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B-2017-0632CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017 0632 7799 LILAC WAY CUPERTINO, CA 95014-4208 (359 04 011) �DB GROUP CONSTRUCTION COMPANY MOUNTAIN VIEW, CA 94043 OWNER'S NAME: ROBINSON KENNETH W AND LINDA TRUSTEE I I DATE ISSUED: 04/24/2017 OWNER'S PHONE: 650-933-0082 PHONE No: (650) 933-0082 LICENSED CONTRACTOR'S DECLARATION License Class g Lic. # 44 12 Contractor DB GROUP CONSTRUCTION COMPANY Date 11/30/2018 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: . r. 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. z. 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 regulations per the Cupertino Municipal Code, Section 9.18. BUILDING PERMIT INFO: BLDG X ELECT X PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (I) 6 GAL TANKLESS WATER HEATER; REPLACE FURNACE (SAME LOCATION); REPLACE INSULATION (ATTIC) REV#1 - INSTALL GAS & WATER VALVE; RE -PIPE BATHROOM (3 FIX); REPLACE OUTLETS & LIGHTS (41) - ISSUED 4-27-2017 Sq. Ft Floor Area: Valuation: $16000.00 "N Number: Occupancy Type: 359 04 011 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Signature-,',-' Y \ I J Date 04/27/2017 Issued by: AbbyAyende Date: 04/24/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 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 regulations per the Cupertino Municipal Code, Section 9.18. Sig Date 04/27/2017 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: 04/27/2017 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. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.1.2 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, ctio O5, 25533; and 25534. Owner or authorized agent:' Date: 04/27/2017 %,1 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CUPERTINO ❑ NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUIL►P Ci'���'�11I �j 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ' `/ O y '/�' (408) 777-3228 • FAX (408) 777-3333 • building@cupertho.or ❑ ADDITION ❑ AT.TFRATTnIJ/TT I I P77VTQVVQ/TI7P17FDDD1 nDIT. T TAT T BldgApp 2011.doc revised 06121111 PROJECT ADDRESS APN # OWNER NAME -�i?Olitkt N PHONE ` MAIL V '6 '1®%-0 do /GjiVk •�D� STREET ADDRESS sa ey e CITY, STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER --BUILDER ❑ OWNER AGENT .L P CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CCONTRACTOR NAME 'O"'w 7c., 0'e."'0000 LICE` E NUMBE L LICENSE TYPE BUS. LIC # CiE FAX COMPANY NAME 490 A140 PO4 V 00" ! 7, v e is 00-4 42 0 Ar6 ?D G 1%U G� MMme�.. a �/� STREET ADDRESS 90/ ®L.fi ILl/ f�®!E°�`!E "t.D /V/1 CITY, STATE, ZIP WO -7 G�o..+r'�s e.v &0* 9 YO`3 PHONE 6 1.0 ^9.? T—Oacf' Z ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP A4r'J C,/!/s9!�E• PHONE DESCRIPTION OF WORK .064-J bi ev*wr - Cly / tv,6 � c� ^rC •cv!r�t� ✓.1r4e°lt R4044 ray-- oar Tv /`% lG°'� �'�%O!//✓� %�`L (i(//4' 6L ®CST L � T"..S• EXISTINGUSE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC, SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL . AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I ❑ATTACH # DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY []YES BEINGADDED? []NO ADDITION? ❑NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO D B TO ALy_VALUA'1� N 00, �O C(////i4j 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 I have 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 buildin onstruction. uthorize representatives of Cupertino to enter to above-ide�fie¢ property fir inspection purposes. Signature of Applicant/Agent: Date L11? % / 1 SUPPLEMENTAL INFO IO UIRED IiLAN CHECK "YPE ROUTING SLIP L7 OVER-THE-COUNTER CouNTER' ©sTIILDINc rLAiv REvtEw _ 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. L7 EXPRESS ❑ FLANI ING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ElSTANDARD ❑ PUBLIC WORKS , fo_rm if any Hazardous Materials are being used as part of this project. ❑_ LARGE ❑ -FIREDEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MA.TOR - 1.1"'S ANITARY SEWER DISTRICT- submittal of Building Permit application. ❑ EN VIRONMENTALHEALTH - - BldgApp 2011.doc revised 06121111 �l CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0632 7799 LILAC WAY CUPERTINO, CA 95014-4208 (359 04 011) DB GROUP CONSTRUCTION COMPANY MOUNTAIN VIEW, CA 94043 OWNER'S NAME: ROBINSON KENNETH WAND LINDA TRUSTEE DAT_ E ISSUED: 04/24/2017 ii OWNER'S PHONE: 425-785-6119 PHONE NO: (650) 933-0082 i LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: ;I License Class B LIG. # 46 4812 j � Contractor DB GROUP CONSTRUCTION COMPANY Date 11/30/2018 X BLDG _ ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X MECH X RESIDENTIAL COMMERCIAL H with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: (N) 6 GAL TANKLESS WATER HEATER; REPLACE FURNACE (SAME Y hereby affirm under penalty of perjury one of the following two declarations: LOCATION); REPLACE INSULATION (ATTIC) 1. 