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14080059CITY OF tCUP ERTINO BUILDING ING IP]ERMffT BUILDING ADDRESS: 22117 WALLACE DR CONTRACTOR: DREAM CASTLE PERMIT NO: 14080059 CONSTRUCTION OWNER'S NAME: SUBRAHMANYAN PRADEEP K AND KIMBERLY 630 ALVARADO ST APT 106 DATE ISSUED: 10/02/2014 OWNER'S PHONE: 6506901702 SAN FRANCISCO, CA 94114 PHONE NO: (408)898-0113 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL, r� �/ 9G- ADDITION OF 453 TO SIDLE OF S1FDW L, REBUILD (E)License Class J5 Lic. 9 1 Ly SDFWL 1524, RE -ROOF 15 SQ `L Contractor T)K&d& CI�MI 601VMDate l / - 11/17/14 DEF # 1 - TRUSS CALCULATIONS- ISSD 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 1 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 loor Area: Valuation: $170000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided fore Section 3700 of the Labor Code, for the performance of the work for vvlrAt permit is issued. 00 APN Number: 32602 3.00 ccupancy Type: APPLICANT CERTIFICATION t certify that I have read this application and state that the above information is PERMIT IT jEXP OR{ IS OT STARTLED correct. 1 agree to comply with all city and county ordinances and state laws relating �� ®� ��= 1,��JAIY�jE O� to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180jID S 7FROM lL ST 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 by: Date: // lollla, granting of this permit. Additionally, the applicant understands and will comply Issued with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 1_Z 11-21-141 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 ECLARATION Signature of Applicant: Date: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(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 1 have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 2 ;95, 255 nd�5534. Section 3700 of the Labor Code, for the performance of the work for which this ��t��Gi permit is issued. Owner or authorized agent: Date: 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, 1 must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 CUPERTINO ❑ NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 . building d)cu perti no. org 00 ❑ ADDITION ❑ ALTERATION / T[ REVISION /DEFERRED ORIGINAL PERMIT # I PROJECT ADDRESS AA 1t —4- �1 , 1 P wife 0,r' AIN # OWNER N E L klnn3 S PHONE E- AIL RApEEP L ��41}m4;0,m ®. ®. STREET ADDRESS�^ 1 ,,pry Qal ;T W !P►`,lA� CITY, STATE, ZIP g 2 p CSS CkT1ej® 6. FAX CONTACT NAME PHONE -MAIL ,.N\ eM SJ rJ ® . STREET ADDRESS aka CITY, STATE, ZIPpp Cu1lcIL-CIN A- I so FAX OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECTIENGINEERNAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK 'T RV 4;S CA Us) 1 EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA '... GARAGE AREA: DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT YES SECOND STORY [] YES BEING ADDED? NO ADDITION? NO PRE -APPLICATION [l YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YE y. TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ _ Ls1e �® By my signature below, I certify to each of the following: I am the property owner or authorized aggitlZ act on perty owner's behalf I havereadthis application and the information I have provided is correct. I have read the Description of Work and Is accurate_ I agree to comply with all applicable local ordinances and state laws relating to building c struction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: • Date: d SUPPLEMENTAL INFORMATION REQUIRED PLAIT 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. ❑ PLANNING PLM REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 2dXPRESS 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 BldgApp_1011.doc revised 06121111 ,f-1 Tr rrrl'V( T Yr-. TM f-1 Tr T " _". IT -U rrrl IT IN T A -I, Revised: 10/01/2014 �L_Jljl 11 BJP k1_U1r_nln R Jill %U FEE ESTIMATOR - BURLDING DIVISION I'llull!" P/an L Ph nth. Permit Fee: 01her 1'honb lnql ADDRESS: 22117 WALLACE DR DATE: 1111712014 REVIEWED BY: MELISSA FEE APN: 326 02 043 BP#: 14080059 *VALUATION: I$o *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE; —FP—ENTAMATION 1GENRES I PERMIT TYPE: WORK 11/17/14 - DEF # 1 - TRUSS CALCULATIONS SCOPE Revised: 10/01/2014 jech, I'lart Ch,,,ck L llerw;f F'ee: Ll I'llull!" P/an L Ph nth. Permit Fee: 01her 1'honb lnql 1,700 Han Che(1 ktf� NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). TheseLees are based on the'erelimina information available and are onl an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Deferred Submittal $286.001 IDEFSUBM A Suppl. PC Fee: (2) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(E) Reg. COT Q,0 hrs $0.00 PME Unit Fee: $0.00 PME/Permit Fee: $0.00 Pee: Work Without Permit? 0 Yes E) No $0.00 Advanced PlanningFee: $0.00 Select a Non -Residential Building or Structure TrW,vi Docuinemailoa Stronp, Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: 1 $0.001 $286.00 TOTAL FEE: $286.01� Revised: 10/01/2014 CITY OF C UlP1ERTINO BUILDING PERMIT BUILDING ADDRESS: 22117 WALLACE DR CONTRACTOR: DREAM CASTLE PERMIT NO: 14080059 CONSTRUCTION OWNER'S NAME: SUBRAHMANYAN PRADEEP K AND KIMBERLY 4436 ROSCOMMON WAY DATE ISSUED: 10/02/2014 OWNER'S PHONE: 6506901702 DUBLIN, CA 94568 PHONE NO: (408)898-0113 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 0 �r ADDITION OF 453 TO SIDE OF SFDWL, REBUILD (E) License ClassLic. 4 %ZT/7jy& SDFWL 1524, RE -ROOF 15 SQ Contractor DWH � %a 6i, %j��- fe" AP -02-11( I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $170000 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: 32602043.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is K IS NOT STARTED PERMIT E IDLES ][FaPRMIT correct. 1 agree to comply with all city and county ordinances and state laws relating �� ]jS® ��S ®�S��J�IY�]E ®� to building construction, and hereby authorize representatives of this city to enterupon the above mentioned property for inspection purposes. (We) agree to save 180 l�DAYS FR(0 ]LjLIL]ED SSP ECT ON. