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B-2017-0350CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0350 10493 S DE ANZA BLVD CUPERTINO, CA 95014-3011 (359 17 019) P J HAN INC CORONA, CA 92882 OWNER'S NAME: BDC HAYWARD LP DATE ISSUED: 03/02/2017 OWNER'S PRONE: 925-588-2213 PHONE NO: (951) 280-3010 LICENSED CONTRACT-OR'S.DECLARATION BUILDING PERMIT INFO: License Class j3 Lic. #2A42M Contractor P J HAN INC Date 03/31/2018 X BLDG —ELECT _PLUMB MECH RESIDENTIAL X COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — `J with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: KOREAN BBQ; INSTALL (2) ILLUMINATED WALL SIGNS I hereby affirm under penalty of perjury one of the fallowing two declarations: i. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of tho work for which this permit is issued. 2. 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 Sq, Ft Floor Area: Valuation: $2500.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 359 17 019 representatives of this city to enter upon the above mentioned property for Inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City In consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulationsper the CCupertino Municipal Code, Section 9.18. 180 DAYS F �ED INS ECTION. Signature 6�6� ' Date 03102/20/7 Issued by: ELI Date: 03/02/2017 OWNER -BUILDER DECLARATIQly I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: ' fallowing two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roo r. 1, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure isnot intended or offered for inspection, sale (Sec.7044, Business & Professions Code) 2. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant; contractors to construct the project (Sec.7044, Business & Professions Code). Date: 03102/201 7 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER z. 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, IJAZAR13OUS MATERIALS DISCLOSURE z. 1 have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6,95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any maturer so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 03/0212017 certify that I have read this application and state that the above Information is CONSTRICTION LENDING AGENCY correct, I agree to comply with all city and county ordinances and state laws 1 hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City In Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Cade, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 0 310 212 0 1 7 Licensed Professional CUPERTINO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 o FAX (408) 777-3333 • building t@cupertino.org rho/ PROJECT ADDRESS fl`. lE 1,(, APN # ^7 p, D I A OWNERNAME ,�f1 :ry .I' �y i✓CIi� C� �Y %� ��W PHONE ,#- -'(J �J !iI -MAIL � /�/ /p ua STREET ADDRESS [l � rrSi jP fJ� CITY, ST17 ZIP _ f C �%�� F CP CONTACT NAME PHQ G i r� ``TE� ErMA�� r STREET ADDRESS 4, �I CITY, S��T Z FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER 11 TPNANT CONTRACTORNAME' LICENSE NUM R , LICENSE TYPE rCt � COMPANY NAM> ///,,, /�yy E-MAIL '(r��✓� rye_ p 1 lv Lr�iiI w'SV �� 1 • Z4'd'r4� Vi� �- ` o r� BUS. L[C # yy�� I �f J_ FAX ///,,, STREET ADDR;?b I ? YJ CITY, STATE, ZIP LY, , ARCHTTECT/ENGINEER NAME LICENSE NLIMBER BUS. LIC # COMPANY NAME F -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORD WeAl USE OF ❑ SFD or Duplex Multi-Farnily < STRUCTURE: Olt]I]7CrCla1 ILLUMINATED (YIN) SIGN TYPE (CrO,D�E) NO. OF SIGNS SIGN AREA (SQ. Fr.) Y VALUATION ($) SIGN TYPE CODES: B - BANNER SIGN M - MONUMENT {GROUND) SIGN BL -- BLADE SIGN P -- PROJECTING SIGN D - DEVELOPMENT ID SIGN SP -- SPECIAL EVENT BANNER DI - DIRECTIONALSIGN T - TEMPORARY E - ELECTRONIC W -- WALLSiGN READERBOARD WI - WINDOW SIGN *�� ---.. - -It CE HIV TOTMZAL.� b By my signature below, I certify to each of the following: 1 am the propefify--owner,or autw agent to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I have read the Description ofWorlc and verify it is accurate, l agree to comply with all applicable local ordinances and state laws relating to building cons luZtn, . 1 authorize representatives of Cupertino to enter the above-jd Ijtitied properly for inspection purposes. Signature of Applicant/Agent: __ Date: / rr SUPPLEMENTAL INFORMATION REQUIRED Site Plan // L Elevations •S<;1rHR-COUNTER Sign Details - including UL listing(s) applicable �/(� S5 Structural Calculations (if applicable) Copy of Planning Approval Letter or Meeting With Planning prior to submittal of Building Permit application. OFFICE USE ONLY PLAN CHECK TYPE ROUTING SLIP ❑ EXPRESS ❑ STANDARD D LARGE ❑ naAaoR ❑ BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ OTHER; SignApp 2011,doc revised 03/31/11 160 24" i NEW SIGNAGE FOR 'BULL KOREAN BBQ" I x'25» i I i UE)r�� (an�� rE o„ COLO 5 MATERIALS: "BULL" - 3/16" WHITE TRANSLUCENT FLEX LOGO - RED TRANSLUCENT VINYL ON 3/16" WRITE TRANSLUCENT FLEX "KOREAN 86Q' - 3/16" WHITE TRANSLUCENT PL=X CHANNEL - SLIK- (5" RETURN, 0.040 ALUM.) & 3J4" BLK ALL LETTERS ARE U.L. LISTED i4E11' 9641 WERE i%TI-w- SCALE: TAKE DOWN EXTS T ING SIGN 120V 20 AMP CaRDMEELLE—+i--'R iii PWARY CIRCl1� P.VM CF7� LED,,;LLSLRA�:lVAY �+"X5j WLiECOMECfOR PANiaAAQi 70WAlL FACT LDWVOLTAG� Ac-.,CFAL5 � � PO'E45UPPLY .PW - AL'JMINUN.;ciUR' NPICAT-LED. C AJNNaL1 :r s.k ox NEW SIGN NEW SIGN 0 �-lu-Z�cI - st0;,�� LANDLORD � t�� T 1 NEW SIGNAGE FOR "BULL KOREAN BBQ" COLORS & MATERIALS: "BULL" - 3/16" WHITE TRANSLUCENT PLEX LOGO - RED TRANSLUCENT VINYL ON 3/16" WHITE TRANSLUCENT PLEX "KOREAN BBQ" - 3/16" WHITE TRANSLUCENT PLEX CHANNEL - BLK. (5" RETURN, 0.040 ALUM.) & 3/4" ELK. TRIM CAP ALL LETTERS ARE U.L. LISTED 16.5" SIGN A (37.5 ftz) 10.5" a z Sam PLAN VIEW — A. ILLuminated signs which are not a necessary part of the security L!gl i) 11:00 pm, or ii) within two hours after the business is closed. B. The intensity of iLLumination for signs Located within the commercial, foot -Lamberts. ALL other districts shaLL not exceed approximateLy one staff to evaluate signs which are deemed to be a problem to passing ; (37.5 ft Z) SCALE: 1/2"=1'-0" TAKE DOWN EXISTING SIGN Im s s shaLL be turned off at the Latter of: LP ding Depart e t d industriaL districts shoLL not exceed approximate Ly two hundred fifty i,f a 4Qgaher ATh? foot -Lambert readings shaLL be used as a guide by sts or rWai knts_yin the surrounding neighborhood. Dale– > .f STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E Revised 08116 CALIFORNIA ENERGY COMMISSION '"W' CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 1 of 5) Project Name: Date Prepared: •$ �� p f �y a f `I A. General Information Project Address: %� E11101 VO/ e4 t vV Location of Sign Outdoor Signs ❑ Indoor Signs Phase of Sign Construction New Signs ❑ Sign Alterations Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Lighting Controls Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply): Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power ❑ Specific Lighting Sources 1. Mandatory Sign Lighting Controls NOTES: 1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power. 2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement for the entire construction (e.g. a C-10 contractor may complete parts 1a and 1b on one compliance document and a C-45 contractor may complete parts 2a and 2b on a separate. compliance document — the Responsible Designer shall submit the two compliance documents together for the same complete installation). I have responsibility for installing the sign lighting controls: �y ❑ Yes, I have responsibility for the sign lighting controls, and will �I. No, I do not have responsibility for installing the sign lighting controls. complete parts 1a and 1b of this compliance document Someone else will complete parts 1a and 1b of this compliance document. 1a. Check Yes or No for all of the following statements: 1There are existing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3 vi -Yes ❑ No There are no existing sign lighting controls and I will be installing sign lighting controls that comply with the applicable 2 provisions of §110.9 and §130.3 ❑ Yes FL No There are existing sign lighting controls that do not comply with the applicable provisions of §110.9 and §130.3 and I will be 3 installing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3 ❑ Yes MNo /III'') E 1I1 11140 111qui°ii II d i°hung 1')CI r,tineun CA Building Energy Efficiency Standards - 2016 NonrdjildVI&4W&E CD\Ai:'[JANCE August 2016 o evuewed By:! Mehl a ',James Cate: 03/0l )f "17 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08116) CALIFORNIA ENERGY COMMISSION '%/ CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) Project Name: y Date Prepared: s' 1b. Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting control requirements, that person shall answer all of the following questions: If there are construction documents, indicate where on the building plans the mandatory measures (sign lighting control) note block can be located: 1 §130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time- Y N NA switch control. ® 0 0 §130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA switch control, or an astronomical time -switch control. C) 0 00 2 EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor Y NA areas that are intended to be continuously lit, 24 hours per day and 365 days per year. D 9 §130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65% during nighttime hours. Signs that Y N NA are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and p p 0 3 night. EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night. §130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC) Y N N/A having a new connected lighting power load greater than 15 kW has a control installed that is capable of 4 reducing the lighting power by a minimum of 30% when receiving a demand response signal. EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute, Y NA ordinance, or regulation to be reduced by 30%. 0 40 Field Inspector Notes: III' 8) ��w� �I 11140 � 1 111tuI°i II d i°hung 1) e ID a r,tineun CA Building Energy Efficiency Standards - 2016Net-Io D j4z"c 7 August 2016 o evuewed 13y:! Mehl a ',James Date: 03/0I )/°I7 STATE OF CALIFORNIA SIGN LIGHTING rie �1 CEC-NRCC-LTS-01-E(Revised 08116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) Project Name: Date P" e t' 2. Mandatory Sign Lighting Measures I have responsibility for installing the sign lighting ❑ Yes, I have responsibility forthe sign lighting, and will complete ❑ No, I do not have responsibility for installing the sign lighting. Someone parts 2a and 2b of this compliance document else will complete parts 2a and 2b of this compliance document. 