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14110150 cC��1Y �IE'+ eC�J1�IEI[g��1V� I��T�IL��I�t�G I�IC+1[�MI�� 1BUJIDL➢�II1V�AIIDIlDIE21E5S: 6092 WILLOWGROVE LN �O1V'd'IlYAC`II'�II2:VINTAGE ]PlE1Et1VIIII'�'1V�: 14110150 CONSTRUCTION&REMODELING ��S'N1EIl2'S PIAI�1[]E: YANG ZI-BIN AND LEI AMY Q 648 KERN ST IID�1'd'lE IISS�JIEIID:04/30/2015 ��iIEIIZ'S]Pl[��IV1E: 4152601337 RICHMOND,CA 94805 ]PIEII�1VlE 1V�:(415)533-9668 ❑ �,p��rrs��v��s��u,��orr ,��s��zII��aorr:��sa��rr��, ❑ ��nII��c��, ❑ _- --� , �,,,,� �C�1�I��1[��J�7C�1�1E��lE��[��D�D��1�(�Q�3��IF��9 License Class '� ---..�.�� Lic.# �� d',�"` '� l[l��']E]E2l[�lf�]1�IEI�/1[�Il1�lElL�'�]L��lF�')9]P�l�lElL�JI�Qs�Il�]E�� =c �.a.��- _-,,. � �� A10'I[1��. Contractor - ' a�&°��. =,= �.:� Date ``�"/'�0`-�� :"��6� _�-� II hereby afffiu-m that II aen Incemsed under the g�rovis►ons of�hapter 9 ][�i�1�][€�i][�,�##Il ��][1��,�']EIE�][�lE��l[l�?�D��Y��I�iIE�Il�'��I�Y1I#�0 �code and tV�a my I'►S ense�is ianof 91 for ea amd eff ct e]Business�c lProfessioms � ��s�� ai .��. ��TIE�D`�-Il�-ll� n�.,- _ .-..._�-" II hereby affiru�►wnder pe�alty of perjwry one of the fol➢owing hvo declaratfions: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.lFt]Flloor E1rea: �'aluation:$100000 � have and will maintain Worker's Compensation Insurance,as provided for by ��Section 3700 of the Labor Code,for the performance of the work for which this ��urrnber:37538018.00 �cc�upancy'd'ype: permit is issued. AlP1PILII�API'Il'�lEdi'II'IDN'BCr4'�'B�1V I certify that I have read this application and state that the above information is ]�]�i�j�j][']j']�i ,��i��i'�1�]��[�� L�]f$�]E� 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 ]��1��'+��1 �.�� +��IE(C��> indemnify and keep harmless the City of Cupertino against liabilities,judgments, , costs,and expenses which may accrue against said City in consequence of the �ssanec➢lb � � � � �'�� granting of this permit. Additionally,the applicant understands and will comply 3'� ��g�' with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. �,-,—�-.�„ ' Ilt1E-Ilt��]FS: Signature n _�' � "`�'�° Date �� r�"`�'��A All roofs shall be inspected prior to any roofing material being installed.If a roof is �Pl�� installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ �6�'N1EIIt-IB�TIDLII9IE][i➢D1E�]LA]EtA'Il'II�IV Signature of Applicant: Date: II he�eby�ff rm gh�t II am exempt 4'rom the�ontractor's]Lacense lLaw$'or oaee of the followurng two reasons: ' A]L][,1[t��1F��'1EIEi][Pt�S'II'�1B1E�1LAS5"E4"�][t]�lE'II"d7EIl8 I,as owner of the properiy,or my employees with wages as their sole compepsation, will do the work,and the structure is not intended or offered for sale(Sec:7044, Business&Professions Code) I,as owner of the properiy,am exclusively contracting with licensed contractors to ]EIIAZ�3Il�D�NS 1V�`d'lEIEt�A]LS➢DIIS�IL�S�J][8lG construct the