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: i with all non -point source regulations perVie 1pertino Municipal Code, Section 9.18. / f 72 RE -ROOFS: --t / '% Signature Date All roofs shall be inspected prior to any roofing material being installed. if a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. r_1 OWNER -BUILDER D CLARATION Signature of Applicant: Date: I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will 1 hereby affirm raider 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 1 store or handle hazardous 1 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 1 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, 255533�nd 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agen t�/� ///y' Date: l®',P� permit is issued. 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers Compensation laws of California. If, after making this certificate of exemption, 1 CONSTRUCTIONLENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I 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 1 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 1 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 CUPS TOMO COH817RUC17 0H pER07 APPUCQTM COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 (408) 777-3228 e FAX (408) 777-3333 ^ building(acupertino.org ao� ❑ NEW CONSTRUCTION VADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 'S1 17 'A' n (kjn I ,ya APN # e3 OEERNAME M d��PY�II�//TIv� �IONE4�0 Io�i) /i6� �, �L�QVI /7��YG��iM4lVi Wyt� STREET ADDRESS CITY, STATE ZIP n �� tJ 7 FAX CONTACT NAME c p n vl VV i 1 n p I f 1/l. PHONE / GMAT ', n r 1 (B h ky v l 1 SIRE AIDRESS�,D•Q..li CA— CITY,�� 5 ` -n FAX ❑ OWNER ❑ OWNER-BURDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARC[iTTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINE N E �j �i 11� I Q p LICENSE NUMBER /°�j �., °$�3 1 �U7 BUS. LIC # COMPANY NAME1 �1 " Ary °fit ,lit/ E-MAIL Q {� I/ ,,,,• I 1TE�-�!) Vl FAX e�.� STREET DRI #K A M1 ��L l/ STA ggdpb PH NE D85CRIPTIONIOF 0 �� ONUt 11i1L`4�n >�r lin��s��e�3 S i� s� ��- �'�.c�+�dZo� o - km ,a . w; a � , p�'� YQEnnAi.�tS dIS-IS ��^� YOD� NB�a A EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTAREA AREA NEW M ARE DEMO AREA TOTAL NET AREA p II ¢ �� o nen/ �G'�" BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER 99 REMODEL A¢� II �i✓Q�l�,-' PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GAR-AGEAREA: DETACH ❑ATTACH �yQn Grp # DWELLING UNITS: ISA SECOND UNIT ❑YES BEING ADDED? ❑NO SECOND STORY []YES ADDITION? ❑NO 9 PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG: AN ❑ YES RECEIVED Y:. TOTAL�{�LU�y"f�9N: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICm.ER HOME? [3 NO �/ By my signature below, I certify to each of the following: I am the property owner or authorized agent act on the property owner's behalf I have read this application and the information I have provided is correct. have read the Description of work and ve it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin onstructiorA authorize representatives of Cupertino to enter the abo -identified pFoperl for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL ORMATIO QUIRED PLAN CHECK TYPE ROUTING SLIP ❑ ovER-THF couNTTR ❑ 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. ❑ rxPRrrss ❑ 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.El LARGE ❑FIRE Derr _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR SANITARY SEWER DISTRTC7f submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06/21/11 �4 ,r"Tr1ir\17 r'h-n 9"Tr T'"Tr71TrbrrrTiATAt FEE ]ESTEMATOR 14— ll Il ll \LPJF �. ALJ 1C 1L`�llO 1L ll1�7 l,P - BU]LDRNG MWRON PLR AREA s.f. ADDRESS: 22117 Wallace dr DATE: 08/08/2094 REVIEWED BY: Mendez APN: BP#:L`� ''VALUATION: $170,000 yPERMIT TYPE: Building Permit $1,626.00 PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex EIC( !ns/),)L'11(", 2nd Unit? Yes No PENTAMATION 1 R3SFDADD USE: ®TCS Yes ° (S)No PERMIT TYPE: d WORK addition of 453 to side of sfdwl remodel e sdfwl 1524 re -roof 15 s SCOPE Ll OCCUPANCY TYPE: TYPE OF CONSTR. PLR AREA s.f. PC FEES PC FEE IID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 453 $1,626.00 IADDPLCK $1,323.00 IADDINSP EIC( !ns/),)L'11(", Suppl. Insp. Fee:Q Reg. COT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Commuction 7`ux: Ll =(o,mijliStr ori s t' E) Work Without Permit? 0 Yes E) No $0.00 Advanced Plannin- Fee: IPLLONGR $63.42 TOTALS: 453 $1,626.00 Strom Motion Fee: IBSEISMICR $1,323.00 Select an Administrative Item M1ECH, HOURLY 0 Yes e No PLUMB, HOURLY Q Yes E) No ]EILIEC, HOURLY Q Yes Q No ,Ilech. Pl:znC'he'ck Plmrrh. Non(Yard 5?ecrh. Pe!^)rit e iae: Plumb. Permit Fee: Oe( I'crwir € t/ler llech. Irra'l1.El 0111er Ph'IA-.b !nrsp Ot/tar l i'c:r. Ins t. ch. hasp. t'�er: 1'r'±r+rth. Irsp. hec�: EIC( !ns/),)L'11(", NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are hared on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7%1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,626.00 1,524 s.f. Remodel, Other $4,8$$.OQ iREMREsl Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 1,500 S.f. Re -roof $255.00 IREROOFRES Permit Fee: $1,323.00 Suppl. Insp. Fee:Q Reg. COT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Commuction 7`ux: Ll =(o,mijliStr ori s t' E) Work Without Permit? 0 Yes E) No $0.00 Advanced Plannin- Fee: IPLLONGR $63.42 Select a Non -Residential G Building or Structure :�] a, Fr'4xrel l)vC•itr��t��iiaair�rr Fees: Strom Motion Fee: IBSEISMICR $22.