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15010128
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21354 DEXTER DR CONTRACTOR: D SQUARED PERMIT NO: 15010128 CONSTRUCTION OWNER'S NAME: JITHENDER MAJJIGA 2973 SANTOS LN 4203 DATE ISSUED: 03/27/2015 OWNER'S PHONE: 4088022559 WALNUT CREEK, CA 94597 PHONE NO: (510) 289-9860 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL J CONSTRUCT ONE STORY ADDITION (155 SQ FT); FRONT License Class Lie. # COVERED PORCH (35 SQ FT); REMODEL BATHROOMS Contractor u�l�I �BGf�' �+UC' ! tR 2 4i• �s (184 SQ FT); OTHER INTERIOR REMODEL (999 SQ FT); t� REROOF I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions DEF # 1 - TRUSS CALCULATIONS / ISSUED 4/24/15. 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: $85000 performance of the work for which this permit is issued. ve 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: 32641071.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 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 FROM 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 / Issued by:— Date: / 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. 2 �S 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. ❑ 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 9.12 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 theerformance of the work for which this P Owner Date: 4 Z �' permit is issued. or authorized agent: �^ • 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. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ing(a)cupertino.orq CUPERTINO AnTTnA,TFRATON/T ORIGINAL PERMIT # S 1 VFW CON. -TRI X-TTON & Z PROJECT ADDRESS V 3,6 L, A�r p (,� APN # rj OWNER NAME 0 1E D � I G ,A PHO n 5„5 E-MAIL Q STREET ADDRESS ? 3 ` En TEP a a0' CITY, STATE, ZIP /.+ UPF< -,)NO,, J AX CONTACT NAME U C, 1L C_ LA PHONE 1310 2-r9!1916 0 E-MAIL ibW 0 GU LES Cu STREET ADDRESS 23 73 f ios 4.,-1 Z©3 CITY, STATE, ZIP � L Yd T OW ,< C# 1 "J 4 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT NTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE N E �� 2 LICENSE TYPE BUS. LIC # u CokV37RdCZ'i0N COMPANY NAME E-MAIL FAX STREET ADDRESSq o) 7 _3 J,T/q 7O SCITY, STATE, ZIP 7y?4 Vf 1441 Of PHN ` O 2 W5 6716 ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS. LIC # 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 (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 DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? [:]NO IS THE BLDG AN ❑ YE CEIV OTAL VALUATION: PRE -APPLICATION [3 YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below, I certify to each of the following: I am the property owner or authorized ct o property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and v is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildingorize representatives of Cupertino to enter the above- identified property for inspection purposes. lmff_Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑` PUBLIC WORKS ' form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ - ENVIRONMENTAL HEALTH BIdgApp_2011.doc revised 06121/11 ak! SFJ✓' CITY OF CUPERTINO hwn FFF FCTrnrATnR - RITII,DING DIVISION NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Punuc works, fire, aunnury .ewer utstJJcy . Ln- __ _ !___ _ _ L.. __,J --,L- :..f r nfinvr availahlp and arp anly an estimate. Contact the Dept for addn'l info. District, eta . thew lees are Me" vin cac .«....... FEE ITEMS (Fee Resolution 11-053 a./7/1/13) 21354 DEXTER DR DATE: 04/06/2015 REVIEWED BY: MELISSA IQADDRESS: APN: 326 41 071 BP#: 15010128 *VALUATION: $0 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATII 1GENRES p PERMIT TYPE: USE: WORK 4/6/15 - DEF # 1 - TRUSS CALCULATIONS Permit Fee: SCOPE Suppl. Insp. Fee. -(j) Reg. Q OT NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Punuc works, fire, aunnury .ewer utstJJcy . Ln- __ _ !___ _ _ L.. __,J --,L- :..f r nfinvr availahlp and arp anly an estimate. Contact the Dept for addn'l info. District, eta . thew lees are Me" vin cac .«....... FEE ITEMS (Fee Resolution 11-053 a./7/1/13) •.• �,,,•»...... ..... FEE Pturrrh. Plan Cheek I, lee. Plan (.;heck Plan Check Fee: Plumb. Permit 1 -cc: Rlec Permir Fee: Other �Wwh. Insp Other Plumb Insp. Li Other Elce. Insp ET $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Punuc works, fire, aunnury .ewer utstJJcy . Ln- __ _ !___ _ _ L.. __,J --,L- :..f r nfinvr availahlp and arp anly an estimate. Contact the Dept for addn'l info. District, eta . thew lees are Me" vin cac .«....... FEE ITEMS (Fee Resolution 11-053 a./7/1/13) •.• �,,,•»...... ..... FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Deferred Submittal $286.00 IDEFSUBM Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee. -(j) Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ConsirtictionTax,- FT Work Without Permit? Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E) Building or Structure fuel Documenlation Fees: Strom Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: 1 $0.00 $286.00 TOTAL FEE: $286.00 Revised: 02/14/2015 I�t 4 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21354 DEXTER DR CONTRACTORV ;�QyI¢or:-j7 PERMIT NO: 15010128 OWNER'S NAME: JITHENDER MAJJIGA :7,173 -;r� `ASE 3 DATE ISSUED: 03/27/2015 OWNER'S PHONE: 4088022559 t'.t%RtnldT Gam£-f/c elf PHONE NOLfIG �� •� ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ CONSTRUCT ONE STORY ADDITION (155 SQ FT); FRONT License Class_ Lic. # ✓ COVERED PORCH (35 SQ FT); REMODEL BATHROOMS Contractor g(� 11 �iZ CQRiS/i�ilfE.W 3, 21Z, 15- (184 SQ FT); OTHER INTERIOR REMODEL (999 SQ FT); I hereby affirm that I am licensed under the provisions of Chapter 9 REROOF (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: $85000 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: 32641071.00 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 FROM 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/. Issued by: ��z'IJA"_,:5��Date: �/7, 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. — Signature7F5�!