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. 0" .2:` 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 Sq. Ft Floor Area: Valuation: $16000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 359 04 011 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulatio per the ertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 4/24/2017 Issued by: Abby Aygnde OWNER -BUILDER DECLARATION Date: 04/24/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is I following two reasons: i. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. it sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 4/24_ /2017 I hereby affirm under penalty of perjury one of the following three declarations: i ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER i. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9:12 and the permit is issued. 3. I certify that in the performance of the work for- which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Co ,Sec ' s 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION ; Date: 4/24/2017 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance 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 of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands DECLARATIONcrecords. and will comply with all non -point source regulations per the Cupertino Municipal ARC b used I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 4/24/2017 "�=291-- 0(0 32 CONSTRUCTION PERMIT APPLICATION, COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINQ (40r8')) 777-3228 • FAX (408) 777-3333 • building(a�cupertino.org n I.Ir~w rC)MQTU T TrTTnI.T I I ATITI1111T 1 I n r7 PROJECT ADDRESS (VC409e,0?7e ' vl�l\J uvt11. 1"P.1C1Vll1 ff APN # I / ai) OWNERNAME /", 0/7'e) /��% ��Dy�9elz q",/ PHONE 7Y 1=6// E-MAIL .o9CM /L.�a� °<V,yAOG •� STREET ADDRESS .1-1,'4 & W ^' CITY, STATE, ZIP �t'ii�G—''fl T j�.b C4- ?J-0 / FAX CONTACT NAME b M0fiAA/ go 109 1/719t le 14 0-7) PHONE Z/Z S-- V-17- 6 !91 E-MAIL 6eA1,qe,1_1 9 K P R- A/L STREET ADDRESS CITY, STATE, ZIP FAX OWNER ❑ OWNER -BUILDER ❑ OWNERAGEI6 ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �a �� 6/� 1 LICENSE NUMBER [� 6 YTP ®2 LICENSE TYPE BUS. LIC # j I L� COMPANY NAME <� I C8OeC7.I T� G %l d^� CVC E-MAIL /� a iJ� tr 7_j,OC)/C FAX STREET ADDRESS • ©Z ^ `'� nvCG��/ C tUAr CITY, STATE, ZIP r v • 0 o ^1 PHONE ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE D SCRIPTION OF WORK e000a j6711-2 , 3 PC-'PZ19&C 0­9AWX Szow e% EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES - USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA _ BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCHAREA OTALDECK/PORCHAREA GARAGE AREA: DETACH J,TIECKAREAI ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY E] YES BEING ADDED? ❑ NO ADDITION? ❑ NO " PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? NO ❑ RECEIVED BY:' � TO L VALUATION: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on th properly owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b ilding construction. I authoriz presentatives of Cupertino to enter the above-identi ed prop for inspection purposes. Signature of Applicant/Agent: A,%— 70 Date: y z y / /Z SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE - RouTnvc si1P OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily`dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑' ruiiilc woRxs form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ 'FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR SANITARY sEwEu DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121111 STATE OF CALIFORNIA INSULATION INSTALLATION CEC-CF2R-ENV-03-E (Revised 09/15) v CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION y CF2R-ENV-03-E Insulation Installation (Page 1 of 5) Protect Name: CUStOm Enforcement Agency Permit Number: Dwelling Address: 7799 LILAC WY c" CUPERTINO Z'P`ode: 95014 Medium and light density SPF manufacturers claim various R -values per inch. In California the maximum R -value that can be claimed for ccSPF is an R -value of 5.8 per inch and for ocSPF is an R -value of 3.6 per inch unless documentation is provided showing that the product and/or manufacturer has a