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $7.00 SUBTOTALS: $3,041.52 $5,143.001 TOTAL FEE: $8,184.52 Revised: 07110/2014 cup[ERTONO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 2-ZIL7 G Dk , BUSINESS NAME PERMIT # ®g 00 OWNER'SNAME: ftD SU8yzAk144l1V Y nI PHONE# JS '-9 9— GENERAL CONTRACTOR: /-it4 tL-F- aC1,eTP,41C r 00 BUSINESS LICENSE # ADDRESS: 630 u/Aq CITY/ZIPCODE: N FPAAICscc) GA qqjj *Our municipal cove requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING ]FINAL OR (FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature ?lease check applicable subcontractors and complete the ffollllowing pnformatnon: (Date V SUBCONTRACTOR BUSINESS NAME BUSRNIESS LRCIENSIE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum / Wood Glass / Glazing Heating MA9CUCc( Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing It)?, eL-V M P) 1063 a Roofing DEMO CVP�TRUCRPJ d Septic Tank Sheet Metal Sheet Rock Tile Denner / Contractor Sig7fature Date cCUPERTINO PURPOSE: CALGREEN RESM NTIIAL CHECKLIST m MANDATORY ffEMS COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 ^ buildingacupertino.org The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name:. Subrahmanyan Residence Project Address. 22117 Wallace Drive Project Description: Addition/Remodel �3 LD i m Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section I - Design Verification at the end of this checklist and have the checklist printed on the approved plans for the project. T' 3. Prior to final inspection by the Building ,Department, the licensed professional shall complete Column 3 and sign and date Section 2 - lmplementationj Verificatiorq, al -the end of #his checklist and submit the completed form to the Building Inspecto�,',i_:.I t i. �., J Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project VelrMcaialon IRec uirements Planning and Design - Site Development 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during 0 0 construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how 0 site grading or a drainage system will manage all surface water flows. 1 of 5 CalGreen 2014.doc revised 01/15/14 A4.2 General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum ❑® Ell standard design required by the California Energy Standards. • I WATER AND CONSERVATION Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: ® 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1.28 gallons per flush. Tank -type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specifications for Tank -type Toilets. ® 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ® 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be [I ©I designed to allow only one shower outlet to be in operation at a time. 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ® 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ® 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen 2014.doc revised 01/15/14 Outdoor Water Use 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather -based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. �I ® 4.304.1.2 Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. lilt© o Enhanced Durability and Reduced Maintenance 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Reduction, D'osposal and Recycling 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building IN El occupant or owner. Flrepl2ces 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed wood-buming fireplace, or a sealed woodstove. (Pollutant Control 4.504.9 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air distribution component openings shall be covered during construction. 4.504.2.9 Adhesives, sealants and caulks. Adhesives, sealants and caulks XI EE: shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be X compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weighted IViIR Limits for ROC and other toxic compounds. 3 of 5 CalGreen 1014.doc revised 01115114 4.504.2.4 Verification. Documentation shall be provided to verify that compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in the Collaborative for High Performance Schools (CHPS) Low -emitting ® ❑❑ Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall comply with low formaldehyde emission standards. Interior Moisture Control 4.505.2 Concrete slab foundation. Required vapor retarders and capillary breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building materials used in wall and floor framing is checked before enclosure. indloor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the C� building are provided in every bathroom. Environmental Comfort 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. v e � e oaf o = . Qualifications 702.1 Installer training. HVAC system installers are trained and certified in the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify CALGreen compliance is qualified and able to demonstrate competence in the 0 0 discipline they inspect and verify. Verifications 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CalGreen_2014.doc revised 01/15114 Project Name: Subrahmanyan Residence Project Address: Project Description: 22117 Wallace Drive Addition/Remodel SLcm10m I - DDES11GIM VER11RC ATI]ON Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Owner's Signature Date Owner's Name (Please Print) Design Professional's Signature Date 08104/2094 Signature of License Professional responsible for CalGreen compliance Date Miles Hancock (650) 804-9064 Name of License Professional responsible for CalGreen compliance (Please Print) Phone energy@pacbeI1.net Email Address for License Professional responsible for CalGreen compliance SECT O J 2 ^v',F�' E�iE�J A ION VER F CA ON Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone dress for License Professional responsible for CalGreen compliance 5 of 5 CalGreen 2014.doc revised 01/15/14 N BMIILDIIMG ENERGY ANALYSIS REPORT PROO, ECT: Subrahmanyan Residence 22117 Wallace Drive Cupertino, CA 95014 Prgyec t Desogner: Sharvila Patadia (408) 410-5946 Report Prepared by: Miles Hancock Energy Design Group 2149 Dartmouth Street Palo Alto, CA 94306 (650) 804-9063 Job Number: > SP1977EA Date: 8/4/2014 