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14060041-DI CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 7955 WOODLARK WAY CON TRUCTOOR: NEWHOME PERMIT NO: 14060041 I OWNER'S NAME: SHAIKH KARIMULLA AND PAGADIPAALA .IA 148242 ARCADIAN ST I DATE ISSUED: 08/22/2014 1 OWNER'S PHONE: 4082340251 1 FREMONT, CA 94539 1 PHONE NO: (408)421-9808 LICENSED CONTRACTOR'S DECLARATION License Classes Lic. # �� 1� Contractor �/ 7 / r j u �L /,DateeIZ-2--, 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 performance ofthe work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that i have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point sourcg..fegul ns per the -Cupertino M�I Code, Section 9.18. Signature Datek/2 2� i OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, wil I 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] CONSTRUCT (2) ONE STORY ADDITIONS (609 SQ FT); REMODEL KITCHEN (100 SQ FT); REMODEL FIRST FLOOR (545 SQ FT); REMODEL SECOND STORY (456 SQ FT). Sq. Ft Floor Area: I Valuation: $121800 APN Number: 36203021.00 1 Occupancy Type: PERM F WORK IS NOT STARTED WIT N 180 DAYS F PERMIT ISSUANCE OR 180 DA FROM LAk CALLED INSPf CTION. Issued by: Date: Z RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 253D5, 5533;.and25534.-- G Owner or authorized agent: Date-. � �2 6 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Profess CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a0cupertino.org��ou 6a\ B ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS —"" / APN # 0 2 OWNER NAME "y 'E „,.� �- G/— E-MAIL STREET ADDRESS p / CITY, STATE, ZIP FAX _ CONTACT NAME/� ��'t VL/ NE _ E-MAIL c) h STREET ADDRESS-/ 2yj s j 1 CITY, STAT�ZIP Jo FAX 1:1l ❑ CONTRACTOR ❑ CONTRACTOR AGENT VARCHITECT OWNER ❑ OWNER -BUILDER El OWNER AGENT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 9 D LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER AME LICENSE NUMBER BUS. LIC # V. COMPANYNAME\�'T E-MAIL I AI FAX STREET ADD ES$ 1 7 j 2-2 CITY, STAT P � ( PHC,ONE (i k L �) DESCRIPTION OF WORK 1 0 EXISTING USE PROPOS US CONSTR. TYPE # STORIE V I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG/� AREA I7 O� NEW FLOOR AREA Go DEMO AREA TOTAL �. NET AREA 2 BATHROOM REMODEL AREA KITCHEN REMODEL AREA lO V OTHER nn REMODEL AREA .v PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: ODETACH [a'ATTACH I # DWELLING UMTS: IS A SECOND UNIT ❑ YES SECOND STORY OYES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN 0 YES CE PLANNING APPL k ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO f�D O By my signature below, I certify to each of the following: I am a property owner or aut p vent to act on the prop ov✓ner' ehalf I hav read this application and the information I have provided is torr I hav read the Description nTVork and verify it is accura . I agre comply with all applicable local ordinances and state Taws relating to building construe on I au orize representat, es of Cupertino to enter the ab e - 'd led/prope for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATIONrQUIRED PLAN CHECK TYPE - ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD Or Multifamily dwellings: Apply for demolition permit for existing building(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 1:1STANDARD ElPUBLIC WORKS 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 DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp 2011.doc revised 06121/11 10. IAC CITY OF CUPERTINO r -m -N. FEE ESTIMATOR - BUILDING DIVISION t ADDRESS: 7955 WOODLARK WAY DATE: 06/09/2014 REVIEWED BY: MELISSA PC FEE ID APN: 362 03 021 BP#: 'VALUATION: 1$121,800 'PERMIT TYPE: Building PermitPLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes No OTC? 0 Yes (2) No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK ADDITION TO CREATE N BEDROOM N LIVING RM & N DINING RM. REMODEL E KITCHEN SCOPE I (100S.F.) & REMODEL/RECONFIGURE UPSTAIRS AREA TO MAKE (N) MASTER BEDROOM (437 0 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 609 $2,577.00 1R3PLNCK $1,617.00 IR3INSP Permit Fee: $1,617.00 Suppl. Insp. Fee -E) Reg. 0 OT 0,0 hrs $0.00 200 amps Electrical $47.00 IBELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $47.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: 609 $2,577.00 Travel Documentation Fee: ITRA VDOC $1,617.00 Strony, Motion Fee: IBSEISMICR MECH, HOURLY 0 Yes 0 No PLUMB, HOURLY 0 Yes Q No ELEC, HOURLY 0 Yes 0 No MISC ITEMS Plan Check Fee: Elec. Plan Check 0.0 1 hrs $0.00 100 s. f. Remodel, Kitchen (<=300 sf) $626.00 IREMRESKIT Suppl. PC Fee: 0 Reg, 0 OT Elec. Permit Fee: IEPERMIT hrs $0.00 Other Elec. Insp. 0.0 hrs $47.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS gkeResolution 11-053 f * i%1:'13 FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,577.00 100 s. f. Remodel, Kitchen (<=300 sf) $626.00 IREMRESKIT Suppl. PC Fee: 0 Reg, 0 OT 0,0 hrs $0.00 PME Plan Check: $0.00 1 437 1 s.f. Remodel, Other $488.00 IREMRESOTH Permit Fee: $1,617.00 Suppl. Insp. Fee -E) Reg. 0 OT 0,0 hrs $0.00 200 amps Electrical $47.00 IBELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $47.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning 1e e. IPLLONGR $85.26 Select allon-Residential Q Building or Structure 0 Travel Documentation Fee: ITRA VDOC $47.00 Strony, Motion Fee: IBSEISMICR $12.18 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $4,390.441$1,161.00 TOTAL FEE: $5,551.44 Revised: 04/01/2014 Btfilding, Dep'll'tillell( t I Iva I I) k), 4-_1 CUPERTINO [nx. 40'(N) 777-3, 3 CONIRM."TOR. SUBCONTRACTOR LAST 0 (AVNF-WS N-;' NIF, - S hat 14 [,-/cLr i m L�-&,;. 443 Lf I Riot . 0) N [it !SN L' ISS L K' I \DDkI SS:--, 0(11� Inlinicipal vmk, re(11011-cs all Imsink's.,'A"i mirking, ill illt, 61N idi I ('il) of '11perlino business fic"ilse. \11) IWILDIM" 1.1-VAL OR FINA1, 00- 11A N ('% I N� S F"( 1 1 NT (S) NN 11. 1, BE F 12 . k L 1 ' R '11) N A N, 1) � 1, L S, I'13(;NT R. N V() I N BL;SINESS IA( FA�4- I mil not Using nilly subcol0ractors: — signatilre Date I'lease check applienble su bColl tractors 'llid completc 111(� __ -- f- - s u s IJ s IN f, SS N'A N i i�,; R1JSIN'1SS ft Cabilla-, !!,I\\ ork 1 I'M I'd] 111" -Z4 L-1 I"Iced rKali FellclnL� c�Y) Y, Lc I-11101cum J Wood Glass .