project(Sec.7044,Business&Professions Code). II 1n�ve read Qhe&nazardous mateu-ia9s requee-ements under�lnaprter 6.95 09'�he Cai'eforaeia II�[e�lth�Safety�oc➢e,Sec4ions 25505,25533,aaed 2553�. II wnl� II hereby afffiren undev penal4y of perj�nry one of the following three maimt�in cornpliamce with the�uperti�o 1VII�nnicepal�ode,�hapter 9.Il2 and the declara4ions: ff3[ea9th&Safety�ode,Secfion 25532(a)should d stoe�e or haa�dVe➢�azardo�s I have and will maintain a Certificate of Consent to self-insure for Worker's m�terial. E1dc�utionalVy,s9►oaelc9 Il aase equi�ment oe-devices wtnich eeneY➢n�zardous Compensation,as provided for by Section 3700 of the Labor Code,for the aur cont�min�nts as clefined by the l�ay Area Air�uali4y I�IIamagememt IIDistruct I performance of the work for which this permit is issued. will¢naintaen coa�pliance with t➢�e�upertino li�[unicipa9�ode,�9�a�►te�-9.Il2 and I have and will maintain Worker's Compensation Insurance,as provided for by the ff�][e�lth&Safety Code,Sectr s 25505,25533,a 2553�&. �� '. Section 3700 of the Labor Code,for the erformance of the work for which this a e �a permit is issued. p �wner ou�authorized�gent _ _4��IIDate �� S� 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 � ��NS'Il'II2�J�'p'��1V]LlE1VIIDmV�A�IEPIC�' Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby aff'irm 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.) 1Lender's 1Vame E1lPIl'IL,IICAIV'II'C1EIlt'd'IIIH'd�A�'��N lLemder's Adc➢ress I certify that I ha�e read this application and state that the above information is correct.I agree to comply with all city and county ordinances and stat;e laws relating to building construction;and hereby authorize representatives of this city to enter upon the above mentioned properiy for inspection purposes.(We)agree to save ��y�,��,p,,s��,p,II�� 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 _. • - ---__�--- ��1 �� a��a�� '� COMMUNITY DEVELOPMENT DEPARTMENT� B��V��_�,,,. . „ . ' 10300 TORRE AVENUE^ CUPERTINO, CA 9501`.�'�.��F�,S� (408)777-3228 � FAX(408)7i7-3333^ buildinaC�cuuertino.orp � CUF'�E�'�'t8�{t� ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTER.4TION/TI �REVISIOIN/DEFERRED ORIGINAL PERMI'T� Pxo�cr nnDxEss �� A �`�I �`� ��.�� .� I arx� !1� � OWNERNAME ��.�D� �� I PHONEp�_g� �� .p�� E-MAIL �fl � STREET ADDRESS CITY, STATE,ZIP A �� FAX �� - ��, � �� . � � CONTACT ATAME PHOI�B E-MAII, STREET ADDRESS CITY,STATE, ZIP FAX ❑ OR'NER �. OWNER-BLJILDER ' ❑ ORTtRAGENZ' � CONTRACTOR ❑CONTRACTORAGENT � ARCHIT'ECT �ENGII�TEER ❑ DEVELOPER ❑ TEIdANT CONTRACTOR ATAME "�'�� • ��' LICEt�iSE I�Tt�4BER �,��.� �(� I LICENSE TYPE�� 1 q B�BUS.LIC m � � a �. COMPANY N?.h,� 0A'��A� � l.%rn 1/`-�� . �B�JV' E-M:4IL �� ' t�..� . ��=�9 � FAX STREET ADDRESS / p�.