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11050046CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10336 VICKSBURG DR O` " FR'S NAME: WM R & LISA K CROOKE 4R'S PHONE: 4082345782 ❑ LICENSED CONTRACTOR'S DECLARATION License Class ic. # G Ln37 77 3 Contractor f��Date 21-C3— t 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulatiot er the Cupertino Municipal Code, Section 9.18, Sienatur Date OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, 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). 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 CONTRACTOR: LYNSTAR ENTERPRISES INC. 418 SOUTH 15TH ST. PERMIT NO: 11050046 DATE ISSUED: 08/09/2011 SAN .LOSE, CA 95112 � PHONE NO: (408)280-1848 BUILDING PERMIT INFO: BLDG ELECT PLUMB r MECH r RESIDENTIAL r- COMMERCIAL permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION JOB DESCRIPTION: ADD(554 SQFT)LIVING RM,ENTRY,FRONT & REAR PORCH, ATTACHED GARAGAE (431 SQFT) REMODEL 1805' NEW HIP ROOF OVER (E) STRUCTURE,KITCHEN, BATH, NEW 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 nify and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the 'Jig of this permit. Additionally, the applicant understands and will comply .dl non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date Sq. Ft Floor Area: I Valuation: $300000 APN Number: 36914003.00 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. ate— — Issued �-� - 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, have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety C-oge, Sections 25505, 25533, and 25534. Own r or a ortzetl agent: -� Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of %%ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10336 VICKSBURG DR CONTRACTOR. LY11STAR ENTERPRISES PERMIT NO: 11050046 INC. OWNER'S NAME: WM R & LISA K CROOKE 418 SOUTH 15TH ST. DATE ISSUED: 08109/2011 OWNER'S PHONE: 4082345782 SAN JOSE, CA 95112 PHONE NO: (408)280.1848 ❑ LICENSED CONTRACTOR'S DECLARATION f— PERMIT INFO: BLDG PLUMB {� �7 �7 -7 License Class 1�) ic.4 S �J ! [ 3 BUILDING ELECT MECH G n r Contractor Date G` �l� {i RESIDENTIAL COMMERCIAL 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION: ADD(554 SQFT)LIVING RM,ENTRY,FRONT & REAR (commencing with Section 7000) of Division 3 of the Business & Professions PORCH, ATTACHED GARAGAE (431 SQFT) REMODEL 1805' NEW HIP Code and that my license is in full force and effect. ROOF OVER (E) STRUCTURE,KITCHEN, BATH, NEW I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance 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 Cade, for the performance of the work for which this Sq. Ft Floor Arca: Valuation: $300000 permit is issued. APPLICANT CERTIFICATION APN Number: 36914003.00 Occupancy Type: 1 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regula(icx er the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signatur Date S;L Issued 4 Date: ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. if a roof is I, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: :onstruct the project (Sec.7044, Business & Professions Code). [ hereby allirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain Section 3700 of the Labor Code, For the performance ofthe work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should 1 store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance ofthe work forwhich this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the compensation laws of California. If, after making this certificate of exemption, I Health& Sa ety e. Sections 25505, 25533, and 25534. mecome subject to the Worker's Compensation provisions ofthe Labor Code, I must Forthwith comply with such provisions or this permit shall be deemed revoked. Own r or a orize agent: r Date- APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY certify that I have read this application and state (hat the above information is ;ofrect. 