� (ilazil-lu - -- _-- ---- Heatill (,T C Ty 0 Lath' 11) U masonr,y PaIntinf-! \,Vallpapel Pay ins IT ---- ---- - ---- I R00fill'u, -'-5 (4- Septic T;1111( Sheet NJCtA Avl p(rIj, Y) JA 0 V TI, Ic -.0 �4 y1w, L,6 Ti— Dale /I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7955 WOODLARK WAY CONTRACTOR: NEWHOME PERMIT NO: 14060041 CONSTRUCTION OWNER'S NAME: SHAIKH KARIMULLA AND PAGADIPAALA .lA 48242 ARCADIAN ST DATE ISSUED: 08/22/2014 OWNER'S PHONE: 4082340251 FREMONT, CA 94539 PHONE NO: (408)421-9808 Lti1 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL CONSTRUCT (2) ONE STORY ADDITIONS (609 SQ FT); License Class_ Lie. # $ 5Z 7 O REMODEL KITCHEN (100 SQ FT); REMODEL FIRST OR ContractorDate 9-0 1;� ( 450 Q FT); REMODEL SECOND STORY (456 SQ FT). 1 hereby affirm that I at licensed under the provisions of Chapter 9 REV # 2 - COFFERED CEILINGS IN FAMILY ROOM & KITCHEN - ISSUED (commencing with Section 7000) of Division 3 of the Business & Professions 1/20/15 Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: t 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: S121800 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 36203021.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST NSPECTION. 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 Y: Date: J ; with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature s,wR 1 Date I RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ 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) 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. 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 1 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 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this , Owner or authorized agent: Date: permit is issued. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, 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 1 certify that 1 have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 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 CONSTRUCTION PERMIT APPLICATION 12 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(o)cupertino.org CUPERTINO/ [ '1 ❑ NEW CONSTRUCTION [:1 ADDITION [:1 ALTERATION / TI rg" REVISION / DEFERRED ORIGINAL PERMIT # Q " v ` PROJECT ADDRESS /> `-� 55 �vO,- D ] I1 I yI OLW#/'/ APN H OWNERNAMEK ^ d)M\,?L( � � PHO 8 �" _�s ��(/E-MAIL ' STREET ADDRE71)� C W V P � /4f4 kv�Y �ITY, STATE, ZIP N O 5, b FAX CONTACT NAME J PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT �NPRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONJRQCTO$ NAME fxlp �© LICENS 'UMBE2R, , LICENSE TYPE BUS. LIC # 1�y22 COMPANY NAME E-MAIL FAX STREET DRE_ S� 2_ ,� I � S� CITYF-ez, STATE, C q 4r� PHONE ARCHITECT/ENGJNEER NVAANIE LICENSE NUMBER BUS. LIC # COMPANY NAME 1�-�� v E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: LJ DETACH ❑ ATTACH # DWELLING UMTS: IS A SECOND UNIT ❑ YES SECOND STORY []YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION FI YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YESTOT VALUATION: PLANNING APPL # [:]NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO _ By my signature below, I certify to each of the following: I am the property owner or authorized agent to act property owner's behalf I have read this application and the information I have provided is correct. I have read the Description of Work and veri s accurate. I agree to comply with all applicable local ordinances and state laws relating to ']ding construction. I authorize representatives of Cupertino to enter the above -i entifie property for inspection purposes. Signature of Applicant/Agent: ^ Qk_" Date: 2 - SUPPLEMENTAL SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(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 WORKS 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 ❑- MIAJPI - ❑ SANITARY SEWER DISTRICT. submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 r] CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building okupertino.orq ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TIREVISION DEFERRED 1 ORIGINAL PERMIT # PROJECT ADDRESS '^7q C 5 wOO,^ �� "Lj APN # OWNER NAME 1<�7(l y�JV �L^ �lr PHONE 5E 4-1)3-°)� 6 -� 133 -MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS�� CITY, STATE, ZIP FAX 11 OWNER IDOWNER-BUILDER El OWNER AGENT lJI'CONTRACrOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS - LIC # (v �ONS�v�fi COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK " $ l L�' �3*`'_°�Z_Y�pi -' 5�6t �l t CC, c�� rIA V V �- � • � F �i,1ii�Z R cii C` 'P _ " nl ? E r � C.11,'v 111 � 1 S' (-)At +�1 W I (\00%,d 2 l-tSL0,_ 1r, -P sr,1VU rn I IND p 0_ W> Nile►.) EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES USE TYPE OCC. $Q FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCI4 AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS ISA SECOND UNIT ❑ YES BEING ADDED? ❑NO SECOND STORY ❑YES ADDITION? []NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN F] YES RECEIVEDBY: TAL VALUATION. PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO " By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the opeM o r s behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is rate, ee to comply with all applicable local ordinances and state laws relating to b ilding Cont I authorize representati f Cupertino to enter t ab -Identified property for inspection purposes. Signature of ApplicandAgenU Date SUPPLEMENTAL INFORMATION REQ RED AN CHECK TYPE NG SLIP ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of buildi g permit for new building. ❑' EXPRESS ' ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS 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 DISTRICT submittal of Building Permit application. ' ❑ ENVIRONMENTAL HEALTH - B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7955 WOODLARK WAY CONTRACTOR: NEWHOME PERMIT NO: 14060041 CONSTRUCTION OWNER'S NAME: SHAIKH KARIMULLA AND PAGADIPAALA JA 48242 ARCADIAN ST DATE ISSUED: 08/22/2014 OWNER'S PHONE: 4082340251 FREMONT, CA 94539 PHONE NO: (408)421-9808 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] CONSTRUCT (2) ONE STORY ADDITIONS (609 SQ FT); License Class '5 Lic. # 4;F 3 ]! 