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13020114-DCITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20833 DUNBAR DR CONTRACTOR: BG CONSTRUCTION INC PERMIT NO: 13020114 OWNER'S NAME: KATHURIA DEVINDER 850 W SUNSET BLVD DATE ISSUED: 04/24/2013 OWNER'S PHONE: 4082421203 HAYWARD, CA 94541 PHONE NO: (5 10) 432-6249 LICENSED CONTRACTOR'S JOB DESCRIPTION: RESIDENTIAL COMMERCIAL �DECLARATION License Class__ Lic. # 7 (j{ REBUILD (E) 1238 SQ FT RESIDENCE; CONSTRUCT 839 SQ T L(" 21{ `ZC� 3 FT ADDITIONS; 440 SQ FT GARAGE; 126 SQ FT COVERED Contractor CS 1-4�j ; �j� Date ENTRY PORCH; INSTALL NEW TANKLESS WATER I hereby affirm that I am licensed under the provisions of Chapter 9 HEATER AND (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $20000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 32630157.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DA O AST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which'may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Y wit in source r ions per the Cupertino Municipal Code, Section 9.1 . C" Signat _ Date 'I- 2A„ 2 Ci r7 RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this g � A Owner orauthorized a ent: fill ,gtT�1J 1.1Trt Date: l 2cX permit is issued. Z.r 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, 1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction Iending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professionals 9.18. Signature Date I CITY OF CUPERTINO BUILDING PERMIT I I BUILDING ADDRESS: 20833 DUNBAR DR I CONTRACTOR: BG CONSTRUCTION INC I PERMIT NO: 13020114 1 OWNER'S NAME: KATHURIA DEVINDER 1 850 W SUNSET BLVD I DATE ISSUED: 04/24/2013 1 OWNER'S PHONE: 4082421203 ❑ LICENSED CONTRACTOR'S DECLARATION License Class_ _ B Lic. # (,-) �' q�)g �( L I i ,fit x Contractor �� %Sr'iLl C� �� Date %— ao— 2U t I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this 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 nein' source-rrtgu4atiom.per the Cupertino Municipal Code, Section X k Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. , I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 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. HAYWARD, CA 94541 1 PHONE NO: (510) 432-6249 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL REBUILD (E) 1238 SQ FT RESIDENCE; CONSTRUCT 839 SQ FT ADDITIONS; 440 SQ FT GARAGE; 126 SQ FT COVERED ENTRY PORCH; INSTALL NEW TANKLESS WATER HEATER AND REVISION # 4 - ADD (1) WALKWAY FROM ENTRANCE TO FRONT YARD & ADD 7 (N) ORNAMENTAL PILLARS - ISSUED 1/30/14 Sq. Ft Floor Area: I Valuation: $20000 APN Number: 32630157.00 1 Occupancy Type: PERMIT EXPIRES IF WORK OT STARTED WITHIN 180 DAY T ISSUANCE OR 180 DAYS �fCALLED INSPECTION. Date: / /70 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 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. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 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 a y NrrByrpArea 4ix Q1lality Management District I will int ompliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & afety Code, Sections 25505, 25533, and 25534. Owner or authorize t: �- Date: L -2L 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildinq(aDcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI k REVISION /DEFERRED ORIGINAL PERMIT # 3 U Z_ 011 PROJECT ADDRESS ^, APN # cf OWNERNAME ' t'HONEI E- AIL -�LV^ oi- STREET ADDRESS CITY, STATE, ZIP N FAX y CONTACT NAME 1 � (t -I hffi1 G� PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BYLIC4 N; h COMPANY NAME E-MAIL STREET ADDRESS CITY, STATE, ZIP P O \\J 11A __7ARCHITECT ENGINEER NAME LICENSE NUMBER B S. L # COMPANY NAME E-MAIL STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION INO kcid uayj AA07, s eTri- cr d /1 7 e - p r� �� — /tits � v ��v✓� EXISTING USE PROPOSED USE CONSTR TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH ARE I GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑YES SECONDSTORY ❑YES BEING ADDED? NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YE CEI V ':'q �� a� `"' TOTAL VALUATION: PLANNING APPL # [] NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO p4 �, 5 t By my signature below, I certify to each of the following: I am the property er or authori t to ac a prope er's behalf. I have read this application and the information I have rovided is correct. I have read the Description of Work and veri rt is accurat gree to comply with all applicable local ordinances and state laws relating to ding onstruction. I authorize representatives of Cupertino to enter the a v -Identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED rLalv'ccKr rEI a 'r.ru, : xov7mGsiiP:." . , New SFD or Multifamily dwellings: Apply for demolition permit for°`'� ❑ OVER THP_COUNTER " �av:� az ❑ $iJII DPTG PLAN RE} IEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ ExPltEss©einrlmiviceinivxvlw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 6 , ❑ sTnrmat� form if any Hazardous Materials are being used as part of this project. ❑ T.ARGE r iti 3 ��I u'.x isa.'*R�."f`% *' ^E� +t *f I .. _ Copy of Planning Approval Letter or Meeting with Planning prior to BuildingPermit lication.rnaox :�` sEwERD sTxt�r�. submittal of a PP a BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT KATHURIA DEVINDER KATHURIA DEVINDER PERMIT NO: 13020114 OWNER'S NAME: KATHURIA DEVINDER DATE ISSUED: 04/24/2013 OWNER'S PHONE: 408242I203 PHONE NO: (510) 432-6249 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 11 License Class Lic. # REBUILD (E) 1238 SQ FT RESIDENCE; CONSTRUCT 839 SQ FT ADDITIONS; 440 SQ FT GARAGE; 126 SQ FT COVERED Contractor Date ENTRY PORCH; INSTALL NEW TANKLESS WATER I hereby affirm that I am licensed under the provisions of Chapter 9 HEATER AND (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. REVISION #3- REVISE TRUSS DESIGN-ISSD OTC 7/31/2013 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 Sq. Ft Floor Area: Valuation: $20000 performance of the work for which this permit is issued. �10 1 have and will maintain Worker's Compensation In for by Section 3700 of the Labor Code, for the performAWN work for which this APN Number: 32630157.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS M LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: C /� with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signature Date 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. C� OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.I2 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by Labor Code, for the for this the Health & Safety Code, Secti 5505, 25533, and 25534. Q�. Section 3700 of the the performance of work which permit is issued. Owner or authorized agent: Dater 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 INSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, 1 must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address_ 1 certify that 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records, granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Date /--7r 3) Signature CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq aacu�ertino.orq ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION /-bEFERRED ORIGINAL PERMIT # JJv::'-P' 6)1` T PROJECT ADDRESS IJ ke /7 15 .2 OWNER NAME r PHONE / �r CK E-MAIL tel./ �x h O V V l I STREET ADDRESS � � CITY, STATE, ZIP FAX � Cr � CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC H COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ___7ARCHHECT/ENGINEER NAME LICENSE NUMBER BUS. LIC H COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH #D WELLING UNITS: IS A SECOND UNIT YES SECOND STORY ❑YES ' BEING ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES j',(„'' TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL TETTER EICHLEB HOME? ❑ NO - ? o Ni'0 By my signature below, I certify to each of the following: I am the property owner or authori?ffapfit to act on the property owner's behalf. I have read this application and the information 1 have vided is correct I have read the Description of Work erify it is accurate. I agree to comply with all applicable local din struction. I authorize representatives of Cupertino to enter the above id ordinances d property for inspection purposes. ordinances and state laws relating to ____in J Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED Q _ New SFD or Multifamily dwellings: Apply for demolition permit for 77� 0 i �' �` �`�' �� t existing building(s). Demolition permit is required prior to issuance of building w permit for new building. P it, P� Commercial Bldgs: Provide a completed Hazardous Materials Disclosure CI ;7A1bAtY► C 'riCIl4TWC�� w _ Form if any Hazardous Materials are being used as part of this project. �� Q 1 tYi ItG°>g tiREk1 — Copy of Approval Letter or Meeting with Planning prior to submittal of Building Permit application.e� B1dgApp_2011.doe revised 06121111 CITY OF CUPERTINO rM--1 FEE ESTIMATOR - BUILDING DIVISION 19 ADDRESS: 20833 Dunbar Dr DATE: 07/31/2013 REVIEWED BY: Mendez Plan Check Fee: Hourly Only? 0 Yes (E) No APN: BP#: *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: PME Plan Check: PENTAMATION 1GENRE PERMIT TYPE: WORK revision #3- revise truss design SCOPE Suppl. Insp. Fee -0 Reg. Q OT NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School ni.etrirt otr L Thoso fooc aro haled nn tho nroliminary informatinn availahlo and are nnly an estimate_ Cnntart tho Dent far addn'1 info_ FEE ITEMS (Fee Resolution II -053 Eff 711d2) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (E) No $0.001 hours Plan Check, Hourly $139.00 1STPLNCx Suppl. PC Fee: 0 Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure i 7rurel l�arrr�ircrru:r,u�r� 1`rres: Strong Motion Fee: $0.00 Select an Administrative Item 1 Bldg Stds Commission Fee: $0.001 STBTOTALS:. $0.00 $139.00 TOTAL EE.'1 $139.00 Revised: 07/0112013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20833 DUNBAR DR CONTRACTOR: BG CONSTRUCTION INC PERMIT NO: 13020114 OWNER'S NAME: KATHURIA DEVINDER 850 W SUNSET BLVD DATE ISSUED: 04/242013 OWNER'S PHONE: 4082421203 HAYWARD, CA 94541 PHONE NO: (510) 432-6249 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL License Class Lic. # REBUILD (E) 1238 SQ FT RESIDENCE; CONSTRUCT 839 SQ FT ADDITIONS; 440 SQ FT GARAGE; 126 SQ FT COVERED Contractor Date ENTRY PORCH; INSTALL NEW TANKLESS WATER I hereby affirm that I am licensed under the provisions of Chapter 9 HEATER AND (commencing with Section 7000) of Division 3 of the Business & Professions REVISION # 2 - REVISE LAYOUT, MOVE WASHER/DRYER & Code and that my license is in full force and effect. CHANGE BATHROOM SIZE - ISSUED 7/11/2013 Ihereby affirm under penalty of perjury one of the following two declarations: ` REVIS1 1 have and will maintain a certificate of consent to self -insure for Worker's u 7Ji� 1V Z�s Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $20000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 32630157.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DA RMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY M LA CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the /� V b granting of this permit. Additionally, the applicant understands and will comply Iss y: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date RE -ROOFS: All roofs shall be inspec ed prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit. hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25 05, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this ( � / Owner or authorized agent: Date -671 (3 permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. -7 r Signature Date ©/ 11 /� c CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 n CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(Dcugertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ®REVISION / DEFERRED CRIGINAL PERMIT # & /3 02A- If I 1f PROTECT ADDRESSAPN # 3 OWNERNAME PHj ONE . 9v�07tl' E-MAIId� (ZIP 7C�� STREET ADDRESS CITY, STATE, FAX _ri110�J CONTACT NAME �_CL+/, PHONE E-MAIL z1Or� GL 6�� STREET ADDRESS CITY, STATE, ZIP FAX WOR'NER ❑ OWNER -BUILDER ❑ ORTIERAGENT ❑ CONTRACTOR ❑ CON I-ACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX n STREET ADDRESS CITY, STATE, ZIP PHONE SC /�/ ID f3r�Lv[ 2� ✓# ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LTC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK j�,�L n A T 1-1e, EXISTING USE 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 ARE GARAGE AREA: LJ DETACH C1 ATTACH I # DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN [:]YES'-- RrOkf4ii TOTAL VALUATION: PLANNINGAPPL# [:]NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO =' k �- ✓ ;`�_ By my signature below, I certify to each of the following: I am the property owner or authorized a o act on the property owner's behalf. I have read this application and the information I have provide 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 buil dino ons ction. I authorize representatives of Cupertino to enter the above-identtiifie prope ^ for ins ection purposes. . Signature of App)icant/Agcnt: Date: 6/7 i L-::, SUPPLEMENTAL INFORM4TION REQUIREDEI z ANCHECKTYPE a, .,'IouTiNcsTr _ „. ❑ 4a ❑ 4 New SFD or Multifamily dwellings: Apply for demolition permit for — existing building(s). Demolition permit Is required prior to issuance of building OVER THE COUNTER x -BUILDING PLAN REVIEW permit for new building. i EXPRESS ` ❑ rL int.INCPLa S 1iEvcEw a'' ` _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTANDARD r ❑': PUBLICVFORKS'; form if any Hazardous Materials are being� used as part of this project. r ❑ LARGE � � '� '' ❑ FIRE DEET .�„ �, Copy of Planning Approval Letter or Meeting with Planning prior to, s _ submittal ofBuilding Permit application. MAJOR "� ❑ SANITARYSE�'V'ERDISTRIC'F 1 , V ; ❑ > ENVIROIS'!MENTAl'HEALTfI• B1dgApp_2011.d6c revised 06/21/11 3h— CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION imADDRESS: 20833 dunbar DATE: 07/11/2013 REVIEWED BY: melissa MISC ITEMS APN: BP#: )w *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHFC9 TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: 1 hrs PENTAMATION 1 GENRES PERMIT TYPE: WORK revision # 2 - revise layout, move washer/dryer and change bathroom size SCOPE NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc-). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef 711/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 =hours Plan Check, Hourly $139.00 ISTPLNCK Suppl. PC Fee: E) Reg. 0 OT1. 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.0 Reg. Q OT 0,Q hrs $0.00 $0.00 PME Unit Fee: PME Permit Fee: $0.00 �(alY7Llil.Y(1`Cddl'r``..' 1C't': 0 Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure d A Strong Motion Fee: $0.00 Select an Administrative Item BldgStds Commission Fee: $0.00 SUBTOTALS; $0.001 $139.00 TOTALFEEs' $139.00 Revised: 07/01/2013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20833 DUNBAR DR CONTRACTOR: BG CONSTRUCTION INC PERMIT NO: 13020114 OWNER'S NAME: KATHURIA DEVINDER 850 W SUNSET BLVD DATE ISSUED: 04/24!2013 OWNER'S PHONE: 4082421203 HAYWARD, CA 94541 PHONE NO: (510) 432-6249 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class_, Lic, # 6 208 REBUILD (E) 1238 SQ FT RESIDENCE; CONSTRUCT 839 SQ FT ADDITIONS; 440 SQ FT GARAGE; 126 SQ FT COVERED Contractorq3(a Cc,6&Qc& "c,U Date 6- 6~ Zs a ENTRY PORCH; INSTALL NEW TANKLESS WATER I hereby affirm that I am licensed under the provisions of Chapter 9 HEATER AND (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 5/20/2013* *REVISION # 1 - ADD AN ADDITIONAL 380 SQ FT TO I hereby affirm under penalty of perjury one of the following two declarations: FRONT & SIDE YARDS OF SFD TO CREATE (N) BATHROOM & I have and will maintain a certificate of consent to self-insure for Worker's EXTEND 2 (E) BEDROOMS- ISSD 6/6/2013 Compensation, as provided for by Section 3700 of the Labor Code, for the S&Tt F Valuation: $20000 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 w APN Number: 32630157.