= Date 3 ` .' roofing All roofs shall be inspected prior to any roofing material being installed. If a roof is any 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) 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 or authorized agent: � Date: . 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 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 UAA CUPERTINO n CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 77773228 • FAX (408) 777-3333 • buildicD no cupertino.org VV . r-1 w r TtD A Tl!'1Ti i Tr F7 I DLVTCT/1M / T1L'z'FRRFTI nPTr:TNAT T)T:PMTT ii PROJECT ADDRESS i'//� r\� V / E k /" II APN9 /„ c/ / %� 7/ O-N'ER NAME +TTLL / ` / f i P,HO\NE `o6 &O ���([/ E-MAI7L r��l/� ,4HO0, C �� ^� STREET ADDRESS '` J ' I CITY, STATE, ZIP, I L,(�G1r �KQ I FAX CONTACT NA44E � I aC u I- S C � PHONE rj' 'io 2 e'5 ge6e ECJI�VV... -baceiErL'�/� w�m0. v4 7- STR1�CITY.IC 41 �❑l F4X'4 ARCHITECT ❑+ ENGINEER ❑ DEVELOPER ❑ TENANT 1:1 OIAER 11 OWNER-BUILDFR 13 O\vN`ER AGENT kCONTRACTOR ❑CONPRACCTORAGENT CO RACT�R NAMf�� ^ ns.•T/.�UC?( ICENSE NUMBER 9qPg3 �a LICENSE TYPE ((�� (C U �/� ! BUS. LIC COMPANY NAME E-MAIL �- FAX ST' D )SSS /7 T T CITY, STATE, ZIP��j A/j/'� /moi � '((+' ] v ,-•` PHO -t Zgg y�6o ARCHITECT/ENGINEER NAA4E LISENUMBER BUS. LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE D DESCRIPTION OF WORK Mtq 4Sr/-E%� EXISTING USE PROPOSED USE CONSTR TYPE 1 STORIES USE TYPE OCC. SQ.FT. VALUATION (i) 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 GAR4GE AREA: DETACH ❑ ATTACH I T DWELLING UNTIS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? ❑ NO ADDITION? ❑NO PRE -APPLICATION [-]YES IF YES, PROVIDE COPT OF IS THE BLDG AN ❑YES ;.jZECEIVED EY '#I -, TOTAL VALUATION: PLANNING APPL9 F-1 NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO ' By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I aeree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED P> An c>cicTiPE- _ aRouTucsLlr� ❑ o\ ER THE cou.TER 0 BuuDinG PLArtRE\>E\v t t New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ ExrREss fl PLAN.II\GPLi�xE\�E\\; w Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTni`DAxD a ❑ PUBLe\tialtic5�t _ For—in if any Hazardous Materials are being used as part of this project.x ❑ LARGE $TRF REPTr� Copy of Planning Approval Letter or Meeting \with Planning prior to �x n ¢x�a, _ submittal ofBuildin application. lication. ❑ �4AroR fl sAJ.TTARYSEERDISTRICT ` r a-: EN VIRONAIENT'AL'AE.4I'TA T,.-?. .''❑ BldgApp_2011.doc revised 06/21/11 A'i �.� CITY OF CUPERTINO V -V r -V CT><M A TnR _ RT TIT .DING, DIVISION 1'L' L••L ••Lv 111�ic�i v ADDRESS: 21354 Dexter Drive -- DATE: 01/22/2015 REVIEWED BY: Sean IU APN: l Bp2nd 'VALUATION: $85,000 *PERMIT TYPE: Building PermitPLAN R-3 (Custom) CHECK TYPE: Addition PRIMARY USE: SFD or Duplex IADDPLCK nit? - Yes No 0 Yes QNo PENTAMATION1R3SFDADD PERMIT TYPE: WORK Construct one story addition 155 sq ft); Remodel bathrooms 184 sg ft); Other interior remodel 999 s SCOPE ft); Reroof (2704 sq ft). $1,057.00 Suppl. Insp. Feer Reg. 0 OT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 155 $1,091.00 IADDPLCK $1,057.00 IADDINSP PME Plan Check: $0.00 999 1 s.£ $647.00 Remodel, Other 1 ]RE E, TH Permit Fee: $1,057.00 Suppl. Insp. Feer Reg. 0 OT ro,0 hrs $0.00 2,704 s.f. Re -roof IREROOFRES PME Unit Fee: $0.00 J$476.00 PME Permit Fee: $0.00 TOTALS: 155 $1,091.00 $1,057.00 MECH, HOURLY 0 Yes (D No PLUMB, HOURLY 0 Yes Q No ELEC, HOURLY 0 Yes Q No MISC ITEMS Other Isl< $1,091.00 fnsp. Fee, Remodel, Bath (<=300 sf) IREMRESBAT Suppl. PC Fee: Q Reg. Q OT F' S t S er District School NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, ire, an ary ew , t' available and are onlyan estimate. Contact the Dent or addn'l into. District, etc). These Lees are based on the reltmtna FEE ITEMS (Fee Resolution 11-053 E f 7/I /13) to orma ion FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,091.00 155 1 s.£ $645.00 Remodel, Bath (<=300 sf) IREMRESBAT Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 999 1 s.£ $647.00 Remodel, Other 1 ]RE E, TH Permit Fee: $1,057.00 Suppl. Insp. Feer Reg. 0 OT ro,0 hrs $0.00 2,704 s.f. Re -roof IREROOFRES PME Unit Fee: $0.00 J$476.00 PME Permit Fee: $0.00 0 Work Without Permit? C) Yes (F) No $0.00 Advanced Planning_Fee_ 1PLLONGR $21.70 Select a Non -Residential Building or Structure 0 0 'i�`t-a:'�'l L)(at'1tt�'ta'rtf�attf�tt ." Strong Motion Fee: IBSEISMICR $11.05 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $2,184.75 $1,768.00 TOTAL FEE: $3,952.75 Revised: 01/06/2015 CUPERTINO 4�/���� CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinpPa cupertino.orq ❑ NEW CONSTRUCTION 16ADDITION ❑ ALTERATION / 11 ❑ REVISION / DEFERRED ORIGINAL. PERMIT # PROJECT ADDRESS =�?�2 / APN 7 /►� 7/ OWNER NAME • • HON GO n A d ( E-MAIL STREET CITY, STATE, ZIP FAX CONTACT NAME P"^""' E-MAIL t STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR LIC LICEN ' TYPE BUS. LIC # COMPANY N 0 N cb+ • E-MAIL FAX STREET ADDPXS& /�� �� CI Y, S 'ACtJ ZIP PHONE a♦ r� r IkOf ARCHTTECT E A vfE_' A ^ ; / �� V ` ((/,�Y� LIC E ✓ BUS. LIC M CO1vtPANY N E-MAIL OMS FAX N STREET ADDRESS L;'/I /` CTTY,ST TE ZIP i fes- ( U DESCRIPTION OF WORK COW% e • v C I VltAV d& f f • 0414a4 -.W add i i'r h 94,wi Xct tgaf"4 ��dr ad rtic sdG amt l � a KLva a" rvvs4 (l cw vb74, 41 EXISTIN SEOPOSE 10, USE CON rt ",7( TR. TYPE # STQRIES USE TYPF, OC SQ.FT. VALUATION ($) (� lj EXISTG AREA �( NEW AREA FLOOR DEMO AREA NET AREA �✓V l ✓ BATHROOM•(a /� KITCHEN REMODEL AREA l REMODEL AREA `(DECK OTHER ///���//��� REMODEL AREA (�J9 PORCH AREA AREA TOTAL DECK,PORCH AREA GARAGE AREA-/LJ/DETACH ❑ ATTACH # DWELLING UNITS: ISA SECOND UNIT ❑ YES SECOSTORY E] YES NDADDITION? BEING ADDED? ❑ NO ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED Y: TOTrrr���jjj VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ElO Al,� e� D� By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf I have read this application and the information I hav ed is co read tie Description of Work and verify it is accurate. I agree to comply With all applicable local ordinances and state laws rela ' o building co struc ' on. I a rize rep n fives of Cupertino to enter the bove-identi+fifed pro rty,1T inspection purposes. Date: 4 Signature of Applicant/Agent SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure � STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE llF.PC _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BIdgApp_2011.doc revised 06 21/11 r BUILDING ENERGY ANALYSIS REPORT I , : �; OPERTIN4 PROJECT: 81.1o' -ling Depa" �Ithender Majjiga i ma 2? 