0 01 REMODEL KITCHEN (100 SQ FT); REMODEL FIRST Contractor NVIA la -v 1`'I Ln' (-UFVS- Date 4 FLOOR (545 SQ FT); REMODEL SECOND STORY (456 SQ FT). 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. REVISION #]- RELOCATE (2) SKYLIGHTS, ADD (2) SKYLIGHTS, RELOCATE 2ND STORY WINDOW, REVISE FRONT ENTRANCE- ISSD I hereby affirm under penalty of perjury one of the following two declarations: 9/24/2014 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: $121800 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 36203021.00 Occupancy Type: permit is issued. t APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXP w K IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 AYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FRO ST 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 Cope ino Municipal Code, Section 9.18. fj f 'yj / Signature_ i. Date /q4a�� RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. IV ❑ OWNER -BUILDER DECLARATION Signature Applicant: Date: 1 hereby affirm that I am exempt from the Contractor's License Law for one of 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. 11044, 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. 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: Ilealth & 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 5, 25533, and _ 534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: 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 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 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 CITY OF CUPERTINO FM -N FEE ESTIMATOR - BUILDING DIVISION r ADDRESS: 7955 woodlark way DATE: 09/24/2014 REVIEWED BY: Mendez APN: BP#: `VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: SFD or Duplex $0.00 PENTAMATION PERMIT TYPE: SOLAR -RES i WORK REVISION #1- RELOCATE 2 SKYLIGHTS ADD 2 SKYLIGHTS RELOCATE 2ND STORY SCOPE WINDOW, REVISE FRONT ENTRANCE- ISSD 9/24/2014 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District,, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn I info. FEE ITEMS (Fee Resolution 11-053 Eff 71, 13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $0.00 Alternative Energy System Photovoltaic System Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(D Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 0 Work Without Permit? 0 Yes ) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Q 0 Strom, Motion Fee: $0.00 1 # $716.00 Revisions 1REFRESA�� Addition Bldj Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $716.00 TOTAL FEE: $716.00 Revised: 08/2012014 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 7955 WOODLARK WAY DATE: 01/20/2015 REVIEWED BY: MELISSA APN: 362 03 021 BP#: 14060041 `VALUATION: $0 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Select a Misc Bldg/Structure or Element of a Building PENTAMATION PERMIT TYPE: A WORK REV # 2 - COFFERED CEILINGS IN FAMILY ROOM & KITCHEN - ISSUED 1/20/15 SCOPE $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Ey' 71'13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. © OT FO.OThrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee -Q) Reg. © OT p Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 0 Work Without Permit? © Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure (2) 0 i Strong Motion Fee: $0.00 1.0 hrs $143.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $143.00 TOTAL FEE: $143.00 Revised: 01/06/2015 3 BUILDING ENERGY ANALYSIS REPORT ouPERTI ' PROJECT: tlP° CSP 2 4 2014 Residence Renovation v FoR CODE cUMP7965[VVoodlark Way j0-yi dno, CA 95014 Project Designer: VT Design & Engineering 621 Tully Road, Suite 223 San Jose, CA 95111 (408) 668-4046 Report Prepared by: Miles Hancock Energy Design Group 2149 Dartmouth Street Palo Alto, CA 94306 (650) 424-1189 Job Number: VT2191 EA Date: 9/14/2014 The EnergyPro computer program has been used to perform the calculations summarized in this co4liance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnefgyPro 5.1 by EnergySoft User Number: 5900 RunCode: 2014-09-14T15:21:03 ID: VT2191 EA TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -IR Mandatory Measures Summary 10 HVAC System Heating and Cooling Loads Summary 13 EnergyPro 5.1 by EnergySoft Job Number: ID: VT2191 EA User Number. 5900 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 9/14/2014 Project Address 7955 Woodlark Way Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,182 Addition 600 # 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 Construction Type Area Special Cavity,(ft) Features see Part 2 of 5 Status Floor Wood Framed w/Crawl Space None 1,126 Existing Wall Wood Framed None 1,359 Existing Door Opaque Door None 17 Existing Roof Wood Framed Attic R-11 1,574 Existing Floor Wood Framed w/Crawl Space R-19 600 New Wall Wood Framed R-13 646 New Door Opaque Door None 50 New Roof Wood Framed Attic R-30 592 New FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins' Shades Status Left (W) 36.0 0.550 0.67 none none Bug Screen * Existing Rear (N) 48.0 0.550 0.67 none none Bug Screen Existing Right (E) 24.0 0.400 0.35 none none Bug Screen Altered Right (E) 30.0 0.400 0.35 none none Bug Screen New Skylight 8.0 0.500 0.26 none none None New Front (S) 24.0 0.550. 0.67 none none Ben Removed Rear (N) 42.0 0.550 0.67 none none Bug Screen Removed Front (S) 32.0 0.400 0.35 none none Bug Screen New Left (IM 24.0 0.550 0.67 none none Bug Screen New Left (W) 54.0 0.400 0.35 none none Bug Screen New Rear (N) 32.0 0.550 0.67 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback Altered HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, verited 2.1 Existing WATER HEATING Ot . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number. 