Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
12060005
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19133 ANNE LN OWNER'S NAME: NAVA-SALGADO VICTOR O OWNER'S PHONE: 4086743310 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic.4 Contractor Date 1 hereby affirm that 1 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. 1 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 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. 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. Signature Date d OWNER -BUILDER DECLARATION I hereby affirm that 1 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, 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 construct the project (Sec.7044, Business & Professions Code). V N 1 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, l 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. Uri 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, th�thC.pe�,tunicipal tands and will comply with all non -point sou ce regula s peCode, Section 9.18. /� Date CONTRACTOR: NAVA-SALGADO VICTOR PERMIT NO: 12060005 O 19133 ANNE LN DATE ISSUED: 12/03/2012 CUPERTINO, CA 95014 PHONE NO: BUILDING PERMIT INFO: BLDG ELECT PLUMB r- MECH RESIDENTIAL r- COMMERCIAL JOB DESCRH'TION: CONSTRUCT A TWO STORY RESIDENCE 3066 SQFT WITH ATTACHED 495 SQFT GARAGE AND A 185 SQFT PORCH Sq. Ft Floor Area: I Valuation: $500000 APN Number: 37507009.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FRO LAST CALLED INSPECTION. /2 - 3- rz Issued by: Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Cod_g, Seckous 25505, 25533, and 25534. Owner o aut ori rt: 1 Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO I INEW CONSTRUCTION i CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq(@cupertino.org ❑ ADDITION ❑ ALTERATION/7 ❑ REVISION / DEFERRED ORIGINAL PERMIT # PR IECT ADDRFr$SA' i/ Adv IF- APN I r1 U 7 1 OWNERNAME � PHONE E-MAIL STREET ADDRESS ( �j�j M1 ty , -{� CITY, STATE. ZIP lq`�SC� CONTACT NAME PH E MAIL STREET ADDRESS l Z�Od �p�j (fir❑ a i► b (`"yam c„❑' 'WNEERA'lG1EN�T /",❑G CITY, STATE, ZIP1, Q FAX Ov ❑ OWNER ❑ OWNER -BUILDER CCO=NTRACTOR ❑ CONTRACTOP AGENT ]G ARCHITECT ❑I ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME l✓ LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E -MAUL FAX . STREET ADDRESS CITY, STATE, ZIP PHONE CHITS /ENGINEER NAME jr y� }� p nLICENSE (•`rl vV l�� c�-'�1 NUMBER ^ '1- Ca, C 1 l( O BUS. LIC # COMPANY NAME n 1 O� E-MAIL FAX An P P> tcaA STREET ADDRESS ;AMC- CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONS STORIES TORIES F V USE TYPE OCC. SQ.FI. VALUATION (S) FDEMO REG A R... ARWFLOOR AREA r AREA TOTAL NET AREA p+CuV ,r�7 V5 x„33 - BATHROOM REMODELAREA KITCHEN REMODELAREA OTHER REMODELAREA `� Cw l�. / PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGEAREA_- LJ DETACH of^TTACA '. C�"� 'r% �/) 6 f # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECONDSTORY BEING ADDED? NNO ADDITION? []NO PRE -APPLICATION In YES IF YES, PROVIDE COPY OF IS THE BLDG AN [jS RECEIVED Y: TOTAL VALUATION: PLA -N-,, LING APPL it []NO PLANNING APPROVAL LETTER EICHLER HOME? V O �y �-1 50 By my signature below, I certify to each of the following: 1 am the property owner or authorized agent to act on the property owner's behalf. I hhaave/read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building con tion. I authorize re s ntatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: k2 -- SUPPLEMENT INFORMATION REQUIRED 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 DisclosureSTANDARD PUBLIC WORKS fo_rm if any Hazardous Materials are being used as part of this project. LARGE q DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ ��FDZE submittal of Building Permit application. MAJORANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dg,1pp_2011.doc revised 06/21/11 �- CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 19133 Anne Lane DATE: 0610112012 REVIEWED BY: Sean APN: BP#: `VALUATION: 1$500,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE; 2nd Unit? Yes `' No PENTAMATION 1R3SFDW PERMIT TYPE: WORK Construction of a two story residence 3066 sq ft with attached 495 sq ft garage and a 185 sq ft porch. SCOPE $0.00 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 3,746 $2,946.27 IR3PLNCK $3,093.46 IR31NSP $0.00 PME Plan Check: $0.00 