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. This program developed by EnergySoft, LLC—www.energysoft.com. EneTyPro 6.2 by Ener Soft User Number: 5900 ID: SP1977EA CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Description: Title 24 Analysis Calculation Datefl-ime: 06:30, Mon, Aug 04, 2014 Input File Name: Subrahmanyan SPI977EA.)ani CFI R -PRF -01 Page 1 of 8 GENERAL INFORMATION 01 Project Name Subrahmanyan Residence 02 Calculation Description Title 24 Analysis 03 This building Incorporates one or more Special Features shown below 03 Project Location 22117 Wallace Drive ENERGY USE SUMMARY 04 CA City Cupertino 05 Standards Version Compliance 2014 06 Zip code 95014 07 Compliance Manager Version BEMCmpMgr 2013-2 (595c) 08 Climate Zone CZ4 09 Sahara Version EnergyPro 6.2 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 225 12 Project Scope Addition and/or Alteration 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (FT2) 1977 15 Number of Zones 2 16 Slab Area (FT2) 0 17 Number of Stories 1 18 Addition Cond. Floor Area 453 19 Natural Gas Available Yes 20 Addition Slab Area (FT2) 0 21 Glazing Percentage (%) 18.1% COMPLIANCE RESULTS 01 Building Complies with Computer Performance 02 IThlabuilding incorporates features that require field testing and/or verification by a cortified HERS rater under the supervision of a CECapproved HERS provider. 03 This building Incorporates one or more Special Features shown below ENERGY USE SUMMARY 04 06 06 07 as Energy Use (kTDV/Rt-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 56.78 55.55 1.23 2.2% Space Cooling 57.31 57.63 -0.52 -0.9% b4Q Ventilation 0.00 0.00 0.00 0.0% Water Heating • 13.87 9.73 4.14 29.8% Photovoltaic Offset — 0.00 0.00 — TOTAL 127.96 123.11 4.85 3.8% Registration Number: 214-AOO6T703A-000000000-0000 Registration Date/Time: 2014-1&0409:00:13 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08012014-595c Report Generated at 2014-08-04706:34:07 CERTIFICATE OF COMPLIANCE- RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Dateirme: 06:30, Mon, Aug 04, 2014 Calculation Description: Title 24 Analysis Input File Name: Subrahmanyan SP1977FAxmt REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Non-standard roof reflectance • Cathedral Ceiling CF1 R -PRF -01 Page 2 of 8 PROJECT HERS FEATURES The following are project -level features that must be field -verified as a condition for meeting the modeled energy perfomwnce for this computer analysis. These, plus any additional HERS features listed in the building components tables below require field vertfication by a certified HERS Rater. Check the individual building component sections below for any, required HERS verification requirements. BUILDING FEATURE INFORMATION 01 02 03 04 05 06 07 Number of Dwelling Project Name Conditioned Floor Area (sft) Units Number of Bedrooms Number of Number of Zones Ventilation Cooling Systems Number of Water Heating Systems Subrahmanyan Residence 1977 1 3 2 0 1 ZONE INFORMATION 01 02 03 04 as 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft2) Avg, Ceiling Height Water Heating System 1 Weter Heating System 2 Main Floor Conditioned HVAC Systeml 1524 9 DHW Sys 1 Main Floor Addition Conditioned HVAC System 453 9 DHW Sys 1 Registration Number: 214-A0a67703A-000000000-0000 Registration Date/Time: 2014-08-04 09:00:13 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08012014-595c Report Generated at 2014-08-04T06:34:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Description: Title 24 Analysis Calculation Date(Tme: 06:30, Mon, Aug 04, 2014 Input File Name: Subrahmanyan SP1977EA.1anl CFI R -PRF -01 Page 3of8 OPAQUE SURFACES 01 02 03 04 05 06 07 08 09 01 02 03 04 05 06 07 08 09 1 10 Name Zone Construction Azimuth Orlentatlon Gross Area (ftp) Wndow or Door Area (ft ) Tltt(deg) Status Verified Existing Condition Front Wall Main Floor R-0 Wall . 225 Front 253 82 90 Existing No Left Wall Main Floor R-0 Wall 315 Left 15 90 - Existing No Rear Wall Main Floor R-0 Wall 45 Bads 421 138.2 90 Existing No Right Wall Mein Floor R-0 Well 135 Right 406 46.1 90 Existing No Roof 2 Main Floor R-0 Roof Attic 1518 Existing No Raised Floor Main Floor R-0 Floor Crawlspace 1083 Existing No Front Wall 2 Main FlcorAddition R-13 Well 225 Front 250 36 90 New WA Left Wall 2 Main Floor Addition R-13 Wall 315 Left 432 67 90 New WA Rear Wall 2 Main Floor Addition R-13 Wall 45 Bads 88 90 New I NIA Right Wall 2 Main Floor Addition R-13 Wali 135 Right 41 90 Now NIA Roof 3 Main Floor Addition R-30 Roof Attic 453 New WA Raised Floor 2 Main Floor Addition R-19 Floor Crawlspace 453 New WA OPAQUE SURFACES — Cathedral Callings 01 02 03 04 05 06 07 08 09 10 11 12 13 Name Zone Type Orientation Area (111:2) Roof RISO (x In 12) Roof Pitch Roof Tllt(deg) Roof Relloetanc o Roof Emmittanc a Framin g Factor Status Verified Existing CondlBon Roof Main Floor R-0 Roof Attic1 - specify - 8.1 4 0.33 18.43 0.1 0.85 0.07 Existing No ATTIC 01 02 03 04 05 06 09 10 11 Name Construction Roof Rise Roof Reflectance Roof Radiant Emittanco Barrier Cool Roof Status Verified Existing Condition Attic Attic Roof Cons 4 0.1 0.85 No No Existing No Registration Number: 214.Aoo67703A-000000000-0000 Registration Date/Time: 2014-08-04 09;00:13 HERS Provider: C310ERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance ReportVersion- CF1R-08012014-595c Report Generated at 2014-08.04TO6:34:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 06:30, Mon, Aug 04, 2014 Input File Name: Subrahmanyan SP1977EA.xml CF1R-PRF-01 Page 4 of 8 WINDOWS 01 02 03 04 05 06 Name Side of Building Area (ft2) U -factor Status Verified Existing Condition 01 02 03 04 05 06 07 08 09 10 11 Name Side of Building Width(ft Height ) (ft) Multiplie r Area (ft2) U -factor SHGC Exterior Shading Status Verified Existing Condition Window Front Wall — — 1 31.5 0.34 0.30 