5900 RunCode: 2014-09-14T15:21:03 ID: VT2191EA Page 3 of 13 I PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 9/14/2014 Project Address 7955 Woodlark Way Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,182 Addition 1 600 # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -413 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 (ftp Features see Part 2 of 5 Status Floor Wood Framed w/o Crawl Space None 456 Existing FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status Skylight 8.0 0.500 0.26 none none None New Front (S) 24.0 0.550 0.67 none none Bug Screen ,Existing Right (E) 12.0 0.550 0.67 none none Bug Screen Existing Right (E) 24.0 0.550 0.67 none none Bug Screen Removed HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution. Status EnergyPro 5.1 by EnergySoft User Number: 5900 RunCode: 2014-09-14T15:21:03 ID: VT2191EA Page 4 of 13 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Residence Renovation Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 9114/2014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. EnemvPro 5.1 by EnerpySoft User Number. 5900 RunCode: 2014-09-14T15:21:03 ID: VT2191EA Page 5 of 13 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Residence Renovation ❑ Multi Family m Existing+ Addition/Alteration 9/14/2014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 75.29 69.83 5.45 Space Cooling 29.32 28.71 0.61 Fans 15.96 15.31 0.65 Domestic Hot Water 17.24 17.24 0.00 Pumps 0.00 0.00 0.00 Totals 137.81 131.09 6.72 Percent Better Than Standard: 4.9% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (S) 180 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (S) 477 56 Fuel Available at Site: Natural Gas (W) 718 114 Raised Floor Area: 2,182 (N) 476 80 Slab on Grade Area: o (E) 717 66 Average Ceiling Height: 8.0 Roof 2,182 16 Fenestration Average U -Factor: 0.48 TOTAL: 332 Average SHGC: 0.53 Fenestration/CFA Ratio: 15.2% REMARKS The information in this report is for permit documentation purposes only. Energy Design Group makes no guarantee regarding the comfort or performance of the building in this report. The contractor shall independently verify proper HVAC system sizing. 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 Energy Design Group k; �' 9/142014 Address 2149 Dartmouth Street Name Miles Hancock City/State/ZipCity/State/Zip Palo Alto, CA 94306 Phone (650) 424-1189 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 VT Design & Engineering l� 621 Tully Road, Suite 223 Address Name v City/State2ip San Jose, CA 95111 Phone (408) 668-4046 Sign License # Date Ene Pro 5.1 by EnemySoft User Number., 5900 RunCode: 201409-14T15:21:03 /D: VT2191 EA Page 6 of 13 R CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 1911412014 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Floor 1,126 0.097 None 0 180 Existing 4.4.1-A1 First Floor Wall 138 0.356 None 180 90 Existing 4.3.1-A1 First Floor Door 17 0.500 None 180 90 Existing 4.5.1-A4 First Floor Wall 246 0.356 None 270 90 Existing 4.3.1-A1 First Floor Wall 154 0.356 None 0 90 Existing 4.3.1-A 1 First Floor Wall 193 0.356 None 90 90 Existing 4.3.1-A1 First Floor Roof 1,118 0.079 R-11 0 0 Existing 4.2.1-A2 First Floor Wall 143 0.356 None 180 90 Removec 4.3.1-A1 irst Floor Door 20 0.500 None 180 90 Removec 4.5.1-A4 First Floor Wall 77 0.356 None 0 90 Removec 4.3.1-A1 First Floor Wall 35 0.356 None 90 90 Removec 4.3.1-A1 First Floor Floor 600 0.037 R-19 0 180 New 4.4.1-A4 First Floor Addition Wall 102 0.102 R-13 180 90 New 4.3.1-A3 First Floor Addition Door 33 0.500 None 180 90 New 4.5.1-A4 First Floor Addition Wall 193 0.102 R-13 270 90 New 4.3.1-A3 First Floor Addition Wall 87 0.102 1 R-13 1 01 90 New 4.3.1-A3 lFirst Floor Addition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 12.0 0.550 Default 0.67 Default 270 Existing Double Non Metal Clear First Floor 2 Window 48.0 0.550 Default 0.67 Default 0 Existing Double Non Metal Clear First Floor 3 Window 18.0 0.400 NFRC 0.35 NFRC 90 Altered Double Non Metal First Floor 4 Existing 0.550 Default 0.67 Default Double Non Metal Clear pre -altered for above 5 Window 6.0 0.400 NFRC 0.35 NFRC 90 Altered Double Non Metal First Floor 6 Existing 0.550 Default 0.67 Default Double Non Metal Clear prellIlltered for above 7 Window 6.0 0.400 NFRC 0.35 NFRC 90 New Double Non Metal First Floor 8 Skylight 8.0 0.500 NFRC 0.26 NFRC 0 New Velux or Equal First Floor 9 Window 24.0 0.550 Default 0.67 Default 180 Removed Double Non Metal Clear First Floor 10 Window 42.0 0.550 Default 0.67 Default 0 Removed Double Non Metal Clear First Floor 11 Window 32.0 0.400 NFRC 0.35 NFRC 180 New Double Non Metal First Floor Addition 12 Window 24.0 0.550 Default 0.67 Default 270 New Double Non Metal Clear First Floor Addition 13 Window 54.0 0.400 NFRC 0.35 NFRC 270 New Double Non Metal First Floor Addition 14 Window 32.0 0.550 Default 0.67 Default 0 New Double Non Metal Clear First Floor Addition 15 Window 24.0 0.400 NFRC 0.35 NFRC 90 New Double Non Metal First Floor Addition 16 Skylight 8.0 0.500 NFRC 0.26 NFRC 0 New Velux or Equal First Floor Addition (1) LI-FactorType: 116-A =Default Table from Standards, NFRC =Labeled Value 2 SHGC Type: 116-13 = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len Hct Dist Len Hot 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 None 1.00 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 1 1 15 Bug Screen 0.761 1 16 INone 1.001 1 EnergyPro 5.1 by EnergySoft User Number., 5900 Run Code: 2014-09-14715:21:03 ID: V7-2191EA Pae 7 of 13 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Multi Family ❑ Addition Alone m Existing+ Addition/Alteration Date 9114/2014 OPAQUE SURFACE DETAILS Surface U- Insulation Tvpe Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status Joint Appendix 4 Location/Comments Wall 264 0.102 R-13 90 90 New 4.3.1-A3 First Floor Addition Door 17 0.500 None 90 90 New 4.5.1-A4 First Floor Addition Roof 592 0.032 R-30 0 0 New 4.2.1-A8 First Floor Addition Floor 456 0.238 None 0 180 Existing 4.4.2-A1 Second Floor Wall 131 0.356 None 180 90 Existing 4.3.1-A1 Second Floor Wall 165 0.356 None 270 90 Existing 4.3.1-A1 Second Floor Wall 155 0.356 None 0 90 Existing 4.3.1-A1 Second Floor Wall 177 0.356 None 90 90 Existin 4.3.1-A1 Second Floor Roof 456 0.079 R-11 0 0 Existing 4.2.1-A2 Second Floor FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 17 Window 24.0 0.550 Default 0.67 Default 180 Existing Double Non Metal Clear Second Floor 18 Window 24.0 0.550 Default 0.67 Default 270 Existing Double Non Metal Clear Second Floor 19 Window 12.0 0.550 Default 0.67 Default 90 Existing Double Non Metal Clear Second Floor 20 Window 24.0 0.550 Default 0.67 Default 90 Removed Double Non Metal Clear Second Floor (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-13 = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade Type SHGC Hot Wd Ove hang Len Hat I LExt I RExt Left Fin Right Fin Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number. 