Permit Fee: $3,093.46 Suppl. Insp. Fee -0 Reg. C) OT To.oThrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 3,746 $2,946.27 $3,093.46 1 NOTE: This estimate does not include fees due to other Departments (La 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 Deptfor addn'1 info. FEE ITEMS (Fee Resolution 11-053 Gf 7/1/11) FEE QTY/FEE MISC ITEMS ME OEM �u $2,946.27 im 00 Suppl. PC Fee: Q Reg. © OT 0.0 NOTE: This estimate does not include fees due to other Departments (La 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 Deptfor addn'1 info. FEE ITEMS (Fee Resolution 11-053 Gf 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,946.27 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. © OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,093.46 Suppl. Insp. Fee -0 Reg. C) OT To.oThrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCoN saa 1 � new ,,nenit $590.16 0 Work Without Permit? C) Yes (F) No $0.00 Advanced Planning Fee: PLLONGRNGR $486.98 Select a Non -Residential Building or Structure G 0 A Strong Motion Fee: 1BSEISWCR $50.00 Select an Administrative Item Bldg Std,s Commission Fee: IBCBSC $20.00 SUBTOTAL$, ! $7,186.87 $0.00 ' TOTAL F]gE': $7,186.87 Revised: 05/01/2012 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: I q 133 4N 1_ � PERMIT# JA 66 660E - OWNER'S NAME: " A -5 4 L "- DO PHONE# - & 11 -3j) M, __ GENERAL CONTRACTOR: Lt %kj ljjg�Q_ BUSINESS LICENSE # ,ADDRESS: jc3i?)_5 &0;4 t-0 CITY/ZIPCODE: 9 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Pir**irg A,Vra*!% A Skl-O C-iJ WC �ADP CON5 -MM -3 -� q 3 -7 Electrical U fi7WH('�'r Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating 40 1 a AK�7'9 Insulation L C Dc cc N'nro C71 0 rj Landscaping IbA�icg '� t 0 PRIKass Mc C<Z P-1 Q'P667- Masonry Painting / Wallpaper Paving Plastering P&Ab-(T-RA N Plumbing P1'Uwow(� Roofing &) 5 41j� fak W f- e M co ru-qzy CMO Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date ON lL CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: f c 13 4!Vpr Lti , PERMIT '# 120` O0a,!�— OWNER'S NAME: VIc::W- 4. Nffin4-jAj-4 PHONE # 'YO GT ' - 3 -31C GENERAL CONTRACTOR: d a r05 -i(. BUSINESS LICENSE # ADDRESS: 1 g 133 A-9,QT ttJ t-&KApr1 CA- S 70 iAt CITY/ZIPCODE: `2 6 1 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OB'T'AINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date _0 Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date CUPERTINO OWNER -BUILDER NOTICE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ina65" cuoertrno.org Effective January, 1, 2009, Assembly Bill 2335 amends California Health and Safety Code, Section 19825, regarding disclosures and verifications required for all applicants seeking Owner - Builder construction permits. These new application requirements provide an enhanced level of consumer awareness and protection for property owners accepting the risks associated with Owner -Builder construction permits. "The Legislature hereby finds and declares that there is an urgent and statewide public interest in assuring that building contractors comply with the Contractors License Law... and provisions of law relating to Workers' Compensation Insurance for building construction, that property owners are informed about, and protected from, fraudulent representations, liability for worker's injuries, liability for material and labor costs unpaid by contractors, licensing requirements, and employer's tax liabilities when improving their property as owner -builders" Important information you need to know BEFORE pulling your permit! The term "Owner -Builder" can mean three different things: "Owner as Worker", "Owner as Contractor" or "Owner as Employer" Understand each has Benefits or Risk, and it is possible to combine them! Hiring a California Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken out in your name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a "Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial risk due to worker injury. Benefit/Risk: Highest Benefits and the Least amount of Risk Owner -as -Worker is a type of Owner -Builder where you personally perform the construction work, the permit is taken out in your name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job successfully. Benefit/Risk: i ,. r with Lot% Financial Rise. Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in your name and you hire California licensed sub -contractors to perform portions of the construction work. WARNING: The benefit of protection provided by law when you hire only California licensed sub -contractors can turn to serious financial risk if you hire unlicensed contractors to perform any of the work. Benefit/Risk: and Significant Financial Risk Owner -as -Employer is a type of Owner -Builder where you pay any individual to perform any construction work valued at more than $500.00, the permit is taken out in your name and you are personally responsible for their employment requirements, supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn to serious financial risk if you fail to deduct payroll taxes or provide workers compensation insurance for each worker. Benefit/Risk: with Significant Financial Risk Over 20,000 consumer complaints are filed each year. Many complaints relate to ownerlbuilder projects and include workmanship and workers' compensation issues Homeowners suffer financial harm due to defective workmanship and injured employees. OwnerBuilder 2010.doc revised 06/08/!0 Following are alarming examples of what has occurred with Owner -Builder permits: Example 1: Homeowner received insurance money to rebuild burned -down home. ■ Owner/Builder permit pulled to rebuild structure. • Unlicensed contractor built substandard structure — must be torn down and replaced. ■ Estimated financial injury is $225,000. ■ Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of the year. Example 2: Brother-in-law had active license but filed an exemption from Workers Comp. ■ Owner -Builder hires brother-in-law to install a new roof. ■ Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and remains in a coma to this day. ■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic system and suffers injury that results in permanent disability. ■ The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit a claim. • The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Did you know — unlicensed persons frequently have the property owner obtain an "Owner - Builder" building permit which erroneously implies that the property owner is providing his or her own labor and material personally? Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed contractor and his/her employees? Did you know — if you are considered an "employer" under state and federal law, you must register with the state and federal government, withhold payroll taxes, provide workers compensation and disability insurance and contribute to unemployment compensation for each "employee"? Did you know — that if you fail to abide by these laws you may be subjected to serious financial risk? OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR YOUR CONSTRUCTION PERMIT OwnerBuilder 2010.doc revised 04/12/10 CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • bukding(a)cuaertina.org Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS ;, AP BP# 7 5_ooq �Zo6000 OWNERNAME I&MY. 0 A"_ X474'po I OWNER ADDRESS !J 13,3 4A/AIE I�ti; C U P6M ND , C�- 95cak{ DESCRIPTION OF WORK: Ull �D/V(, 14 JL5- i We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) Vo) 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowners insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. U0 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. Vd 3. 1 understand as an "Owner -Builder' I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �� 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. "%0 5.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. V d 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. yd 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. "0 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 V09. I understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. W 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. U0 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. UN 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable toe city equired to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: '"" .. Date: CIA ..