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15040212
I 4 CITY OF CUPERTINO BUILDING PERMIT. KU1LDING ADDRESS: 7910 OCTOBER WAY CON RACTOR: '. PERMIT NO: 15040212 CISC.LCON Tiol { OWNER'S NAME: LIN HELEN J AND ERNEST KWANDATE ISSUED: 06/22/2015 O '5 PHONE: 4087713887 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Liic. # �� I CONSTRUCT ONE STORY ADDITION (608 SQ FT); REMODEL �,, Contractor LSC l r&W 4 Al On Datey ` �/�-( � �� (2) BATHROOMS (208 SQ FT); RELOCATE & REMODEL KITCHEN (156 SQ FT); REMODEL OTHER AREA (705 SQ 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: $150000 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. APN Number: 36213036.00 Occupancy "Type: 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPE TION 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 Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. / RE -ROOFS: Sign Dater 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. 13OWNER-BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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 255 x.25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized Date: Z permit is issued. agent: 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 9.18. Signature Date CVPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingAcupertino.org ❑ NEW CONSTRUCTION ® ADDITION ❑ ALTERATION / TI ❑ REVISION I DEFERRED ORIGINAL PERMIT # In] PROJECT ADDRESS 7910 OCTOBER WAY APN # 362-13-036 OWNER ERNEST & HELEN LIN PIIr,NT 408 771-3887 E-emestklin@gmail.com sTRFI`7 ADDRESS 1683 LORIENT TERRACE CITY'$ N)8SE, CA., 95133 F -;;NONE CONTACT NAME CHAPMAN DESIGN ASSOC P"63E650-941-6890 E-MAIL info@wjcda.com SIR' -RE" 620 S, EL MONTE CITY, sTAtE, ZIPLOS ALTOS, CA. 94022 TAX NONE DESIGNER ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT a ARCHITECT ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME G 5 G ' 4Co}4 S -r. LICENSE NUMBER LICENSE TYPE BUS. LIC # CC)MPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E MAII. FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESC'R1F"Vo 17 i EW ADDITION ADDING A FAMILY ROOM AND BATHROOM. RELOCATING KITCHEN, AND REMODELING XISTING UBE S I DENS PROPOSED USE CONSTR Q r C, F+ J C TYPE # STORIES USE TYPE OC C. SQ.FT. VALUATION ATTON (S) EXISTG AREA NEW FLOOR AREA DEMO AREA A I rQ TOTAL NET AREA 1 15&03 `v6 r ` ('� BATAROOM;j REMODEL AREA 2 0 0 KITCHEN RFJ/0DFL AREA .5 OTiM • REMODEL AREA 3 q 'DETACH PORCH AREA DECD: TOTAL DECV PORCH AREA GARAGE AREA: 36. 02A7 36 5q5JUATTACR # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? Ja490 ADDITION? 2N0 PRE -APPLICATION WTS IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES BY: TOTAL VALUATION: PLANNING APPL # ffNO PLANNING APPROVAL LETTER [RV17 EICHLER HOME? O 5 01 coo By my signature below, I certify to each of the following: I am the property owner or autborized agent to act on the property owner's behalf I have read this application and the information I have provided 's 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 h ding n ction, I authorize representatives of Cupertino to enter the above -identified mperty for inspection proposes. L+ Z 8 ZO Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHWKTYPE ROUnNG SUP ❑ Ovee-THF-COUNWR ❑ BUILDING PL LN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing buiidmg(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORTS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to © MAJOR © SANITARY SEWER DISTRICTsubmittal of Building Permit application. ❑ ENf:IR(I:VJMEII'TALHF.AI.TB BldgApp_2011.doe revised 06/21/11 �CITY OF CUPERTINO 1�7'`_W, FFF, FIRTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 7910 OCTOBER WAY DATE: 04/28/2015 REVIEWED BY: MELISSA PC FEE ID APN: 36213 036 BP#: ��b (�oZ /� 'VALUATION: $150,000 ,`PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? Yes No OTC? O Yes E) No PENTAMATION 1 R3SFDADD PERMIT TYPE: 19 WORK I ADD 608 S.F. TO EXPAND ENTRY CREATE N FAMILY RM & N BATHROOM. REMODEL E 2 SCOPE BATHS (208 S.F.), RELOCATE & REMODEL (E) KITCHEN (156 S.F.) & REMODEL OTHER AREA 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 608 $2,654.00 1R3PLNCK $1,666.00 IR3INSP I e 10C. Imp. Fee: $0.00 156 s.f. $645.