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05100184C.C. 8534012 0 W 17 a:3 TRACT No.7697 Q W SUBDIVISION 'A" GRENADA HILLS WIQ MONTA VISTA ORANGE - - '°'°' �A�7Eo -... _1 Los i _ - 11 - 10025 /0035 10045 S 110095.1 X65 I -10121 - 60.82 B 51.17 I 45 I 48 , 24 e?�s 0.169 I I� ry a`u 30' N 100 2 ; ai i i I 40' '`�� AC.N. n� g5 'N 147 5: 97 -- -- 11 5.i: 1161 117Th 118 2' - - N 11 150 1 N ob, 3 h- iO' ml o N ^ 1 10.1 28AC.1 4 m 7 .896 5 d 4'" ^ P1N.43 1 ' f9PLAN. 1 60 N 37 41 30' 2 0 --.6 _-+I ___y __19_� _-______100 55.06 N0 602 -- ------i� 94.07 q 94.07 6.42 MANNCD ZZ 5 119 3 0 e 13m 2eN4 o0 - - 33 0 ODRIVE— HnNa28 -------- ------- 20 2 m 44 I 58 n P N 7 �I IN I M O I 9 - 9s 122 8 - :I�121 1� nl N al I � - _ - _ - _ _ - - Q N- -. - 94.07 �' O 4.07 m" 8 s . 4 110 ; ry� 19 09 6 N------10- ---10030-I�I-� 94.0 0040 --' > h "-- 7--11- 23-111�� 112-5a W h 12 w CARMONA $ CT. O N 94.07 94.08 J m 94 37.51 T3750 113.12 �' N '_ _100 13 10021 10031 BOOK m 106 14 N°� 13:114 2 127 r 32615 - 1 _00 s�.a _ _ I i 2 � I 28 - ry.N 105 16N 37.51 137.50 113:12. 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A ti --80.82_-. 88.42 100... 193.42 136 1.37 53 193.42 po 49 188.42 108 n 179742 - -------'/------------------- I T - 50 51 i 52 L60.18844 45 44 100.12 ' 97.30 10066 10090 /0104 CD C M CD L0 G n: OJ N q h CUPEkTINO CITY OF CUPERTI PERMIT APPLICATION FORM 5A,? / Date: Build in A dress: Mailing Address (if different from building address): BAPPLOTHER Owner's Name: Phone #: Contractor: y exz aw7leA License #: Contact: ,, � Phone: p, % - '�� Cupertino Business License#: Fax: MECHANICAL Building Permit Infaw. Ml-(Iw4ael l h! / l Boiler > 500K to 1M Btu Bldg Elect JZ Plumb E�,- Mech D/ Job Description• - Residential S" % Commercial ❑ Sq.Ft. Floor Area /34� -7s�� Ft.: Boiler > 1.75M Btu MECHANICAL Cost of Project: �Q Occupancy Group: Type of Constru n: Please check this box if the project is a C ` -� ; w second -story addition: ❑ Project Size: Standard ,X Large ❑ Major ❑ Con. Tax for BQ Zone Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler > 500K to 1M Btu MECHANICAL BBOILER4 Boller> 1M to 1-.75 M Btu MECHANICAL BBOILER5 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Conun/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC 1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 0 3� 1 of 3 FY OF CUPERTINO BUILDING DIVISION PERM— BUILDING BUILDING ADDRESS: OWNER'S NAME: SASHA CUKIC PHONE: SASHA CUKIC PERMIT No. 05100184 PERMIT ISSUE DATE SANITARY NO. CONTROL NO. ARC HITECT/ENGI NEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH o a 0 0 O p LICENSED CONTRACTOR'S DECLARATION i U P I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing i Z y with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. p • p Date Contractor ARCHITECTS DECLARATION z< I understand my plans shall he used as public records UU a ;U ti Licensed Professional ti OWNER -BUILDER DECLARATION <� 1 hereby affirm that I am exempt from the Contractor's License Law for the : m 0 following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any simcium — zQ> prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codc) ur °2 that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conuactor's License Law does nor apply to an owner of property who builds or improves thereon, and who doessuch work himself or through his own employees, provided that such improvemems are not intended or offered forsale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). C4 1, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li. cense Law does not apply to an owner of property who builds or improves thereon, and. who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. ❑ I am exempLynder Sec. , B & P C for this reason > Owner i�7 LA ICi C Date rcC 73 /� C)I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of Consent to self -insure for Worker'sCompen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code• for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: Carrier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is foronc hundred dollars ($I00) or less.) 