5900 Run Code: 2014-09-14715:21:03 /D: VT2191EA Page 8 of 13 f s i CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 1911412014 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume Year Built HVAC System First Floor 1,126 9,008 1963 First Floor Addition 600 4,800 Second Floor 456 3,648 1963 Totals 600 0 1,582 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback Altered pre -altered for above Central Furnace 80% AFUE No Cooling 13.0 SEER Setback HVAC DISTRIBUTION System Name Heating Duct Coolinq Duct Location R -Value Ducts Tested? Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 2.1 ❑ Existing pre -altered for above Ducted Ducted Attic, Ceiling Ins, vented 2.1 ❑ WATER HEATING SYSTEMS S stem Name Ot . Type Distribution Rated Input Btuh Tank Cap. al Energy Standby Factor Loss or or RE Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas No Pipe Insulation 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) = 0 �a c a — System Name Pipe Len th Pipe Diameter Insul. Thick. Ot . HP Plenum Outside Buried EnergyPro 5.1 by EnergySoft User Number. 5900 RunCode: 2014-09-14T15:21:03 ID: VT2191 EA Page 9 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Residence Renovation Date 9/14/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§150(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. §150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1 R 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 greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)l B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACOA. §1500): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §150(j)l 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. §150(j)l 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@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 Equation 150-A. §150@2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150@3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150 4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro5.1 by EnergySoft User Number: 5900 RunCode: 2014.09-14715:21:03 /D: VT2191 EA Page 10 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Residence Renovation 9/14/2014 §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 plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings 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. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cares. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and 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 gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of 150 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 eff icacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d . §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 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. EnergyPro5.1 by EnergySoft User Number: 5900 RunCode: 2014-09-14T15:21:03 /D: VT2191 EA Page 11 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Residence Renovation 9/14/2014 §150(k)l0: 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)11: 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 (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §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)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoR User Number: 5900 RunCode: 2014-09-14715:21:03 ID: VT2191 EA Page 12 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Residence Renovation Qate 9/14/2014 System Name HVAC System Floor Area '2,182 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 1,463 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 56,000 29,215 1,457 1,387 52,310 Total Output Btuh 56,000 0 4,015 0 Output Btuh/s ft 25.7 1,719 Cooling System 0 Output per System 36,000 0 T O 0 0 Total Output Btuh 36,000 0 0 4,015 1,457 60,340 Total Output Tons 3.0 1,719 Total Output Btuh/s ft 16.5 Total Output s ft/Ton 727.3 32,653 Air System CFM per S stem 0 HVAC EQUIPMENT SELECTION Airflow cfm 0 copy of Furnace - AC 34,406 0 56,000 Airflow (cfm/s ft) 0.00 Airflow (cfm/Ton) 0.0 Outside Air % 0-0% Total Adjusted System Output 34,406 0 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK Aug 3 PM 56,000 F Jan 1 AM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF Outside Air 0 cfm 66 OF 66 OF 105 OF Heating Coil p 103 OF RQOM JIM 68 OF U_ COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 88 / 68 OF Outside Air 0 cfm 76/62°F 76 / 62 OF 55 / 54 OF mom LLLEI Cooling Coil 56 / 54 OF 46.7% R001W 75/62°F EnergyPro 5.1 by EnergySofd User Number: 5900 RunCode: 2014-09-14T15:21:03 ID: VT2191 EA Page 13 of 13 CALGREEN RESIDENTIAL CHECKLIST - MANDATORY ITEMS ISI I COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO jl ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - build ingoOcupertino.om PURPOSE: The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dw dormitories, condominiums, shelters, congregate residences, employee housing, factory -built usi and other types of swellings with sleeping accommodations and new accessory, buildings associat such uses. Existing site and landscaping improvements that are not otherwise disturbed are not su t the requirements of CALGreen. Project Name: Project Address: Residence Renovation UJ 7955 Woodlark Way Project Description: Addition and Remodel tAIMM Instructions: 1. The Owner or the Owner's agent shall employ a licensed.professional experienced with the California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 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 p Wil c�.,omplete Cqlumn 3 and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the completed form to the Building Inspector. JUL 10 2014 BY Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification 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 ® 0 construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. f % �* ,,a�� PERTINQ g Depat-nent r , Page 1 of 5LLjCalGreen_2014.doc revised 01115114 t iii` l a r .