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DA ROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the /2 the applicant understands and will comply grantinle Issued by: Date: wit nt source regulations per the Cupertino Municipal Code, Section 9. 8. �' �� C3 RE-ROOFS: Signa ? -- �� Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this/� � Owner 98-1,/ lO Date:6-6-2cQ permit is issued. or authorized agent: :M _ ECEI- I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address_ I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION J COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUP1CitTINO (40,8) .777-3228 • FAX (408) 777-3333 • building((cDcu�pert�ino.org I-1 NEW CONSTRUCTION IFT ADDITION n ALTERATION / TIRE( VISION / DEFERRED ORIGINAL PERMIT # I '�OZ O J I y PROTECT ADDRESS/?yP_J 4_J _eAPN # fPA-ehkct-fbud-Aeho�a OWNERNAME D� f NF P O 2- Z E-MAIL e e �w Q l®LO3 STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREETADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # ll O COMPANY NAME E-MAIL FAX STREET ADDRESS .. CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME C( caw / / ( LICENSE NUMBER BUS. LIC # COMPANY NAME J I . f S I _ t� E-MAILO / Ls l . 40 Lo FAX f/o/?-- -7f 171- STREET ADDRESS 4,�l ! CITY, STATE, ZIP(7 PHOLO/og `�'/' � 1!7-r ��l D DESCRIPTIO OF WORK 9 _ e { f �-�i��c3�ry qp IC r S vI 2 iJ'? i^ EXISTING USE 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 ❑ ATTACH ' # D WELLING UNITS: " ISA SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED! ❑ NO . ADDITION? [:]NO PRE -APPLICATION [-]YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES_y: TOT VALUATION: VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLERHOME' ElNO :� - ..S O 2) © Q By my signature below, I certify to each of the following: I am the property o r or o ' agent to a the property owner's behalf. I have read this application and the information I have ovideed is correct. I have read the Descrip ' of Work and verify it is accurate. I agree to comply with all applicable local ction. I authorize representa Ives of Cupertino to enter the abov property for inspection purposes. ordinances and state laws relating to b 'I ing/� 7-ident1fled "' Signature of Applicant/Agent' I Date: SUPPLEMENTAL INFORMATION REQUIRED ozTrmics:': v�� New SFD or Multifamily dwellings: Apply for demolition permit for avER rCo, INTER BUIL Dnvc, zRE�07 existing building(s):. Demolition permit is required prior to issuance of building permit for new building. ExPxESs� "k rc c_rL RE w Commercial Bldgs: Provide a completed Hazardous Materials Disclosure i7asTA'ivn4RDr i 'wt PUBLiCRK3 t _ form if any Hazardous Materials are being used as part of this project. Copy of Planning Approval Letter or Meeting with Planning prior to _ fi 0 MAJOR ❑ SANIT Y S DISTRIC'; submittal of Building Permit application.jrc�� x ��. BldgApp_201 1. doc revised 06/31/11 /, C v, CITY OF CUPERTINO Fm-� FEE ESTIMATOR - BUILDING DIVISION imADDRESS: 20833 DUNBAR DR DATE: 05/20/2013 REVIEWED BY: MELISSA PC FEE ID APN: 326 30 157 BP#: 13020114 VALUATION: 1$30,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes No OTC. O Yes ONo PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK REVISION # 1 - ADD AN ADDITIONAL 380 SQ FT TO FRONT & SIDE YARDS OF SFD TO CREATE SCOPE (N) BATHROOM & EXTEND 2 (E) BEDROOMS OCCUPANCY TYPE: TYPE . CONSTR. s.f.FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 380 $1,512.00 IADDPLCK $1,230.00 JADDINSP Permit Fee: $1,230.00 Suppl. Insp. Fee:Q Reg. O OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C.. o I l,) I1'1"co") j7 i FZC. „lfi7lI1L7{'i1FdL`c'1`�c': O 0 Work Without Permit? O Yes (E) No $0.00 TOTALS: 380 $1,512.00 l ri�rel Docruirerr�futi<�ri l�'��>,�_ $1,230.00 Strong Motion Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School DictrirG otr )- Thoco foes aro haacod an the nreliminary information availahle and are nn1v an owimate. Contact the Dent for addn'1 infn_ FEE ITEMS (Fee Resolution 11-053 Eff 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,512.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: E) Reg. O OT FO,0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,230.00 Suppl. Insp. Fee:Q Reg. O OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C.. o I l,) I1'1"co") j7 i FZC. „lfi7lI1L7{'i1FdL`c'1`�c': O 0 Work Without Permit? O Yes (E) No $0.00 Advanced Planning Fee: 1PLLONGR $49.40 Select a Non -Residential Building or Structure O l ri�rel Docruirerr�futi<�ri l�'��>,�_ Strong Motion Fee: IBSEISMICR $3.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 ST>BTOTALS: $2,796.40 $0.00 TOTAL FEE:` $2,796.40 Revised: 04/29/2013 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(@cupertino.org ❑ NEW CONSTRUCTION ADDITION [:]ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # APN # �7 / _ 30 PROJECT ADDRESS.0O�� U� 7 OWNER NAMEf ,, r+� C- PHONE � U-) O QC E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME P� �i PHONE 140g 6,V; /TyE-MAIL /,�S O ::::v STREET�Dj1oRS� /_`Z _ [1�/ yC CITY, STATE, ZIP FAX 11OWNER❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT �T ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �`� / LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE -7(1 ARCHITECT/ENGINEER NAMfi�b�O f LICENSE NUMBERQ O BUS. LIC # ss or -e COMPANY NAME S[['�.• /ice V E-MAIL FAX STREET ADDI�QOO S _ _L 1 j�v� /�S CITY, STATE, ZIP �e / PHO ` 8 Ae, DESCRIPTION OJF WORK_OL!� O� �a4,QC,3VVI kdow5 �iik�./+fesr--u e'lix d-tCiin-!� v�/ /�� 1 CXR ii 2. S i,(-- EXISTING/Ot PROPOSED USE CONSTR TYPE # STORIES 1 USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG 2_ S NEWEW F i/..�-r DEMO AREA TOAR7fT-7 7 NET 4416 BATHROOM REMODEL AREA KITCHEN OTHER REMODEL AREA REMODEL PORCH AREADECK AREA TOTAL DECK/PORCH AREA G GE AREA: DETACH /n / / 26 -DETACH # DWELLING UNITS: IS A SECOND UNrr [] YES SECOND STORY []AYES BEING ADDED?vj-0 I i39❑ ADDITION? X0 PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN YES RECEI E Y: TOTAL VALUATION: PLANNING ADPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO Pt 6/ By my signature below, I certify to each of the following: I am the property owner or authorized nt to act on the property owner's behalf. I have read this application and the information l ha Vided is correct. I have read the Description of Work verify itis accurate. I agree to comply with all applicable local ordinances and state laws relating din construction. I tuthorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent Date: SUPPLEMEN 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 ell permit for new building. ❑ E PL PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure RKS STANDARD _ffP=.rAO _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE F _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ submittal of Building Permit application. MAJOR SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21111 CSM LIM ' CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: 20833 Dunbar Dr DATE: 02/2112013 REVIEWED BY: Mendez 1WADDRESS: APN: BP#: "VALUATION: 1$200,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? Yes • No OTC? 0 Yes �No PENTAMATION PERMIT TYPE: 1 R3SFDADD WORK add 1279 sq ft to rear and side of sfdwl 126 to porch and 440 to attached garage, remodel 126 SCOPE throught out, add 2 windows to bedroom to meet egrees, 1 window in living area, remove and replacep 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 1,405 $2,563.90 1R3PLNCK $1,892.65 1R3INSP PME Plan Check: $0.00 3 # $400.00 Window / Sliding Glass Door I WINREP I Replacement Permit Fee: $1,892.65 Suppl. Insp. Fee.0 Reg. Q OT :0701 hrs $0.00 1 # Mechanical $133.00 IMFR=<100 Furnace, Forced -Air PME Unit Fee: $0.00 PME Permit Fee: $135.00 200 amps Electrical $45.00 IBELEC200 Services Construction 71n-: TOTALS: 1,405 $2,563.90 $1,892.65 Plumbing IPRWHEATR Water Heater MECH RfJC3RI Y Yes - No PLUMB, HOURLY Q Yes No,ELEC, HOURLY ( Yes " No Mech. Plan Check 0.0 hrs $0.00 Plumb. Plan Check 0.0 1 hrs $0.00 Elec. Plan Check 0.0 1 hrs $0.00 Mech. Permit Fee: IMPERMIT Plumb. Permit Fee: IPPERMIT Elec. Permit Fee: IEPERMIT Other Mech. Insp. 0.0 hrs$45.00 Other Plumb Insp. EZi0l hrs $Other Elec. Insp.Tf $45.00 .