Altered WA Window 2 Front Wall — — 1 30.5 0.34 0.30 New WA Window 3 Rear Wall — -- 1 126.2 0.34 0.30 Altered WA Window 4 Rear Wall — — 1 12.0 0.34 0.30 New WA Window 5 Right Wall — — 1 34.0 0.34 0.30 Altered WA Window 6 Right Wall — — 1 12.1 0.34 0.30 New WA Skylight Roof 1 8.0 0.50 0.26 New N/A Window 7 Front Wall 2 — — 1 36.0 0.34 0.30 New WA VJndawB Left Wall 2— -- 1 67.0 0.34 0.30 New WA DOORS 01 02 03 04 05 06 Name Side of Building Area (ft2) U -factor Status Verified Existing Condition Door Front Wall 20.0 0.50 New No Registration Number: 214-A0067703A-000000000-0000 Registration DateMme: 2014-08-04 09:00:19 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08012014-595c Report Generated at 2014-08-04T06:34:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Description: Title 24 Analysis Calculation DateMme: 06:30, Mon, Aug 04, 2014 Input File Name: Subrahmanyan SP1977EAxml CF1 R -PRF -01 Page 5 of B OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 Construction Name Surface Type Framing Total Cavity R -value Assembly Layers Roofing: Ught Roof (Asphalt Shingle) 2x4 Top Chord of Roof Above Deck Insulation - no Insulation - Attic Roof Cons Attic Roofs Truss @ 24 in. O.C. no insulation - Roof Deck: Wood Sidinglsheathingideridng Cavity: - no Insulation - Inslde Finish: - select Inside flnlsh - Floor Surface, Carpeted Concrete Fig: - no concrete fill - R-0 Floor Crawlspace Floors Over Crawlspace 2x12 @ 16 in. O.C. - no insulation - Floor Dock- Wood Sidirlglsheathingrdecking Cavity., - no Insulation - SheathingAnsulation: - no sheathing4nsul. - Erterior Finish: - select finish - Inside Finish: Gypsum Board SheathingAnsulation: - no shaathkVnsul. - R-0 Well Exterior Wells 2x4 rQ 16 In. O.C. - no Insulation (vertical) - Cavity., - no insulation (vartirao - Sheathing/insulation: - no sheathing4nsul. - Exterior Finish: Wood Sidingrsheathing/deddng Attic Floor: - no attic floor - R-0 Roof Attic Ceilings (below attic) 2x4 @ 24 in. O.C. no Insulation - Cavity.— no insulation - Sheathinglnsulation - no sheathingrnsul. - Inside Finish: Gypsum Board Roofing: Light Roof (Asphalt Shingle) Above Deck Insulation - no insulation - R-0 Roof Atticl Cathedral Ceilings 2x4 (a) 24 in. O.C. no Insulation - Roof Deck Wood Siding/sheathingldeddng Cavity. - no Insulation - inside Finish: Gypsum Board Floor Surface: Carpeted Concrete Fill: - no concrete fill - R-19 Floor Crawlspace Floors Over Crawlspace 2x6 Q 16 in. O.C. R 19 Floor Deck Wood Sidinglsheathingrdeck67g Cavity: R 19 Sheethingllnsulation: - no sheathing4nsul. - Erterior Finish: - select finish - Inside Finish: Gypsum Board Sheathingllnsu/anon: - no sheathinglinsul. - R-13 Wall Exterior Walls 2x4 @ 16 in. O.C. R 13 Cavity. R 13 SheathingMsulation: - no sheathing4nsul. - Exterior Finish: Wood SldlaWsheathingldeWng Attic Floor: - no attic floor - R-30 Roof Attic Ceilings (below attic) 2x4 @ 24 in. O.C. R 30 Cavity. R 30 Sheathinglnsulation - no sheathirgrinsul - Inside Finish: Gypsum Board Registration Number: 214-A0067703A-000000000-0000 Registration Date/Time; 2014-060409;00:13 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version -CFlR-08012014-595c Report Generated at 2014-08.04T06:34:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Description: Title 24 Analysis Calculation Date rime: 06:30, Mon, Aug 04, 2014 Input File Name: Subrahmanyan SP1977EA1ani CFIR-PRF-01 Page 6 of 6 SLAB FLOORS 01 02 03 04 05 OB 07 09 09 Name Zone Area (ft2) Permeter (ft) Edge Insul. R -value Carpeted Fraction Heated Status Verified Existing Condtiion Slab -on -Grade Main Floor 441 61 - none - 0.8 No Existing No WATER HEATING SYSTEMS 01 01 02 01 02 03 04 05 03 Name Distribution Type Plumber of Heaters Solar Fraction (%) Status Verified Existing Condition DHW Sys 1 Standard 1 Annual Allowed No WATER HEATERS 01 01 02 03 04 05 00 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Volume Tank Type (gal) Energy Factor or Efficiency Tank Exterior Input Rating Insulation R -vacuo Standby Loss (Froctlon) DHW Sys 1 Natural Gas Small Instantaneous 0 0.82 EF 199000-Btuthr 0 0 WATER HEATING - HERS VERIFICATION 01 01 02 03 04 05 00 07 Name Pipe Insulation Recirculatlonv th Parallel Piping Compact Distribution Paint -of Use Manual Control Recirculationuith Sensor Control DHW Sys 1 n/a n/a n/a n/a n/a n/a HVAC SYSTEMS 01 02 03 04 05 00 07 08 09 Heating System Cooling System Distribution Fen Floor Area Veriflod Existing Name System Typo Name Ducted Name Ducted System System Served Status Condition HVAC System Other Heating and Heating Yes Cooling Yes Air Distribution HVAC Fan 1977 Altered No Cooling System Component 1 Component 1 System 1 1 Registration Number: 214-A0067703A-000000000-0000 Registration Date/Time: 2014-08-04 09:00:13 HERS Provider: CeICERTS Inc. CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version -CFIR-08012014-595c Report Generated at 2014-08-04T06:34:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation DateTme: 06:30, Mon, Aug 04, 2014 Calculation Description: Title 24 Analysis Input File Name: Subrahmanyan SPI977EA.)ani HVAC -HEATING SYSTEMS 01 02 03 Name Type Efficiency Heating Component 1 CntrlFumace - Fuel -fired central furnace 80 AFUE CFI R -PRF -01 Page 7 of 8 HVAC - COOLING SYSTEMS 01 02 03 04 05 Name Efficiency System Type EER SEER HERS Verification Cooling Component 1 SplltAirCond - Split air conditioning system 11.3 13 Cooling Component 11 -hers -cod HVAC COOLING - HERS VERIFICATION 01 02 01 02 03 04 03 06 Name Verified Airflow Verified Refrigerant Airflow Target Verified EER Verified SEER Charge Cooling Component lfiorscool Required 350 Required Not Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 Name Duct Leakage Verification Duct Leakage Target (%) 01 02 03 04 05 06 07 08 09 08 Insulation Supply Duct Retum Duct Verify Existing HERS Name Type Duet Leakage R -value