13080147CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10613 N STELLING RD
CONTRACTOR: GINO'S CONSTRUCTION
PERMIT NO: 13080147
OWNER'S NAME: VIKAS NAYAR
P 0 BOX 110057
DATE ISSUED: 10/15/2013
OWNER'S PHONE: 4084407914
CAMPBELL, CA 95011
PHONE NO: (408) 963-7373
LICENSED CONTRACTOR'S DECLARATION.
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALE]
License Class ic. #
ink
CONSTRUCT A 249 SQ FT ONE STORY ADDITION
Contractor Date as
I hereby affirm that I aTli4cieired un e provisions 4 Chapter 9
(commencing with Sect 000) 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: $12500
erformance of the work for which this permit is issued.,
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: 32608052.00
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
WITIHN 18 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
ST CALLED
SF LAST CALLED PMSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said C in consequence of th
City
1"u V.
issu v:
Additionally,
granti �P,�h�is_permit. Additionally, the applicantunderstands and will comply
ap uum" u'
r t
wi I non -point source regulations per the Cupertino Municipal Code, Section
t so �o regulations
non -point
RE -ROOFS:
installed. N is
9.1 g
Signatur Date)((
All roofs shall be inspected prior to any roofing material being a roof
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, 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)
1, 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. 1 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 Munici al Code, Chapter 9.12 and
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
the Health & Safety Code, Sections 25510 , 5533, an 25534.
nU
Owner or authorized agentcA .1 Date.\
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
CONSTRUCTION LENDING AG CY
Compensation laws of California. if, after making this certificate of exemption, I
.
become subjectto 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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
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
PERMIT APPLICATION
CONSTRUCTION � I
FEE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 . FAX (408) 777-3333 • buildingacapertmo.org
CupERTmd
M ............... ..........�..,.,.�. ) ' ......•.-.mar n n t mcn -rrnl r i mr �I DRvrCInTT / r1FFFRRFTI 0TZI(11NAI. PF.RMIT #
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PROJECT ADDRESS Q Por s 7 1� ( l it A j p(�
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APN # � — ^^Oy
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OWNER NAME 1
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STREET ADDRESS e ]] -•�'
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CITY, STATE,
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FAX
OWNER ❑ OWNER -BUILDER 11OWNER AGENT ❑ CONTRACTOR El CONTRACTOR AGENT El ARCHITECT 11 ENGINEER El DEVELOPER ❑'TENANT
CONTRACTOR NAME , �j
[�eVL� �l/v7
LICENSE NUMBER �i2,/'I�
G-r•� G/
LICENSE TYPE
BUS. LIC #
COMPANY NAME
STREET ADDRESS,�7�,..
CITY;'STATE, ZIP %1�
PHONE n F�
ARCHITECTBNGINEERNAME
LICENSE NUMBER �/
BUS- LIC
COMPANY NAME
E-MAIL
AIL ` a
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FAX
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STREET ADDRESS •� �
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CITY STATE, ZIP
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PHONE /�.� � r_ "%
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! o � mus r 14f
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DESCRIPTION OF WORK Z ti p r q J ra'�n .. vi-cs tis" P,,,, Cff
VP
VP
EXISTINGUSE.
PROPOSED USE
CONSTR TYPE
# STORIES USE
TYPE OCC.
- SQXT..
VALUATION ($)
EXISTG
AREA
NEW FLOOR
AREA f?..i
DEMO
AREA.
TOTAL
NET AREA
_
'
BATHROOM .'.
REMODEL AREA
KTTGCHEN
REMODEL AREA
OTHER
REMODEL AREA
a_
PORCH AREA -
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DUETACH
❑ ATTACH
#DWELLINGUNITS: LSA SECOND UNIT []YES SECOND STORY ❑YES -
BEINGADDED? ❑NO ADDITION? []NO
TOTAL VALUATIONpppr
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF I9 THE BLDG AN❑YES - _
-
r F
PLANNING APPL # ❑ NO PLANNINGAPPROVAL LETTER EICHLER HOME? Q NO - s _ +�
By my signature below, I certify to each of the following: I am the property owner or aut e to act on pr owner's behalf. I have read this
I is correct. I have read the Description of Work and verify i i ate. I agree to comply with all applicable local
application and the information have provided
and state laws relating to bui dinCg construction. I authorize representatives of Cupertino to este a above -identified for inspection purposes.
jproperty
ordinances
Date: � (20 1 /3
Signature of Applicant/Agent: 1 i dl
SUPPLEMENTAL FORMATION RED
Y ort '
pt+i w711
I
i
New SFD or Multifamily dwellings: Apply for deq.olition permit for
f CImGDII�rIIr� j
�H 46 rt
_
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
E eivPr rev '
Commercial Bldgs: Provide a completed Hazardous Materials Disclosuresn
TRD
_
form if any Hazardous Materials are being used as part of this project.
l4 p-
of Planning Approval Letter or Meeting with Planning prior to
t sTsnc
_Copy
submittal of Building Permit application.