(Iv---- ---------------------------- ---------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OwnerBuilderForm 2010.doc revised 04/14/10 GY ANALYSIS REPORT CI IRRflITTAI d� U1 #3 y� PROJECT: ONAVA'S RESIDENCE fr+'' 19133 ANNE LANE '/"�c�'�� COP CUPERTINO, CA 95014 ��"' 1, Project Designer: STUDIO 61 ARCHITECTS INC 12480 SARATOGA AVE SARATOGA, CA 95070 408.892.5020 Report Prepared by: FRANK L. HO STUDIO 61 ARCHITECTS INC 12480 SARATOGA AVE SARATOGA, CA 95070 408.892.5020 Job Number: 1141 Date: 5/29/2012 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. I EneravPro 5.1 by EneravSoft User Number; 5750 RunCode: 201 2-05-29 71 0:10:28 ID: 1141 I TABLE OF CONTENTS Cover Page Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 8 HVAC System Heating and Cooling Loads Summary 11 Room Load Summary 13 Room Heating Peak Loads 15 Room Cooling Peak Loads 17 Form ECON-1 Energy Use and Cost Summary 19 Form ECON-2 Energy Upgrade Recommendations 20 Form UTIL-1 R Utility Incentive Worksheet 21 EnergyPro 5.1 by EnergySoft ID 1141 User Number. 5750 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name ONAVA'S RESIDENCE Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/29/2012 Project Address 19133 ANNE LANE CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 3,066 Addition n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes IZI No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. IZI 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 R-19 3,066 New Wall Wood Framed R-13 2,183 New Door Opaque Door None 69 New Root Wood Framed Attic R-30 3,066 Radiant Barrier Venting New FENESTRATION U- Exterior Orientation Area(ft2) Factor SHGC Overhang Sidefins Shades Status Front (S) 129.0 0.390 0.37 none none Bug Screen New Right (E) 144.0 0.390 0.37 none none Bug Screen New Rear (N) 234.0 0.390 0.37 none none Bug Screen New Left (W) 111.0 0.390 0.37 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC -1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New HVAC -2 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Instant Gas 0 0.84 Kitchen Pipe Ins New EnergyPro 5.1 by Energ Soft User Number. 5750 RunCode: 2012-05-29T10:10:28 ID: 1141 Pae 3 of 21 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name ONA VA'S RESIDENCE Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/29/2012 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. The Roof R-30 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof R-30 Roof Attic includes an Airgap below Roofing 1/150 Vent Area 50% of Vents Located High requires verification. 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. Ener Pro 5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29T10:10:28 ID: 1141 Page 4 of 21 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type mSingle Family 11Addition Alone Dale ONA VA'S RESIDENCE ❑ Multi Family ❑ Existing+ Addition/Alteration 5/29/2012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 23.67 22.90 0.78 Space Cooling 5.99 4.73 1.26 Fans 4.67 4.73 -0.06 Domestic Hot Water 12.89 9.52 3.36 Pumps 0.00 0.00 0.00 Totals 47.22 41.88 5.34 Percent Better Than Standard: 11.3 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) 646 129 Fuel Available at Site: Natural Gas (W 819 111 Raised Floor Area: 3,066 (N) 619 234 Slab on Grade Area: 0 (E) 786 144 Average Ceiling Height: a.0 Roof 3,066 0 Fenestration Average U -Factor: 0.39 TOTAL: 618 Average SHGC: 0.37 Fenestration/CFA Ratio: 20.2 REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company STUDIO 61 ARCHITECTS INC 5292012 Address 12480 SARATOGA AVE Name FRANK L. HO City/State/ZipCity/State/Zip SARATOGA, CA 95070 Phone 408.892.5020 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 STUDIO 61 ARCHITECTS INC Address 12480 SARATOGA AVE Name FRANK HO City/State/Zip SARATOGA, CA 95070 Phone 408.892.5020 Signed License # Date EnerqyPro 5.1 by EnerqySoft User Number.' 5750 RunCode: 2012-05-29T10:10:28 ID: 1141 Page 5 o121 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name ONA VA'S RESIDENCE Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/29/2012 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cav—it7y Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Floor 1,968 0.037 R-19 0 180 New 4.4.1-A4 FLOOR 1 Wali 203 0.102 R-13 180 90 New 4.3.1-A3 FLOOR 1 Door 69 0.500 None 180 90 New 4.5.1-A4 FLOOR 1 Wall 314 0.102 R-13 90 90 New 4.3.1-A3 FLOOR 1 Wall 164 0.102 R-13 0 90 New 4.3.1-A3 FLOOR 1 Wall 374 0.102 R-13 270 90 New 4.3.1-A3 FLOOR 1 Roof 1,968 0.031 R-30 0 18 New 4.2.1-A 20 FLOOR 1 Floor 1,098 0.037 R-19 0 180 New 4.4.1-A4 FLOOR 2 Wall 245 0.102 R-13 180 90 New J4.3.1 -A3 FLOOR 2 Wall 329 0.102 R-13 90 90 New 4.3.1-A3 FLOOR 2 Wall 221 0.102 R-13 0 90 New 4.3.1-A3 FLOOR 2 Wall 335 0.102 R-13 270 90 New 4.3.1-A3 FLOOR 2 Roof 1,098 0.031 R-30 0 18 New 4.2.1-A20 FLOOR 2 FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 75.0 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low -E Vinyl FLOOR 1 2 Window 112.0 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low -E Vinyl FLOOR 1 3 Window 168.