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Permit Fee: $1,666.00 Suppl. Insp. Feee. Reg. O OT 0.0 hrs $0.00 342 s.f. Remodel, Other $503.00 IREMRESOTH PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: TOTALS: 608 $2,654.00 1 $1,666.00 MECH, HOURLY O Yes E) No PLUMB, HOURLY O Yes Q No ELEC, HOURLY O Yes Q No MISC ITEMS himh. Plan Check Iec. flan Check $2,654.00208 Plumb, Perms Elec. Permit c)rjx:r 11ccri, lni j )Ater Plumb lnsp_ )iher Elec. Insp. E-1 Irfec/t. Insp. Hee. Plumb. hasp. V0, I e 10C. Imp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School D' Th are based on the relimina information available and are onl an estimate. Contact the Dept or addn'1 info. istrict, etc.. ese ees FEE ITEMS (Fee Resolution 11-053 Eff 7%1!13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00208 s.f. $645.00 Remodel, Bath (<=300 sf) IREMRESBAT 1 14 Supp/. PC Fee: O Reg. OOT 0.0 hrs $0.00 PME Plan Check: $0.00 156 s.f. $645.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Permit Fee: $1,666.00 Suppl. Insp. Feee. Reg. O OT 0.0 hrs $0.00 342 s.f. Remodel, Other $503.00 IREMRESOTH PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: O 0 Work Without Permit? O Yes Q No $0.00 Advanced Planning Fee: IPtLONGR $85.12 Select a Non -Residential Building or Structure 0 O i 7`rm,el Docitmenlation F'e'es_ Strong Motion Fee: 1BSEISMICR $19.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $6.00 SUBTOTALS: $4,430.62 $1,793.00 TOTAL FEE: $6,223.62 Revised: 04/01/2015 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 7910 October Wa , Cupertino, CA PERMIT # 15040212 OWNER'S NAME: Ernest and Helen Lin PHONE # 510-364-5921 GENERAL CONTRACTOR: CSCI CONSTRUCTION INC BUSINESS LICENSE # 36474 ADDRESS: 2574 Lafayette St, Santa Clara, CA CITY/ZIPCODE: Santa Clara/95050 *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 Please check applicable subcontractors and complete the following information: Date ski � 1�6 Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum. / Wood Glass / Glazing _ X Heating Air and Plumbing Systems Inc 31732 Insulation Landscaping Lathing Masonry X Painting / Wallpaper Green Brush 40246 Paving Plastering Plumbing Roofing Septic Tank Sheet Metal X Sheet Rock Green Brush 40246 Tile ski � 1�6 Owner / Contractor Signature Date Address PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(Dcur)ertino.or4 i r Permit No. M'IyC O - W4� # of Alarms Smoke: 7 Carbon Monoxide: 3 PERMIT CANNOT $E FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: q / ......................... Signature ....................... ........................................... Date: Contractor Name: Signature...................................................................Licl...................................... Date:................... Smoke and CO form.doc revised 03118/14 CUPERTINO Owner Name &rAl Address �1 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(ftuaertino.or4 -I V�, Permit No. K 21 1. Is your real property a registered historical site? ❑ JYes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. V No Go to Question 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑%Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. CY No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. PI se check ONE of the following: My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following Dane. „ �r Owner or Owner Agent's Signature: k, =3=Z2 Date: 6 fot9, / 6 Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SR407 2015. doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE.BUILDING.DTUISIONA_ 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 08126/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture/ (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, 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 @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 08126/15 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Input File Name: Lin CDA2141 EA.xml CF1 R -PRF -01 Page 1 of 9 GENERAL INFORMAIZINIi ?' -D 01 Project Name Lin Residence 02 Calculation Description Title 24 Analysis I y' r - e% 03 ® Project Location 7910 October Way r. '•11 l 04 City Cupertino qq 05 Standards Version Compliance 2015 06 Zip Code 95014 C'= 07 Compliance Manager Version BEMCmpMgr 2013-3c (710) 08 Climate Zone CZ4 09 Software Version EnergyPro 6.5 10 Building Type Single Family 11 Front Orientatitn (deg/CarcJJ6lyJ45 12 Project Scope Addition and/or Alteration -- 13 Nu r Dwelling s 14 Total Cond. Floor Area (FTZ) 2140.8 15 6mber of Z -FAS 16 Slab Area (FTZ) 0 17 ber of Sto s 1 18 Addition Cond. Floor Area 630.1 19 Satu*1 Gas Availal)e ges 20 Addition Slab Area (FTZ) 0 21 Gtazirt Percentage ) 14.7% Lr COMPLIANCE RESULTS ?' -D 01 Building Complies with Computer Performance 02 This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervlgion Aa CEC-approved HEMinvider. 