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 Workers' Compensation Laws of California. Date Applicant — C-?-ZI C' _-J f _ NOTICE TO APPLICANT: If. after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the labor Code, you must .J Z forthwith comply with such provisions or this permit shall be deemed revoked. z° � CONSTRUCTION LENDING AGENCY F -t 1 hereby affirm that there is a construction lending agency for the performance of O4 the work for which this permit is issued (Sec. 3097, Civ. C.) Gia ~n Lender's Name ZD az Lender's Address U ° 1 certify that I have read this application and state that the above information is ly correct. I agree to comply with all city and county ordinances and stale laws relating to ° U building construction, and hereby authorize representatives of this city to enter upon the above-mentiuned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against Hliabilities, judgments, costs and expenses which may in any way accrue against said City (� Z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOURCE GULATIONS. Signature of ApplicanUContractor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Code, Section 25532(a)? ❑ Yes VN. Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? [Dyes 10)o 1 have read the ha72rinus materials requ ircments under Chapter 6.95 of the Cali for. nia Health & Safety Codc, Sections 25505, 25533 and 25534.1 understand that if the building docs not c eptly have a tenant, that it is my responsibility to notify the occupant of the requi'cmcI which must be m�n�r to issuance of a Ccrdficate of Occupancy. Owner or authorized agent Dale Job Description ADD -FAMILY RM/RELOCATE COTTAGE/GARAGE 875'-LIV. SP/GARAGE-493' Sq. Ft. Floor Area Valuation $215368 Num Issued by: Re -roofs Type of Roof Required Inspections Uccupancy Type Date 2-1 �� 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 "B" or better 1 CITY OF CUPEkTINO City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: (408) 777-3228 FAX (408) 777-3333 BUILDING DEPARTMENT OFFICIAL NOTIFICATION OF ADDRESS CHANGE TO: All Agencies FROM: City of Cupertino DATE: January 24, 2007 RE: Address Change APN #357-16-011 Please note the following address change: 21796 Stevens Creek Blvd.'s address has changed. The new address is 10015 Orange Avenue. Please update your records accordingly. The new address will take effect 30 days from the date of this letter. If you have any questions, please call me at (408) 777-3246. Sincerely, Susan Winslow Administrative Clerk Printed on Recycled Paper I TITLE 24 REPORT Title 24 Report for: Sasha Cukic Residence 21796 Stevens Creek JAN, U 3 21jl- Cupertino, CA Project Designer: John Terzic ��u�„�w TAa �.�, a �� iG b l,,.'