_ -
�
BldgApp_2011.doe revised 06/21/11
aim
CITY OF CUPERTINO
FEE ESTIMATOR RT7TT:nTNC n1V1QYn1V
` ADDRESS: 10613 N STELLLING RD
TYPE OF
CONSTR.
DATE: 08/20/2013
REVIEWED BY: MELISSA
APN: 326 08 052
BP#:
/ �,® v N
R-3 (Custom)
*VALUATION; $12,500
`PERMIT TYPE: Building Permit
$1,059.00
PLAN CHECK TYPE:
Addition
PRIMARY SFD or DupleX
USE:
2nd Unit? Yes No
OTC? 0 Yes ENo
PENTAMATION
PERMIT TYPE: 1 R3SFDADD
WORK
I ADDITION OF 249 S.F. TO ADD N
BEDROOM & EXTEND E
BATHROOM
SCOPE
0,0
hrs
$0.00
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
11-8,111-B,IV,V-B
249
$1,059.00
IADDPLCK
$1,026.00
IADDINSP
PME Plan Check:
$0.00
Permit Fee:
$1,026.00
Suppl. Insp. Feer Reg. 0 OTJ
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction .T'eiy:
TOTALS:
249
$1,059.00
_
$1,026.00
E)
Work Without Permit? 0 Yes 0 No
i1ech. Plan £.`heck
Phimb. Pkin Cheek
QTY/FEE
Dec. Plan Check
i'L e.Cll. -wit 1"G'C::
Plumb, Permit Fc?,,-:
1 ZsC. Permit }`ee:
Olhertltech. Insp.
Other Plumb Inst;.
Olhe r 1:lec. Insp.
tech. Insp. Fee
Plunib. Ins{). Fee:
Flec. Insp. Fee:
1tvui.n z nts esumate aces not inctuae fees aue to other Departments (i.e. Planning, Public Works, Lire, Sanitary Sewer District, .School
//Ivtrirt Pt('-)- / hover fOO.Q an, hacod n" flfa sl.,. n,...s .. ,..l.l..: 1l :-,C-
FEE ITEMS (Fee Resolution 11-053 Ef. .. 7/U12�
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,059.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,026.00
Suppl. Insp. Feer Reg. 0 OTJ
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction .T'eiy:
A(Iministrative I%ee:
E)
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee: IPLLONGR
$34.86
Select a Non -Residential
Building or Structure
E)
0
A
Crrrv>el Documentalion fees:
Strong- Motion Fee: IBSEISMICR
$1.25
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$1.00
S TOTAL
$2,122.11
$0.00 - - _ -Tc TA a $2,122.11
Revised: 07/01/2013
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: a 06
PERMIT
OWNER'S NAME: )�J(Auiovl_j
PHONE
GENERAL CONTRACTOR:
BUSINESS LICENSE #
ADDRESS: d
%�
CITY/ZIPCODE:
*Our municipal code. equires aft businesses workingAn the city to have a City of Cupertino lAsiness license. .