03 This building incorporates one or more Special Features shown below I y' r - e% '•11 l ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 47.57 37.49 10.08 21.2% Space Cooling 40.93 44.47 -3.54 -8.6% IAQ Ventilation 0.00 0.00 0.00 0.0% Water Heating 14.03 14.03 0.00 0.0% Photovoltaic Offset ---- 0.00 0.00 ---- Compliance Energy Total 102.53 95.99 6.54 6.4% Registration Number: 215•A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Page 2 of 9 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141 EA.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Cathedral Ceiling HERS FEATURE SUMMARY The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • — None -- Cooling System Verifications: • Minimum Airflow • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • Duct Sealing Domestic Hot Water System Verifications: • — None — ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an on-site renewable energy system. Reference Energy Use Energy Design RatingMargin Percent Improvement Total Energy (kTDV/f2-yr)' 150.98 144.44 6.54 4.3% • includes calculated Appliances and Miscellaneous Energy Use (AMEU) BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Lin Residence 2140.8 1 6 2 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Main Floor Conditioned HVAC Systemt 1510.7 8.2 DHW Sys 1 Main Floor Addition Conditioned HVAC Systemt 630.1 9 DHW Sys 1 Registration Number: 215-A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141 EA.xml CF1 R -PRF -01 Page 3 of 9 OPAQUE SURFACES 01 02 03 04 05 06 07 08 01 02 03 04 05 06 07 08 09 10 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft2) Tilt (deg) Status Verified Existing Condition Front Wall Main Floor R-0 Wall 345 Front 149 52 90 Existing No Left Wall Main Floor R-0 Wall 75 Left 378 57 90 Existing No Right Wall Main Floor R-0 Wall 255 Right 112 14 90 Existing No Roof 2 Main Floor R-0 Roof Attic 40.33 1395 0.1 0.85 Existing No Altered Roof Main Floor R-30 Roof Attic 42 Altered NIA Interior Surface Main Floor»Garage R-0 Walll tin 243 Main Floor R-30 Roof Existing No Raised Floor Main Floor R-0 Floor Crawlspace 18.43 0.1 1510.7 0.1 Altere Existing No Front Wail 2 Main Floor Addition R-13 Wall 345 Front 69 15 90 New NIA Left Wall 2 Main Floor Addition R-13 Wali 75 Left 88 10 90 New NIA Rear Wall Main Floor Addition R-13 Wall 165 Back 421 114.7 90 New NIA Right Wall 2 Main Floor Addition R-13 Wall 255 Right 202 40 90 New NIA Right Roof Main Floor Addition R-30 Roof Attic 147 New NIA Roof 3 Main Floor Addition R-30 Roof Attic 483 New NIA Interior Surface 3 Main Floor Addition»Garage R-13 Walll 32 New NIA Raised Floor 2 Main Floor Addition R-19 Floor Crawlspace 630.1 New NIA Front Wall 3 Garage R-0 Wall 345 Front 156 112 90 Existing No Left Wall 3 Garage R-0 Wall 75 Left 60 90 Existing No Right Wall 3 Garage R-0 Wali 255 Right 180 17.8 90 Existing No Roof 4 Garage R-0 Roof Attic 444 Existing No OPAQUE SURFACES — Cathedral Ceilings 01 02 03 04 05 06 07 08 09 10 11 12 13 Roof Framin Verified Orientatio Area Skylight Roof Rise Roof Roof Reflectan Roof g Statu Existing Name Zone Type n (ft2) Area (ft2) (x in 12) Pitch Tilt(deg) ce Emittance Factor s Condifion Roof Main Floor R-0 Roof Atticl specify - 31.8 31.7 40.33 18.43 0.1 0.85 0.07 Ex9 No tin Altered Left Roof Main Floor R-30 Roof Left 42 0 4 0.33 18.43 0.1 0.85 0.1 Altere NIA Cathedral d Registration Number: 215•A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141 EA.xml CF1 R -PRF -01 Page 4 of 9 ATTIC 01 02 03 04 05 06 07 08 09 10 11 Name Surface (Orientation -Azimuth) Width(ft) Height (ft) Multiplie r Radiant U -factor Statu Verified