1 agree to comply with all city and county ordinances and state laws relating I hereby affirm that there is a Wnstruction lending agency for the performance of Mork's o building construetkm, and hereby authorize representatives of this city to enter for which this permit is issued (See. 3097, Civ C.) ipon the above mentioned property for inspection purposes. (We) agree to save Lender's Name ndemnify and keep harmless the City of Cupertino against liabilities, judgments, 'osts, and expenses which may accrue against said City in consequence of the Lender's Address ;ranting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 3.18. 1 understand my plans shall be used as public records. signature Date Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 w building(a�cupertino.orp /ivy oof� ❑ NEW CONS'T'RUCTION X ADDITION ❑ ALTERATION I TI ❑ REVISION /DEFERRED ORIGINAI, PERMIT # PROJECTADDRESS ! O ✓3 /V•y ` r f1 U 01L. APN • j,�� . �02 n W % OWNER NAME r u�d h{ r AIk PHONE /f' E-MAIL) "��illl•� STRESI'ADDRESS DR, Crl"Y, STATE, ZIP � �JV! FAX CONTACT NAME �� - PHONE /'45A.� qq f /'Q�0 f( jpL1VL E-MAIL STREET ADDRESS � 0 [� L. ,y `', NTP CITY, STATE, ZIP / /� jl Vqo _OS FAX ❑ OWNER ❑ OWNERd51-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT X ARCnTTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT BCACTOR NAME LICENSE NUMBER LICENSE TYPE BUS LIC H COMPANY NAME E-MAIL FAX STREET ADDRESS CtFY, STATE,ZIP PHONE ARCHITECIYEEyG[N •E NAMFFj� LICENSE NUMBER BUS. LIC H STREETAI)DWL 4J :T;kZ� (:A,':;t G.Z DESCRIPTION OF WORK L1 V1C-0 VeA W F/XW avec Sr C� _�8O3.7S fit) tieLi (telwo-B 12,&i,A � L V t.- r -H 910 ( 2 tom- R A *3 C v2 V /20 L0 0/re L" EXtSTIN'i UE PROPOSED USE •✓ ] CO,NSSTR. TYPE +a OSTORIFS OF -E USE ONLY �✓�� ` OAJE OCC TYPE DESCRIPTION SOFT VALUATION EXISTG r Q NEW PI.C"'-' DEMO G� 4, 5 TOTAL �g S V '3 AREA AREA j AREA 13+0 NET AREA BATHROOM � 011 N OTHER � � � � REMODEL AREA REMODEL AREA � REMODEL AREA nnRCU AREA HECK gRk.A TOTAL bECK/Pt1Rr'11 AREA G GE AREA: El DETACH f TACH I DWELLING AMTS I lSASCCOND r1Nrr ❑YES SECOND STORY ❑YEA 6EINGADOFD? A➢➢]TION? ❑ -- NII -APPLICATION ❑ •. W YE5, PROVIDE COPY OF PI.ANNEWSNAMF.: RGCEFVED BY. ` TOTAL VALUATIp1E, K PLANNING Al". d ❑ NO PLANNING APPROVAL LI:TFER /CJY'7J By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. 1 have read this application and the information I have provided is et. I have read the Description of Work and verify it is aeeurate. I agree to comply with all applicable local ordinances and state laws relating t ufltrue on. [ authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applican en Date: 5 -If " i SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP IJ OVER-THIrCOUNTER �� 6UILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building for building. ❑ permit new EXPRESSP�NG PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure TANDARD C WORKS form if any Hazardous Materials arc being used as part of this project. ❑ LARGE. 'IRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to C1 MAJOR ANITAAY SEWER DISTRICT' submittal of Building Permit application. D ENVIRONMENTAL HEALTH 81dgApp_201 ].doe revised 03/16/11 9 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10336 vicksburg dr. DATE: 0 510 912 01 1 REVIEWED BY: bobs. APN: BP#:' `BP EES "VALUATION: $300,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Du lex 2nd Unit? USE: p OTC? Yes No ® Yes G No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK sfd add living,front and rear porch, new hip and gable roof, skylights, replace windows non structural SCOPE add furnace at attic location, service upgrade. $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE \ID k `BP EES BP FEE ID R-3 (Custom) 11-B,111-B,IV,V-B 985 $2,349.00 IR3PLNCK $1,474.00 IR3INSP t i('r'. rnnp. T.yW_ $0.00 Permit Fee: $1,474.00 Suppl. Insp. Fee -.0 Reg. 0 OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PMEPermitFee: $0.00 TOTALS: F 985 $2,349.00 lJ F:L ,,iu"7 1 ./7"4 $1,474.00 MECH, HOURLY 0 Yes G No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No P17", , I../?2_k Pl&n Plan Check Fee: $2,349.00 1,804 s.f. Remodel, Other Rvilel"Imlk $4,573.00 IREMRESZ W .