2015 21354 Dexter Drive Cupertino, CA 95014 REVIEWED l,v.)t GOMPLIANCE Revievreu by �� ��•�"d`' Project Designer: Thornton Weiler 452 Lincoln Ave Alameda, CA 94501 510-381-4829 Report Prepared by: Rick Rocklewitz NRG Compliance, Inc PO Box 3777 Santa Rosa, California 95402 707-237-6957 BMW cup COMPLIANCE, INC. 1 Job Number: 012115 SUBMITTAL Date'. '7iI 1/21/2015 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 2013 Building Energy Efficiency Standards. IThis program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 6.4 by EnergySoft User Number. 5581 ID. 012115 I TABLE OF CONTENTS i Cover Page Table of Contents Form CF -1R -PRF -01-E Certificate of Compliance Form RMS -1 Residential Measures Summary Form MF -1 R Mandatory Measures Summary EnergyPro 6.4 by EnergySoft Job Number: ID: 012115 User Number. 5581 1 2 3 11 12 RESIDENTIAL MEASURES SUMMARY RMS -1 Project Name Jithender Ma#iga Building Type M Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 1/21/2015 Project Address 21354 Dexter Drive Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,355 Addition 155 # of Units 1 INSULATION Construction Type Cavity Area (ff) Special Features Status Floor Wood Framed w/Crawl Space R 19 155 New Wall Wood Framed R 13 177 New Door Opaque Door - no insulation 20 New Roof Wood Framed Attic R30 155 New Floor Wood Framed w/Crawl Space - no insulation 2,200 Existing Wall Wood Framed - no insulation 1,521 Existing Roof Wood Framed Attic R11 2,196 Existing Demising Wood Framed - no insulation 21 Existing FENESTRATION I Total Area: 311 Glazing Percentage: 13.2%1New/Altered Orientation Area(ft2) U -Fac SHGC Overhang Sidefins Average U -Factor: 0.34 Exterior Shades Status Front (N) 10.0 0.340 0.30 none none Bug Screen New Left (E) 40.0 0.340 0.30 none none Bug Screen New Rear (S) 79.8 0.580 0.65 none none Bug Screen Existing Right (W) 36.0 0.580 0.65 none none Bug Screen Existing Right (W) 18.0 0.340 0.30 none none Bug Screen New Front (N) 52.0 0.580 0.65 none none Bug Screen Existing Left (E) 71.3 0.580 0.65 none none Bug Screen Existing Skylight 4.2 0.420 0.40 none none None New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 78% AFUE No Cooling 13.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Cooling Duct Location Duct R -Value Status HVAC System Ducted Ducted Attic 6.0 Altered WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener Pro 6.4 by Ener Soft User Number. 5581 RunCode: 2015-01-21T09:19:26 ID: 012115 Pa e=1 1=f 15 2013 Low -Rise Residential Mandatory Measures Summary NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the cmmnliance annrnach used Excentions may apply. Review the respective code section for more information. Building Envelope Measures: §I 10.6(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain §I 10.6(a)5: Coefficient SHGC , and infiltration that meets the requirements of § 10-111 a . § 110.7: Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed. § 110.8(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the CF2R. § 110.8(1): The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of § 110.8(i) when the installation of a cool roof is specified on the CF 1 R. § 110.80): A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CF 1 R. Minimum R-30 insulation in wood -frame ceiling; or the weighted average U -factor shall not exceed 0.031. Minimum R-19 in a § I50.0(a): rafter roof alteration. Attic access doors shall have permanently attached insulation using adhesive or mechanical fasteners. The attic access shall be gasketed to prevent air leakage. § 150.0(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -value. Minimum R-13 insulation in 2x4 inch wood framing wall or have a U -factor of 0.102 or less (R-19 in 2x6 or 0.074 maximum U - § I50.0(c): factor). §150.0(d): Minimum R-19 insulation in raised wood -frame floor or 0.037 maximum U -factor. In Climate Zones 14 and 16 a Class II vapor retarder shall be installed on the conditioned space side of all insulation in all exterior §150.0(g)l: walls, vented attics and unvented attics with air -permeable insulation. In Climate Zones 1-16 with unvented crawl spaces the earth floor of the crawl space shall be covered with a Class I or Class II § 150.0(g)2: vapor retarder. In a building having a controlled ventilation crawl space, a Class I or Class II vapor retarder shall be placed over the earth floor of § I50.0(g)3: the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section 150.0(d). § 150.0(1): Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, no greater than 0.3%; have water vapor permeance rate is no greater than 2.0 perm/inch, be protected from physical damage and UV light deterioration; and when installed as part of a heated slab floor meets the requirements of § 110.8( . 150.0 § (q)' Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum U- factor of 0.58; or the weighted averse U -factor of all fenestration shall not exceed 0.58. Fireplaces, Decorative Gas Appliances and Gas Log Measures: §150.0(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. § 150.0(e)1B: 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 readily accessible, operable, and tight -fitting damper or a combustion -air control device. § 150.0(e)I C: Masonry or factory -built fireplaces have a flue damper with a readily accessible control. § I50.0(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: § 110.0-§ 110.3: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified to the Energy Commission. § 110.3(c)5: Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of § 110.3(c)5. Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appli- § 110.5: ances without an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. §150.0(h)l: Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA using design conditions specified in §150.0(h)2. § I50.0(h)3A: Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any dryer vent. § I50.0(i): Heating systems are equipped with thermostats that meet the setback requirements of § 110.2(c). §150.00)]A: gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. with § 150.00) ] B: Unfired hot water tanks, such as storage tanks and backup storage tanks for solar water -heating systems, have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. For domestic hot water system piping, whether buried or unburied: the first 5 feet of hot and cold water pipes from the storage tank, all piping with a nominal diameter of 3/4 inch or larger, all piping associated with a domestic hot water recirculation system § I50.00)2A: regardless of the pipe diameter, piping from the heating source to storage tank or between tanks, piping buried below grade, and all hot water pipes from the heating source to kitchen fixtures must be insulated according to the requirements of TABLE 120.3- A. § I50.00)2B: All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve that allows for installation, removal, and replacement of the enclosed pipe and insulation. 2013.how-Rise Residential Mandatory Measures Summary §150.0(j)2C: Pipe for cooling system lines shall be insulated as specified in § 150.0(j)2A. Piping insulation for steam and hydronic heating systems or hot waters stems with pressure > 15 psig shall meet the requirements in TABLE 120.3-A. § 150.00)3: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall either be rated for outdoor use or installed with a cover suitable for outdoor service. For § I50.00)3A: example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation protected as specified or painted with coating that is water retardant and provides shielding from solar radiation that degrades the material. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I §150.00)3B: or Class II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class 11 vapor retarder. Systems using gas or propane water heaters to serve individual dwelling units shall include: a 120V electrical receptacle within 3 feet of the water heater; a Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the §150.0(n)l: space where the water heater is installed; a condensate drain that is no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assistance; and a gas supply line with a capacity of at least 200,000 Btu/hr. § I50.0(n)2: Recirculating loops serving multiple dwelling units shall meet the requirements of § 110.3(c)5. § 150.0(n)3: Solar water -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC) or by a testing agency approved by the Executive Director. Ducts and Fans Measures: All air -distribution system ducts and plenums installed are sealed and insulated to meet the requirements of CMC §601.0, §602.0, §603.0, §604.0, §605.0 and ANSI/SMACNA-006-2006 HVAC Duct Construction Standards Metal and Flexible 3rd Edition. Supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-6.0 (or higher if required by CMC §605.0) or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing (RA3.1.4.3.8). Connections of metal ducts and inner core of flexible ducts are mechanically fastened. Openings shall be sealed § 150.0(m)l: with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than %< inch, the combination of mastic and either mesh or tape shall be used. 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. Factory -Fabricated Duct Systems shall comply with specified requirements for duct construction, connections, and closures; joints §150.0(m)2: 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. §150.0(m)3-6: Field -Fabricated Duct Systems shall comply with requirements for: pressure -sensitive tapes, mastics, sealants, and other requirements specified for duct construction; duct insulation R -value ratings; duct insulation thickness; and duct labeling. § 150.0(m)7: All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic dampers. § 150.0(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers except combustion inlet and outlet air openings and elevator shaft vents. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not § 150.0(m)9: limited to the following: insulation exposed to weather shall be suitable for outdoor service. For example, protected by aluminum. sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation. §150.0(m)10: Flexible ducts cannot have porous inner cores. When space conditioning systems use forced air duct systems to supply conditioned air to an occupiable space, the ducts shall be § 150.0(m)11: sealed and duct leakage tested, as confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 feet in length and through a thermal §I50.0(m)12: conditioning component, except evaporative coolers, shall be provided with air filter devices that meet the requirements of 150.0(m)12. Space conditioning systems that utilize forced air ducts to supply cooling to an occupiable space shall have a hole for the placement of a static pressure probe (HSPP), or a permanently installed static pressure probe (PSPP) in the supply plenum. The §150.0(m)13: space conditioning system must also demonstrate airflow > 350 CFM per ton of nominal cooling capacity through the return grilles, and an air -handling unit fan efficacy:5 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Zonally controlled central forced air cooling systems shall be capable of simultaneously delivering, in every zonal control mode, §1 50.0(m)15: an airflow from the dwelling, through the air handler fan and delivered to the dwelling, of> 350 CFM per ton of nominal cooling capacity, and operating at an air -handling unit fan efficacy of:5 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Neither window operation nor continuous operation of § 150.0(0): central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the Whole Building Ventilation. § 150.0(0)1 A: Whole Building Ventilation airflow shall be confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Pool and Spa Heating Systems and Equipment Measures: Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency § 110.4(a): Regulations; an on-off switch mounted outside of the heater that al lows shutting off the heater without adjusting the thermostat setting; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating. 