Existing Name Construction Type Roof Rise Roof Reflectance Roof Emittance Barrier Cool Roof s Condition Attic Garage Attic Garage Roof Cons Ventilated 4 0.1 0.85 No No Enlgsti No 0.67 Insect Screen (default) Existing No Window 3 Left Wall (Left -75) ---- --- 1 38.0 Attic Main Floor Attic RoofMain Floor Ventilated 4 0.1 0.85 No _T - No Existi No 14.0 0.34 0.30 Insect Screen (default) New N/A Skylight Roof (- specify --0) ng ---- Attic Main Floor Addition Attic RoofMain Floor Addition Ventilated 1 4 1 0.1 1 0.85 No No New No WINDOWS 01 02 03 04 05 06 07 08 09 10 11 Name Surface (Orientation -Azimuth) Width(ft) Height (ft) Multiplie r Area (ft2) U -factor SHGC Exterior Shading Status Verified Existing Condition Window Front Wall (Front -345) ---- ---- 1 32,0 0.34 0.30 Insect Screen (default) Altered N/A Window 2 Left Wall (Left -75) ---- ---- 1 18.0 0.55 0.67 Insect Screen (default) Existing No Window 3 Left Wall (Left -75) ---- --- 1 38.0 0.34 0.30 Insect Screen (default) New N/A Window 4 Right Wall (Right -255) -- -- 1 14.0 0.34 0.30 Insect Screen (default) New N/A Skylight Roof (- specify --0) ---- ---- 1 31.7 0.50 0.26 None New N/A Window 5 Front Wall 2 (Front -345) ---- --- 1 15.0 0.34 0.30 Insect Screen (default) New N/A Window 6 Left Wall 2 (Left -75) ---- - 1 10.0 0.34 0.30 Insect Screen (default) New N/A Window 7 Rear Wall (Back -165) ---- 1 114.7 0.34 0.30 Insect Screen (default) New N/A Window 8 Right Wall 2 (Right -255) ---- -- 1 40.0 0.34 0.30 Insect Screen (default) New N/A DOORS 01 02 03 04 05 06 Name Side of Building Area (11:2) U -factor Status Verified Existing Condition Door Front Wall 20.0 0.50 Existing No Door 2 Interior Surface 17.8 0.50 Altered No Registration Number: 215•A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141EA.xml CF1R-PRF-01 Page 5 of 9 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R -value U -value Assembly Layers • Inside Finish: Gypsum Board • Cavity/ Frame: no insul. / 2x4 • Exterior Finish: Wood R-0 Wall Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. none 0.302 Siding/sheathing/decking Ceilings (below Inside Finish: Gypsum Board R-0 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. none 0.481 Cavity/ Frame: no insul. / 2x4 • Cavity/ Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic Garage Roof Cons Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Cavity/ Frame: no insul. /2x4 Top ChM 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofMain Floor Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Floors Over Floor Deck: Wood Siding/sheathing/decking R-0 Floor Crawlspace Crawlspace Wood Framed Floor 2x12 @ 16 in. O.C. none 0.216 Cavity/Frame: no insul. /2x12 • inside Finish: Gypsum Board • Cavity/ Frame: no insul. / 2x4 • Roof Deck: Wood Siding/sheathing/decking R-0 Roof Atticl Cathedral Ceilings Wood Framed Ceiling 2x4 @ 24 in. O.C. none 0.494 • Roofing: Light Roof (Asphalt Shingle) • inside Finish: Gypsum Board • Cavity/ Frame: no insul. / 2x4 R-0 Wall Interior Walls Wood Framed Wall 2x4 @ 16 in. O.C. none 0.277 Other Side Finish: Gypsum Board • Inside Finish: Gypsum Board • Cavity / Frame: R-30 / 2x 10 • Roof Deck: Wood Siding/sheathing/decking R-30 Roof Cathedral Cathedral Ceilings Wood Framed Ceiling 2x10 @ 16 in. O.C. R 30 0.037 Roofing: Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board Ceilings (below Cavity / Frame: R-9.1 / 2x4 R-30 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 30 0.032 Over Floor Joists: R-20.9 insul. • Cavity/ Frame: no insul. /2x4 Top ChM 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/derking Attic RoofMain Floor Addition Attic Roofs Wood Framed Ceiling in, O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Floors Over Floor Deck: Wood Siding/sheathing/decking R-19 Floor Crawlspace Crawlspace Wood Framed Floor 2x6 @ 16 in. O.C. R19 0.049 Cavity/Frame: R -19/2x6 • Inside Finish: Gypsum Board • Cavity / Frame: R-13 / 2x4 • Exterior Finish: Wood R-13 Wall Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 13 0.095 Siding/sheathing/decking Registration Number: 215-A0109105A-000000000-0000 Registration Date/Time: 2015-04-2609:04:53 HERS Provider: CaIGERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141 EA.xml CFI R -PRF -01 Page 6 of 9 WATER HEATING SYSTEMS 01 02 03 04 05 side Finish: Gypsum Board 07 08 Name System Type Distribution Type Water Heater avity/ R-13 / 2x4 r*0thFrame: R-13 Wall1 Interior Walls Wood Framed Wall 2x4 16 in. O.C. R 13 0.092 er Side Finish: Gypsum Board WATER HEATING SYSTEMS 01 02 03 04 05 06 07 08 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) Status Verified Existing Condition DHW Sys 1 DHW Standard DHW Heater 1 1 Annual Existing No WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gat) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Storage 50 0.575 EF 40000-Btuihr 0 0 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation with Manual Control Recirculation with Sensor Control DHW Sys 1 n!a n/a n1a n/a n/a n/a SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 07 08 09 Heating System Cooling System Distribution Fan Floor Area Verified Existing Name System Type Name Ducted Name Ducted System System Served Status Condition HVAC Systema Other Heating and Heating Yes CoolingYes Air Distribution HVAC Fan 2140.8 Altered No Cooling System Component 1 Component 1 System 1 1 HVAC - HEATING SYSTEMS 01 02 03 Name Type Efficiency Heating Component 1 CntrlFurnace - Fuel -fired central furnace 94 AFUE Registration Number: 215-A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141 EA.xml CF1R-PRF-01 Page 7 of 9 HVAC - COOLING SYSTEMS 01 02 03 04 05 06 07 Name Verified Airflow Efficiency Verified EER Multi -speed Verified Refrigerant Charge Name System Type EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond - Split air conditioning 117 14 No No Cooling Component Location system Status Condition Verification 1 -hers -cool HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1 -hers -cool Required 350 Not Required Not Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 08 09 10 Air Distribution System 1 -hers -dist Required 6.0 Insulation Supply Duct Return Duct Verified Existing HERS Name Type Duct Leakage R -value Location Location Bypass Duct Status Condition Verification Air Distribution Air Distribution Ducts located in attic Sealed and tested 6.0 Attic Attic None Existing + New No System System 1 1 -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Location Verified Duct Design Return Supply Air Distribution System 1 -hers -dist Required 6.0 --- HVAC - FAN SYSTEMS & HERS VERIFICATION 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 Required IAQ (Indoor Air Quality) FANS 01 02 03 04 05 Name IAQ CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 0 Default 0 Not Required Registration Number: 215•A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Input File Name: Lin CDA2141 EA.xml CF1 R -PRF -01 Page 8 of 9 Registration Number: 215-A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04012015-710 Report Generated at: 2015-04-26 08:57:34 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lin Residence Calculation Date/Time: 08:55, Sun, Apr 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Lin CDA2141 EA.xml CF1R-PRF-01 Page 9 of 9 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Miles Hancock Company: Signature Date: Energy Design Group 2015-04-26 09:03:28 I-CABEC Address: CEA/HERS Certification Identification (If applicable): 2149 Dartmouth St R13-14-10047 alksn4 Attie. uf. rof rf.sllme ?nmry Iorhull:..,- City/State/Zip: Phone: Palo Alto, CA 94306 650-424-1189 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 3. The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this buildin ermit application. Responsible Designer Name: Reronsihia D g er Si nature: Company: Date Signed: Chapman Design Associates 2015-04-26 09:04:53 Address: License: 620 S. EI Monte Ave N/A City/State/Zip: Phone: Los Altos, CA 94022 650-941-6890 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215•A0109105A-000000000-0000 Registration Date/Time: 2015-04-26 09:04:53 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-0401"2015-710 Report Generated at: 2015-04-26 08:57:34 CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS J COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPERTINQ ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL v 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - buildinga.)cupertino.org PURPOSE: The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: LIN RENOVATION Project Address: 7910 OCTOBER WAY Project Description: ADDITION / REMODEL Instructions: v19z. 8 ? ddd 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the checklist printed on the approved plans for the project. 