. Report Prepared By: - Edick Lazari TKS Engineers & Associates 6359 Farm Hill Way San Jose, CA 95120 (408) 323-9523 qt0 Job Number:�g sh4-100'�� % Date: 10/20/2005 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 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.0 by EnergySoft Job Number: sh4 100 User Number 5576 TABLE OF CONTENTS Cover Page 1 4 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 10 Form WS -5R Residential Kitchen Lighting 12 HVAC System Heating and Cooling Loads Summary 13 Y EnergyPro 4.0 by EnergySoft Job Number: sh4-100 User Number: 5576 Certificate Of Compliance : Residential (Part 1 of 3) CF -1 R Sasha-.C-uk.ic_Residence 1,940 ft' 1.0/2012005 Project Title X� Existing + Add/Alt Existing Floor Area: Date 21-7-fiSeve is-Creek__Cupefkino Building Front Orientation: (East) 90 deg Raised Floor Area: Project Address ft' Fuel Type: Building Permit # TKS_En ineers�Associates Q ` Slab on Grade Area: �4 ) -_- -_- 408 323 9523 plan Check/Date Documentation Author Fenestration: Telephone �En.eL. yP1Q 8.0 ft Field Check/bate Compli'56ce Method Avg. U: 0.74 Climate Zone 1.00 Source Energy Use Standard Proposed Compliance Number of Stories: (kBtu/sf-yr) Design Design Margin __ 2 nza Space Heating 21.99 17.98 4.01 Space Cooling 11.43 11.92 -0.49 Not Valid for permit Fans 2.67 3.22 -0.55 Area Domestic Hot Water 20.12 15.69 4.43 applications submitted on or Pumps _ 0.00__ - 0.00 0.00 after 01/23/06 because Totals 56.21 48.82 7.39 Energy Budget is based on Percent better than Standard: 180 13.1% SEER 10. Building Type:jjG'[Single Family _;Addition Total Conditioned Floor Area: 1,940 ft' Thermostat i 1 Multi Family X� Existing + Add/Alt Existing Floor Area: 1,010 ft Building Front Orientation: (East) 90 deg Raised Floor Area: 1,940 ft' Fuel Type: Hgt. Area Natural Gas Slab on Grade Area: 0 ft2 Fenestration: 1-,246 Average Ceiling Height: 8.0 ft Area: 344 ft 2 Avg. U: 0.74 Number of Dwelling Units: 1.00 _ _ Ratio: 17.7% Avg. SHGC: 0.69 Number of Stories: 1 Conditioned BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area -Main -HVAC 1-,246 9,9.68 0.64_ Conditioned _Setback _ 2 n[a Secondary HVAC_ _ _ _ 694 5,552 0.36_ Conditioned Setback _ _ __ 2 nza OPAQUE SURFACES Insulation Act. Gains Condition Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Y / N Status JA IV Reference Location / Comments Roof Wood 350 _0.049 R-1-9 �-0.0 180 22 X Existing 01-A4 Existing Ront .. . Wood _' 210_ _0-049- _-R-19-,_RO_0 90 22 IX f .Existing _ 01-A4 _ Existing- Roof - __ 270. 22 Existing 1 -A4 Existing Root Wood 280 0.049_ -R�19_- 0 X ; J Existing 0 1-A 4 _ Existing _ WaIL _ Wood 257 _0.1l0 -_R_1-1 RQ O 90 2 !Existing D9 ,2 Existing- xisting_W_ W_all_. Woos! _ 24 __0_11_0 R-11 -R0.0 180 90 iX I Existing _- 09-A2 _ Existing Wall _ . Wood 251 _-0-1-10- _ RAJ _R --40-0 2ZQ 90 iii !Existing 097A2 Existing Wail Wood 172 ._0_110 ._R-11 __R-0.0 -0 90 X ;Existing __ 09-A2 . Existing Flo -or Wood 1,0.10- _. 0.099 -None R-0.0 0 -.180 A I X Ex Existing 2-0=A- 1 Existing_ Roof Wood 45 0.032 _R_ -a0__ _R70-0- 0 22 IX lNew, 0117 _ _ AdditLon Roof . Wand 52_ R1132 R-30 _R-0_0 180 22 X, New 0LA7 Addition Roof Wood -0032 R-30 _13-00 1a0. 22 ., New 01-A7 Addition Roof, _ Wood_ _59 _i-30 R-0.0 270 22 X Neper 01 A7 Addition Wall Wood _8.0. 60_ ..0.032 -0.102 R-13 . R-0 0 90 90 Nebo Addition Doot . None_ 2-0 1.-450 done R-00 90 90 X New -8-A3 28-A1 _Addition Wail Wood 212...-0-102. _�13_. RO.0 180 90 i X New- 99_A3 _. Addition Door._. Rone- 20-_x-450 .__Norte -_R0.0 _ 180 90 IXI INew 28=P.1 Addition Nall _ Wood 47 -0_1.02._R-13. _R0.0 -M 90 X ,4ew 09-A3 Addition ]Nall Wood 0.-O_102 _-2-13 _-R-0.0 0 90 JNew 09-A3 Addition _ . Floor Wood 236. 0.037 _ R -19..