current ICC Evaluation Service Report (ESR) that shows compliance with Acceptance Criteria for Spray -Applied Foam Plastic Insulation--AC377. NOTE: The Energy Efficiency Standards Section 110.7 requires that "all joints, penetrations and other openings in the building envelope that are potential sources of air leakage shall be caulked, gasketed, weather stripped, or otherwise sealed to limit infiltration and exfiltration". In areas where spray foam (SPF) insulation is used, the SPF can be considered the air barrier. Other than rigid board insulation, all other forms of insulation are not considered as an air barrier. A. Roof/Ceiling Insulation 01 02 03 04 05 06 07 08 09 10 1. D. Manufacturer & Brand Framing Material Framing Size &Spacing Insulation Type ESR Number Cavity Insulation R -value Insulation Depth (inches) Above Deck Insulation R -value Below Deck Insulation R -value CERTAINTEED SI WOOD 24 FG ESR R-30 10" Wall Wall 1. D. Manufacturer &Brand Insulation Depth B. Wall Insulation 01 02 03 04 05 06 07 08 09 10 Location Mass Thickness (inches) Furring Strip Type/ Depth (inches) Insulation Type Exterior Insulation R -value Interior Insulation R -value Cavity Insulation R -value Insulation Depth (inches) Exterior Interior CERTAINTEED SI Framing Framing Size Insulation ESR Cavity Insulation Wall Wall 1. D. Manufacturer &Brand Insulation Depth Material & Spacing Type Number Insulation Insulation R -value (inches) R -value R -value EW ICERTAINTEED SI WOOD 116 IFIG I IR -13 3.5" C. Mass Insulation 01 02 03 04 05 06 07 08 1. D. Manufacturer & Brand Location Mass Thickness (inches) Furring Strip Type/ Depth (inches) Insulation Type Exterior Insulation R -value Interior Insulation R -value Cavity Insulation R -value Insulation Depth (inches) Exterior Floor Insulation R -value Interior Floor Insulation R -value CERTAINTEED SI WOOD 16 FG R-19 6.25" D. Raised Floor Insulation 01 02 03 04 05 06 07 08 09 10 1. D. Manufacturer & Brand Framing Material Framing Size &Spacing Insulation Type ESR Number Cavity Insulation R -value Insulation Depth (inches) Exterior Floor Insulation R -value Interior Floor Insulation R -value CERTAINTEED SI WOOD 16 FG R-19 6.25" E. Slab Floor/Perimeter Insulation (See F. for Insulation Requirements for Heated Slabs) 01 02 03 04 05 06 07 08 1. D. Manufacturer & Brand Floor Type Insulation Type Insulation Depth (inches) Insulation R -Value Vertical Insulation Length (inches) Horizontal Insulation Length (feet) Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 STATE OF CALIFORNIA INSULATION INSTALLATION CEC-CF2R-ENV-03-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ENV-03-E Insulation Installation (Page 2 of 5) Project Name: Custom Enforcement Agency Permit Number: °we"mg Address. 7799 LILAC WY I `" CUPERTINO Z'P`ode 95014 F. Heated Slab Insulation 01 All heated slabs shall be insulated as required by Section 110.8(g). Footings must meet required insulation levels. 02 Insulation shall be installed from the top of the slab, down 16 inches or to the frost line, whichever is greater. Climate zones 1-15 requires 02 R-5, climate zone 16 requires R-10. 03 Alternatively, vertical insulation from top of slab at inside edge of outside wall down to the top of the horizontal insulation. Horizontal 03 insulation from the outside edge of the vertical insulation extending 4 feet toward the center of the slab in a direction normal to the 06 outside of the building in plain view. Climate zones 1-15 require R-5, climate zone 16 requires R-10 vertical and R-7 horizontal. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. G. Minimum Mandatory Measures 01 Insulation - 110.8(a): All installed insulation is certified and listed with the Department of Consumer Affairs, "Standards for Insulating 02 Material." 02 Insulation - 110.8(b): Urea formaldehyde foam insulation is protected by 4 mil polyethylene vapor retarder. 03 Insulation - 110.8(c): Flame spread and smoke density requirements of CBC are met. 04 Raised Floor - 150.0(d): All raised wood -frame floor have a minimum R-19 insulation or equivalent U -factor 06 Slab Floor/Perimeter - 150.0(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water 05 vapor permeance rate is no greater than 2.0 perm/inch, and perimeter insulation is protected from physical damage and UV light 08 deterioration. 06 Above Grade Exterior Wall -150.0(c)1: All 2x4 wood -frame walls have a minimum R-13 insulation or equivalent LI -factor. 07 Above Grade Exterior Wall - 150.0(c)2: All 2x6 wood -frame walls have a minimum R-19 insulation or equivalent LI -factor. 