¢�r:.11..":.Yr9_ t.)s1le.l• j�ll4istll if=Jl;, f)'i1G' aic:. ri1sjA 1 hrs IrF", Fee: t i('r'. rnnp. T.yW_ NOTE: These fees are based on the Ureliminary information available and are only an estimate. Contact fire Dent for addn'l info. FEE ITEMS (Fee Resolution 04-051 Eff. 7/I1'10} FEE QTYIFEE MISC ITEMS 14 Plan Check Fee: $2,349.00 1,804 s.f. Remodel, Other Rvilel"Imlk $4,573.00 IREMRESZ Suppl. PC Fee: G Reg. O OT 1 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,474.00 Suppl. Insp. Fee -.0 Reg. 0 OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PMEPermitFee: $0.00 lJ F:L ,,iu"7 1 ./7"4 Acoustical Fee: O Yes (D No $0.00 Q E) Work Without Permit? 0 Yes G No $0.00 Plannine Fee: PLLONGRNGR $128.05 Select a Non -Residential Building or Structure 0 O 14 1 i ctl%;'%_7(.1C;ii7c'•'1x:rt1C317 e.' l'e.i; Strong Motion Fee: 1RSEISMICR $30.00 Select an Administrative Item Bldg] Stds Commission Fee: IRCRSC $12.00 SUBTOTALS: j $3,993.05 $4,573.00 TOTAL FEE: F $8,566.05 Revised: 0412 912 01 1 1 ;- BUILDING ENERGY ANALY,SISv'REPORT Ci SUBMITTAL #2�. PROJECT: Crooke Addition 10336 Vicksburg Drive Cupertino, CA 95014 Project Designer: Chapman Design Associates 620 S. EI Monte Avenue Los Altos, CA 94022 (650) 941-6890 Report Prepared by: Heather Clark, CEPE Builders' Energy Services 1478 Bird Ave San Jose, CA 95125 (408) 202-9075 r� BUILDER'S ENERGY SERVICES 110-5-00010 Job Number: 05041 R 1 R ; �111O • Date: JUL 2 5 2011 7/15/2011,F\IIE-\N�1D 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. 1R1 I TABLE OF CONTENTS I Cover Page Table of Contents Form CF -IR Certificate of Compliance Form MF -1 R Mandatory Measures Summary EnergyPro 5.1 by Energy5oft Job Number. ID: 05041R1 User Number. 1239 2 3 10 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R Project Name Crooke Addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 7/16/2011 Project Address 10336 Vicksburg Drive Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,280 Addition 476 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form. ❑ Yes El 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 Wall Wood Framed None 1,131 Existing Floor Wood Framed w/Crawl Space None 1,804 Existing Roof Wood Framed Athe R-11 1,439 Existing well Wood Framed R-13 515 New Floor Wood Framed w/Crawl Space R-19 476 New Roof Wood Framed Rafter R-19 358 New Roof Wood Framed Attic R-30 476 New Door Opaque Door None 18 New FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Front (N) 72.0 0.580 0.65 none none Bug Screen New Left (E) 10.6 0.580 0.65 none none Bug Screen Altered Rear (S) 64.0 0.580 0.65 none none Bug Screen Altered Rear (S) 96.0 0.530 a65 none none Bug Screen New Rear (S) 22.5 a580 0.65 none none Bug Screen New Right (W) 80.0 0.530 0.65 none none Bug Screen New Right (W) 15.0 0.580 0.65 none none Bug Screen New Skylight 7.4 0.390 0.29 none none None New Front (N) 13.4 0.580 0.65 none none Bug Screen New Left (E) 30.0 0.580 0.65 none none Bug Screen New Left (E) 8.4 0.580 0.65 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80%AFUE Split Air Conditioner 13.0 SEER Setback Altered HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R-Value Status Existing Forced Air Ducted Ducted Attic, Ceiling Ins, vented 6.0 Altered WATER HEATING Ot . Type Gallons Min. Eff Distribution Status I Instant Gas 0 0.84 No Pipe Insulation Altered EnergyPro 5, 1 by EnerqySoft User Number. 