__R-0.0 0 180 �X New 20A4 Addition Floor Wood- 0 046 __R-_13 __R-0.0 1_80 XNe�v 20-A3 1stFloor.Zons Roof Wood _69A_ _347 _0.032 tZ30 _ R-0_0_ -0 90 22 New_ 0..L _ -1st Eloof-Zone R� 290 22 New 01-A7 _1stFloorZone _ WaIL Wood_ 249 __0_102 R-19 R-0.0 90 90 IX X New _09-A3 1stFloorZo.n.e _ _ Door ___ Rone. 26 _1.450 _alone RO_0 90 90 iC New 28-A1 1st Floor Zone Run Initiation Time: 10/20/05 10:12:36 Run Code: 1129828356 EnergyPro 4.0 by EnergySoft User Number: 5576 Job Number. sh4-100 Page:3 of 14 Certificate Of Compliance : Residential (Part 1 of 3) CF -"I R Sash_ aCukic_Residence ftz _1.012.012.0-05 -Project Title 1,010 Date -21_Z96-Ste_vicensCreek Cupedino Project Address Raised Floor Area: building Permit # ft2 Fuel Type: Natural Gas Slab on Grade Area: TKS�L1.QtaeeLs "ssociates `DacumentatFon Author 0 _ _-__(408) 323-9523 Plan Check/Date Fenestration: Telephone Ene PLS__ __ _ ft _ 4 _ Field Check/Date Compli nce Method Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin INFORMATION Space Heating 21.99 17.98 4.01 Zone Name Space Cooling 11.43 11.92 -0.49 Not Valid for permit Fans 2.67 3.22 -0.55 Domestic Hot Water 20.12 15.69 4.43 applications submitted on or Pumps __ _ 0.00 0.00 0.00 after 01/23/06 because Totals 56.21 48.82 7.39 Energy Budget is based on Percent better than Standard: Nay✓ 09_A3 13.1% SEER 10. Building Type: ) Single Family Addition Total Conditioned Floor Area: 1,940 ftz 1 Multi Family Xi Existing + Add/Alt Existing Floor Area: 1,010 ft2 Building Front Orientation: (East) 90 deg Raised Floor Area: 1,940 ft2 Fuel Type: Natural Gas Slab on Grade Area: 0 ft2 Fenestration: Average Ceiling Height: 8.0 ft Area: 344 ft 2 Avg. U: 0.74 Number of Dwelling Units: 1.00 Ratio: 17.7% Avg. SHGC: 0.69 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area OPAQUE SURFACES Insulation Act. Gains Condition Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Y / N Status JA IV Reference Location / Comments Wall Wood- 160 —Q102- ._ RA3 R70-0 180 �Q 'X� 1New 09 A3 _ isLEloor_Zone W21L Wood 208 0-102----P--13--R70-Q- _ 270 qo � Nay✓ 09_A3 istFhotZone Door _ done 2(L . 1.4.50 —None. ..R99 270 90 (,X . New 28=AJ- _1siEtoorZone_ WaII _ Wood— 127-_0_102._-_R=13- EZ00 0 90 X New 09--A3 __ 1st-Eaor2one _ Certificate Of Compliance : Residential (Part 2 of 3) CF -1 R Area Sasha Cukic Residence Inside Condition Location/ 10/20/2005 Project Title (in.) Cap. Cond. R -Val. JA IV Reference Date Comments -FENESTRATION SURFACES - 257 &85 21 0,47 2 09-A2_ Existing - Frame Wall, Stucco True Cond. 0.47 2 Location/ # Type Area U -Factor' SHGCz Azm, Tilt Stat. Glazing Type Comments - 1WlndQv�F-Window_ (East) b_3� _ 0.990 116-A0.74 _1-16 B ____90__ 9Q Existing Single.NoaMetal_C1ear _ _ -Existing_ 2 Window_ Rear _ West) 18.0 _0_990 116 -AA 0.74 116-B _ 270 90_ Existing_ S>fn Ie Non Metal Clear Existing_ 3_Window Right _ (North) 56.0 0.990 116-A 0 74 116-8 0 90 Exlstn�_Single Non Metal Clear Existing 4 Window_ Rear __(West) 53_0 0.580 _116_A 0.65 _1,16-B 270 90 New Double Non Metal Clear Addition _ 5 Window Right _ (North) 16-5 0.580 116-A _ 0.65 116-B 0, . 90_ New Double Non Metal Clear Addition 6 . Window Front _ (East) 28_5 0,580 911 =A _0_65 116-6 90 90- New Double Non Metal Clear_ 1st Floor Zone 7 Window. Rear _ _W -est) 76.0 9-58Q 116-A _955 1_15-B 2.70 90 New Dovblie-N-Qr!_Me.tal Clear_ 1st Floor.Zone _ 8 Window _ Right (North) _ 10 0.580 116-A 0.65 116-6 0 90 New Double Non Metal Clear 1st Floor Zone_ 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 11613. INTERIOR AND EXTERIOR SHADING Window_ Overhang Left Fin Right Fin # _ Exterior Shade Type SHGC_ Hgt, Wd. Len. Hgt. LExt. RExt. Dist. Len, Hgt Dist. len Hgt. 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug_Scrgen _ 0.76 6 Bug Screen . 