� �� , �� CITY,STATE,ZIP ��-r_�,�� PHONE j�q��y� �� ,��r� urq ��-r � ARCHITECT/ENGIh'EER NP.ME LICEI�SE NUMBER BUS.LIC� C.UMPANY NAN�E E-MAIL � FAX STREET ADDRESS CITY,STATE,ZIP PHODIE DESCRiPT'ION OF WORK ��6 S V� � ��e��-� �-:��.,� � `', � ��'�-�u�� ,'8 V _ ,. ��."�1�.�� Ve��'�'V�� l� Y ��'�'�, ' EXISTiNGUSE PROPOSED USE I CONSTRTYPE �STORIES U5E TYPE I OCC. SQ.FT. VALUATIOlt($) FXTCTG NEW FLOOR DEr40 TOTAL � AItEA AR'cA AREi� t�'ET AREA -- BATHROOM KIl'CI-TEN OTI:ER . REMODEL AREA REMODEL.4REA R£MODEL AREA PORCH AREA DECK AREA -TOTAL DECIJPORCH AREA GARAGE AREA: DETACH . . � []ATTACH �D\i'ELLII�'GU1�TfS: IS A SE�OI�D iJI�IT �1B5 SECOND STORY []YES BEIRGADDED? �NO ADDITION? �NO PRE-APPLICATION ❑1'ES IF YES,PROVIDE COPY OF I IS THE BLDG AN ❑'YES -3�CHI�TED BY-_� � 3 TOT,�L VALUATION: PLANI�'R�iG.4PPL m �NO PLAt�Ih'II�G APPROVAL LE'fI'ER EICHLER HOl11E? Q 2�T0 � � r }�- - r By my sienature belo��,I certify to each of the follo��+ing: I am the property o��ner or authorized agent to act on the proper[y oumer's behalf. I have read this application and the information I have prov' ed is correct. I hat�e read the Description of�T�Tork and verify it is accurate. I agree to comply with ali applicable local ordinances and state lav,�s relatin�to buil in c nstruction. I authorize r e ives'of Cupertino to enter the above-i ntified p operty for inspection purposes. � � c- Si�ature ofApplicant/Agent: a Date: /� �� SUPPLEMENTAL INFORMATION RE UIRED - " `` ` '� - � Q Ps�c��iz��E�--�:�_�� _�_ �' � _�Oi3TLR G:SLTP._..... i�iew SFD or Multifamily d«�ellin;s: Apply for demolition permit for ' � "' � ❑ OY'ER THE�COITltTER � Bi7II,DLRGPL4N�ZEVIESir existin;building(s). Demolition permit is required prior to issuance of buildin� ,., _ --�- � � permit for new buildin�. � E��ss r �� . ��PLAI��'LtGELA.'NRE4'LEW � F . ,�� .E L-�-� �: -µY'v.� .__ � _L .-... ____Commercial BId;s: Provide a completed Hazardous Materials Disclosure -C7� sT��nsxn r` �_.,,��„� fl PUs�c�oxxs �� form if a�zy Hazzrdous Materials are beinQ used as part of this project. � ��x �� _ h =� � . � .. t�r ��iRG.L(`' � �. _" .. �t`�''��,�PS -a..� F � , Copy of Planning Approval Letter or Meeting with Planning prior to - � "' �' `� �� rx � � x � � .,�,, -� Yt ,� submittal of Buildin�Permit application. • � ��°R � �_ � ��x��'�RDis�xrcr�.� � . . .. � �.� �`-��7 4 �.� -...� - �� . .f �.�. �' !.'-'- ..,z_--`. ,�.�+Iti.�20I3MEL\�`9I,�HEALT,Fii,�_. ._ Bldgtlpp_2011.doc revised 06/21/11 �1..�1L ll � �Jl' �1.�NlJ��1i�l`�l� �1�JL ��l�ll�ll�� —�l'U�11�1.1��1�!� ' �1�V'��Jl' �1'�! ,.� ` ' r�IlDIIDlt��: ��9�1N6V�owr��ove�.u� �D�'�'lE: ��/��/�� IE��IDE�YIEIID l��Y: Sean ' �ll'1�1: ]�l�#: *�[�IC.UJr�'�'��1�1: $0 �l�l��iy[��"��E: Building Permit �l��N��lE�l�'a'�1�1�: Alteration / Repair �� SFD or Du lex �� 1GE6VRES �J�]E: p ]�lEl[�ID9[�'lC'�'�'l�]E: � �� Revision#1: Add interior window at bedroom#4� and relocate washer and d er to ara e. �� , �� k��'�" ��`� ��&��t= ^�,��., �rr.