2a. Maximum Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist. Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance). A B C D E F G H I J OPTIONAL— Field Symbol or Energy Verified Design Complies Inspector Code Description of the Sign Label (see Allotted Watts Watts Y/N Check that instructions Sign Complies below) ri O LW -p N $'+ N bD VI a) Q E v C 3 N ❑ a) _3 II It p C w_ Q V Q 12 O U ❑SII El ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ D ❑ ❑ 0 ❑ ❑ 0 ❑ A Symbol or code used on the plans (when plans are required) and other documents. B A description of the sign, or location of sign on the building; and the location of sign on construction documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirmingthat the sign complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to 150/IEC Guide 65 by the American C National Standards Institute in accordance with ISO/EEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, columns 'D' through `I' are not required to be filled out. Note; Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. D The sign area in square feet. E List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 23 if sign is listed as "E" in column E. G Multiply the square footage in column D times the allowed Lighting Power Density (LPD = watts) in column F. H Show the total installed watts in the sign, as determined according to the applicable provisions of §130(c). I Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply. J This page doubles as a field inspection checklist. Field Inspector Notes: �IhI O hII � hII IIH , � �' C 1112 O f"'(:IIIT� O IID'f IL e."'.' - j g Y .. 1. u CA Building Energy Efficient Standards 2016 Nonr d i rl u= August 2016 Ileva awed lty':ehlss;t ',James Date: (t3/0( )/° 7 STATE OF CALIFORNIA SIGN LIGHTING Rel CEC-NRCC-LTS-DI-E Revised 08116 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE N RCC-LTS-01-E Sign Lighting (Page 4 of 5) Project Name: Pato Prepared:• 2b. Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific Lighting Source method of compliance. (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D E OPTIONAL ENERGY Specific light source used for Field Inspector Symbol VERIFIED compliance or Description label Shall include only lighting Check that Sign Code (see technologies listed below Complies instructions (List all that apply) below) ❑ ❑ A Symbol or code used on the plans (when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location ofsignon construction documents OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories C (UL) or other Product Certification Body accredited to 150/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/EEC 17020. For signs with such an ENERGY VERIFIED label, column 'D' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all applicable numbers (1 through 9) that apply In column D above for each row, 1 High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88% or greater. 2 Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI 082.6-2005. Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by a ballast that has a minimum efficiency of 80%. 3 Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75% when D 4 the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at 100% tubing load. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68% when 5 the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at 100% tubing load. 6 Fluorescent lighting systems meeting one of the following requirements: A.) Use only lamps with a minimum color rendering index (CRI) of 80; or B.) Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 Light emitting diodes (LEDs) with a power supply having an efficiency of 80% or greater. Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a 8 nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). 9 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26), E This page doubles as a field inspection the - Field Inspector Notes: 12-s 1I'°°'3 u iii 111 d iii iin g II' )e 13 a i't in e n't CA Building Energy Efficiency Standards - 2016 Nonr. AE L� p � D- -1 rrmi August 2016 Reviewed 13ydMehIssa ',James D atE' 03/0�:)/°17 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION 'W CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Project Name:ICA H��i Date Prepared: f DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author 51 Company: Signature Date: d Address: �d/ �] CEA Certification Identification (if ap icablel: V City/State/Zip: C-0 Phone: / to nk RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices forthe building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agencyfor approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: IIII°'El IINO II°°I° Iii III Iii o I1'° III m ui nt CA Building Energy Efficiency 5tandards -2015 CNA['II.JANOl- August 2016 D atE' 03/0( )/° 7