Location Location Bypass Duct Status Condition Verification Air DistributionDucts located In Air Distribution Sealed and tested 6 . Attic Attic None New No System System 1 unconditioned attic 1 -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Design Verified Duct Location Return Supply Air Distribution System 1 -hers -dist Required 6.0 — — — HVAC - FAN SYSTEMS S HERS VERIFICATION 01 02 03 04 Name Type Fan Power (Ubtto/CFM) HERS Vortfication HVAC Fan 1 Single Speed PSC Furnace Fen 0.58 Required Registration Number: 214-A0067703A-000000000-0000 Registration Date/Time: 2014-08-04 09:00:13 HERS provider: CaICERTS Ina CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version -CF1R-08012014-595c Report Generated at 2014-08-04T06:34:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Subrahmanyan Residence Calculation Description: Title 24 Analysis Calculation DateMme: 06:30, Mon, Aug 04, 2014 Input File Name: Subrahmanyan SP19T7EA.tanl 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: Miles Hancock Company: Signature Date: Energy Design Group 2014-08-04 06:43:23 Address: CEA/HERS Certification Identification (If applicable): 2149 Dartmouth St CC2O05088 City/staleop: Phone: Palo Alto, CA 94306 650-424-1189 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I 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, worksheet, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: ResponsibleDesigner Signature: S�Q71Z Aw�Q Sharvila Palladia Company: Date Signed: Sharvila Patadia 2014-08-04 09:00:13 Address: License: 18801 Wood Dell Court NIA City/Statemp: Phone: Saratoga, CA 95070 408-410-5946 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: 214•A0087703A-000000000-0000 Registration Date/Time: 2014-09-04 09:00:13 HERS Provider: CalCERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFSR-08012014-S9Sc Report Generated at 2014-08-04T06:34:07 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Date Subrahmanyan Residence 8/4/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 110.6(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage, §110.6(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 110.7: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 110.8(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -2R Form. §110.8(i): The thermal emittance and 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 Form. *§150.0(a): Minimum R-30 R-19 for Additions/Alterations) insulation in wood -frame ceiling or equivalent U -factor. §150.0(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50.0 c : Minimum R-13 insulation in 2x4 wood -frame wall R-19 in 2x6 orequivalent U -factor. *§150.0(d): Minimum R-19 insulation in raised wood -frame floor or equivalent U -factor. §150.0ft Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1 R Form. §150.0(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150.0(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no qreater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. §150.0(q) Fenestration Products. Fenestration separating conditioned space from unconditioned space or outdoors shall meet the requirements of either Item 1 or 2 below: 1. Fenestration, including skylight products, must have a maximum U -factor of 0.58. 2. The weighted average U -factor of all fenestration, including skylight products, shall not exceed 0.58. EXCEPTION to Section 150.0(q)1: Up to 10 square feet of fenestration area or 0.5 percent of the Conditioned Floor Area, whichever is greater, is exempt from the maximum U -factor requirement. 150.0 r Solar Ready Buildings. Shall meet the requirements of Section 110.10 applicable to the buildin2 project. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150.0 a 1A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150.0(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150.0(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 by the Energy Commission. §110.3(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §110.3(c)5. §110.5: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150.0(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150.0(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 11 0.2 c . §150.00)lA: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §150.00)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. EnergyPro 6.2 by EnergySoft User Number: 5900 ID: SP1977EA Page 11 of 14 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -IR Project Name Date Subrahmanyan Residence 181412014 §150.00)2A: All domestic hot water system piping conditions listed below, whether buried or unburied, must be insulated per TABLE 120.3-A. i. The first 5 feet (1.5 meters) of hot and cold water pipes from the storage tank. ii. All piping with a nominal diameter of 3/4 inch (19 millimeter) or larger. iii. All piping associated with a domestic hot water recirculation system regardless of the pipe diameter. iv. Piping from the heating source to storage tank or between tanks. v. Piping buried below grade. vi. All hot water pipes from the heating source to the kitchen fixtures. §150.00)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 120.3-A. 150.00)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150.00)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. §150.0(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-6 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150.0(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the -cross-sectional area of the ducts. §150.0(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150.0(m)7: Exhaust fans stems have back draft or automatic dampers. §150.0(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150.0(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150.0 m 10: Flexible ducts cannot have porous inner cores. §150.0(n)1: Systems using gas or propane water heaters, whether tank or on -demand, to serve individual dwelling units shall include all the following components : A. A 120V electrical receptacle that is within 3 feet from the water heater and accessible to the water heater with no obstructions; B. A Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the space where the water heater is installed; C. 