0-76 - 7 Buci 0.76 _ 8 Bug_Screen 0-76 _ THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (so (in.) Cap. Cond. R -Val. JA IV Reference Status Comments Frame Wall, Stucco _ - 257 &85 21 0,47 2 09-A2_ Existing Existing / Exterior Mass Frame Wall, Stucco 24 _ 0_85 21 0.47 2 09-A2 Existing E_xisting_/ Exterior Mass Frame Walt, Stucco 254 0.85 21 0.47 __2_ 09-A2 _ Existing. Existing / Exterior Mass _ Frame Wall Stucco 17.2 0.85 21 047 2 _ 09-A2 Existing _ Existing /_Exterior Mass Frame Wall, Stucco 0-85 21 0.47 2 09-A3 New Addition % Exterior Mass PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Run Initiation Time: 10/20/0510:12:36 Run Code:- 1929828356 EnergyPro 4.0 by EnergySoft User Number: 5576 Job Number: sh4-100 Page:5 of 14 Certificate Of Compliance: Residential (Part 2 of 3) CF -1 R Sasha Cukic Residence10/20/2005 - - - Project Title Date -FENESTRATION SURFACES True Cond. Location/ # Type Area U -Factor' SHGCz Azm. Tilt Stat. Glazing Type Comments 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin _ # Exterior Shade Type SHGC Hgt. Wd Len. Hgt. LExt. REA. Dist. Len. Hgt Dist. Len. Hgt. THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (so (in.) Cap. Cond. R -Val. JA IV Reference Status Comments Frame Wall, Stucco 212 0.85 210.47 2 09-A3 - ---- New Addition / Exterior Mass Frame Wall Stucr,o 47 0.85 21 0.47 2 09-A3 New Addition / Exterior Mass Frame Wall Stucco_ 0 0.85 21 0.47 2 09-A3 New Addition / Exterior Mass _ Frame Wall, Stucco _ 249 0.85 _ 21 0.47 2 09-A3_ New 1st Floor Zone / Exterior Mass Frame Wall, Stucco 0.85 21 0.47 2 09-A3 New 1 st Floor Zone / Exterior Mass PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Run Initiation Time:. 10/.20105 10:12:36. _ Run Code: 112982$350 EnergyPro 4.0 by EnergySoft User Number 5576 Job Number: sh4-100 Page 6 of 14 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R-Val. JA IV Reference Status Comments Frame Wall, Stucco _. 208 _ 0.85 21 _0_47 2 _ 09-A3New 1 st Floor Zone / Exterior Mass Frame Wall Stucco 127 085 21 0.47 2 09-A3 New 1 st Floor Zone / Exterior Mass PERIMETER LOSSES Insulation Condition Location/ Type Length R-Val. Location JA IV Reference Status Comments Run Initiation Time: 10/20/05 10:12:36 Run Code: 1129828356 EnergyPro 4-0 by EnergySoff User Number: 5576 Job Number: sh4-100 Page:? of 14 Certificate 4f Compliance : Residential (Part 3 of 3) CF -1 R Sasha Cukic Residence Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with overall design responsibility. _ verification of refrigerant charge and TXVs, insulation installation quality, 10/20/2005 Project Title Documentation Author Name: Name: Edick Lazari Date Title/Firm. TKS Engineers & Associates 'HVAC SYSTEMS _ Address: 6359 Farm Hill Way_ `� - - --CA9 �. San Jose,_ CA 95120 _ Telephone: - A. .. I plc. #: Telephone. t4� 323-9523 Heating Minimum Cooling Minimum Condition Thermostat - Location Type Eff Type Eff Status Type Main HVAC Central Furnace _ 80% AFUE Slit Air Conditioner _ 13.0 SEER New Setback _ Secondary HVAC Central Furnace 94% AFUE Split Air Conditioner 15.0 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location - Heating Cooling Location R -Value Status Tested? Main HVAC Ducted Ducted Attic 2.1 New No Secondary HVAC Ducted Ducted Attic 21 New No Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated' Tank Energy Standby' Tank Insul. Water Heater # in Input Cap. Condition Factor Loss R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE' (%) Ext. Standard Gas 50 gal or Less _ Small Gas No Pipe Insulation 1 40,000 50 Existing 0.58 n/a n/a Standard Gas 50 gal Qr Less Small Gas Kitchen Pipe_Ins 1 gQ QQ4 50 New _ Q $__- n/a n/a Multi -Family Central Water Heating Details Hot Water Pump_ Hot Piping Length_ (ft)__ Add 1/2" Control # HP Type -Water In Plenum Outside Buried Insulation 1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS _ COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, 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) Documentation Author Name: Name: Edick Lazari Title/Firm: John Terz Title/Firm. TKS Engineers & Associates Address _ ,, //° _ Address: 6359 Farm Hill Way_ `� - - --CA9 �. San Jose,_ CA 95120 _ Telephone: - A. .. I plc. #: Telephone. t4� 323-9523 .. ott (signature) (date) (signature) date) Enforcement Agency Name: J Title/Firm: Address: - Telephone: _ (signature/stamp) (date) Run Initiation Time: 10120105 1 0:12:36 Run Code; 1129828356 _ EnergyPro 4.0 by EnergySoft User Number: 5576 Job Number sh4-100 Page:8 of 14 Certificate Of Comaliance : Residential (Addendum) CF -1 R _ Sasha Cukic Residence - 1_0/20/205_ Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special vgritten justification and documentation, and special verification to be used with the performance approach. The local 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. Plan Field Not Valid for permit applications submitted on or after 01/23/06 because Energy Budget is based on SEER 10 - HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC- approved HERS provider using CEG approved testing and/or verification methods and must be reported on the CF -4R installation certificate. Plan Field Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercedes the items marked with and asterisk (") below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check NIA if not ENFORCE - applicable. NIA DESIGNER MENT Building Envelope Measures § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. X. § 150(b): Loose fill insulation manufacturer's labeled R -Value: X R§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not X_ , apply to exterior mass waits). ;§ 150(4): Minimum R-13 raised floor insulation in framed Floors or equivalent U -factor. X § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. closable metal or glass door covering the entire opening of the firebox XI b. outside air intake with damper and control, flue damper and control X;. 2. No continuous burning gas pilot lights allowed. Xij § 150(f): Air retarding wrap installed to comply with 9151 meets requirements specified in the ACM Residential Manual. XJ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. X: § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor X! permeance rate no greater than 2.0 perm/inch. § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include n CF -6R Form § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. X 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. X 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. X Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. Xt § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. X1 § 150(1): Setback thermostat on all applicable heating and/or cooling systems. Xii § 1500): Water system pipe and tank insulation and cooling systems line insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation X! having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external X] insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold wafer pipes closest to water heater tank, non-recirculalin systems, stems, and entire PP 9 X length of recirculating sections of hot water pipes shall be insulated to Table 150B. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and X', indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. X_I, 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, XJ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed XI entirely in conditioned space. 