�1-i CODE COMPLIANCE 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: ® 4.303.1.3.2 Water Closets. The effective 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 designed to allow only one shower outlet to be in operation at a time. 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. ® 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 01115114 tog �'$""n 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 control"s). Soil moisture -based controllers are not required to have rain sensor input. A4.4 - - RESOURCE — M 4A06.1 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. N IN 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. ow 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 ENVIRONMENTALQUALITY I'll Migg 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed wood -burning fireplace, or a seated woodstove. 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air distribution component openings shall be covered during construction. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks 13 shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weighted MIR Limits for ROC and other toxic compounds. Page 3 of 5 CaWreen_2014.doc revised 01115/14 a 4.504.2A 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 -emitting Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall comply with low formaldehyde emission standards. p p f » Ai'ATdiYl hf`W- x \� «t� � t f�aa� �� d z � �'Cr.�. es �g d �t •i� ale � , yF�, t,, r �. {r1S�', i .'�'�f`,Y, �'��W.�St•2•d'^fii •d -:A NXY � � zf Li 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. L''A m 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the building are provided in every bathroom. WiA L �G% �+��jij.? .,y, ;r :ox W ale. , N'jr' K .p1.Yr'(5 K4 ,J "..% .. W.. rte?'?'' Tw"4 y i. 7' `'d - 4.507.2. Dud 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 dud systems according to ACCA 29-D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36-5 (Manual S) or equivalent. INSTALLER 0 SPECIAL INSPECTOR 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 discipline they inspect and verify. 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 01115/14 Project Name: Project Address: Project Description, CALGREEN SIGNATURE DECLARATIONS Residence Renovation 7955 Woodlark Wav Addition and 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 City of Cupertino. Owners Signature Date Owners Name Design Professional's c''�� 06/032014 Signature i nse Professional responsiblel6rItSiGrven compliance Date Miles Hancock (650) 804-9063 Name of License Professional responsible for CalGreen compliance (Please Print) Phone energy@pacbell.net Emad 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 f Email for CalGreen compliance Page 5 of 5 CalGreen_10I4.doc revised 01115114 BUILDING ENERGY ANALYSIS REPORT PROJECT: Residence Renovation 7955 Woodlark Way Cupertino, CA 95014 Project Designer: VT Design & .Engineering 621 Tully Road, Suite 223 San Jose, CA 95111 (408) 668-4046. CUPERTINO Building Denat-ment Q . REVIEVVJEU FOR CODE C ONIPL.iANC;E t < e v i e w e d ray. ✓E a ter Report Prepared by: Miles Hancock Energy Design Group 2149 Dartmouth Street Palo Alto, CA 94306 (650) 424-1189 Job Number: VT2191 EA Date: 6/3/2014 RECEIVED JUL 10 20% BY The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number.' 5900 Run Code: 201406-03719:59:20 /D: VT2191EA I TABLE OF CONTENTS � I Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary EnergyPro 5.1 by EnergySoft Job Number: ID: VT2191 EA User Number. 5900 1 2 3 10 13 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ' ❑ Multi Family m Existing+ Addition/Alteration D9te 6/3/2014 Project Address 7955 Woodlark Way Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,191 Addition 609 *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 Construction Type Area Special Cavity V0 Features (see Part 2 of 5) Status Floor Wood Framed w/Crawl Space None 1,145 Existing Wall Wood Framed None 1,365 Existing Door Opaque Door None 17 Existing Roof Wood Framed Attic R-11 1,574 Existing Floor Wood Framed w/Crawl Space R-19 609 New Wall Wood Framed R-13 654 New Door Opaque Door None 20 New Roof Wood Framed Attic R-30 605 New FENESTRATION U- Orientation Area( Factor Exterior SHGC Overhang Sidefins Shades Status Left (149 36.0 0.550 0.67 none none Bug Screen Existing Rear (N) 48.0 0.550 0.67 none none Bug Screen Existing Right (E) 36.0 0.550 0.67 none none Bug Screen Existing Skylight 8.0 0.500 0.26 none none None New Front (S) 24.0 0.550 0.67 none none Bug Screen Removed Rear (N) 42.0 0.550 0.67 none none Bug Screen Removed Front (S) 48.0 0.400 0.35 none none Bug Screen New Front (S) 6.0 0.550 0.67 none none Bug Screen New Left (169 24.0 0.550 0.67 none none Bug Screen New Left (119 54.0 0.400 0.35 none none Bug Screen New Rear (N) 32.0 0.550 0.67 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff ` Thermostat Status 1 Central Furnace 80% AFUE No Cooling 13.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented. 2.1 Existing WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number: 5900 Run Code: 201406-03T19:59:20 ID: VT2191EA Page 3 of 13 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-'I R Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 6/3/2014 Project Address 7955 Woodlark Way Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,191 Addition 609 # 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 fprm for details. INSULATION Construction Type Area Special Cavity (fo Features see Part 2 of 5 Status Floor Wood Framed w/o Crawl Space None 437 Existing FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Right (E) 24.0 0.400 0.35 none none Bug Screen New Skylight 4.0 0.500 0.26 none none None New Front (S) 24.0 0.550 0.67 none none Bug Screen Existing Right (E) 24.0 0.550 0.67 none none Bug Screen Removed HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R-Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status r7ne-rgyPro 5.1 by EnergySoft User Number., 5900 RunCode: 2014-06-03T19:59:20 iD: vT2191 EA q Pa e 4 of 13 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Residence Renovation Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ® Existing+ Addition/Alteration Date 6/3/2014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special 'ustification and documentation submitted. The HVAC System Furnace - does not include a cooling system, field verification is not necessary. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. ;r EneravPro 5.1 by EnerqySoft User Number: 5900 Run Code: 2014-06-03719:59:20 /D: VT2191 EA Page 5 of 13 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type m Single Family 0 Addition Alone Date Residence Renovation ❑ Multi Family 10 Existing+ Addition/Alteration 6/3/2014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 74.97 68.51 6.47 Space Cooling 29.07 29.44 -0.37 Fans 15.87 15.36 0.51 Domestic Hot Water 17.20 17.20 0.00 Pumps 0.00 0.00 0.00 Totals 137.12 130.52 6.60 Percent Better Than Standard: 4.8% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (S) 180 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (S) 477 78 Fuel Available at Site: Natural Gas (w) 718 114 Raised Floor Area: 2,191 (N) 476 80 Slab on Grade Area: 0 (E) 717 60 Average Ceiling Height: 8.0 Roof 2,191 12 Fenestration Average U-Factor: 0.49 TOTAL: 344 Avera e SHGC: 0.55 Fenestration/CFA Ratio: 15.7% REMARKS The information in this report is for permit documentation purposes only. Energy Design Group makes no guarantee regarding the comfort or performance of the building in this report. The contractor shall independently verify proper HVAC system sizing. 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 11d Energy Design Group Company '( "' 6/d/2014 Address 2149 Dartmouth Street Name Miles Hancock City/State/ZipCity/State/Zip Palo Alto, CA 94306 Phone (650) 424-1189 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 VT Design & Engineering Address 621 Tully Road, Suite 223 Name City/State[Zip San Jose, CA 95111 Phone (408) 668-4046 Signe License # Date EnerqvPro 5.1 by EnemySoft User Number.' 5900 RunCode: 2014-06-03719:59:20 /D: VT2191 EA Page 6 of 13 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Residence Renovation Building Type m Single Family 0 Addition Alone 0 Multi Family m Existing+ Addition/Alteration Date 6/3/2014 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Floor 1,145 0.097 None 0 180 Existing 4.4.1-A 1 First Floor Wall 138 0.356 None 180 90 Existing 4.3.1-A 1 First Floor Door 171 0.500 None 180 90 Existing 4.5.1-A4 First Floor Wall 2461 0.356 None 270 90 Existing 4.3.1-A 1 First Floor Wall 154 0.356 None 0 90 Existing 4.3.1-A 1 First Floor Wall 199 0.356 None 90 90 Existing 4.3.1-A 1 First Floor Roof 1,137 0.079.R-11 0 0 Existing 4.2.1-A2 First Floor Wall 143 0.356 None 180 90 Removec 4.3.1-A1 First Floor Door 20 0.500 None 180 90 Removec 4.5.1-A4 First Floor Wall 77 0.356 None 0 90 Removec 4.3.1-A1 First Floor Wall 35 0.356 None 90 90 Removec 4.3.1-A1 First Floor Floor 609 0.037 R-19 0 180 New 4.4.1-A4 First Floor Addition Wall 93 0.102 R-13 180 90 New 4.3.1-A3 First Floor Addition Door 20 0.500 None 180 90 New 4.5.1-A4 First Floor Addition Wall 193 0.102 1 R-13 1 1 270 90 New 4.3.1-A3 First Floor Addition Wall 87 0.102 1 R-13 0 90 New 4.3.1-A3 First Floor Addition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments, 1 Window 12.0 , 0.550 Default 0.67 Default 270 Existing Double Non Metal Clear First Floor 2 Window 48.0 0.550 Default 0.67 Default 0 Existing Double Non Metal Clear First Floor 3 Window 24.0 0.550 Default 0.67 Default 90 Existing Double Non Metal Clear First Floor 4 Skylight 8.0 0.500 NFRC 0.26 NFRC 0 New Velux or Equal First Floor 5 Window 24.0 0.550 Default 0.67 Default 180 Removed Double Non Metal Clear First Floor 6 Window 1 42.0 0.550 Default 0.67 Default 0 Removed Double Non Metal Clear First Floor 7 Window 48.0 0.4001 NFRC 0.35 NFRC 180 New Double Non Metal First Floor Addition 8 Window 6.0 0.550 Default 0.67 1 Default 180 New Double Non Metal Clear First Floor Addition 9 Window 24.0 0.550 Default 0.67 Default 270 New Double Non Metal Clear First Floor Addition 10 Window 54.0 0.400 NFRC 0.35 NFRC 270 New Double Non Metal First Floor Addition 11 Window 32.0 0.550 Default 0.67 Default 0 New Double Non Metal Clear First Floor Addition 12 Window 24.0 0.400 NFRC 0.35 NFRC 90 New Double Non Metal First Floor Addition 13 Skylight 4.0 0.500 NFRC 0.26 NFRC 0 New Velux or Equal First Floor Addition 14 JWndow 1 24.01 0. 5501 Default 0.67 Default 180 Existing Double Non Metal Clear Second Floor 15 Wndow 1 24.01 0.550 Default 0.67 Default 270 Existing Double Non Metal Clear Second Floor 16 Window 12.0 0.550 Default 0.67 Default 90 Existing Double Non Metal Clear Second Floor (1) LI -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window Hat Wd Ove hang Left Fin Right Fin Len H t I LExt I RExt Dist Len H t Dist Len Hot 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 None 1.00 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 10 Bug Screen 0.76 11 Bug Screen 0,76 12 Bug Screen 0.76 13 None 1.00 14 Bug Screen 0.76 15 IBLAq Screen 0.76 16 18ug Screen 0.76 EnergyPro 5.1 by EnemySoft User Number. 