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low -E Vinyl FLOOR 1 4 Window 82.0 0.390 NFRC 0.37 NFRC 270 New Milgard Classic Low -E Vinyl FLOOR 1 5 Window 54.0 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low -E Vinyl FLOOR 2 6 Window 32.0 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low -E Vinyl FLOOR 2 7 Window 66.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low -E Vinyl FLOOR 2 8 Window 29.0 0.390 NFRC 0.37 NFRC 270 New Milgard Classic Low -E Vinyl FLOOR 2 T—i— (1) U -Factor Type: 1 16-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Window Exterior Shade Type SHGC H t Wd Overhang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.75 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number 5750 Run Code: 2012-05-29T10:10:28 ID: 1141 Pae 6 of 21 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name ONA VA'S RESIDENCE Building Type © Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/29/2012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume Year Built HVAC -1 FLOOR 1 1,966 15,744 HVAC -2 FLOOR 2 1,098 8,784 Totals 3,066 0 0 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC -1 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC -2 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Coolin Duct Location Duct R -Value Ducts Tested? Status HVAC -1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 ❑ New HVAC -2 Ducted Ducted Attic, Ceiling Ins, vented 8.0 ❑ New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Standby Factor Loss or or RE Pilot Ext. Tank Insul. R- Value Status Takagi T -K2 1 Instant Gas Kitchen Pipe Ins 185,000 0 0.84 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Qty. HP Hot Water Piping Length ft c 0 System Name Pipe Length Pipe Diameter Insul. Thick. Plenum Outside Buried ¢ — El❑ EnergyPro 5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29T10:10:28 ID: 1141 Pae 7 of 21 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name ONA VA'S RESIDENCE Date 5/29/2012 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 hints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §1 18(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50 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 Lo2 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 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 ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500)'1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)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 Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150 3A: Insulation is protected from damage, includinq that due to sunlight, moisture, equipment maintenance, and wind. §1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 1 50 4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number. 5750 Run Code: 2012-05-29T10:10:28 ID., 1141 Page 8 of 21 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Pro)ecl Name Date ONAVA'S RESIDENCE 5/29/2012 §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 181A, or UL 1818 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 114 inch, the combination of mastic and either mesh or tae 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. §I50(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 li ht. §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 ro rammed 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 1 50 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 f12 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: 5750 RunCode: 2012-05-29710:10:28 ID: 1141 Page 9 of 21 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date ONAVA'S RESIDENCE 5/29/2012 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)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)l6: Permanently installed lighting