�o�a��''�� ...__��r�.�_a�� .�:� ��, .��:e � ,.� i ,�_;:.t .x �. -.�:,e » �u ..:. e�-z+ p .,�r ,+C -.¢ 5 '..;. sh�3� �;� s3o- ,,:r�, sa�.��-:-- ae�x �-:WSYr �s a-t, e�-� r 3� :"_,�s�,,..:t ka....� .;�.. ,.:�..,.,- �.'�"-�°,:r.,a-�� s.m�... .v�n„ .. :,�.�. .^�.,.�- '�., .:� t.,a;, :..�� ,'"�,.+4�:,..�'��;C . ,_:��:.;;"`r�.^r i�� ,:�s �.;fl ��..sa g��, �.�� s.. x„ �'�sr, ��. 2 s._� m, �e, =n�;�.��' ,-*� rd„ ��..,a-zc ��.� �:;„'�--«r .,;..r ,,.t�?<a� �� ,�;..;. ..s.� �'a�t_:1Er ,. ��- t��.>..;� "'��i�a�� s,.'�"z� ��,. �a ...... `��..... � , �..��.:i. F •�.. �re �„a.. ..::_.&..e., ,�-� � ..,_,� .5. .�E43 . <..,.b� ��['". � a.�.. €.Ser..a..r��'� ,,.v�,-,da�s _:�.. �t ,-�",c +, .��rz .s... ,�t. 'm'7 . 5 ,si�'.'". _-_�?�.�ae�o �4 "�° �s..-,_.'.K a p ..�y+�;�'�t�.,, �wa e,.._"i?al` `r , :��t �'�.� d� 3'1.:. �'r�,.r. c a .:_ r-. �2.. ,.�,�'r ..�x��e��r-.c q � H- ,.,T,...o.,�-:. � �� # „,r�rs ��5 p.:��cr, �afa:�,,-„��,� e�^�,.._� r �;;�;:., �'��`k. '�;��'..a�- .�.. �',r..a'� ��.9.� ��'��+_:�. � r.,;r01 t w.�.. e�a--a.�- �"� � � t��'r-a- .a'�a'� ��z -x,- �s'� �o- 4�x y�€£is� +.,,.,P��t,�i;�_,..f"E'��.�,saE!�c,he.,��'�,�;�.,e�..�.a��s9x,.�`��.,:��:..."`,-«'�es4�,�v..��`�k�::,..x,-.. �ssc„r�,..?�.R,.�a�. ":.....:..:... :'��, . �t.;�...� �,..,.� ::,�m,...,r�a,..,�t,� ,.^€,b�t,�.�m�..,x"`:.�.��€ ��`.`w-',�rrz..:��,wwm??��a�.:;.;�;,�F :L'Iec7�. 1'lc�r�i Chc>c�k� I'l�aun�.1'tarl C.�lacr�t� f%'lec:..E'lun C"hc=c% � ;Lle�;l;.7's>��r��lit 1�ee: 1'Ir,rrnb. �'r:rrn��1��s<�: l�lec. �'ernzi�l��c:� Or/rer rl�ec�br. 7rt,s�r�. � C.'Jtlzer f'lurn)71n,s,a. � C1t/aef•tiXec.Insx�. � tt��t:c�a.IFiaE�. I��ee: 1'TrarrrU. If�z��. T�i�e: 1�lec.Ir�as�. 1�%�c<e: N��E:a'his estirreate does not include fees due to other�epartsneszts(i.e.I'lanning,Public V�orks,�'ire,Sanitary,Sedver P�astr�ict,.School IDistrict,etc. . T'hese ees are based on tlae reli�vaina an ormation available and are onl an estisr�eate. �ontact the�e t or addn'l in o. IFIEIE l[�'lEl�1[� (Fee Resolution 11-053 Lff. 7/U13) ]FIEIE ��/]FIEIE 1�Y1I1[�cC][�'IEIyII� Plan Check Fee: ]E�oun�Ily��ully`� �Y�s � l�o $0.00 � hours Plan Check,Hourly Suppl.PC Fee: � Reg. Q OT 0.0 �'s $0.00 $143.00 ISTPL1vCx � PME Plan Check: $0.00 I'ermit Fee: $0.00 Suppl. Insp.Fee:� Reg. Q OT p,Q hrs $0.00 P1VIE Unit Fee: $0.00 PME Permit Fee: $0.00 L;��ta,st��r,ictir��t :1'c�:e:.� � r�.G�172ZI21S�T L�ldVe',' �'�G'C': � Work Without I'ermit? � Yes � No $0.00 � Advanced Plarining Fee: $0.00 Select a Non-Residential °' Building ar Structure � ll"Cdl'f,'��C3C'"t.l77Zt'Yl/t.�tdtlYt�''Gf?S: � Stron�Motion Fee: $0.00 Select an Administrative Item Bld�Stds Commission Fee: $0.00 ��w* ��F €�� ,� ,�. �+ E§s r�=r{#''r- sai��y x s ,r .@�'i r "`�'.�;,'�,�^� �a'��""'��-a `��''`��3.`'�`��'� � �'*;�.'�.. r��'�tr��:_.� i�� a��;p E� a � { �a �. .� @�L �'tz s �, �5 -0 �� T]��1�� $0.00 $�43.00 � `� -� � ��'��]G�IE)�� $143.00 � a��s'� ,�K�me�`.