^,Ic-c,-. i;a,},. I f(�. ' a'F�If d -,�,, 1��_ t �c. ,;1�1. f�<�� NOTE: This estimate does not include fees due to other Departments (Le, Planning, Public Works, Fire, Sanitary Sewer District, School District etc.). These fees are based on the nreliminary information available and are only an estimate Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053Eff 7/112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,563.90 120 s.f. $400.00 Remodel, Other /REMRESOTH Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 3 # $400.00 Window / Sliding Glass Door I WINREP I Replacement Permit Fee: $1,892.65 Suppl. Insp. Fee.0 Reg. Q OT :0701 hrs $0.00 1 # Mechanical $133.00 IMFR=<100 Furnace, Forced -Air PME Unit Fee: $0.00 PME Permit Fee: $135.00 200 amps Electrical $45.00 IBELEC200 Services Construction 71n-: Adrnbibarative Fee: 1 # $27.00 Plumbing IPRWHEATR Water Heater 0 Work Without Permit? 0 Yes 9 No $0.00 Advanced Planning Fee: 1PLLONGR $182.65 Select a Non -Residential Building or Structure Q 0 i Travel Documentation Fee: ITPA VD0C $45.00 Strong Motion Fee: IBSEISMICR $20.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $8.00 SVBTOTALS: $4,847.201$1,005.00 TOTALFEE $5,852.20 Revised: 01/01/2013 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION LlE>cn_ I'e;rnitf�:�': 1?li c F'aYrni' l�e�c AUI E: Ms estimate does not include Jees due to other Departments (i.e. Planning, Public Works, 1•'ire, sanitary Sewer District, School Di.QtriCt_ P1P_ )_ Thv.Qo &,v arP ha8ad an the nrollminary infarmatlan ava[lahlo and arP an/V an owima1P_ Cantaet tho Dont far addn'l infa. FEE ITEMS (Fee Resolution 11-053 Eff. 71U12) ADDRESS: DATE: REVIEWED BY: Nan (. b1LCti Fe"'. APN: BP#: `VALUATION: Iso *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: PENTAMATION 1SFDWLROOF PERMIT TYPE: WORK SCOPE $180.00 LlE>cn_ I'e;rnitf�:�': 1?li c F'aYrni' l�e�c AUI E: Ms estimate does not include Jees due to other Departments (i.e. Planning, Public Works, 1•'ire, sanitary Sewer District, School Di.QtriCt_ P1P_ )_ Thv.Qo &,v arP ha8ad an the nrollminary infarmatlan ava[lahlo and arP an/V an owima1P_ Cantaet tho Dont far addn'l infa. FEE ITEMS (Fee Resolution 11-053 Eff. 71U12) FEE QTY/FEE MISC ITEMS Nan (. b1LCti Fe"'. Pltrrnh,%1de°colt.-l:le3�, Permit Fee: $180.00 .Supp", lisp I eEe f'llrl�t6.'1'lerlr.ihi�: I'!ul?rl).;'iift'('ii.i�Jl.'t 1'el•;fui C'; c' L J77St17r(IfOs7 t:;P.C: -T Work Without Permit? 0 Yes e) No $0.00 � Travel 00cf rienialion FccC' ': Strong Motion Fee: 1BSEISMICR $0.00 Select an Administrative Item Bldg, Stds Commission Fee: $0.00 r SUBTOTALS. $180.00 $0.00 TOTAL FEE.: $180.00 Revised: 01101/2013 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: `''' Q PERMIT # Q Oj Q L OWNER'SNAME: a �` _� -Y{�Ljr�," PHONE# 10- GENERAL CONTRACTOR: id�J C BUSINESS LICENSE # 3 ®b q ti ADDRESS: G.,, CITY/ZIPCODE: ? `tS2l 1 *Our municipal code requires all businesses w*king In the city to have a City of Cuperi'hlo 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: D_ V 20t Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature 2- '7-3 - '2z I Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork F::Cement Finishing Electrical ZZ Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing 9 , c2 Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Ct�u"� c x 33 3� Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature 2- '7-3 - '2z I Date 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: 2fl ,3 C��1 ►� Q PERMIT # l 3D Za !! ff OWNER'S NAME: PHONE # 5-10 •-' (cam _`Z L(� GENERAL CONTRACTOR: C_ BUSINESS LICENSE # �3 C'p ADDRESS: S{S ��,,.� c� �L40 • CITY/ZIPCODE: /Jp �.�a�, C;\, *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: it- Z `{- '20 (3 ;wi�er / 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 it- Z `{- '20 (3 ;wi�er / Contractor Signature Date F BUILDING ENERGY ANALYSIS REPORT PROJECT: Kathuria_addition 20833 DUNBAR DR. CUPERTINO, CA 95014 Project Designer: Nadia Pichko 1953 O'Toole Way San Jose, CA 95131 (408) 646-2195 Report Prepared by: Igor Pichko, CEPE Plar 1252 W 22nd St San Pedro, CA 907.31 (424) 477-21240 CUPERT'INO Ruilding Department vIE1.rN±=.G r _)k CGL"E COMPLIANCE Job Number: 20130218 Date: 5/20/2013 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-05-20701:30:43 0:20130218 1 TABLE OF CONTENTS I Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1R Mandatory Measures Summary 10 HVAC System Heating and Cooling Loads Summary 13 EnergyPro 5.1 by EnergySoft Job Number: ID: 20130218 User Number: 20658 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R Project Name Kathuria_addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/20/2013 Project Address 20833 DUNBAR DR. CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,199 Addition 961 # 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 ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft2) Features see Part 2 of 5 Status well Wood Framed None 827 Existing Roof Wood Framed Attic R-30 980 Altered Slab Unheated Slab-on-Grade None 980 Perim = 158' Existing Wall Wood Framed R-13 1,856 New Door Opaque Door None 18 New Roof Wood Framed Attic R-30 1,219 New Slab Unheated Slab-on-Grade None 1,219 Perim = 309' New FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Front (S) 96.4 1.190 0.83 none none Bug Screen Removed Rear (N) 74.2 1.190 0.83 none none Bug Screen Removed Left (W 19.6 1.190 0.83 none none Bug Screen Removed Front (S) 48.0 0.580 0.65 none none Bug Screen New Front (S) 33.5 0.770 0.70 none none Bug Screen New Left (W 48.0 0.580 0.65 none none Bug Screen New Rear (N) 62.8 0.580 0.65 none none Bug Screen New Rear (N) 53.6 0.770 0.59 none none Bug Screen New Rear (N) 33.5 0.770 0.70 none none Bug Screen New Right (E) 32.0 0.580 0.65 none none Bug Screen New Left (NIM 19.7 0.580 0.65 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status I Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R-Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 6.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Instant Gas 0 0.58 Kitchen Pipe Ins Altered Ener Pro 5.1 by Ener Soft User Number: 20658 RunCode: 2013-05-20T01:30:43 0:20130218 Page 3 of 13 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Kathuria_addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/20/2013 Project Address 20833 DUNBAR DR. CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,199 Addition 961 # of Stories 1 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. ❑ Yes IZI No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft) Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status Rear (NE) 19.7 0.580 0.65 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener Pro 5.1 by Ener Soft User Number: 20658 RunCode: 2013-05-20T01:30:43 0:20130218 Pa e 4 of 13 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Kathuria addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/20/2013 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Ener Pro 5.1 by Ener Soft User Number: 20658 RunCode: 201 3-05-20 701:30:43 0- 20130218 Page 5 of 13 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date KBthuria_addition ❑ Multi Family m Existing+ Addition/.Alteration 5/20/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 61.84 49.66 12.17 Space Cooling 13.83 9.96 3.87 Fans 10.51 8.47 2.04 Domestic Hot Water 17.61 18.98 -1.36 Pumps 0.00 0.00 0.00 Totals 103.79 87.06 16.73 Percent Better Than Standard:. 