in the enclosed; non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number., 5750 RunCode: 2012-05-29T10:10:28 ID. 1141 Page 10 of 21 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name ONAVA'S RESIDENCE Date 5/29/2012 System Name HVAC -1 Floor Area 1,968 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING CFM Sensible 890 18,610 0 547 0 0 0 0 547 19,705 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output per System 94,000 812 491 24,371 Total Output (Btuh) 94,000 Output Btuh/s ft 47.8 893 Cooling System 0 Output per System 28,100 0 0 0 Total Output (Btuh) 28,100 812 0 Total Output (Tons) 2.3 893 Total Output (Btuh/s ft) 14.3 Total Output (s ft/Ton) 840.4 26,157 Air System CFM per System 875 HVAC EQUIPMENT SELECTION Airflow cfm 875 Carrier 58MVB10020 CNP 38HD 2.5T 26,694 0 94,000 Airflow (cfm/s ft) 0.44 Airflow cfm/Ton) 373.7 Outside Air (%) 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 26,694 0 Aug 3 PM 94,000 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 IF 67 OF Outside Air 0 cfm Supply Fan 875 cfm 67 IF 67 IF 115 IF Heating Coil Ell" j 114 OF ROOM 68 IF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak 88 i 68 IF 76 162 OF 76 / 62 IF 55 / 54 OF Outside Air Ar 0 cfm AL Supply Fan Cooling Coil 875 cfm 76 i 62 OF 56 154 OF //�� rvu" 46.4% RQ1.7M ' �'; _ 1" a�� 75 / 62 IF EnergyPro5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29T10:10:28 ID. 1141 Page 11 of 21 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name ONAVA'S RESIDENCE Date 5/29/2012 System Name HVAC-2 Floor Area 1,098 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 395 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 per System 57,000 8,369 830 282 14,051 Total Output Btuh) 57,000 0 246 0 Output Btuh/s ft 51.9 515 Cooling System 0 Output per System 23,700 0 0 0 0 Total Output (Btuh) 23,700 0 246 8,861 830 0 Total Output (Tons) 2.0 515 Total Output (Btuh/s ft) 21.6 Total Output s ft/Ton 555.9 1 15,081 Air System CFM per System 680 HVAC EQUIPMENT SELECTION Airflow cfm 680 Carrier 58MVB60-14 CNP 38HD 2 T 21,003 1,524 57,000 Airflow cfm/s ft) 0.62 Airflow cfm/Ton) 344.3 Outside Air (%) 0.0% Total Adjusted System Output 21,003 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK F 1,524 Aug 3 PM 57,000 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 IF 67 IF Outside Air 0 cfm Supply Fan AL 680 cfm 67 OF 67 OF 115 IF Heating Coil 114 OF - ROOM i 68 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 88 66 OF 75 i 62 OF 75 ! 62 OF 55 ! 54 OF Outside Air _ L ELI, —1 0 cfm AL Supply Fan Cooling Coil 55 ! 54 OF 680 cfm �y y' 46.8 % ROOM 75 62 IF 75 ! 62 IF EnergyPro 5.1 by EnergySoft User Number.5750 RunCode: 2012-05-29710:10:28 ID: 1141 Page 12 of 21 RICNIOM LOAD SUMMARY Project Name ONAVA'S RESIDENCE System Name HVAC -1 ROOM LOAD SUMMARY Date 5/29/2012 Floor Area 1,968 ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mull. I CFM Sensible Latent CFM Sensible Latent CFM Sensible FLOOR 1 FLOOR 1 I 1 1 8901 18,610 812 890 18,610 812 4911 24,371 PAGE TOTAL TOTAL' 890 18,610 812 491 247371 890 18,610 812 491 24,371 " Total includes ventilation load for zonal systems. Ener Pro 5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29T10:10:28 ID: 1141 Pae 13 of 21 _ ROOM HEATING PEAK LOADS Project Name ONA VA'S RESIDENCE Date 5/29/2012 ROOM INFORMATION DESIGN CONDITIONS Room Name FLOOR 1 Floor Area 1,968.0 ftZ Indoor Dry Bulb Temperature 68 OF Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area U -Value 1,968.0 X 0.0370 1,053.6 X 0.1020 437.0 X 0.3900 69.4 X 0.5000 1,968.0 X 0.0310 X X X X X X X X X X X X X X X X X X X X X X X X X X through an interior suriace to another room X 1,968 X 8.00 X 0.576 Area Ceiling Height ACH X X X X X X X X X X X X X X X AT *F Btu/hr = 2,913 = 4,299 = 6,817 = 1,388 = 2,440 = = = = = = = = = = = = = = = = = = = = = = = = = = 17,857 40 = 6,514 R-19 Floor Crawlspace 40 R-13 Wall 40 Milgard Classic Low -E Vinyl 40 Wood Door 40 R-30 Roof Attic 40 X X X X X X X X X X X X X X X X Items shown with an asterisk (') denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction Page Total /60] X AT TOTAL HOURLY HEAT LOSS FOR ROOM 24,371 EnergyPro 5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29710:10:28 ID. 1141 Page 15 of 21 ROOM HEATING PEAK LOADS Project Name ONAVA'S