7. Solarwater-heatingsystemslcollectors are certified by the Solar Rating and Certification Corporation. Xi EnergyPro 4.0 by EnergySoft User Number. 5576 Job Number sh4-100 Page: 10 of 14 Mandatory Measures Summarv: Residential (Page 2 of 2) MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent • compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated _ into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. . --- Instructions: Check or initial applicable boxes when completed or check NIA if not _._—..._ ...- , ENFORCE -1 DESCRIPTION applicable. NIA DESIGNER MENT • Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, XX I.... I � 605, and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minumum installed level of R-4.2 or enclosed entirety in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than X} r.. [ 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. r 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive f I X� duct tapes unless such tape is used in combination with mastic and draw bands. IX1_1 �__� � 4. Exhaust fan systems have back draft or automatic dampers. � 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating C I 1 1, i dampers. 6. Protection of Insulation. 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 _! ".11 I 1dJ retardant and provides shielding from solar radiation that can cause degradation of the material. 7. Flexible ducts cannot have porous inner cores. -1 § 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the .X ( C heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At east 36" of pipe between filter and heater for future solar heating. b. Cover for outdoorools or outdoors as. P P IX.I �L._._I l i j 3. Pool system has directional inlets and a circulation pump time switch. IX I �,... J § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btulhr) § 118 (i): Cool Roof material meets specked criteria rr LJ L ] 1 l Lighting Measures § 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table [X� 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast. f § 150(k)2 Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ff 1X_i1 L ._.� 1 in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. OR are controlled by an occupant sensor(s) centfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms be high luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR X [ shall efficacy are controlled by an occupant sensor that complies with Section 1� 9(d) that does not tum on automatically or have an II always on option. § 150(k)5: Luminairesinto zero clearance talion cover (1C) and are j X labe ed as ate bght'ngs (AT)to less thare n 2.0 CFM at 75 Pascalor ASTM E283 andds ..'I § 150(k)6: Luminaires providing outdoor fighting and permanently mounted to a residential building or to other buildings on the 1 X-1 same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. [x- j Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. - � § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more �X-1 � FIF I dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). IEnergyPro 4.0 by EnergySoft User Number 5576 Job Number. sh4-100 Page: 11 of 14 Residential Kitchen Lighting Worksheet WS -5R ' Sasha C_ukic Residence . 