16.1% 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) 600 82 Fuel Available at Site: Natural Gas (vv) 794 68 Raised Floor Area: 0 (N) 1,047 170 Slab on Grade Area: 2,199 (E) 611 32 Average Ceiling Height: 10.0 Roof 2,199 0 Fenestration Average U-Factor: 0.65 TOTAL: 351 Average SHGC: 0.65 Fenestration/CFA Ratio: 16.0% REMARKS STATEMENT OF COMPLIANCE r This certificate of compliance lists the building features and specifications needed r to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. ICABEC- The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author .. Plar Company (YH}lm 5/20/2013 Address 1252 W 22nd St Name IgorPichko, CEPE Cit /State/Zi San Pedro, CA 90731 Phone (424) 477-2127 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 Nadia Pichko 1953 O'Toole Way Nadia Pichko Lo t� Address Name W) City/State/Zip San Jose, CA 95131 Phone (408) 646-2195 Signed Liceni # Date Ener Pro 5.1 by Ener Soft User Number.' 20658 RunCode: 2013-05-20701:30:43 0:20130218 Pa e 6 of 13 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Kathuria_addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/20/2013 OPAQUE SURFACE DETAILS Surface Type Area U Insulation Joint Appendix Factor I Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 270 0.356 None 180 90 Remove 4.3.1-A1 Existing Door 20 0.500 None 180 90 Removec 4.5.1-A4 Existing Wall 251 0.356 None 270 90 Existin 4.3.1-A1 Existing Wall 457 0.356 None 0 90 Existing 4.3.1-A1 Existing Door 18 0.500 None 0 90 Removec 4.5.1-A4 Existing Wall 119 0.356 None 90 90 Existing 4.3.1-A1 Existing Roof 980 0.031 R-30 0 0 Altered 4.2.1-A20 E=4.2.1 -A2) Existing Slab 980 0.730 None 0 180 Existing 4.4.7-A1 Existing Wall 89 0.356 None 180 90 Removec 4.3.1-A1 Removed Portion Wall 60 0.356 None 270 90 Removec 4.3.1-A1 Removed Portion Wall 213 0.356 None 90 90 Removec 4.3.1-A1 Removed Portion Roof 258 0.049 R-19 0 0 Removec 4.2.1-A4 Removed Portion Slab 258 0.730 None 0 180 Removec 4.4.7-A1 Removed Portion Wall 501 0.102 R-13 180 90 New 4.3.1-A3 New Addition Door 18 0.500 None 180 90 New 4.5.1-A4 New Addition Wall 444 0.102 R-13 270 90 New 14.3.1-A3 lNewAddition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status GlazingType Location/Comments 1 Window 64.8 1.190 Default 0.83 Default 180 Removed Single Metal Clear Existing 2 Window 74.2 1.190 Default 0.83 Default 0 Removed Single Metal Clear Existing 3 Window 31.6 1.190 Default 0.83 Default 180 Removed Sin le Metal Clear Removed Portion 4 Window 19.6 1.190 Default 0.83 Default 270 Removed Single Metal Clear Removed Portion 5 Window 48.0 0.580 Default 0.65 Default 180 New Double Non Metal Clear New Addition 6 Window 33.5 0.770 Default 0.70 Default 180 New French Door New Addition 7 Wrndow 48.0 0.580 Default 0.65 Default 2701 New Double Non Metal Clear New Addition 8 Window 62.8 0.580 Default 0.65 Default 0 New Double Non Metal Clear New Addition 9 Window 53.6 0.770 Default 0.59 Default 0 New Sliding Glass Door New Addition 10 Window 33.5 0.770 Default 0.70 Default 0 New French Door New Addition 11 Window 32.0 0.580 Default 0.65 Default 90 New Double Non Metal Clear New Addition 12 Window 19.7 0.580 Default 0.65 Default 315 New Double Non Metal Clear New Addition 13 Window 19.7 0.580 Default 0.65 Default 45 New, Double Non Metal Clear New Addition (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 Window Exterior Shade Type SHGC H t Wd Ove hanq Left Fin Ri ht Fin Len H t I -Ext 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 Bu Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 Ener Pro 5.1 by EnerqySoft User Number: 20658 RunCode: 2013-05-20701:30:43 ID: 20130218 Page 7 of 13 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Kathuria_addition Building Type ® Single Family ❑ Multi Family ❑ Addition Alone m Existing+ Addition/Alteration Date 5/20/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Type Area Factor C_aVity Exterior I Frame Interiorl Frame Azm Tilt Status Joint Appendix 4 Location/Comments Wall 389 0.102 R-13 0 90 New 4.3.1-A3 New Addition Wall 460 0.102 R-13 90 90 New 4.3.1-A3 New Addition we// 31 0.102 R-13 315 90 New 4.3.1-A3 New Addition Wall 31 0.102 R-13 45 90 New 4.3.1-A3 New Addition Roof 1,219 0.031 R-30 0 0 New 4.2.1-A20 New Addition Slab 1,219 0.730 None 0 180 New 4.4.7-A1 New Addition FENESTRATION SURFACE DETAILS ID Area U-Factor SHGC Azm Status Glazing Type Location/Comments —Type (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 Window ID Exterior Shade Type SHGC —HqA Wd Ove hang Len H t LExt RExt Left Fin Dist Len H t Right Fin Dist Len H t Ener Pro 5.1 by Ener Soft User Number. 20658 RunCode: 2013-05-20T01:30:43 ID: 20130218 Page 8 of 13 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Kathuria_additiOn Building Type ® Single Family ❑ Addition Alone ❑ Multi Family 121 Existing+ Addition/Alteration Date 5120/2013 BUILDING ZONE INFORMATION System Name Floor Area ft Zone Name New Existing Altered Removed Volume Year Built HVAC System Existing 980 9,600 1951 Removed 258 2,580 1951 Addition 1,219 12,190 Totals 1,219 980 0 258 HVAC SYSTEMS System Name Qty- Heating T pe Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Duct Heating Coolinq Duct Location R -Value Ducts Tested? Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 6.0 ❑ New El WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input (Btu h) Tank Cap. al Energy Standby Factor Loss or or RE Pilot Ext. Tank Insul. R- Value Status Tankless Gas 1 Instant Gas Kitchen Pipe Ins 40,000 0 0.58 n/a n/a Altered Standard Gas 50 gal or Le 1 Small Gas pre -altered for Above. 40,000 50 0.58 n/a n/a MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length. ft ziio �a CQ Q Pipe System Name Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried Li El Ener Pro 5.1 by Ener Soft User Number. 20658 RunCode: 2013-05-20701:30:43 ID: 20130218 Page 9 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Kathuria_addition Date 5/20/2013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF -1 R Form. *§150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent Ll -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 Ll -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent Ll -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 areater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical 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). §150(j)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. §150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-B. §150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. §150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-05-20T01:30:43 1D: 20130218 Page 10 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Kathuria addition 5/20/2013 §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 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 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 porousinner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low eff icacy luminaire ass ecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of 1 50 k 7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number 20658 RunCode: 2013-05-20T01:30:43 