RESIDENCE Date 5/29/2012 ROOM INFORMATION DESIGN CONDITIONS Room Name FLOOR 2 Floor Area 1,098.0 ft2 Indoor Dry Bulb Temperature 68 OF Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X to U -Value X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 4T 'F = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = 40 Btu/hr R-19 Floor Crawlspace 1,098.0 0.0370 40 1,625 R-13 Wall 1,129.0 0.1020 40 4,606 Milgard Classic Low -E Vinyl 181.0 0.3900 40 2,824 R-30 Roof Attic 1,098.0 0.0310 40 1,362 Items shown with an asterisk (`) denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction through an interior surface X 1,098 X Area another room 8.00 X 0.576 Height ACH Page Total /60] X AT 10,416 —_ 3,634 Ceiling TOTAL HOURLY HEAT LOSS FOR ROOM 14,051 EnergyPro 5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29T10:10:28 ID. 1141 Page 16 of 21 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Date ONAVA'S RESIDENCE 5/29/2012 ROOM INFORMATION DESIGN CONDITIONS Room Name FLOOR 1 Outdoor Dry Bulb Temperature 88 OF Floor Area 1,968.0 ff2 Outdoor Wet Bulb Temperature 68 OF Indoor Dry Bulb Temperature 75 OF Outdoor Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R- 19 Floor Crawlspace 1,968.0 X 0.0370 X 4.0 = 291 R-13 Wall (S) 202.6 X 0.1020 X 6.0 = 124 Wood Door (S) 69.4 X 0.5000 X 6.0 = 208 R-13 Wall (E) 313.5 X 0.1020 X 13.0 = 416 R-13 Wall (N) 164.0 X 0.1020 X 3.0 = 50 R-13 Wall (W) 373.5 X 0.1020 X 13.0 = 495 R-30 Roof Attic (N) 1,968.0 X 0.0310 X 37.0 = 2,257 X X = X X = Page Total 3,842 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Window (S) 0.0 X 14.9 + 75.0 X 20.5 = 1,535 Window (E) 0.0 X 14.9 + 112.0 X 37.4 = 4,188 Window (N) 0.0 X 14.9 + 168.0 X 14.9 = 2,498 Window (Wj 0.0 X 14.9 + 82.0 X 37.4 = 3,066 X + X - X + X - X + X - X + X - X + X - Page Total 11,287 Internal Gain Btu/hr Occupants 2.0 Occupants X 230 Btuh/occ. = 460 Equipment 1.0 Dwelling Unit X 1,600 Btu = 1,600 Infiltration: 1,077 X 0.83 X 121.86 X 13 = 1,421 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 18,610 Latent Gain Btu/hr Occupants 2 Occupants X 200 Btuh/occ. = 400 Infiltration: 4,830 X 0.83 X 121.86 X 0.00084 = 412 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 812 Ener Pro 5.1 by EnerqySoft User Number.- 5750 Run Code: 2012-05-29T10:10:28 ID: 1141 Pae 17 of 21 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Date ONAVA'S RESIDENCE 5/29/2012 ROOM INFORMATION DESIGN CONDITIONS Room Name FLOOR 2 Outdoor Dry Bulb Temperature 88 OF Floor Area 1,098.0 ft2 Outdoor Wet Bulb Temperature 68 OF Indoor Dry Bulb Temperature 75 OF I Outdoor Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R-19 Floor Crawlspace 1,098.0 X 0.0370 X 4.0 = 163 R-13 Wall (S) 245.0 X 0.1020 X 6.0 = 150 R-13 Wall (E) 328.5 X 0.1020 X 13.0 = 436 R-13 Wall (N) 221.0 X 0.1020 X 3.0 = 68 R-13 Wall (W) 334.5 X 0.1020 X 13.0 = 444 R-30 Roof Attic (N) 1,098.0 X 0.0310 X 37.0 = 1,259 X X = X X = X X = Page Total 2,519 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Drfference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Window (S) 0.0 X 14.9 + 54.0 X 20.5 = 1,105 Window (E) 0.0 X 14.9 + 32.0 X 37.4 = 1,196 Window (N) 0.0 X 14.9 + 66.0 X 14.9 = 982 Window (lM 0.0 X 14.9 + 29.0 X 37.4 = 1,084 X + X - X + X = X + X = X + X - X + X - Page Total 4,367 Internal Gain Btu/hr Occupants 3.0 Occupants X 230 Btuh/occ. = 690 Equipment 0.0 Dwelling Unit X 1,600 Btu = 0 Infiltration: 1.077 X 0.83 X 67.99 X 13 = 793 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 8,369 Latent Gain Btu/hr Occupants 3 0 Occupants X 200 Btuh/occ. = 600 Infiltration: 4,830 X 0.83 X 67.99 X 0.00084 = 230 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 830 EnerqyPro 5.1 by Ene Soft User Number. 