1239 RunCode: 2011-07-15T11:39.36 ID: 050411 1 Page 3 of 12 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R Project Name Crooke Addition Building type ® single Family ❑ Addition Alone ❑ Multi Family ® Existing+Addition/Alteration hate 7/15/2011 Project Address 10336 Vicksburg Drive Cupertino California Energy Climate Zone Total Cond. Floor Area CA Climate Zone 04 2,280 Addition 1 476 If of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form. ❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (fly Features (see Part 2 of 5) Status FENESTRATION U- Exterior Orientation Area(fl) Factor SHGC Overhang Sidefins Shades Status Left (E) 10.8 0.580 0.65 none none Bug Screen New Right (tM 30.0 0.580 0.65 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R-Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnerqySoft User Number 1239 RunCode: 2011-07-15711:39:35 ID_ 05041R1 Page 4 of 12 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF-1 R Project Name Crooke Addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 7115512011 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 buitding or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF-411 form for each of the measures listed below for final to be given. EnatgyPro 5.1 by EnerqySoft User Number. 1239 RunCode: 2011-07-15Ti1:39:36 0: 05041R1 Pa e 5 of 12 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CFA R Project Name Building Type m Single Family ❑ Addition Alone Date Crooke Addition ❑ Multi Family 10 Existing+ Addition/Alteration 7/152011 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kStulft2- r Space Heating 76.47 51.90 24.58 Space Cooling 60.13 40.89 19.24 Fans 20.78 16.79 4.00 Domestic Hot Water 19.73 13.60 6.13 Pumps 0.00 0.00 0.00 Totals 177.12 123.18 53.94 Percent Better Than Standard: 30.5% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (N) 342 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (N) 506 85 Fuel Available at Site: Natural Gas (E) 527 60 Raised Floor Area: 2.280 (s) 554 183 Slab on Grade Area: 0 (00 529 125 Average Ceiling Height: 9.2 Root 2,280 7 Fenestration Average U -Factor: 0.56 TOTAL: 460 Average SHGC: 0.65 Fenestration/CFA Ratio: 20.2% REMARKS 11,07.14- Reflects revisions required as a result of liquefaction issues. STATEMENT OF COMPLIANCE CEDE # R-08-01-1860 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 LABEC Efficiency Standards of the California Code of Regulations. Heather Clark The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Builders' Energy Services~-- 7/15201 i Address 1478 Bird Ave Name Heather Claris, CEPS Uy/State/ZipUy/State/Zip San Jose, CA 95125 Phone (408) 202-9075 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 Chapman Design Associates Address 620 S. El Monte Avenue Name Walter Chapman City/State/zip Los Altos, CA 94022 Phone (650) 941-6890 Signed License # Date EnemvPro 5. 1 by EnergySoft user Number. 1239 RunCode. 2011-07-15T11.39.36 lb: 05041R1 Page 6 ot12 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF -1 R Project Name Crooke Addition Building Type m Single Family ❑Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 7115/2011 OPAQUE SURFACE DETAILS Surface Type Area Insulation Joint Appendix CavityExterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 159 None EO.356 342 90 Existing4.3.1-A1 Existing House Wall 14$ None 342 90 Remove 4.3. i A 1 Existing House Door 20None 342 90 Remove 4.5.1A4 Existin House Wall 417. None 72 90 Existing 4.3.1 Al Existing House Wall 277 0.356 None 162 90 Existing 4.3.1A1 Existing House Wall 2781 0.356 None 252 90 Existing 4.3.1 -Ai Existing House Wall 501 0.356 None 252 90 Removec 4.3.1 -Ai Existing House Floor 1,80411 0.097 None 0 180 Existing 4.4.1 -Ai Existing House Roof 1,439 0.079 R-11 342 0 Existin 4.2.1-A2 Existing House Roof 358 0.079 R-11 342 0 Remove 42.1-A2 Existing House Wall 73 0.102 R-13 342 90 New 4.3.1 A3 Existing House Wall 50 0.102 R-13 72 90 New 4.3.1 A3 Existing House well 95 0.102 R-13 162 90 New 4,3,1-A3 Existing House Wall 126 0.102 R-13 252 90 New 4.3.1-A3 Existing House Floor 476 0.037 R-19 0 180 New 4.4.1-A4 isfing House Roof 1791 0.051 R-19 72 23 New 4.2.2-A 12 lExisfing House FENESTRATION SURFACE DETAILS ID Type Area U -Factor T SHGC2 Azm Status Glazing