0:20130218 Page 11 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Kathuria addition 5/20/2013 §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 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. EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-05-20T01:30:43 0: 20130218 Page 12 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Kathuria_addition Date 5/20/2013 System Name HVAC System Floor Area 2,199 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 1,199 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perSystem 55,000 24,502 1,359 1,340 50,516 Total Output Btuh 55,000 0 Output Btuh/s ft 25.0 1,111 2,806 Cooling System 0 0 Output perSystem 42,000 0 0 0 0 Total Output Btuh 42,000 0 1,359 0 Total Output Tons 3.5 1,111 2,806 Total Output Btuh/s ft 19.1 Total Output s ft/Ton 628.3 1 26,724 56,127 Air System CFM perSystem 1,000 HVAC EQUIPMENT SELECTION Airflow cfm 1,000 New Furnace& Air Conditioner 33,153 6,919 55,000 Airflow cfm/s ft 0.45 Airflow cfm/Ton 2857 Outside Air % 0.0% Total Adjusted System Output 33,153 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 6,919 55,000 Aug 3 PM F Jan 1 AM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF 66 OF Outside Air 0 cfm Supply Fan 1,000 cfm 66 IF 66 IF 105 IF Heating Coil 103 OF _..._._......... ROOM 68 IF COOLING SYSTEM PSYCHROMETICS Airstream Tem ratures at Time of Cooling Peak 88 / 68 IF 76 / 62 OF 76162 OF 55 / 54 OF, ifl Outside Air Supply Fan 0 cfm pp y Cooling Coil 56 / 54 OF 1,000 cfm 46.8% _ROOM 76 162 IF 75 / 62 OF EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-05-20T01:30:43 10:20130218 Page 13 of 13 13 BUILDING ENERGY ANALYSIS REPORT PROJECT: Kathuria—addition 20833 DUNBAR DR. CUPERTINO, CA 95014 Project Designer: Nadia Pichko 1953 O'Toole Way San Jose, CA 95131 (408) 646-2195 Report Prepared by: AIN 02 -�013 Igor Pichko Plar 1252 W 22nd St San Pedro, CA 90731 (424) 477-2127 PLA R Home /19D A Job Number: 20130218 COO! Date: 3/31/2013 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. EneravPro 5.1 by EneravSoft User Number- 20658 RunCode: 2013-03-31T14:16:40 0:20130218 I TABLE OF CONTENTS . I Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 9 HVAC System Heating and Cooling Loads Summary 12 Room Load Summary 13 EnergyPro 5.1 by EnergySoft Job Number: ID: 20130218 User Number: 20658 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Kathuria_addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 3/31/2013 Project Address 20833 DUNBAR DR. CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,077 Addition 585 # 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 IZI No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity Features see Part 2 of 5 Status Wall. Wood Framed None 323 Existing Roof- Wood Framed Attic R-30 1,238 Altered Slab Unheated Slab -on -Grade None 1,238 Perim = 0' Existing Wall Wood Framed R-13 833 New Door Opaque Door None 48 New Roof Wood Framed Attic R-30 839 New Slab Unheated Slab -on -Grade None 839 Perim = 0' New FENESTRATION U- Orientation Area Factor Exterior SHGC Overhang Sidefins Shades Status Front (S) 24.0 0.550 0.67 none none Bug Screen Altered Front (S) 72.4 1.190 0.83 none none Bug Screen Removed Left (VV) 19.6 1.190 0.63 none none Bug Screen Removed Rear (N) 45.4 1.190 0.83 none none Bug Screen Removed Front (S) 24.0 0.550 0.67 none none Bug Screen New Left (V4 54.0 0.550 0.67 none none Bug Screen New Rear (N) 134.5 0.550 0.67 none none Bug Screen New Reai (N) 80.4 0.710 0.73 none none Bug Screen New Right (E) 32.0 0.550 0.67 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 97% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Instant Gas 0 0.82 Kitchen Pipe Ins New EnergyPro 5.1 by Ener Soft User Number: 20658 RunCode: 2013-03-31714:16:40 ID: 20130218 Page 3 of 13 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Kathuria addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ AdditioWAiteration Date 3/31/2013 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. EnergyPro 5.1 by Ener Soft User Number 20658 RunCode: 2013-03-31T14:16:40 0:20130216 Pa e 4 of 13 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date Kathuria_addition ❑ Multi Family I0 Existing+ Addition/Alteration 3/31/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/fe- r Space Heating 39.17 16.87 22.30 Space Cooling 14.44 10.54 3.90 Fans 8.38 5.61 2.77 Domestic Hot Water 18.41 13.73 4.68 Pumps 0.00 0.00 0.00 Totals 80.41 46.76 33.65 Percent Better Than Standard:. 41.9% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (S)180 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (S) 418 48 Fuel Available at Site: Natural Gas (1M 348 54 Raised Floor Area: 0 (N) 484 215 Slab on Grade Area: 2,077 (E) 242 32 Average Ceiling Height: 8.0 Roof 2,077 0 Fenestration Average U-Factor: 0.59 TOTAL: 349 Average SHGC: 0.68 Fenestration/CFA Ratio: 16.8% REMARKS STATEMENT OF COMPLIANCE lists features This certificate of compliance the building 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. , y, The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Plar a' 3/31/2013 Address 1252 W 22nd St Name Igor Pichko City/State/ZipCity/State/Zip San Pedro, CA 90731 Phone (424) 477-2127 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 Nadia Pichko Address 1953 O'Toole Way Name Nadia Pichko ©`Lj,�j t • Zplj City/State/Zip San Jose, CA 95131 Phone (408) 646-2195 Signed License # Date Ener Pro 5.1 by Ener Soft User Number: 20658 RunCode: 2013-03-31T14:16:40 0:20130218 Page 5 of 13 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Kathuria_addition Building Type O.Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 3/31/2013 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interiorl Frame Azm Tilt Status 4 Location/Comments Wall 122 0.356 None 180 90 Existing 4.3.1-A1 Existing Wall 201 0.356 None 270 90 Existing 4.3.1-A1 Existing Roof 1,238 0.031 R-30 0 0 Altered 4.2.1-A20 E=4.2.1 -A2 Existing Slab 1,238 0.730 None 0 180 Existing 4.4.7-A1 Existing Wall 147 0.356 None 180 90 Removec 4.3.1-A1 Removed Portion Door 20 0.500 None 180 90 Removec 4.5.1-A4 Removed Portion Wall 44 0.356 None 270 j 90 j Removec 4.3.1-A1 Removed Portion Wall 320 0.356 None 0 90 Removec 4.3.1-A1 Removed Portion Door 18 0.500 None 0 90 Removec 4.5.1-A4 Removed Portion Wall 265 0.356 None 90 90 Removec 4.3.1-A1 Removed Portion Roof 2541 0.049 R-19 0 0 Removec 4.2.1-A4 Removed Portion Slab 254 0.730 None 0 180 Remove 4.4.7-A1 Removed Portion Wall 260 0.102 R-13 180 90 New 4.3.1-A3 New Addition Door 48 0.500 None 180 90 1 New 4.5.1-A4 New Addition Wall 93 0.102 R-13 270 90 1 New 14.3.1-A3 INew Addition Wall 269 0.102 R-13 0 90 1 New 14.3.1-A3 INew Addition FENESTRATION SURFACE DETAILS ID Type Area Ll -Factor' SHGC2 Azm Status Glazing Type Location/Comments 1 Window 24.0 0.550 Default 0.67 1 Default 180 Altered Double Non Metal Clear Existing 2 Existing 1.190 Default 0.83 Default Single Metal Clear pre -altered for above 3 Window 72.4 1.190 Default 0.83 Default 180 Removed Single Metal Clear Removed Portion 4 Window 19.6 1.190 Default 0.83 Default 270 Removed Single Metal Clear Removed Portion 5 Window 45.4 1.190 Default 0.83 Default 0 Removed Single Metal Clear Removed Portion 6 Window 24.0 0.550 Default 0.67 Default 180 New Double Non Metal Clear New Addition 7 Window 54.0 0.550 Default 0.67 Default 270 New Double Non Metal Clear New Addition 8 Window 134.5 0.550 Default 0.67 Default 0 New Double Non Metal Clear New Addition 9 Window 80.4 0.710 Default 0.73 Default 0 New • Sliding Glass Door New Addition 10 Window 32.0 0.550 Default 0.67 Default 90 New. Double Non Metal Clear New Addition (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 Window Exterior Shade Type SHGC Hat T Wd Ove hang Left Fin Right Fin Len I Hat I LExt RExt Dist Len Hat 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 Screen 0.76 —Bug 7 Bug Screen 0.76 8 Screen 0.76 _Bug 9 Screen 0.76 _Bug 10 Bua Screen 0.76 Ener Pro 5.1 by EnemySoft User Number.' 