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL,THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
' I am not using any subcontractors:
x Signature Date
Please check applicable subcontractors and_ complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
X Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Owner /
Date
BUILDING ENERGYANALYSIS REPORT
o3e�oe5��
PROJECT:
REAR ADDITION +EXISTING
10613 N.STELLING ROAD
CUPERTINO, CA 94014
Project Designer:
J&M Design
1005 West Eighth Street
Stockton , CA 95206
(650) 330-0328
A
s
Report Prepared by:
Jose Jimenez
J&M Design
1005 W. 8th Street r
Stockton, CA 95206, "
4vlo (650) 793-1491 y
G z
CIO
t
Vigo
Job Number:
Date: OCT 02 2013
9/30/2013'---�
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has app5oval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
Ener Pro 5.1 by Ener Soft User Number.- 6555 RunCode: 2013-09-30T20:59:47� ID:
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Form CF -1 R Certificate of Compliance 3
Form MF -1 R Mandatory Measures Summary 9
HVAC System Heating and Cooling Loads Summary 12
EnergyPro 5.1 by EnergySoft Job Number:. ID: User Number: 6555
PERFORMANCE CERTIFICATE: Residential Part 1 `of 5
CF -111
Project Name
REAR ADDITION + EXISTING
Building Type ® Single Family 13 Addition Alone
❑ Multi Family m Existing+ Addition/Alteration
Date
9/30/2013
Project Address
10613 N. STELLING ROAD CUPERTINO
California Energy Climate Zone
CA Climate Zone 04
Total Gond. Floor Area
2,966
Addition
249
# of Stories
2
FIELD INSPECTION ENERGY CHECKLIST
® Yes ® No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for'details.
INSULATION Area Special
Construction Type Cavity Features see Part 2 of 5 Status
Wall Wood Framed R-13 213 New
Roof Wood Framed Attic R-30 249 New
Slab Unheated Slab -on -Grade None 249 Perim = 47' New
Wall Wood Framed R-13 116 Altered
Wall Wood framed R-13 2;034 Existing
Door Opaque Door None 37 Existing
Slab Unheated Slab -on -Grade None 1,337 Perim = 137' Existing
Roof Wood Framed Attic R-19 1,692 Existing
FENESTRATION U- Exterior
Orientation' Area Factor SHGC Overhang Sidefins Shades Status
Rear (M 50.0 0.390 0.37 none none Bug Screen
New
Front (E) 18.0 0.510 0.61 none none Bug Screen
Removed
Rear (lAq 129.0 0.510 0.61 none none Bug Screen
Existing
Front (E) 161.0 0.510 0.61' none none Bug Screen
Existing
Left (S) 18.0 0.510 0.61 . none none Bug Screen
Existing
Right (N) 33.0 0.510 0.61 none none Bug Screen
Existing
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
1 Central Furnace 80% AFUE No Cooling 13.0 SEER Setback
Existing
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
HVAC System Ducted Ducted Attic, Roof Ins 8.0
Existing
WATER HEATING
`Ot . Type Gallons Min. Eff Distribution
Status
Ener Pro 5.1 b .Ener Soff User Number. 6555 RunCode: 2013-09-30T20.59 47 1D:
Pa e 3 of 12
PERFORMANCE CERTIFICATE. Residential (Part 2 of 5) CF -1R
Project Name Building Type 0 Single Family ❑ Addition Alone i Date
REAR ADDITION + EXISTING � Q Multi Family ® Existing+. AdditionlAlteration 1913012013
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this. checklist. These items rewire special written
justification and documentation, and special verification to be used .with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation. submitted.
The HVAC System Carrier 58MTBfl0140-1 S does not include a cooling system, field verification is not necessary.
HEFTS REQUIRED VERIFICATION
Items in this section require field testing and/or verification.by a certified HERS Rater. The inspector must receive a
completed GF -4R form for each of the measures listed below for final to be given.