08 Ceiling/Rafter Roof - 150.0(a)1: All wood -framed ceilings have a minimum R-30 insulation or equivalent LI -factor. 09 Vapor Retarder -150.0(g)1: In Climate Zones 14 and 16, Class II vapor retarder installed on conditioned space side of insulation in exterior walls, vented attics, and unvented attics with air -permeable insulation. 10 1 Vapor Retarder -150.0(g)2: Class I or II vapor retarder installed on the earth floor of unvented crawlspaces in Climate Zones 1-16. 11 Vapor Retarder -150.0(g)3: Class I or II vapor retarder installed on the earth floor of controlled ventilation crawlspaces. Heated Slabs - 110.8(g): All heated slabs shall be insulated as required. ■ Insulation shall be installed from the top of the slab, down 16 inches or to the frost line, whichever is greater. Climate zones 1-15 require R-5, climate zone 16 requires R-10. 12 ■ Alternatively, vertical insulation from top of slab at inside edge of outside wall down to the top of the horizontal insulation. Horizontal insulation from the outside edge of the vertical insulation extending 4 feet toward the center of the slab in a direction normal to the outside of the building in plain view. Climate zones 1-15 require R-5, climate zone 16 requires R-10 vertical and R-7 horizontal. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. H. Installed Insulation 01 Installed insulation R -values are the same or greater than listed on the CF1R. 02 No gaps or voids between the insulation and framing. 03 No gaps between the sides or ends of batt insulation. 04 Loose -fill insulation must be installed to the minimum installed weight per square foot (density) of the manufacturer's cut sheet for the proposed R -value. 05 Batt insulation is not compressed (no stuffing of the insulation into the cavity) and is installed to its full thickness. 06 Insulation is cut around obstructions such as electrical boxes. 07 Batt insulation is delaminated around all plumbing and electrical lines in ceilings, walls, and floors. 08 Band joists are insulated to the same R -value as the wall. 09 In all narrow cavities the insulation shall be cut to fit or filled with expanding foam. 10 1 Insulation was installed per manufacturer instructions. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: HERS Provider: STATE OF CALIFORNIA INSULATION INSTALLATION CEC-CF2R-ENV-03-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ENV-03-E Insulation Installation (Page 3 of 5) Project NameCustom 777rcement Agency Permit Number Dwelling Address: 7799 LILAC WY I`"y CUPERTINO ZIP Code: 95014 I I. Wall Insulation 01 When allowed by the manufacturer, low expanding foam shall be used to fill gaps and voids around windows and doors. If not, the cavity Insulation extends to the outside edge of the exterior top plates and is flush against any ventilation dams/baffles. must be airtight and filled completely with insulation. Batt insulation must be cut to width. No stuffing allowed. 02 Install wall insulation before installing tubs, showers, and fireplaces. 03 Electric panels on walls separating conditioned and unconditioned space are sealed and insulated behind the panel with rigid insulation or Can lights are covered with insulation to the same depth as required by the CF1R for ceiling insulation. If not, an area weighted calculation expanding foam. 04 All walls of interior closets vented to the outside for HVAC or water heating equipment have the same R -value and air barrier as the Walkways and mechanical platforms are insulated to the same R -value as required for the ceiling. If not, an area weighted calculation is exterior walls and ceiling. Doors are insulated and weather stripped. 05 Ducting is not allowed in exterior walls unless it is insulated to R-6 or greater, and the insulation and ducting are not crushed. Ducting is not Insulate soffits by adding an air barrier and covering with insulation, or insulate the entire soffit including floor and walls. allowed in 2x4 wall assemblies. 06 Corner channels, wall intersections, and double sided shear walls are insulated to the required R -value before enclosing the wall. 07 Insulation that does not fill the cavity is placed against the exterior air barrier. 08 Band joists are insulated to the same R -value as the walls. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. J. Ceiling/Roof Insulation 01 Insulation extends to the outside edge of the exterior top plates and is flush against any ventilation dams/baffles. 