2013.Low-Rise Residential Mandatory Measures Summary Any pool or spa heating equipment shall be installed with at least 36 inches of pipe between filter and heater or dedicated suction § 110.4(b)1: and return lines, or built-up connections for future solar heating. § 110.4(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover. § 110.4(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 pro- grammed to run only during off-peak electric demand periods. § 110.5: Natural gas pool and spa heaters shall not have a continuous burning pilot light. § I50.0(p): Residential pool systems or equipment shall meet specified pump sizing, flow rate, piping, filters, and valve requirements. Lighting Measures: § 110.9: All lighting control devices and systems, ballasts, and luminaires shall meet the applicable requirements of § 110.9. Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with §150.0(k) in accordance with TABLE §150.0(k)IA: 150.0-A or TABLE 150.0-13, as applicable. When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply §150.0(k)1B: with the applicable provisions of § 150.0(k). The wattage and classification of permanently installed luminaires in residential kitchens shall be determined in accordance with § 130.0(c). In residential kitchens, the wattage of electrical boxes finished with a blank cover or where no electrical equipment has §150.0(k)IC: been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan, shall be calculated as 180 watts of low efficacy lighting er electrical box. § I50.0(k)I D: Ballasts for fluorescent lamps rated 13 watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no § I50.0(k)I E: more than 5 watts of power per luminaire or exhaust fan as determined in accordance with § I30.0(c). Night lights do not need to be controlled by vacancy sensors. Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable §150.0(k)IF: requirements of § 150.0(k). § I50.0(k)2A: High efficacy luminaires must be switched separately from low efficacy luminaires. §150.0(k)2B: Exhaust fans shall be switched separately from lighting systems. § I50.0(k)2C: Luminaires shall be switched with readily accessible controls that permit the luminaires to be manually switched ON and OFF. § I50.0(k)2D: Controls and equipment are installed in accordance with manufacturer's instructions. § I50.0(k)2E: No control shall bypass a dimmer or vacancy sensor function if the control is installed to comply with § I50.0(k). § 150.0(k)2F: Lighting controls comply with applicable requirements of § 110.9. An Energy Management Control System (EMCS) may be used to comply with dimmer requirements if: it functions as a dimmer §I50.0(k)2G: according to §110.9; meets Installation Certificate requirements of §130.4; the EMCS requirements of §130.5; and all other requirements in § 150.0(k)2. An Energy Management Control System (EMCS) may be used to comply with vacancy sensor requirements of § I50.0(k) if: it § 150.0(k)2H: functions as a vacancy sensor according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of 130.5; and all other requirements in §150.0(k)2. § 150.0(k)21: A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the functionality of a dimmer according to § 110.9, and complies with all other applicable requirements in § I50.0(k)2. § 150.0(k)3A: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high effi cacy. Kitchen lighting includes all permanently installed lighting in the kitchen except internal lighting in cabinets that illuminate only § 150.0(k)3B: the inside of the cabinets. Lighting in areas adjacent to the kitchen, including but not limited to dining and nook areas, are considered kitchen lighting if they are not separately switched from kitchen lighting. § I50.0(k)4: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. § 150.0(k)5: A minimum of one high efficacy luminaire shall be installed in each bathroom; and all other lighting installed in each bathroom shall be high efficacy or controlled by vacancy sensors. § I50.0(k)6: Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and controlled by vacancy sensors. § I50.0(k)7: Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy, or shall be controlled by either dimmers or vacancy sensors. Luminaires recessed into ceilings shall: be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; have a label that certifies that the luminaire is airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; be sealed with a gasket or caulk between the luminaire housing § 150.0(k)8: and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk; and allow ballast maintenance and replacement without requiring cutting holes in the ceiling. For recessed compact fluorescent luminaries with ballasts to qualify as high efficacy for compliance with § 150.0(k), the ballasts shall be certified to the Energy Commission to comply with the applicable requirements in § 110.9. For single-family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements: i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of Items ii or iii below; and 150.0(k)9A: ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically reactivates the motion sensor within 6 hours; and iii. Controlled by one of the following methods: 2013.Low-Rise Residential Mandatory Measures Summary a. Photocontrol not having an override or bypass switch that disables the photocontrol; or b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is programmed