Ener Pro 5.1 by Ener Soft User Number. 6555 RunCode. 2073-09 3AT20:59:47 lli_ " pac
le 4 of 12
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R
Project Name
Building Type ® Single Family ❑ Addition Alone
Date
REAR ADD/TION + EXISTING
❑ Multi Family m Existing+ Addition/Alteration
9/30/2013
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 21.87 22.16 -0.29
Space Cooling 8.55 6.99 1.56
Fans 5.26 4.91 0.35
Domestic Hot Water 13.32 13.32 0;00
Pumps 0.00 0.00 0.00
Totals 49:00 47.38 1.62
Percent Better Than Standard: 3.3
BUILDING COMPLIES -'NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation:. (E) 90 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (E) 742- 161
Fuel Available at Site: Nature/ Gas (S) 655 18
Raised Floor Area: o _ (VL9 739 179
Slab on Grade Area: 1,586 (N) 655 33
Average Ceiling Height: 8.0 Root 1,941 0
Fenestration. Average U -Factor: 0.49 TOTAL: 391
Average SHGC: 0.58 Fenestration/CFA Ratio: 13.2%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company J&M Design �9,/'JO//2�013
Address 1005 W. 8th Street Name Jose Jimenez
City/State/Zip Stockton, CA 95206 Phone (650) 793-1491 /---Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this'set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and,
with any other calculations submitted with this permit application, and recognizes that compliance using. duct design,
duct sealing; verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company J&M Design
Address 1005 West Eighth Street Name Jose Jimenez ;
City%State/Zip Stockton, CA 95206 Phone (650) 330-0328 Signed License
=EnerqvPro 5.1 by Ener Soft User Number: 6555 RunCode: 2013-09-30T20.59:47 /D: Pas 5.012
CERTIFICATE OF COMPLIANCE: Residential
(Part 4 of 5) CF -1 R
Project Name
REAR ADDITION + EXISTING
Building Type ® Single Family ❑ Addition Alone
o Multi Family to Existing+ Addition/Alteration
Date
119/30/2013
OPAQUE SURFACE DETAILS
Surface
Type Area
U- Insulation
Factor Cavity Exterior Frame Interior Frame Azm Tilt Status
Joint Appendix
4 Location/Comments
Wail
101
0.102 R-13
180
90 New
4.3.1: A3
Addition and existing
Wall
112
0.102 R-13
270
90 New
4.3.1 A3
Addition and existin
Roof
249
0.031 R-30
0
0 New
4.2.1-A20
Addition and existin
Slab
249
0.730 None
0 _
180 New
4.4.7-A1
Addition and existing
Wall
116
0.102 R-13
90
90 Altered
4.3.1-A3(E=4.3.1-A3) Addition and existing
Wall
258
0.102 R-13
180
90 Existing
4.3.1-A3
Addition and existing
Door
17
0.217 None•
180
90 Existing
4.5.1-A4
Addition and existing
we//
140
0.102 R-13
270
90 Existing
4.3.1 A3
Addition and existing
Wall
127
0.102 R-13
90
90 Existing
4.3.1-A3
Addition and existing
Door
20
0.217 None
90
90 Existing
4.5.1 A4
Addition and existin
Wall
376
0.102 R-13
0
90 Existing
4.3.1 A3
Addition and existing
Slab
1,337
0.730 None
0
180 Existin
4.4.7 Al
Addition and existing
Roof
312
0.049 R-19
0
0 Existing
4.2.1-A4
Addition and existing
Wall
261
0.102 R-13
180
90 Existing
4.3.1-A3
Addition and existing
Wall
1 308
0.102 R-13
270
90 Existing
4.3.1 A3
Addition and existing
Walt
1 318
0.102 R-13
90
90 Existing
4.3.1-A3
JAddition and existing
FENESTRATION SURFACE DETAILS
ID
Type
Area 1 -11 -Factor' SHGC
Azm Status
Glazing Type
Location/Comments
1
Window
20.0 0.390 NFRC 0.37 NFRC 270 New
Low -E Vinyl
Addition and existing
2
Window
30.0 0.390 NFRC 0.37 NFRC 270 New
Low -E Vinyl
Addition and existing
3
Window
18.0 0.510 NFRC 0.61 NFRC 90 Removed
Vin f/Clear
Addition and existing
4
Window
60.0 0.510 NFRC 0.61 NFRC 270 Existing
Vinyl/Clear
Addition and existing
5
Window
102.0 0.510 NFRC 0.61 NFRC 90 Existing
Vinyl/Clear
Addition and existing
6
Window
18.0 0.510 NFRC 0:61 NFRC 180 Existing
VinyllClear
Addition and existing
7
Window
69.0 0.510 NFRC 0.61 NFRC 270 Existing
VinyllClear
Addition and existing
8
Window
59.0 0.510 NFRC 0.61 NFRC 90 Existing
VinyllClear
Addition and existing
9
Window
33.0 0.510 NFRC 0.61 NFRC 0 Existing
VinyllClear
Addition and existing
(1) U -Factor Type: 116-A =Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Window
Exterior Shade Type SHGC Hgt7 Wd
Ove hanq
Len H t LExt RExt
Left Fin Right Fin
Dist Len H t Dist Len H t
1
Bug Screen
0.76
2
Bug Screen
0.76
3
Bug Screen
0.76
4
Bug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
7
Bug Screen
0.76
8
Bug Screen
0.76
9
Bug Screen
0.76
Ener Pro 5.1 by
Ener Soft User Number: 6565
RunCode: 2013-09-30720:59:47
ID:
Page 6 of 12
CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1R
Project Name
REAR ADDITION + EXISTING
Building Type 0 Single Family ❑ Addition Alone
❑ Multi Family 0 Existing+ Addition/Alteration
Date
9/30/2013.