5750 RunCode: 2012-05-29 71 0:10:28 ID. 1141 Pae 18 of 21 ENERGY USE AND COST SUMMARY ECON-1 Projeci Name ONAVA'S RESIDENCE Date 5/29/2012 Rate: Fuel Type: Electricity STANDARD PROPOSED MARGIN Energy Use (kWh) Peak Demand Cost (kW) ($ Energy Use (kWh) Peak Demand (kW) Cost $ Energy Use (kWh) Peak Demand Cost (kW) ($) Jan 165 1 188 1 -24 0 Feb 110 4 125 3 -14 1 Mar 91 3 102 3 -12 0 Apr 112 4 108 4 4 0 May 53 6 42 6 11 0 Jun 158 7 121 6 36 1 J u l 189 7 149 7 40 0 Aug241 8 202 8 40 0 Sep 126 9 94 10 31 0 Oct 70 6 58 6 12 0 Nov 106 1 120 1 -13 0 Dec 163 1 185 1 -22 0 Year 1,584 9 1,494 10 90 0 CO2 Ibs/ r Ibs/ r Ibs/yr Rate: Fuel T e: Natural Gas STANDARD PROPOSED MARGIN Energy Use (therms) Peak Demand (kBtu/hr) Cost $) Energy Use (therms) Peak Demand (kBtu/hr) Cost Energy Use therms Peak Demand Cost (kBtu/hr) $) Jan 135 96 125 86 10 10 Feb 90 82 83 74 6 8 Mar 74 78 68 70 6 8 Apr 61 66 56 60 6 7 May 26 55 20 49 6 6 Jun 22 45 16 44 6 1 Jul 22 6 16 1 5 6 0 Aug22 6 16 5 6 0 Sep 21 15 15 13 6 2 Oct 31 60 24 54 6 6 Nov 89 85 81 77 8 9 Dec 134 99 122 89 12 10 Year 728 99 643 89 85 10 CO2 Ibs/ r I lbs/yr Ibs/ r Annual Totals Energy Demand Cost Costs ft Virtual Rate Electricity 1,494 kWh 10 kW $ 0 $ 0.00 /s ft $ 0.00 /kWh Natural Gas 643 therms 89 kBtu/hr $ 0 $ 0.00 /S ft $ 0.00 /therm Total $ 0 $ 0.00 /s ft Avoided CO2 Emissions: 0 lbs/yr EnergyPro 5.1 by EnergySoft User Number: 5750 RunCode: 2012-05-29T10:10:2 ID: 1141 Page 19 of 21 Energy Upgrade Recommendations ECON-2 Project Name ONA VAS RESIDENCE Documentation Author STUDIO 61 ARCHITECTS INC Project Address 19133 ANNE LANE Author Address 12480 SARATOGA AVE CUPERTINO, CA 95014 SARATOGA, CA 95070 Recommended Annual Est. Cost to savings Improvements I Description Savings Install Site I TDV Annual Results Energy Cost End Use Existing improved Savinas Space Heating Space Cooling $0 Fans $0 Pumps 0 Domestic Hot Water $0 Indoor Lighting $0 Outdoor Lighting Appliances/Plug Loads $0 Ancillary 0 Renewables $0 TOTAL 0 F TOTAL Savin Im ( Fossil Fuel (therms) I 197 Climate Zone: 4 Electric Rate: Gas Rate: Floor Area: 3,066 Type: Single Family Average Demand It. " TDV Energy (kBtue-yr) The estimated operating costs shown in this report are dependent upon many factors. The construction and conservation features of the project clearly are important. Equally important is the thermostat setting. How the thermostat is used, appliance use, and occupant interaction all influence the annual operating cost. The estimates provided in this report are based on typical conditions. your actual usage will vary. EnergyPro 5.1.6.7 by EnergySoft User Number: 5750 RunCode: 2012-05-29710:10:28 ID: 1141 Page 20 of 21 UTILITY INCENTIVE WORKSHEET UTIL-1 R Project Name Date ONAVA'S RESIDENCE 5/29/2012 • ANNUAL TDV ENERGY USE kBtu/sgft- r)PERCENT BELOW TITLE 24 Mar In Standard % Better' ENERGY COMPONENT Standard ProDosed Mar in Space Heating 23.67 22.90 0.78 5.34 / 47.22 = 1711.3 % Space Cooling 5.99 4.73 1.26 Cooling Standard Heat Rejection 0.00 0.00 0.00 1.26 / 5.99 = 21.1 Indoor Fans 4.67 4.73 0.06 Incentive Eligibility Yes No Domestic Hot Water 12.89 9.52 3.36 Owner Incentive (>=15%) ❑ 10 Pumps 0.00 0.00 0.00 NSHP Incentive (>=30%) ❑ 121 Conditioned Floor Area = 3,066.0 ft2 TOTALS: 47.22 41.88 5.34 Number of Bedrooms = 4 Energy Star V3 Target = 17% • ANNUAL SITE ENERGY USE Average 2pm - 5pm Standard Pr"osed Ma in Single Orientation Peak Demand kW 4.5 4.1 0.4 Standard Proposed Margin ENERGY COMPONENT Electricity Natural Gas Electricity Natural Gas Electricity Natural Gas (kWh) therms (kWh) (therms) (kWh) therms Space Heating 0.00 461.54 0.00 446.37 0.00 15.16 Space Cooling 628.74 0.00 475.85 0.00 152.88 0.00 Heat Rejection 0.00 0.00 0.00 0.00 0.00 0.00 Indoor Fans 955.54 0.00 1,018.00 0.00 -62.46 0.00 Domestic Hot Water 0.00 266.27 0.00 196.65 0.00 69.62 Pumps 0.00 0.00 0.00 0.00 0.00 0.00 TOTALS: 1,584.28 727.81 1,493.86 643.03 90.42 84.78 - • POTENTIAL OWNER INCENTIVE CALCULATION Potential incentives indicated % Better than Title -24` Incentive Savings on this report are available (from step 2) Electricity Rate (from Step 3) x Subtotal only through the California (kWh) "la n/a Advanced Homes Program for $/kWh kWh new construction and are Electricity (kW) n/a �� n/a x NOT GUARANTEED. Projects $�kw kw must meet all other program Natural Gas n/a x requirements to qualify. Potential incentives are $ftnerm therm subject to program limitations Base Incentive Pacific Gas and Energy Star Incentive n/a x 10% . Electric Company .n Green Home Incentive n/a x 10% SOLI PN LAEIi'i)liMA EDISONCompact Home Incentive n/a x 15% Photovoltaic Incentive n/a x n/a = n/a C L DC Rating kW e. b A Sem ra Energy uumr' r NSHP- u0, w, e � � ", n � Total - ' h ( `r n n, St',mj>�A.f}{�'t'✓} u5l{1ly` Better than in this equation is limited to 45 EnergyPro 5.1.6.7 by EnergySofr User Number: 5750 Run Code: 2012-05-29T10:10:28 0:1141 Page 21 of 21