20658 RunCode: 2013-03-31T14:16:40 ID: 20130218 Pae 6 of 13 CERTIFICA,rECOMPLIANCE: Residential • Project Name Kathuria addition Building Type PI Single Family 0 Multi Family ■ Addition Alone 0 Existing+ Addition/Alteration OPAQUE W I M Joint Appendix 4 Location/Comments RIM New Addition FENESTRATION �� • m� • •'Location/Comments MW EXTERIOR CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name Kathuria_addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family 10 Existing+ Addition/Alteration Date 1313112013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built HVACS stem Existing 1,238 9,904 1951 Removed 254 2,033 1951 Addition 839 6,712 Totals 839 1,238 01 254 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 97% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Cooling Duct Location R -Value Ducts Tested? Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 ❑ New El WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Rheem EC0150XLN3 1 Instant Gas Kitchen Pipe Ins 150,000 0 0.82 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft o i� 0 ¢ — System Name Pipe Length Pipe Diameter Insul. Thick. Ot . HP Plenum Outside Buried Ener Pro 5.1 by Ener Soft User Number.' 20658 RunCode: 2013-03-31714:16:40 ID: 20130218 Page 8 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Kathuria addition Date 3/31/2013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. 150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§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 Ell 677-95(2000) when specified on the CF -1 R Form. §150(g): Mandato 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 creater 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)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 re uirements of Section 112(c). §150(j)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)113: 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 150-13. §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 hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. §150@4: 4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-03-31T14:16:40 ID:20130218 Page 9 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3' MF -1R Project Name Date Kathuria addition 3/31/2013 §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 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back.draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause de radation of the material. 4150(m) 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that havea heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts oir 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: LightiDg integral to exhaust fans, in rooms other than kitchens shall meet the applicable requirements of §150(k). 150(k)7: All switchin devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 20658 Run Code: 2013-03-31 T14:16:40 0:20130218 Page 10 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Kathuria addition 1313112013 §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 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. EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-03-31714:16:40 ID: 20130218 Page 11 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Kathuria_addition Date 3/31/2013 System Name HVAC System Floor Area 2,077 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING CFM Sensible Total Room Loads 1,056 21,726 Return Vented Lighting 0 Return Air Ducts 848 Return Fan 0 Ventilation F 0 0 Supply Fan 0 Supply Air Ducts 848 TOTAL SYSTEM LOAD 23,422 PEAK COIL HTG. PEAK Heatino System Latent CFM Sensible Output per System 38,000 1,139 504 24,808 Total Output Btuh) 38,000 Output Btuh/s ft 18.3 1,176 Cooling System 0 Output per System 28,100 0 0 0 Total Output Btuh 28,100 1,139 0 Total Output Tons 2.3 1,176 Total Output Btuh/s ft 13.5 Total Output s ft/Ton 887.0 1 27,160 Air System CFM per System 865 HVAC EQUIPMENT SELECTION Airflow (cfm) 865 Carrier 58MVB40-14 CNP 38HD 2.5 T 24,913 1,877 38,000 Airflow cfm/s ft) 0.42 Airflow cfmfTon) 369.4 Outside Air % 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 24,913 1,877 Aug 3PM 1 38,000 F Jan 1 AM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF 67 OF 0-0 Outside Air 0 cfm Supply Fan AL 865 cfm 67 OF 67 OF 115 OF Heating Coil 114 OF ;. .__. ......._._ _ 'ROOM 68 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 88/68°F 76/62°F 76/62°F 55/54°F Outside Air 0 cfm Supply Fan Cooling Coil 865 cfm 76 / 62 OF 1t� 56 / 54 OF 46.8% ROOM Jfl 75 / 62 OF EnergyPro 5.1 by EnergySoft User Number.' 20658 RunCode: 2013-03-31 T14:16:40 0:20130218 Page 12 of 13 ROOM LOAD SUMMARY 21, 726 1,139 504 Project Name Kathuria_addition 1,0561 21,7261 Date 3/31/2013 System Name HVAC System Floor Area 2,077 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible Existing Existing 1 327 6,725 1,002 327 6,725 1,002 197 9,699 New Addition Addition 1 729 15,001 137 729 15,001 137 307 15,110 PAGE TOTAL TOTAL* 1,0561 21, 726 1,139 504 24,808 1,0561 21,7261 1,139 504 24,808 * Total includes ventilation load for zonal systems. Ener Pro 5.1 by Ener Soft User Number: 20658 RunCode: 2013-03-31T14:16,40 ID. -20130218 Pae 13 of 13 BUILDING ENERGY ANALYSIS REPORT r& PROJECT: r,i, Kathuria_ addition 2DUNBAR DR. v ` vPU08 TING, CA 95014 °G eV9 ..� w\��F Nedgy. Project Designer: . Fie�e Nadia Pichko w 1953 O'Toole Way San Jose, CA 95131 Q (408) 646-2195 Report Prepared by.nK Igor Pichko Plar 1252 W 22nd St San Pedro, CA 90731 (424) 477-2127 PLAR Home ems' Job Number: 20130218 Date: 2/18/2013 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoff User Number: 20658 RunCode: 2013-02-18716:09:12 0:20130218 1 TABLE OF CONTENTS I Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 9 HVAC System Heating and Cooling Loads Summary 12 Room Load Summary 13 EnergyPro 5.1 by EnergySoR Job Number: ID: 20130218 User Number: 20658 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Kathuria_addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 2/18/2013 Project Address 20833 DUNBAR DR. CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,077 Addition 585 # 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 ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft) Features see Part 2 of 5 Status Wall Wood Framed None 323 Existing Roof Wood Framed Attic R-30 -1,238 Altered Slab Unheated Slab -on -Grade None 1,238 Perim = 0' Existing Wall Wood Framed R-13 833 New Door Opaque Door None 48 New Roof Wood Framed Attic R-30 839 New Slab Unheated Slab -on -Grade None 839 Perim = 0' New FENESTRATION U- Exterior Orientation Area Factor SHGC Overhang Sidefins Shades Status Front (S) 24.0 0.550 0.67 none none Bug Screen Altered Front (S) 72.4 1.190 0.83 none none Bug Screen Removed Left (M 19.6 1.190 0.83 none none Bug Screen Removed Rear (N) 45.4 1.190 0.83 none none Bug Screen Removed Front (S) 24.0 0.550 0.67 none none Bug Screen New Left (M 54.0 0.550 0.67 none none Bug Screen New Rear (N) 134.5 0.550 0.67 none none Bug Screen New Rear (N) 80.4 0.710 0.73 none none Bug Screen New Right (E) 32.0 0.550 0.67 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Instant Gas 0 0.82 Kitchen Pipe Ins New EnergyPro, 5.1 by Ener Soft User Number: 20658 RunCode: 2013-02-18T16:09:12 /D: 20130218 Pa e 3 of 13 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CFA R Project Name Kathuria addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 211812013 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Ener Pro 5.1 by Ener Soft User Number: 20658 RunCode: 2013-02-18716:09:12 0:20130218 Page 4 of 13 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Kethuria_addition 1. . 