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existing Altered Removed Volume Year Built
HVAC System Proposed Add. @ First Floor 249
1,992
Existing First Floor
1,337
10,696 1992
Existing Second Floor
1,380
111-040,1992
Totals 249 2,717 0 .- 0
HVAC SYSTEMS
_
System Name Qty. Heating Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
HVAC System 1 Central Furnace
' 80% AFUE No Cooling 13.0 -SEER Setback
Existing
HVAC DISTRIBUTION
System Nam_ a Heating
Duct
Cooling Duct Location R -Value
Ducts
Tested? Status
HVAC System Ducted
Ducted Attic, Roof Ins 8.0
❑ Existing
El
WATER HEATING SYSTEMS
System Name
Qty.
_
Type
Distribution
Rated
Input
Btuh
Tank .
Cap.
al
Energy
Factor
or RE
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Standard Gas 50 gal or Le
1
Small Gas
Kitchen Pipe Ins
40,000
50
0.58
n/a
n/a
Existing
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING
_
Control
Hot Water Piping Length
ft
c
¢ _
System Name '
Pipe
Length
Pipe
Diameter
lnsul.
Thick.
Qt .' HP
Plenum
Outside Buried
Ener Pro 5.1 by Ener Soft User Number., 6555
RunCode: 2013-09-30T20:59:47 ID:
Page 8 of 12
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 " MF -1 R
Project Name
REAR ADDITION + EXISTING -
Date
9/30/2013
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 tans.
Building Envelope Measures:
§116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a).
§117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 50 a :`Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor.
150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value:
*§150(c): Minimum R-13 insulation in wood -frame wall or equivalent LI -factor.
*§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent L1 -factor.
150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no qreater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
fire laces, Decorative Gas Appliances and Gas Lo Measures:
150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)l S: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and,the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated -appliances are certified, by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release,
valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply 'voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACOA.
150(i): Heatin systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§1500)1, B:. Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the
tank. ,
§150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of _
recirculating sections of hot water pipes are insulated per Standards Table 150-B.
§150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and E nation 150-A.
§150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table'
123-A.
'4150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. ,
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
.conditioned s ace. 7--
§150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ener4yPro5.?. by EnergySoft User Number. 6555 RunCode: 2013-09-30T20:59:47 ID: Page 9 of 12 ;;
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3) MF -1 R
Project Name
Date
REAR ADDITION + EXISTING
1913012013
§150(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 pl enums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
applicable requirements of UL 181, UL 181A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal oDenings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§1 50(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150 m 7: Exhaustfan systems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, -including that due to sunlight, moisture, equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause de -gradation of the material.
§150(m)10: Flexible ducts cannot have porous inner cores.
§150(0); All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114 b 2: Outdoor pools ors as that have a heat pump or as heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
§150(p): Residential pool systems ore ui ment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p).
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire as specified by §1 50(k)2.
§150(k)3: The wattage of permanently installed luminaires shall bedetermined as specified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§1 50(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or, exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
§150(k)6: Liqhting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
§150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed fighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyProal by EnergySoft User Number: 6555 RunCode: 2013-09-30T20.59W ID: Page 10 of 12
.4,
MANDATORY MEASURES SUMMARY: Residential (Page 3 o 3 MF -1R
Project Name _
Date
REAR ADDITION + EXISTING
1913012013
§150(k)10:' Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119:
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupancy sensor.
§150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)12: 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 lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)13 Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (ENCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptions to §150(k)l3 may be controlled by,a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed`
luminaires in.or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code=need not
be hic ih efficacy" luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130,132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130,131, 134, and 146.