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 assist, D. A gas sup2ly line with a capacity of at least 200,000 Btu/hr. §150.0(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §110.4(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §110.4(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 110.4(b)2: Outdoor pools ors as 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 programmed to run only during off-peak electric demand periods. 150.0 : Residential pool systems ore ui ment meet the pum2 sizing, flow rate, piping, filters, and valve re uirements of 150.0 Residential Lighting Measures: §150.0(k)1A: Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with Section 150.0(k) in accordance with TABLE 150.0-A or TABLE 150.0-B, as applicable. 150.0 k 1C: The wattage of permanently installed luminaires shall be determined asspecified by §130.0(c). 150.0 k 1 D: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency - 20 kHz. §150.0(k)1 E: Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no more than five watts of power per luminaire or exhaust fan as determined in accordance with Section 130.0(c). Night lights shall not be required to be controlled by vacancy sensors. EnergyPro 6.2 by EnergySoft User Number: 5900 ID: SP1977EA Page 12 of 14 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Subrahmanyan Residence 8/4/2014 150.0 k 1 F: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150.0(k). 150.0(k)2: All switching devices and controls shall meet the requirements of §150.0(k)2. §150.0(k)3: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50 percent high efficacy requirement when all lighting in the kitchen is controlled in accordance with the applicable provisions in Section 150.0(k)2, and is also controlled by vacancy sensors or dimmers. §150.0(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: Lighting installed in bathrooms shall meet the following requirements: A. A minimum of one high efficacy luminaire shall be installed in each bathroom; and B. All other lighting installed in each bathroom shall be high efficacy or controlled by vacancy sensors. §150.0(k)6: Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and controlled by vacancy sensors. §150.0(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. EXCEPTION 1: Luminaires in closets less than 70 square feet. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site. §150.0(k)8. Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testingirating laboratory; and have a label that certifies the luminaire is airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150.0(k)9A: 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 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 iii. Controlled by one of the following methods: 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 Section 110.9; meets the Installation Certification requirements in Section 130.4; meets the requirements for an EMCS in Section 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. §150.0(k)9A: For low-rise multi -family 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 following requirements: i. Shall comply with Section 150.0(k)9A; or ii. Shall comply with the applicable requirements in Sections 110.9, 130.0, 130.2, 130.4, 140.7, and 141.0. §150.0(k)9: For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by Section 150.0(k)9B or Section 150.0(k)9D shall comply with the applicable requirements in Sections 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 Sections 110.9, 130.0, 130.2, 130.4, 140.7, and 141.0. §150.0(k)10: Internally illuminated address signs shall comply with Section 140.8; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130.0(d). §150.0(k)l 1: Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for nonresidential garages in Sections 110.9, 130.0, 130.1, 130.4, 140.6, and 141.0. §150.0(k)12A. In a low-rise multi -family residential building where the total interior common area in a single building equals 20 percent or less of 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. §150.0(k)12B. In a low-rise multi -family 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: i. Comply with the applicable requirements in Sections 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. EnergyPro 6.2 by EnergySoft User Number 5900 ID: SP1977EA Page 13 of 14 HVAC SYSTEM HEATING AND COOLING LOADS SlL_�1�i1MARV Project Name Subrahmanyan Residence Date 8/4/2014 System Name HVAC System Floor Area 1,977 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 1,811 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL PLTG. PEAK Pleating System Sensible Latent CFM Sensible Output perS tem 56,000 36,029 1,134 1,298 48,937 Total Output Btuh 56,000 0 Output(Btu h/s ft 28.3 1,634 2,718 Cooling System 0 0 Output perSystem 36,000 0 0 0 0 Total Output Btuh 36,000 0 1,134 0 Total Output Tons 3.0 1,634 2,718 Total Output Btuh/s ft 18.2 Total Output s fUTon 659.0 1 39,298 54,373 Air System CFM perSystem 0 HVAC EQUIPMENT SELECTION Airflow (cfm) 0 Standard Fau/AC 34,382 0 56,000 Airflow cfm/s ft 0.00 Airflow cfm/Ton 0.0 Outside Air % 0-0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 34,382 0 Aug 3 PM 56,000 Jan 1 AM Outside Air cfm/s ft 0.00 (dote: values above given at ARI conditions PLEATING SYSTEM PSYCPLROMETRICS Airstream Tem eratures at Time of Heating Peak 28 IF Outside Air 0 cfm 66 IF 66 IF 105 IF �l �I Heating Coil 103 OF Roam, � 68 OF COOLING SYSTEM PSYCPLROME'fICS Airstream Temperatures at Time of Cooling Peak 88/68°F Outside Air 0 cfm 77/62°F 77/62°F 55/54°F c Cooling Coil V 46.5 % 57 / 54 OF ROD 11 75/62°F EnergyPro 6.2 by EnergySoft User Number: 5900 Run Code: 2014-08-04T11:32:43 /D: SP1977EA Page 14 of 14 PURPOSE: CALGREEN RES11DEWUL CHIECKLIIST e MANDATORY REMS COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE e CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 - building0-cupertino.org The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: Subrahmanyan Residence Project Address: 22117 Wallace Drive Project Description: Addition/Remodel Instructions: 1. The Owner o - er s e t sem to a licensed professional experienced with the California P Y P P Gree i es to verify and assure that all required work describedneinsoperly plan ed im lemented in the project.