to automatically turn the outdoor lighting OFF during daylight hours; or c. Energy management control system which meets all of the following requirements: At a minimum provides the functionality of an astronomical time clock in accordance with § 110.9; meets the Installation Certification requirements in § 130.4; meets the requirements for an EMCS in §130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and, is programmed to automatically turn the outdoor lighting OFF during daylight hours. For low-rise multifamily residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor lighting for residential parking lots and residential carports with less than eight vehicles per site shall comply with one of the § 150.0(k)9B: following requirements: i. Shall comply with § 150.0(k)9A; or ii. Shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0. § 150.0(k)9C: For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by § 150.0(k)9B or 150.0(k)9D shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0. § 150.0(k)9D: Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0. § 150.0(k)10: Internally illuminated address signs shall comply with §140.8; or shall consume no more than 5 watts of power as determined according to § 130.0(c). § I50.0(k)11: Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for nonresidential garages in § 110.9, § 130.0, § 130. 1, § 130.4, § 140.6, and § 141.0. In a low-rise multifamily residential building where the total interior common area in a single building equals 20 percent or less of § 150.0(k)12A: the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or controlled by an occupant sensor. In a low-rise multifamily residential building where the total interior common area in a single building equals more than 20 percent of the floor area, permanently installed lighting in that building shall: §150.0(k)12B: i. Comply with the applicable requirements in §110.9, §130.0, §130.1, §140.6 and §141.0; and ii. Lighting installed in corridors and stairwells shall be controlled by occupant sensors that reduce the lighting power in each space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of ingress and egress. Solar Ready Buildings: Single family residences located in subdivisions with ten or more single family residences and where the application for a §1 10.10(a)]: tentative subdivision map for the residences has been deemed complete, by the enforcement agency, on or after January 1, 2014, shall comply with the requirements of § 110.10(b) through 110.10 e . § 110.10(a)2: Low-rise multi -family buildings shall comply with the requirements of §I 10.10(b) through §I 10.10(d). The solar zone shall have a minimum total area as described below. The solar zone shall comply with access, pathway, smoke ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or in any requirements adopted by a local jurisdiction. The solar zone total area shall be comprised of areas that have no dimension less than 5 feet and are no less than 80 square feet each for buildings with roof areas less than or equal to 10,000 square feet or no less than 160 square feet each for § 110.10(b)l : buildings with roof areas greater than 10,000 square feet. For single family residences the solar zone shall be located on the roof or overhang of the building and have a total area no less than 250 square feet. For low-rise multi -family buildings the solar zone shall be located on the roof or overhang of the building or on the roof or overhang of another structure located within 250 feet of the building or on covered parking installed with the building project and have a total area no less than 15 percent of the total roof area of the building excluding any skylight area. § 110.10(b)2: All sections of the solar zone located on steep -sloped roofs shall be oriented between 110 degrees and 270 degrees of true north. § 110.10(b)3A: No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be located in the solar zone. Any obstruction, located on the roof or any other part of the building that projects above a solar zone shall be located at least twice § 110.10(b)3B: the distance, measured in the horizontal plane, of the height difference between the highest point of the obstruction and the horizontal projection of the nearest point of the solar zone, measured in the vertical plane. § 110.10(b)4: For areas of the roof designated as solar zone, the structural design loads for roof dead load and roof live load shall be clearly indicated on the construction documents. The construction documents shall indicate: a location for inverters and metering equipment and a pathway for routing of conduit § 110.10(c): from the solar zone to the point of interconnection with the electrical service (for single family residences the point of interconnection will be the main service panel); a pathway for routing of plumbing from the solar zone to the water -heating system. § 110.10(d): A copy of the construction documents or a comparable document indicating the information from § 110.10(b) through § 110.10(c) shall be provided to the occupant. § 110.10(e)1: The main electrical service panel shall have a minimum busbar rating of 200 amps. The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a § 110.10(e)2: future solar electric installation. The reserved space shall be: positioned at the opposite (load) end from the input feeder location or main circuit location, and permanently marked as "For Future Solar Electric". CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 09:16, Wed, Jan 21, 2015 Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 1 of 8 GENERAL INFORMATION, 01 Project Name Residential Building quilding Complies Qtly omputer Performance PC 02 Calculation Description Title 24 Analysis 02 Tt is &ilding incor&rates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider. 03 Project Location 21354 Dexter Drive 04 City Cupertino 05 Standards Version Compliance 2015 06 Zip Code 95014 07 Compliance Manager Version BEMCmpMgr 2013-3b1 (694) 08 Climate Zone CZ4 09 Software Version EnergyPro 6.4 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 0 12 Project Scope Addition and/or Alteration 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (FT2) 2355 �Q ', 15 Number of Zones 2 16 Slab Area (FT2) 0 17 Number of Stories 1 18 Addition Cond. Floor Area 155 19 Natural Gas Available Yes 20 Addition Slab Area (FT2) 0 21 Glazing Percentage (%) 13.2% .O,k,. 