10/20/2005 - _ Project Title Date At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. Hiqh Efficacy Luminaire Type High Efficacy? Watts Quantity Watts Other Watts (1) 26w Compact Fluorescent Quad 2 Pin Yes X1 No _, 27.0 x 6 = 162 or 35w Low Voltage Halo eg n Mag_ Yes No X' 39.0 x 6 = or 234 (1) 26w Compact Fluorescent Quad 2 Pin _ Yes X;_ No ,.,' - 27,0 x _ 4 = _ 108 or _ -- Yes ,..: No _ x = or Yes No x = - or _ Yes ,;_ No x = or Yes No x = _ or Yes .., No .., x = or Yes No x= or Yes No x - or Yes No ; x = or Yes No _- x = or Yes No x = or Yes No x = or Yes No x = or _ -Yes . . No x = or Yes Na x - or Yes No x = or Yes No x = or _ _Yes No _ x = or Total A: 270 B: 234 COMPLIES IF A;-> B YES X NO EnergyPro 4.0 by EnergySoft User Number: 5576 Job Number: sh4-100 Page 12 of 14 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Sasha Cukic Residence 10/20/2005 ,SYSTEM NAME FLOOR AREA Main HVAC 1,246 JENGINEERING CHECKS 11SYSTEM LOAD 17� Number of Systems f: COIL COOLING PEAK COIL HTG. PEAK eaten System CFM Sensible Latent CFM I Sensible Output per System 71,000:� Total Room Loads 1,3181 22,0981 1,076 i 664 24,506 Total Output (Btuh) 71,000 Return Vented Lighting 0! Output (Btuhlsqft) 57.0 Return Air Ducts 2,749! 3,7461� !Cooling System Return Fan 01 O Output per System 46,5W' Ventilation 0; O� 0! 0 OI Total Output (Btuh) 46,50011 Supply Fan 01 01 Total Output (Tons) 3.9 Supply Air Ducts 2,7491 3,746i Total Output (Btuh/sqft) 37.3i TOTAL SYSTEM LOAD i 27,596f 1,076! 31,998' Total Output (sqftrron) 321.5� Air System AHVAC EQUIPMENT SELECTION CFMper System 1,720 , 720�' Bryant 550AN048-E/31 1JAVG48090 35,377� 11,5361 71,0001 Airflow (cfm) 1,720p: Airflow (cfm/sqft) 138 Airflow (cfm/Ton) 443.9, Outside Air 0. 0 Total Adjusted System Output 353771 11,5361 71,000:; (Adjusted for Peak Design Conditions) Outside Air (cfmisqft) 0 00,:! TIME OF SYSTEM PEAK Aug 2 pm} 1 Jan 12 aml Note: values above given at ARI conditions [HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) ")F -00, Outside Air 0 cfm 68.0 Heating Coil x_. Supply Fan 1720 cfm Supply Air Ducts ROOMS 711 Return Air Ducts P --DOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Cooling Peak) Outside Air 0 cfm Cooling Coil Supply Fan 1720 cfm >% Return Air Ducts 4 Supply Air Ducts 48.7% R.H.ROOMS EnergyPro 4.0 by EnergySoft User Number: 5576 Job Number- sh4-100 Page: 13 of 14 JHVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Sasha Cukic Residence 10/20/2005 ,SYSTEM NAME FLOOR AREA Secondary HVAC _ 694 of S stems Number? Systems �I COIL COOLING PEAK HTG. PEAK Heating Heating System CFM Sensiblei Latent CFM Sensible Output per System y 75,000, , Total Room Loads , 626 13,.496 474 3551 13,402 Total Output (Btuh) 75,000; ", I Return Vented Lighting o Out ut Btuh/sgft) P ( - - 108.1�� Return Ail Ducts _ 1,, 679 2,049:: — Cooling System Return Fan o 0 Output per 47,500:1I, � 0, OI 0 ( 0� 0 lh} Total Output (Ba 47,500�m Supply Fan 0 0 Total Output (Tons) 4.0 Supply Air Ducts 1,679] 2,049 Total Output (Btuh/sgft) 68.4TOTAL SYSTEM LOAD 16,854 474; 17,500 Total Output (sgft/Ton) 175.3,;: Air System ]HVAC EQUIPMENT SELECTION CFM per System 1,600:, _ 58MVP080-2/38TDB04830 36,.469 9,241,., 75,000 _CARRIER Airflow (cfm) 1,600' Airflow (cfm/sgft) 2.31' L_ Airflow (cfmfron) 404.21 I j Outside Air { /oj 0.0 Total Adjusted System Output ! 36,469 9,241 75,000 (Adjusted for Peak Design Conditions) _ Outside Air (cfm/sgft) TIME OF SYSTEM PEAK Aug 2 pmj Jan 12 am Note: values above given at ARI conditions fi_ATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak Outside Air 0 cfm Supply Fan Heating Coil 1600 cfm h Return Air Ducts '4 Supply Air Ducts ROOMS DOLING SYSTEM PSYCHROMETRICS Airstream Tem eratures at Time of Cooling Peak Outside Air 0 cfm Supply Fan Cooling Coil 1600 cfm h Retum Air Ducts '� Supply Air Ducts 45.5% R.H. ROOMS EnergyPro 4.0 by EnergySoft User Number: 5576 Job Number. sh4-100 Page. 14 of 14