§150(k)i 6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoft User Number. 6555 RunCode:2013-09-30T20:59 47 ID: Page 11 of 12
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Date
REAR ADDITION + EXISTING
9/30/2013
System Name
HVAC System
Floor Area
2,966
ENGINEERING CHECKS SYSTEM LOAD
Number of Systems 1
COIL
CFM
Total Room Loads 1,514
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output perSystem 61,000
32,041
1,960 744
36,771
Total Output (Btuh) 61,000
0
Output Btuh/s ft 20.6
942
1,348
Cooling System
0
0
Output per System 0
0
O 0
0
Total Output Btuh 0
0
1,960
0
Total Output (Tons) 0.0
942
1,348
Total Output (Btuh/s ft) 0.0
Total Out ut- s ft/Ton 0.0
33,926
39,467
Air System
CFM per System 1,175
HVAC EQUIPMENT SELECTION
Airflow cfm 1,175
Carrier58MTB00100-16 0
0 61,000
Airflow cfm/s ft 0.40
Total Adjusted System Output 0
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
0 61,000
Aug 3 PM Jan 1 AM
Airflow cfm/Ton) 0.0
Outside Air (%) 0.0%
Outside Air (cfm/ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
28 OF 67 OF 67 OF 115 °F
Outside Air --- --
0 cfm Supply Fan Heating Coil
114 OF
AL 1,175 cfm
ROOM ,
67 OF
68 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time Of Coolie Peak
88 / 68 OF 76 J 62 OF 76162 OF 55 / 54 OF
Outside Air
0 cfm Supply Fan Cooling Coil
56154 OF
1,175 cfm
46.4% ROOM...
76 / 62 OF
75162 OF
EnergyPro 5.9 by EnergySoft User Number. 6555 RunCode: 2013-09-30T20:59.'47 ID:
Page 12 of 12
.-TATOW-M-01 SPECIALINSPEOTTION.S., &I Z'
E- M
2.- 10 CM
E g
CUPERTINU�nO
il 6;10 e�
Xv,
41 ml :T" lz�l f
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4`P! `7 -'A
IZZIN -4,' EN'Ui E
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CUPERTWO
1113uilding,_ epartment
OCT I IAS
OFFICE COPY
LST OF SPECIAL INS PEC74IONGENC-F
WI _ bs# ,,. t.uats,� !N-'.
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VERIFICATION AND INSPECTIONC
p
REFERENCED
IBC
STANDARD
REFERENCE
INSPECTION OF CONCRETE
1. ❑ Inspection of reinforcing steel, including prestressing
---
X
ACI 318: 3.5, 7.1-7.7
1913.4
- tendons and placement.
2. q Inspection of reinforcing steel welding in accordance
AWS D1.4 ACI 318:
with Table 1704.3 Item 5b.
3.5.2
-
3. ❑ Inspection of bolts to be installed in concrete prior to
and during placement of concrete where allowable
X
_
ACI 318: 8.1.3,
1911.5, 1912.1
Loads have been increased or where strength design
21.2.8
is used.
4. ❑ Inspection of anchors installed in hardened concrete.
---
X
ACI 318:
1912.1
5. ❑ Verifying use of required design mix.
1904.2.2,1913.2,
---
X
ACI 318:
1913.3
6. ❑ At time fresh concrete is sampled to fabricate
ASTM C 172
specimens for strength tests, perform slump and air
X
---
ASTM C 31
1913.10
content tests and determine the temperature of the
concrete.
ACI 318: 5.6, 5.8
7. ❑ Inspection of concrete and shotcrete placement for
X
---
ACI 318: 59 5.10 .
510
1913.6, 1913.7,
proper application techniques.
1913.8
8. ❑ Inspection for maintenance of specified curing
_--
X
ACI 318: 5.11-5.13
1913.9
temperature and techniques.
9. Inspection of prestressed concrete:
Application of prestressing forces.
X
---
ACI 318: 18.20
❑ Grouting of bonded prestressing tendons in the
X
---
ACI 318: 18.18.4
seismic force -resisting system.
10. ❑ Erection of precast concrete members.
---
X
ACI 318: Ch. 16
---
11. ❑ Verification of in-situ concrete strength, prior to
stressing of tendons in posttensioned concrete and
---
X
ACI 318: 6.2
---
prior to removal of shores and forms from beams and
structural slabs.
12. ❑ Inspect formwork for shape, location, and dimensions
---
X
ACI 318: 6.6.1
---
of the concrete member being formed.
13:`� Bolts Installed in Existing Masonry or Concretes=���
❑ Direct tension testing of existing anchors.
---
X
See ICC ES Reports form special
inspection requirements for proprietary
❑ Direct tension testing of new bolts.
---
X
El Torque testing of new bolts.
---
X
products
❑ Prequalification test for bolts and other types of
X
anchors.
_
14. ❑ Other:
SpecialnspectionForm 2012. doe revised 09/06/12