4- a ^: 4 COMPLIANCE RESU S r q 01 quilding Complies Qtly omputer Performance PC 02 Tt is &ilding incor&rates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider. 03 tWs Pilding incoro—ratts one or more Special Features shown below s_ ENERGY USE SUMMARY 04 iY] r 05 06 07 08 Energy Use y (kTDV/ft2-yr) 3 Standard Design Proposed Design Compliance Margin Percent Improvement Sace Heating' > 38.94 37.25 1.69 4.3% Space Coolin' a ':U X 21.26 22.05 -0.79 -3.7% IAO Ventilatior W 0.00 0.00 0.00 0.0% Water Heating 13.22 13.22 0.00 0.0% Photovoltaic Offset ---- 0.00 0.00 ---- Compliance Energy Total 73.42 72.52 0.90 1.2% Registration Number: 215-Ao023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01152015-694 Report Generated at: 2015-01-2109:18:36 1 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Residential Building Calculation Daterrime: 09:16, Wed, Jan 21, 2015 Page 2 of 8 Calculation Description: Title 24 Analysis Input File Name: majjiga addition.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Cathedral Ceiling • No cooling system included • New ductwork added is less than 40 ft. in length HERS FEATURE SUMMARY The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • High Quality Insulation Installation (QII) Cooling System Verifications: • -- None -- HVAC Distribution System Verifications: • --None -- Domestic Hot Water System Verifications: • --None -- ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an on-site renewable energy system. 02 Reference Energy Use Energy Design Rating Margin Percent Improvement Total Energy (kTDV/f2-yr)' 120.06 119.16 0.90 0.7% " includes calculated Appliances and Miscellaneous Energy Use (AMEU) BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Residential Building 2355 1 3 2 0 1 Registration Number: 215-Ao023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-01152015-694 HERS Provider: CaICERTS inc. Report Generated at: 2015-01-2109:18:36 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 09:16, Wed, Jan 21, 2015 Calculation Description: Title 24 Analysis Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 3 of 8 ZONE INFORMATION 01 02 03 04 05 06 07 08 09 01 02 03 13 04 05 06 07 Zone Name Zone Type HVAC System Name Framin Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 First Floor Conditioned HVAC Systeml Skylight Roof Rise 155 Roof 8 DHW Sys 1 g Statu Existing First Floor (Existing) Conditioned HVAC Systeml n (ft2) 2200 (x in 12) 8 DHW Sys 1 ce ce Factor OPAQUE SURFACES Condifion Roof First Floor (Existing) Default Roof Prior Front 4.3 4.2 4 0.33 18.43 01 02 03 04 No 05 06 07 08 09 10 Name Zone Construction Azimuth Window and Door Orientation Gross Area (ft2) Area (ft2) Tilt (deg) Status Verified Existing Condition South Wall First Floor R-13 Wall 180 Back 66 90 New N/A North Wall First Floor R-13 Wall 0 Front 40 10 90 New N/A East Wall First Floor R-13 Wall 90 Left 141.4 40 90 New N/A Roof 2 First Floor R-30 Roof Attic 155 New N/A Raised Floor First Floor R-19 Floor Crawlspace 155 New N/A South Wali 2 First Floor (Existing) Default Wall Prior to 197 180 Back 366 79.8 90 Existing No West Wall First Floor (Existing) Default Wall Prior to 197 270 Right 594 54 90 Existing No North Wall 2 First Floor (Existing) Default Wall Prior to 197 0 Front 212 52 90 Existing No East Wall 2 First Floor (Existing) Default Wall Prior to 197 90 Left 334.2 71.3 90 Existing No Roof 3 First Floor (Existing) Default Roof Prior to 197 2195.8 Existing No Interior Surface Wall First Floor (Existing)>>Garage Default Wall Prior to 1971 289 Existing No Raised Floor 2 First Floor (Existing) Default Floor Crawlspace 2200 Existing No West Wall 2 Garage R-0 Wali 270 Right 64 90 Existing No North Wall 3 Garage R-0 Wall 0 Front 180 90 Existing No East Wall 3 Garage R-0 Wall 90 Left 179 90 Existing No Roof 4 Garage R-0 Roof Attic 504 Existing No OPAQUE SURFACES — Cathedral Ceilings 01 02 03 04 05 06 07 08 09 10 11 12 13 Roof Roof Framin Verified Orientatio Area Skylight Roof Rise Roof Roof Reflectan Emmittan g Statu Existing Name Zone Type n (ft2) Area (ft2) (x in 12) Pitch Tilt(deg) ce ce Factor s Condifion Roof First Floor (Existing) Default Roof Prior Front 4.3 4.2 4 0.33 18.43 0.1 0.85 0.1 Exigstin No to 1971 Registration Number: 215-AO023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01152015-694 Report Generated at: 2015-01-2109:18:36 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 09:16, Wed, Jan 21, 2015 Calculation Description: Title 24 Analysis Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 4 of 8 ATTIC 01 02 03 04 05 06 07 08 09 Name Construction Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Status Verified Existing Condition Attic Garage Attic Garage Roof Cons 4 0.1 0.85 No No Existing No Attic First Floor Attic Roof Cons First Flo 4 0.1 0.85 Yes No New No Attic First Floor (Existi Attic Roof Cons First Flo 4 0.1 0.85 Yes No Existing No WINDOWS 01 02 03 04 05 06 07 08 09 10 11 Name Surface (Orientation -Azimuth) Width(ft) Height (ft) Muitiplie r Area (ft2) U -factor SHGC Exterior Shading Status Verified Existing Condition Window North Wall (Front -0) ---- ---- 1 10.0 0.34 0.30 Insect Screen (default) New N/A Window 2 East Wail (Left -90) ---- 1 40.0 j 0.34 0.30 Insect Screen (default) New N/A Window 3 South Wall 2 (Back -180) ---- ---- 1 79.8 0.58 0.65 Insect Screen (default) Existing No Window 4 West Wall (Right -270) ---- ---- 1 36.0 0.58 0.65 Insect Screen (default) Existing No Window (New) West Wall (Right -270) ---- ---- 1 18.0 0.34 0.30 Insect Screen (default) New N/A Window 5 North Wall 2 (Front -0) ---- ---- 1 52.0 0.58 