3. Prior to final inspection by the Building Department, the licensed profesA11 complete Column 3 and sign and date Section 2 - Implementation Verification at the end of h s ecklist and submit the completed form to the Building Inspector. Column 2 MANDATORY FEATURE OR MEASURE Project Reauirements Planning and Design - Site Development 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during construction. 4.106.3 Grading and paving. The site shall be planned and developed to taut ding Dopsrtr m keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. , REVIEWED F -UR GODS COMPLIANCE Reviewed By - h% Column 3 Verification l0l Al Page 1 of 5 CalGreen 2014.doc revised 011Jj114 Page 2 of 5 CalGreen 2014.doc revised 01115114 A4.2 General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. A4.3 WATER EFFICIENCY AND CONSERVATION Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: 0 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. 0 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 LIN designed to allow only one shower outlet to be in operation at a time. 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, UJ 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 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 controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. ® ❑ 4.304.1.2 Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. A4.4 MATERIAL Enhanced Durability and Reduced Maintenance 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. Construction Waste Reduction, Disposal and Recycling 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. Building Maintenance and Operation 4.410.1 Operation and maintenance manual. At the time of final inspection, ® ❑ an operation and maintenance manual shall be provided to the building occupant or owner. A4.5 ENVIRONMENTAL Fireplaces 4.503.1 General. install only a direct -vent sealed -combustion gas or sealed ❑ ❑ wood -burning fireplace, or a sealed woodstove. Pollutant Control 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air X❑ ❑ 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 M\/ ❑ 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 ❑X ❑ compounds. Page 3 of 5 CalGreen 2014_doc 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 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-emittingX❑ ❑ 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 ❑X ❑ comply with low formaldehyde emission standards. Interior Moisture Control 4.505.2 Concrete slab foundation. Required vapor retarders and capillary ® ❑ breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building ❑ ❑ materials used in wall and floor framing is checked before enclosure. Indoor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the ❑ ❑ building are provided in every bathroom. Environmental Comfort 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. ® ❑ 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. INSTALLER AND SPECIAL OR QUALIFICATIONS 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 M/1 ❑ discipline they inspect and verify. Verifications 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing © ❑ agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CalGreen 2014.doc revised 01/IS/14 Project Name: Project Address: Project Description: CALGREEN SIGNATURE DECLARATIONS LIN RENOVATION 7910 OCTOBER WAY ADDITION / REMODEL 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 Ci of Cupertino. 2 ��- Owner' Signature Date >�NL t �% Owner's Nam (P a e Print) Q -Z7 -15 - Design Professional's Signature Date r GP%� +jete i rofes al's Na tPlease Print) 04/26/2015 Signature of License Professional responsible for CalGreen compliance Date Miles Hancock (650) 804-9063 Name of License Professional responsible for CalGreen compliance (Please Print) Phone energy@pacbell.net 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 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 01/15/14