5900 RunCode: 201406-03719:59:20 ID: VT2191 EA Page 7 of 13 CERTIFICATE OF COMPLIANCE: Residential . (Part 4 of 5) CF -1 R Project Name Residence Renovation Building Type m Single Family ❑ Multi Family ❑ Addition Alone 10 Existing+ Addition/Alteration Date 6/3/2014 OPAQUE SURFACE DETAILS Surface Ll- Insulation Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status Joint Appendix 4 Location/Comments Wall 2811 0.102 R-13 901 90 New 4.3.1-A3 First Floor Addition Roof 6051 0.032 R-30 0 0 New 4.2.1-A8 First Floor Addition Floor 437 0.238 None 0 180 Existing 4.4.2-A 1 Second Floor Wall 131 0.356 None 180 90 Existing 4.3.1-A1 Second Floor Wall 165 0.356 None 270 90 Existing 4.3.1-A1 Second Floor Wall 155 0.356 None 0 90 Existing 4.3.1-A1 Second Floor Wall 177 0.356 None 90 90 Existing 4.3.1-A1 Second Floor Roof 437 0.079 R-11 0 0 Existing 4.2.1-A2 Second Floor FENESTRATION SURFACE DETAILS ID Type Area LI -Factor SHGC Azm Status Glazing Type Location/Comments 17 Window 24.0 0.550 Default 0.67 1 Default 90 Removed Double Non Metal Clear Second Floor (1) LI -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 Window ID Exterior Shade Type SHGC 1-16FT Wd Ove hanq Len Hat LExt REA Left Fin Dist Len H t Ri ht Fin Dist Len H t 17 Bug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number 5900 RunCode: 2014-06-03T19:59:20 /D: VT2191 EA Page 8 of 13 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R - Project Name Residence Renovation Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 6/3/2014 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume Year Built HVAC System First Floor 1,145 9,160 1963 First Floor Addition 609 4,872 Second Floor 437 3,496 1963 Totals 609 0 1,582 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 Name Heating Duct Ducts Cooling Duct Location R -Value Tested? Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 2.1 ❑ Existing WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas No Pipe Insulation 40,000 50 0.58 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length n 0 _o --°o " ¢ — System Name Pipe Length Pipe Diameter Insul. Thick. aty. HP Plenum Outside Buried EnergyPrq 5.1 by EnergySoft User Number. 5900 Run Code: 201406-03T19:59:20 ID: VT2191EA Pae 9 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Residence Renovation Date 6/3/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (') below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets 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. §11 B(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §11 B(i) when the installation of a Cool Roof is specified on the CF -1 R Form. 150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. 150 c : Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f): Air retarding wrap is tested labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R 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 greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supl3ly 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 ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §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. §1500)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 Eq uation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(j)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. §150(1)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number., 5900 Run Code: 201406-03T19:59:20 ID: VT2191 EA Page 10 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 2 of 3 MF -1 R Project Name Date Residence Renovation 6/3/2014 §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 plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings 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. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and 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 gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 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 asspecified by §150(k)2. §150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ftz 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. EnergyPro 5.1 by EnergySoft User Number. 5900 RunCode: 201406-03T19:59:20 ID: VT2191 EA Page 11 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Residence Renovation 6/3/2014 §150(k)l0: 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)l1: 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)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontro.l; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §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)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoR User Number: 5900 Run Code: 201406-03T19:59:20 /D: VT2191 EA Page 12 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Residence Renovation System Name HVAC System ENGINEERING CHE Number of Svstems Total Output E Output Btuh/s CoolingSystem Output r Sy! Total Output E Total Output 1 Total Output E Total Output s Air System CFM r S ste Airflow cfm Airflow cfm/sc Airflow cfmfr( Outside Air % Outside Air cf Note: values above HEATING SYSTEI 28 OF Outside Air 0 cfm 66 OF COOLING 88 / 68 OF CKS SYSTEM LOAD 1 56,000 Total Room Loads 56,000 Return Vented Lighting 25.6 Return Air Ducts Return Fan 0 Ventilation C 0 Supply Fan 0.0 Supply Air Ducts n 0.0 n 0.0 TOTAL SYSTEM LOAD 0 HVAC EQUIPMENT SELECTION 0 Furnace - 0.00 0.0 0.0% Total Adjusted System Output I 0.00 (Adjusted for Peak Design conditions) at ARI conditions TIME OF SYSTEM PEAK 'CHROMETRICS (Airstream Temoeratures at Time of Date 6/3/2014 Floor Area 2,191 COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM Sensible 1,507 30,042 1,459 1,383 52,136 0 1,768 4,002 0 0 0 0 01 0 0 0 0 1,768 4,002 33,578 F .1,459 60,140 Pea 01 01 1 56,0001 01 01 1 56,000 Aug 3 PM Jan 1 AM 66 OF 105 OF Heating Coil 103 IF ROOM 68 OF PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 76 / 62 OF 55 / 54 OF — -- Outside Air 0 cfm Cooling Coil 56 / 54 °F 46.7% . ROOM, AM 76 162 OF 75 / 62 °F EnergyPro5.1 by EnergySoft User Number: 5900 RunCode: 2014-06-03T19:59:20 /D: VT2191EA Page 13 of 13 Date 6/3/2014 Floor Area 2,191 COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM Sensible 1,507 30,042 1,459 1,383 52,136 0 1,768 4,002 0 0 0 0 01 0 0 0 0 1,768 4,002 33,578 F .1,459 60,140 Pea 01 01 1 56,0001 01 01 1 56,000 Aug 3 PM Jan 1 AM 66 OF 105 OF Heating Coil 103 IF ROOM 68 OF PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 76 / 62 OF 55 / 54 OF — -- Outside Air 0 cfm Cooling Coil 56 / 54 °F 46.7% . ROOM, AM 76 162 OF 75 / 62 °F EnergyPro5.1 by EnergySoft User Number: 5900 RunCode: 2014-06-03T19:59:20 /D: VT2191EA Page 13 of 13 PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 76 / 62 OF 55 / 54 OF — -- Outside Air 0 cfm Cooling Coil 56 / 54 °F 46.7% . ROOM, AM 76 162 OF 75 / 62 °F EnergyPro5.1 by EnergySoft User Number: 5900 RunCode: 2014-06-03T19:59:20 /D: VT2191EA Page 13 of 13