0.65 Insect Screen (default) Existing No Window 6 East Wall 2 (Left -90) ---- ---- 1 71.3 0.58 0.65 Insect Screen (default) Existing No Solatubes (New) Roof (Front -0) 1 4.2 0.42 0.40 New N/A DOORS 01 02 03 04 05 06 Name Side of Building Area (ft2) U -factor Status Verified Existing Condition Door North Wall 20.0 0.50 New No Door 2 Interior Surface Wall 16.7 0.50 Existing No Registration Number: 215-A0023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01152015-694 Report Generated at: 2015-01-2109:18:36 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Daterrime: 09:16, Wed, Jan 21, 2015 Calculation Description: Title 24 Analysis Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 5 of 8 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 08 Name System Type Distribution Type Total Cavity Winter Design Solar Fraction (%) Construction Name Surface Type Construction Type Framing R -value U -value Assembly Layers Annual Existing No • Cavity/ Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic Roof Cons First Flo Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Floors Over Floor Deck: Wood Siding/sheathing/decking R-19 Floor Crawlspace Crawlspace Wood Framed Floor 2x6 @ 16 in. O.C. R 19 0.049 Cavity/Frame: R-19 /2x6 • Inside Finish: Gypsum Board • Cavity / Frame: R-13 / 2x4 • Exterior Finish: Wood R-13 Wall Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 13 0.095 Siding/sheathing/decking • Inside Finish: Gypsum Board Ceilings (below Cavity/ Frame: R-9.1 /2x4 R-30 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 30 0.032 Over Floor Joists: R-20.9 insul. • Floor Surface: Carpeted Floors Over Floor Deck: Wood Siding/sheathing/decking Default Floor Crawlspace Crawlspace Wood Framed Floor 2x12 @ 16 in. O.C. none 0.216 Cavity/Frame: no insul. /2x12 • Inside Finish: Gypsum Board • Cavity/ Frame: no insul. / 2x4 • Exterior Finish: Wood Default Wall Prior to 197 Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. none 0.302 Siding/sheathing/decking • Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 Default Roof Prior to 197 attic) Wood Framed Ceiling 2x4 @ 16 in. O.C. R 11 0.083 Over Floor Joists: R-1.9 insul. • Inside Finish: Gypsum Board • Cavity / Frame: R-11 / 2x4 • Roof Deck: Wood Siding/sheathing/decking Default Roof Prior to 1971 Cathedral Ceilings Wood Framed Ceiling 2x4 @ 16 in. O.C. R 11 0.088 Roofing: Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board • Cavity/ Frame: no insul. / 2x4 Default Wall Prior to 1971 Interior Walls Wood Framed Wall 2x4 @ 16 in. O.C. none 0.277 Other Side Finish: Gypsum Board WATER HEATING SYSTEMS 01 02 03 04 05 06 07 08 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) Status Verified Existing Condition DHW Sys 1 DHW Standard DHW Heater 1 1 Annual Existing No Registration Number: 215-Ao023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01152015-694 Report Generated at: 2015-01-2109:18:36 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 09:16, Wed, Jan 21, 2015 Calculation Description: Title 24 Analysis Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 6 of 8 WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Storage 50 0.575 EF 40000-Btu/hr 0 0 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation with Manual Control Recirculation with Sensor Control DHW Sys 1 n/a n/a n/a n/a n/a n/a SPACE CONDITIONING SYSTEMS 01 02 01 02 03 04 05 06 07 08 09 HERS Verification Cooling Component 1 Heating System Cooling System No No N/A Distribution Fan Floor Area Verified Existing Name System Type Name Ducted Name Ducted System System Served Status Condition HVAC Systeml Other Heating and Heating Yes Cooling N0 Air Distribution HVAC Fan 2355 Existing No Cooling System Component 1 Component 1 System 1 1 HVAC - HEATING SYSTEMS 01 02 03 Name Type Efficiency Heating Component 1 CntrlFurnace - Fuel -fired central furnace 78 AFUE HVAC - COOLING SYSTEMS 01 02 03 04 05 06 07 Name System Type Efficiency EER SEER Zonally Controlled Multi -speed Compressor HERS Verification Cooling Component 1 NoCooling - No cooling equipment N/A N/A No No N/A Registration Number: 215-Ao023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01152015-694 Report Generated at: 2015-01-2109:18:36 I CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 09:16, Wed, Jan 21, 2015 Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 7 of 8 HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 08 09 10 Insulation Supply Duct Return Duct Verified Existing HERS Name Type Duct Leakage R -value Location Location Bypass Duct Status Condition Verification Air Distribution Ducts located in attic Existing (not 6.0 Attic Attic None Existing + New No N/A System 1 specified) IAQ (Indoor Air Quality) FANS 01 02 03 04 05 Name IAO CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 0 Default 0 Not Required Registration Number: 215-Ao023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: Ca10ERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01152015-694 Report Generated at: 2015-01-2109:18:36 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 09:16, Wed, Jan 21, 2015 Input File Name: majjiga addition.xml CF1 R -PRF -01 Page 8 of 8 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: �e Mario Bertacco Company: Signature Date: NRG Compliance, Inc 2015-01-21 13:49:15 Address: CEA/HERS Certification Identification (If applicable): po box 3777 City/State/Zip: Phone: Santa Rosa, CA 95402 707-237-6957 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 3. 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 agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: C G[/P Thornton Weiler Company: Date Signed: Thornton Weiler, Architect 2015-01-21 13:49:27 Address: License: 452 Lincoln Ave na City/State/Zip: Phone: Alameda, CA 94501 510-381-4829 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-Ao023912A-000000000-0000 Registration Date/Time: 2015-01-21 13:49:27 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF113-01152015-694 Report Generated at: 2015-01-2109:18:36