- 2. The I - sed professional, in collaboration with the owner and the desi aColumn 2 of this checklist, sign and date Section 1l - Design Verification at th end p�tbi%qave the checklist printed on the approved plans for the project. 3. Prior to final inspection by the Building Department, the licensed profes ion I shall comn3 and sign and date Section 2 - Implementation Verification at the end ist and ubmit the completed form to the Building Inspector. Column 2 _OlUrnn 3 MANDATORY FEATURE OR MEASURE Project Verification Recuirements Planning and Design Site Development 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during 0 construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. Page I of 5 CalGreen 2014.doc revised 01/15/14 A4.2 ENERGY EFFICIENCY General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum X� standard design required by the California Energy Standards. A4.3 WATER EFFICIENCY AND • • Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1.28 gallons per flush. Tank -type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specifications for Tank -type Toilets. ® 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ® 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be ® 0 designed to allow only one shower outlet to be in operation at a time. 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. El 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ® 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. 2 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1,8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 01/15/14 Outdoor Water Use 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather-based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture-based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. ® ❑ 4.304.1.2 Weather-based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. A„ Enhanced Durability and Reduced Maintenance 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Reduction, Disposal and Recycling 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building occupant or owner. O' e , ® e e_ r Fireplaces 4.503.1 General. Install only a direct-vent sealed-combustion gas or sealed FA wood-burning fireplace, or a sealed woodstove. Pollutant Control 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air distribution component openings shall be covered during construction. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks RX:I ©� shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be EXI compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weighted MIR Limits for ROC and other toxic ® ❑ compounds. Page 3 of 5 CalGreen_2014.doc revised 01/15114 4.504.2.4 Verification. Documentation shall be provided to verify that SI compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in the Collaborative for High Performance Schools (CHIPS) Low -emitting EXI Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall comply with low formaldehyde emission standards. Interior MoistureControl . 4.505.2 Concrete slab foundation. Required vapor retarders and capillary �� breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building materials used in wall and floor framing is checked before enclosure. Indoor AirQuality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the l� Q� El building are provided in every bathroom. Environmental Comfort 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods. 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. EE 2. Size duct systems according to ACCA 29-D (Manual D) or equivalent. 3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent. Qualifications 702.1 Installer training. HVAC system installers are trained and certified in ®� the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify CALGreen compliance is qualified and able to demonstrate competence in the EX 0 discipline they inspect and verify. Verifications . 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing FOX agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CalGreen_2014.doc revised 01/15/14 Project Name: Project Address: Project Description: Subrahrnanyan Residence 22117 Wallace Drive Addition/Remodel Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of Cupertino. ✓vv� 91,1 e Owner's Signatur Q Date 1 Sk^Ao Y r~\ WX c- C.vx Owner's Name (P a se Print) 9 17JU 1 ,�4 Design Professional's Signature t e7-hpc i 1 A, D O -- Date Design Professional's Name (Please Print) 08/04/2014 Signature of License Professional responsible for CalGreen compliance Date Miles Hancock (650) 804-9064 Name of License Professional responsible for CalGreen compliance (Please Print) Phone energy@pacbell.net Email Address for License Professional responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen_2014.doc revised 01115/14 � o a m LL U O X N GO W r C, r G) � � a m � c m coo m 6i E .r- 12 f° E_ a C � a� m ioE o co c Z O y l0 U- :3 U j l0 D. U c 0 x a w 2 c U3 F w w U U E d 0 0 N tko 0 0 0 0 0 0 m M 0 m 0 Q N `a a E 7 Z C O m tto N W 0 ui V 0 N V O O K r1 u 0 t O D. 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