Type Location/Comments 1 Window 30.4 1.280 Default 0.80 Default 342 Removed 80310 - Slider Existing House 2 Window 30.4 1.280 Default 0.80 Default 342 Removed 80310 - Slider Existing House 3 Wrndow 36.0 0.580 Default 0.65 Default 342 New 8046 - Slider Existing House 4 Window 36.0 0.580 Default 0.65 Default 342 New 8046 - Slider Existing House 5 Window 6.7 1.280 Default 0.80 Default 342 Removed Sidelight Existing House 6 Window 6.7 1.280 Default 0.80 Default 342 Removed Sidelight Existing House 7 Window 64.0 1.280 Default 0.80 Default 342 Removed 8080 - Slider Existing House 8 Wrndow 10.6 0.580 1 Default 0.65 Default 72 Altered New 8080 - Slider Existing House 9 Existing 1.280 Default 0.80 Default 310210 - Slider pre -altered for above 10 Window 10.6 1,280 Default 0.80 Default 72 Removed 310210- Slider Existing House 11 Window 10.6 1.280 Default 0.80 Default 72 Removed 310210 - Slider Existing House 12 Window 64.0 0.580 Default 0.65 Default 162 Altered New 8080 - Slider Existing House 13 Existing 1.280 Default 0.80 Default 8080 - Slider pre -altered for above 14 Window 64.0 1.280 Default 0.80 Default 1621 Removed 8080 - Slider Existing House 15 JWndow 30-01 1.280 1 Default 0.80 Default 1621 Removed 5060 - Slider Existing House 16 11,46ndow 1 64.01 1.280 1 Default 0.80 Default 1621 Removed 8080 - Slider ExistingHouse (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H91 Wd Ove hang Left Fin Right Fin Len H t LEA REA Dist Len H t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bua Screen 0.76 10 Bug Screen 0.76 I 1 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 IBug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number. 1239 RunCode: 2011-07-15T11.3916 1D: 05041R1 Page 7 of 12 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Crooke Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ AdditionlAlteration Date 7115/2011 OPAQUE SURFACE DETAILS Surface U- Type Area Factor Insulation Joint Appendix Cavity Exterior Frame Interiorl Frame Azm Tilt Status 4 LocationlComments Roof 179 0.051 R-19 252 23 New 4.2.2-A 12 Existing House Roof 476 0.031 R-30 342 0 New 4.2.1 A20 Existing House Wall 171 0.102 R-13 342 90 New 4.3.1 A3 Existing House Door 18 0.500 None 342 90 New 4.5. i -A4 Existing House FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGG2 Azm Status Glazing Type Location/Comments 17 Window 96.0 0.530 Default 0.65 Default 162 New 12080 - Slider Existing House 18 Window 22.5 0.580 Default D.65 Default 162 New 5046 - Slider Existing House 19 Window 14.4 1.280 Default 0.80 Default 252 Removed 310310 - Slider Existing House 20 Window 80.0 0.530 Default 0.65 Default 252 New 10080 - Slider Existing House 21 Window 15.0 0.580 Default 0.65 Default 252 New 3050 - Casement Existing House 22 Window 14.4 1.280 Default 0.80 Default 252 Removed 1310310 - Slider Existing House 23 Skylight 7.4 0.390 NFRC 0.29 NFRC 342 New Velux Comfort+(74) LoweglArg Existing House 24 Window 6.7 1 0.580 Default 0.65 Default 342 New New Sidelight Existing House 25 Window 6,7' 0.580 Default 0.65 Default 342 New New Sidelight Existing House 26 Window 30.0 0.580 Default 0.65 Default 72 New 6050 - Casement Existing House 27 Window 8.4 0.580 Default 0.65 Default 72 New 30210 - Slider Existing House 28 Window 5.4 0.580 Default 0.65 Default 72 New 2424 - Casement Existing House 29 Window 5.4 0.580 Default 0.65 Default 721 New 2424 - Casement Existing House 30 Window 30.0 0.580 Default 0-65 Default 2521 New 6050 - Slider Existing House (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRG = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len Hot I LExt RExt Dist Len H t Dist Len Hot 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 None 1.00 24 Bug Screen 0.76 25 Bug Screen 0.76 26 Bug Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 30 Bug Screen 0.76 EnemyPro 5.1 by EnergySoft User Number.- 1239 RunCode: 2011-07-15T11:39.36 ID: 05041 R1 Pae 8 of 12 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Crooke Addition Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 711512011 BUILDING ZONE INFORMATION System Name Floor Area Zone Name New Existin_o Altered Removed Volume Year Built Existing Forced Air 1st Floor 1,804 18,236 9968 New 1st Floor 476 4,760 Totals 476 1,804 0 01 1 HVAC SYSTEMS System Name Heating Type Min. Eff. Cooling Type Min. Eff_ Thermostat Type Status Existing Forced Air 1 Central Furnace 80%AFUE Split Air Conditioner 13.0 SEER Setback Altered pre -altered for above Central Furnace 76% AFUE Split Air Conditioner 10.0 SEER Setback HVAC DISTRIBUTION S stem Name Duct Heating Cooling Duct Location R -Value Ducts Tested? Status Existing Forced Air Ducted Ducted Attic, Ceiling Ins, vented 6.0 ❑ Altered pre -altered for above Ducted Ducted Attic, Ceiling Ins, vented 2.1 ❑ WATER HEATING SYSTEMS S stem Name Type Rated Input Distribution Btuh Tank Energy Cap. Factor al or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Generic Tankless 1 Instant Gas No Pipe Insulation 185,000 0 0.84 n1a n1a Altered Default Gas Prior to 1999 1 Smail Gas pre -altered for Above 26,000 50 0.53 Ma n1a MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft � 0 ro v ¢ 9 System Name Pipe Len th Pipe Diameter Insul. Thick. Oty. HP Plenum Outside Buried EnergyPro 5.1 by EnergySoft User Number. 1239 RunCode: 2011-07-15T11:39:36 ID: 05041R1 pa5e 9 of i2 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Crooke Addition Date 7/15/2011 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 - eaka e_§116(a)4: §1 16(a)4:Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and seated. 118 a : Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §11 B(i) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. _*§150(c): Minimum R-13 insulation in wood -frame wall orequivalent LI -factor. 150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f). Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form_ 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150(e)1A.- Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)i 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. §150(j)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. §150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydropic heating systems or hot water systems X15 psi, meets the requirements of Standards Table 123-A. 150 ' 3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §1 500)3A: insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150 4. Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySott User Number.- 1239 RunCode: 2011-07-15Ti1:39:36 ID: 05041R Page i0 of r2 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Crooke Addition 7/15/2011 §150(m)1. All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts_ §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tae is used in combination with mastic and draw bands. 150 (m)7: Exhaust fans stems have back draft or automatic dam ers. §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 orous inner cores. §150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating - eatin _114 §1 14b 2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2- 0 k 2_150 §1 50k 3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k), 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ftz 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 EnergySoff User Number- 1239 RunCode: 2011-07-15rl1.39:36 !D: 05041R1 Page 11 of 12 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Crooke Addition 711-':V2011 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION is 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 re wired to comply with §15Q 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 Exceptions to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)16. Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPna5.1 byEnengy5oft User Number. 1239 RurrCode:2011-07-1STI 1:38:36 ID: 0504 IRI Page f2 of f2