1 ❑ Multi Family m Existing+ Addition/Alteration 1211812013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 39.71 21,36 18.35 Space Cooling 13.28 9:24 4.04 Fans 8.13 5.32 2.82 Domestic Hot Water 18.41 13.73 4.68 Pumps 0.00 0:00 0.00 Totals 79.54 49.65 29.89 Percent Better Than Standard: 37.6% 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) 478 48 Fuel Available at Site: Natural Gas (IM 147 54 Raised Floor Area: 0 (N) 685 215 Slab on Grade Area: 2,077 (E) 242 32 Average Ceiling Height: 8.0 Roof 2,077 0 Fenestration Average U-Factor: 0.59 TOTAL: 349 Average SHGC: 0.68 Fenestration/CFA Ratio: 16.8 % 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 *t ` Efficiency Standards of the California Code of Regulations. t The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Plar �_. _. 2/182013 1252 W 22nd St NIgor Pichko Address Name 9 City/State/ZipCity/State/Zip San Pedro, CA 90731 Phone (424) 477-2127 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 Nadia Pichko Address 1953 O'Toole Way Name Nadia Pichko fi0 �/57 City/State/Zip San Jose, CA 95131 Phone (408) 646-2195 ±d License # Date �EnerqyPro 5.1 by EnerqvSoft User Number. 20658 RunCode: 2013-02-18716:09:12 ID: 20130218 Pa e 5 of 13 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Kathuria_additiOfl Building Type O Single Fancily ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 2118/2013 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 LocatioNComments Wall 122 0.356 None 180 90 Existing 4.3.1-A1 Existing Wall 201 0.356 None 0 90 Existing 4.3.1-A1 Existing Roof 1,238 0.031 R-30 0 0 Altered 4.2.1-A20 E=4.2.1 -A2 Existing Slab 1,238 0.730 None 0 180 Existing 4.4.7-A1 Existing Wall 147 0.356 None 180 90 Removec 4.3.1-A1 Removed Portion Door 20 0.500 None 180 90 Removec 4.5.1-A4 Removed Portion Wall 44 0.356 None 270 90 Remove 4.3.1-A1 Removed Portion Wall 320 0.356 None 0 90 Remove 4.3.1-A1 Removed Portion Door 18 0.500 None 0 90 Remove 4.5.1-A4 Removed Portion Wall 265 0.356 None 90 90 Removec 4.3.1-A1 Removed Portion Roof 254 0.049 R-19 0 0 Remove 4.2.1-A4 Removed Portion Slab 254 0.730 None 0 180 Remove 4.4.7-A1 Removed Portion Wall 260 0.102 R-13 180 90 New 4.3.1-A3 New Addition Door 48 0.500 None 180 90 New 4.5.1-A4 New Addition Wall 93 0.102 R-13 270 90 New 4.3.1-A3 New Addition Wall 269 0.102 R-13 0 90 New 4.3.1-A3 New Addition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 24.0 0.550 Default 0.67 Default 180 Altered Double Non Metal Clear Existing 2 Existing 1.190 Default 0.83 Default Single Metal Clear pre -altered for above 3 Window 72.4 1.190 Default 0.83 Default 1.80 Removed Single Metal Clear Removed Portion 4 Window 19.6 1.190 Default 0.83 Default 270 Removed Single Metal Clear Removed Portion 5 Window 45.4 1.190 Default 0.83 Default 0 Removed Single Metal Clear Removed Portion 6 Window 24.0 0.550 Default 0.67 Default 180 New Double Non Metal Clear New Addition 7 Window 54.0 0.550 Default 0.67 Default 270 New Double Non Metal Clear New Addition 8 Window 134.5 0.550 Default 0.67 Default 0 New Double Non Metal Clear New Addition 9 Window 80.4 0.710 Default 0.73 Default 0 New Sliding Glass Door New Addition 10 Window 32.0 0.550 Default 0.67 Default 90 New Double Non Metal Clear New Addition (1) Ll -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 Window Exterior Shade Type SHGC HqA Wd Ove hang Left Fin Right Fin Len H t LExt 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 Bug Screen 0.76 10 Bug Screen 0.76 Ener Pro 5.1 by EnergySoft User Number 20658 RunCode: 2013-02-18T16:09:12 ID: 20130218 Pae 6 of 13 Project Name Kathuria addition Building Type 0 Single Family 0 Multi Family 0 Addition Alone 0 Existing+ Addition/Alteration OPAQUE SURFACE DETAILS –joint Appendix New —Additt—on NewAddition FENEs'rRATION Standards,(1) U -Factor .. ...... -.-SHADING Ext - o .. CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Kathuria_additi0n Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family 0 Existing+ Addition/Alteration Date 2118/2013 BUILDING ZONE INFORMATION System Name Zone Name New Floor Area Existing Altered Removed Volume Year Built HVAC System Existing 1,238 9,904 1951 Removed 254 2,033 1951 Addition 839 6,712 Totals 8391 1,2381 01 2541 1 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC DISTRIBUTION System Name Heating Duct Duct Location R -Value Ducts Tested? Status [Coolin 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 Rheem EC0150XLN3 1 Instant Gas Kitchen Pipe Ins 150,000 0 0.82 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft 0 0 — System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried ❑ En ergyPro 5.1 by En ergySoft User Number: 20658 RunCode: 2013-02-1 8 71 6:09:12 0: 20130218 Pa e 8 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Kathuria_addition Date 2/18/2013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent U -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 areater than 2.0 erm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 a 1A: 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). §150(j)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §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. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §1 50@3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. §150@4: 4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 20658 RunCode: 2013-02-18T16:09:12 0: 20130218 Page 9 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Kathuria addition 2/18/2013 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause de radation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. §1,14(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of 150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and'shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). §150(k)7: All switching devices and controls shall meet the requirements of 150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number. 20658 Run Code: 2013-02-18T16:09:12 0: 20130218 Page 10 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Kathuria_addition Date 2/18/2013 System Name HVAC System Floor Area 2,077 ENGINEERING CHECKS SYSTEM LOAD Number of Systems COIL CFM Total Room Loads 1,012 Return Vented Lighting Return Air Ducts Return Fan Ventilation F 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perS stem 21,011 1,139 562 24,808 Total Output Btuh 0 Output Btuh/s n 820 1,176 Cooling System 0 0 Output perSystem 0 0 0 0 Total Output Btuh) 0 F 1,139 0 Total Output Tons 820 1,176 Total Output Btuh/s ft Total Output s ft/Ton 22,651 27,160 Air System CFM perSystem HVAC EQUIPMENT SELECTION Airflow cfm Airflow cfm/s ft Airflow cfm/Ton Outside Air (%) I Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK Aug 73 PM Jan 1 AM Outside Air cfm/s ft) I Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF Outside Air 0 cfm 67 OF 67 OF 110 OF OMEN LA Heating Coil 109 OF ROOM 68 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak) 88 / 68 OF Outside Air 0 cfm 76 / 62 OF 76 / 62 OF 55 / 54 OF Cooling Coil 56 / 54 OF 46.6% ROOM 75 / 62 OF EnergyPro 5.1 by EnergySoft User Number: 20658 Run Code: 2013-02-18T16:09:12 /D: 20130218 Page 12 of 13 ROOM LOAD SUMMARY Project Name Date Kathuria_addition 2/18/2013 System Name Floor Area HVAC System 2,077 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK I COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM I Sensible Existing Existing 1 290 6,010 1,002 290 6,010 1,002 220 9,699 New Addition Addition 1 723 15,001 137 723 15,001 137 3431 15,110 PAGE TOTAL TOTAL* * Total includes ventilation load for zonal 1,012 21,011 1,139 562 24,808 1,012 21,011 1,139 562 24,808