02 Insulation is in direct contact with ceiling, so there are no gaps between the ceiling and the insulation. 03 For chimneys and flues, the insulation is in contact with the sheet metal collar. 04 Can lights are covered with insulation to the same depth as required by the CF1R for ceiling insulation. If not, an area weighted calculation is required to be turned in with this form (Form CF1R-ENV-02-E). 05 Walkways and mechanical platforms are insulated to the same R -value as required for the ceiling. If not, an area weighted calculation is required to be turned in with this form (Form CF1R-ENV-02-E). 06 Insulate soffits by adding an air barrier and covering with insulation, or insulate the entire soffit including floor and walls. 07 Knee walls and skylight shafts are insulated to the wall R -value and in full contact with the interior air barrier. If framing on these surfaces is laid flat batt insulation is cut to fit around the framing. Batt insulation is not allowed to be draped over the framing. 08 Attic access doors are insulated to the same R -value as the ceiling. The insulation is permanently attached using adhesive or mechanical fasteners. 09 Attic access must be surrounded with a dam at least the same depth as the insulation to prevent loss of ceiling insulation. 10 Batt insulation is cut to fit around cross bracings and truss webs in the attic. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. K. Raised Floor Insulation 01 Insulation is in full contact with subfloor. 02 Insulation hangers are spaced at 18 inches or less; insulation hangers must not compress insulation. 03 If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor. 04 If the basement is conditioned, the walls adjacent to the crawlspace must meet minimum wall R -value requirements. This includes framed stem walls, and vertical concrete retaining walls. 05 1 If access to the crawl space is from the conditioned area, the raised floor must have an airtight insulated access hatch. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. L. Floor Above Garage Insulation 01 Insulation must be in full contact with the subfloor if the air barrier is at the band joist at the garage/house wall. 02 Insulation hangers spaced at 18 inches or less; insulation hangers must not compress insulation. 03 If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor. 04 If the air barrier is at the perimeter of the garage, below the conditioned subfloor, the insulation is placed on the garage ceiling. The perimeter of the subfloor is also insulated. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: HERS Provider: STATE OF CALIFORNIA INSULATION INSTALLATION CEC-CF2R-ENV-03-E (Revised 09/15) CALIFORNIA FNFRGY COMMISSION AS CERTIFICATE OF INSTALLATION CF2R-ENV-03-E Insulation Installation (Page 4 of 5) Prgect Name: CUSI♦Om Enforcement Agency: Permit Number. Dwelling Address: 7799 LILAC WY "I" CUPERTINO lip`ode 95014 M. Cantilevered Floor Insulation 01 Insulation is in full contact with the cantilevered subfloor. Insulation hangers are spaced at 18 inches or less; insulation hangers do not compress insulation. 02 If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor. 03 Sealed blocking is installed between joists where a wall rim joist would be located in the absence of a cantilever. Insulation is placed on both sides of this block. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: HERS Provider: STATE OF CALIFORNIA INSULATION INSTALLATION CEC-CF2R-ENV-03-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ENV-03-E Insulation Installation (Page 5 of 5) Protect Name: CUStOITi Enforcement Agency Permit Number: Dwelling Address 7799 LILAC WY c'ty. CUPERTINO zip code. 95014 I DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: VICTOR PEREIRA Documentation Author Signature: Documentation Author Company Name: COAST BUILDING PRODUCTS Date Signed: 7/06/2017 Address 6700 GOLDEN GATE DR., STE D. CEA/HERS Certification Identification (If applicable): City/State/Zip: DUBLIN, CA 94568 Phone: 925 557-2090 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the Mjrtdi,no towner at occupancy. Responsible Builder/Installer Name: VICTOR PEREIRA Responsible Builder/Installer Signature: Company Name: UoStallirtbcprttlart [ff( iepQca6t[fa&tBuilder/Owner) J Position With Company (Title): Address: 6700 GOLDEN GATE DR., STE D. CSLB License: city/state/zip: DUBLIN, CA 94538 Phone 925 557-2090 Date Signed: 7/06/2017 Registration Number: Registration Date/Time: HERS Provider: