130.0(c). Night lights shall not be required to be controlled by vacancy sensors. EnergyPro 6.2 by EnergySoft User Number. 4970 ID: 070814 Page 2 of 3 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Kannan Shanmugasundaram's Residence Remodel (Existing +Addition) 91212014 150.0 k 1 F: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §1 50.0(k). 150.0(k)2: All switching devices and controls shall meet the requirements of §1 50.0(k)2. 1 §150.0(k)3: 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 f:2 or 100 watts for dwelling units larger than 2,500 W may be exempt from the 50 percent high efficacy requirement when all lighting in the kitchen is controlled in accordance with the applicable provisions in Section 150.0(k)2, and is also controlled by vacancy sensors or dimmers. §150.0(k)4: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. ! §150.0(k)5: Lighting installed in bathrooms shall meet the following requirements: j A. A minimum of one high efficacy luminaire shall be installed in each bathroom; -and B. All other lighting installed in each bathroom shall be high efficacy or controlled by vacancy sensors. i §150.0(k)6: Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and controlled by vacancy sensors. §150.0(k)7: Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy, or shall be controlled by either dimmers or vacancy sensors. EXCEPTION 1: Luminaires in closets less than 70 square feet. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site. §150.0(k)8: 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 luminaire is airtight with air leakage less than 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. - §150.0(k)9A: For single - family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements: i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of items ii or iii below; and ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically reactivates the motion sensor within• 6 hours iii. Controlled by one of the following methods: a. Photocontrol not having an override or bypass switch that disables the photocontrol; or b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is programmed to automatically turn the outdoor.lighting OFF during daylight hours; or c. Energy management control system which meets all of the following requirements: At a minimum provides the functionality,of an astronomical time clock in accordance with Section 110.9; meets the, Installation Certification requirements in Section 130.4; meets the requirements for an EMCS in Section 130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and, is programmed to automatically turn the outdoor lighting OFF during daylight hours. i §150.0(k)9A: For low -rise multi - family residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor lighting for residential parking lots and residential carports with less than eight vehicles per site shall comply with one of the following requirements: i. Shall comply with Section 150.0(k)9A; or ii. Shall comply with the applicable requirements in Sections 110.9, 130.0, 130.2, 130.4, 140.7, and 141.0. §150.0(k)9: For low -rise residential buildings with four or more dwelling units, outdoor lighting not regulated by Section 150.0(k)9B or Section 150.0(k)9D shall comply with the applicable requirements in Sections 110.9, 130.0, 130.2, 130.4, 140.7, and 141.0. §150.0(k)9D: Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply with the applicable requirements in Sections 110.9, 130.0, 130.2, 130.4, 140.7, and 141.0. §150.0(k)10: Internally illuminated address signs shall comply with Section 140.8; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §1 30.0 d . §150.0(k)11: Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for nonresidential garages in Sections 11 O.9, 130.0, 130.1, 130.4, 140.6, and 141.0. §150.0(k)12A. In a low -rise multi - family residential building where the total interior common area in a single building equals 20 percent or less of the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or controlled by an occupant sensor. §150.0(k)12B. In a low -rise multi - family residential building where the total interior common area in a single building equals more than 20 percent of the floor area, permanently installed lighting in that building shall: I. Comply with the applicable requirements in Sections 110.9, 130.0, 130.1, 140.6, and 141.0; and ii. Lighting installed in corridors and. stairwells shall be controlled by occupant sensors that reduce the, lighting power in each space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of and a ress. r rgess yPro 6.2 by EnergySoft User Number: 4970 1D: 070814 Page 3 of 3 CALGREEN RESIDENTIAL CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 "I f: (408) 777 -3228 • FAX (408) 777 -3333 • buildina acupert ' 'J The 2013�CalGreen Code applies to all newly constructed hotels, motels, lodging hous'es;'dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory-built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements:of CALGreen. �f Name: f��v� � tt -67� L Proje _ �.e.�.t project Address: Project Description: i f Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Green Building Standards Codes to verify and assure that all required wor described herein is properly, planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the desig pro e o all initial Column 2 of this checklist, sign and date Section 1 - Design Verification at the end o f�is c r d have the checklist printed on the approved plans for the project. R � 3. Prior to final inspection by the Building Department, the licensed prof trial shall gnr Mute Co mn 3 and sign and date Section 2 - Implementation Verification at the end of �ecklistand su ml the completed form to the Building Inspector. Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Requirements 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during G [� construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away fro =1_6`RF . Constructsiate how ® [� site grading or a drainage sy anage al l �� fgp� v ter�sws. , MAY 14 2014 REVIEWED FOR COCA= COMPLIANCE Reviewea by.- Pagel of 5 CalGreen 2014.doc revised 01115114 A4.2 ENERGY EFFICIENCY 4.201.1 Low-rise residential buildings shall meet or exceed the minimum ❑ standard design required by the California Energy Standards. A4.3 WATER EFFICIENCYAND CONSERVATION Indoor V�ater s i. 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: D/4 .303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1.28 gallons per flush. Tank-type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specifications for Tank-type Toilets. ❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. 19/4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be d,esigned to allow only one shower outlet to be in operation at a time. Ly 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. Eg/4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, El and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 01115114 d 00 tdIddir 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather-based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture-based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. ❑ M/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. .. MATERIAL CONSERVATION AND RESOURCE EFFICIENCY Ti: n `;dhtl Durability, d' Reduced 7MOintenanzq, 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected ❑ against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. u q-� pos,a ,-an d, R * b Recycling Construction , , as 6 , e - _?ip, 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Z 11 Ql -MAJhft?hc!-fi-dq,-;an Operation �_7��,z4 YT g 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building occupant or owner. A4.5. ENVIRONMENTAL QUALITY. .2,- `7­ 77 iN( 7�Tr Fireplaces 'o % 4.503.1 General. Install only a direct-vent sealed-combustion gas or sealed ❑ wood-burning fireplace, or a sealed woodstove. j R P nt Control l 'k 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air ❑ distribution component openings shall be covered during construction. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be compliant with VOC limits. 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 CalGreen-2014.doc revised 01115114 4.504.2.4 Verification. Documentation shall be provided to verify that M ❑ compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with ❑ ❑ VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC- emission limits defined in the Collaborative for High Performance Schools (CHPS) Low - emitting ❑ Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall ❑ comply with low formaldehyde emission standards. tn Interior. Moist Control d ure � . �a, 4.505.2 Concrete slab foundation. Required vapor retarders and capillary `� L� ❑ breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building ❑ materials used in wall and floor framing is checked before enclosure. IndoorAir Quality and.Exhaust, 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the ❑ building are provided in every bathroom. Environmental Comfort t ` ^Y 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. ❑ 2. Size duct systems according to ACCA 29 -D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36 -S (Manual S) or equivalent. SPECIAL INSTALLER AND ■ ti Qualifications - „. 702.1 Installer training. HVAC system installers are trained and certified in ❑ ❑ the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify CALGreen compliance is qualified and able to demonstrate competence in the ❑X ❑ discipline they inspect and verify. Verification's 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing ❑ agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CalGreen 2014.doc revised 01115114 Project Name Project Address: Project Description: DECLARATIONS CALGREEN SIGNATURE SECTION 1 — DESIGN VERIFICATION Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of Cupertino. , ) o'sJ i S% 2D I Owner's Signature Date Owner's Name eas Print) (f r Design Prof s al's Sign to Dat I.C.. Design Profess' n Name (Pleas rint) (, Signature of license Professional ksponsible for CalGreen compliance Date -f A &-L k4 a 2� e T i pj Y ffit') t Name of License Professional responsible for CalGreen compliance (Please Print) P Email Address for License Professional responsible for CalGreen compliance SECTION 2 — IMPLEMENTATION VERIFICATION 0 Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen 2014.doc revised 01115114