�.t.�'��'f,�..��` ��'.'.,it„��,�s��. °aeu�x.N"�°?�.t�,�� ,,.�..,i� „* S�.��'� t ��a �. ^;.�,�. 9a��t.- E� ,.xi�maa.a �.x�.��,�„�,,.��, ,a Revised: 07/02/2015 FC��C�I �IF EC�JI�IEIEg��I�� I�ItT�I,��I�TEG I�IE��7P 1B�7IDLIID1[iV�A➢DpDIltIESS: 6092 WILLOWGROVE LN C�1V'II'1[YA��'Il'�][F�� lP1EIIF1�1[II'd'1V�: 14110150 �;h�'ca c 2 �an S,�r�Gt��,h �n ��'v ��L ��'1V1EIl2'S PIAI�][lE: YANG ZI-BIN AND LEI AMY Q IlDE4'II'lE IISS�JIEIlD:04/30/2015 �`WWNIEIlt'S lPff3[�1V]E: 4152601337 ]P1E��IVIE l�t�: ��rS�3� �/��j � ��s��a�rr:��s��r��v ❑ c��, ❑ �� a��rrs��v��ac��s��,A��d�rr ��l��l��J��1�1E��1��A�DIl��1��3��]F'��9 � Q License Class ��l� Lic.# ��iJ �'j¢� ��'�� I, ;��-T�,/,�, � ��,��'p J��r ��` IL�lEI�1[��DIEIL�'�ll��lF�)91�1�l�lElL,�TIP��IE Q��F�PUI[l�). Contractor ,�w�� ° Date II here�y af�aren rthag II�e¢e➢eceeesed unde¢�the provisnons of�t►apter 9 (coanme�eceang wet6 Secaeon'�000)of IlDivision 3 of 41ne�usiaeess�i 1Professions Code and t9►aa mny Viceaese ns im full fforce aenc➢effect. II hereby affffi¢�m undea pea�aflty of perjaury orne of the followeng two decVarations: I ha�e and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.1Ft 1Floov�flrea: Valuateon:$100000 � 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 ��ru�nmer:37538018.00 �ccaepancy`d'ype: permit is issued. �l['7LII�API'Il'�lE][8'II'II1FII�A'II'I�1V I certify that I have read this application and state that the above information is ]�J�i�[j[']r j�i��i��['i ��[�j��][g�]�� correct.I agree to comply with all city and county ordinances and state laws relating �p�� 3 T �� to building construction,and hereby authorize representatives of this city to enter upon the above mentioned properiy for inspection purposes. (We)agree to save 1�� .+�� _ 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 com S�Il��y' ➢D�4e° with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. �y � f ��{�� -1R��S: �,,,.-�1 :�=':;�.�. 3�� Signature �� Date � �k �� 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. ❑ �i�'N1EIl8-]B�JIDLIIDIE][S IlD1E�]LE4][F�4"II'II�1V Signature of Applicant: Date: II he�eby affffesu►e 49n�t II aaet exeaanpt 4'u�o�en fhe Comta-actoe-'s 1L'eceanse lLaw for one of aYee fo9lowiaeg flwo e-easo�s: �,]L]L Il2��]F��'IEIltIIN�S'y'�1�1E�1LASS"A"�IEF l�lE�"d'lEIl2 I;as owner of the properiy,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 properry,am exclusively contracting with licensed contractors to �1Z.��IID��Js 1��'lEIIBII�ILS➢DIIS�IL�S�FIE construct the project(Sec.7044,Business&Professions Code). II h�ve a�eadl the hazardoaes umarteraals requireug►ents aaeec9er Chapter 6.95 of t9ne ��Eiffov�aen�lEIIea➢th�i Saffety Code,Sectnons 25505,25533,anc9 2553�6. II will II he�elby af4i¢�ere uu�dea�Q�enaVty of�►erjury one of the following�hree maintain conaQ�ln�nce witln ahe�a�pe�t6no l�][ueeic6p�1�oc&e,�hapaer 9.Il2 auacH t➢ne c➢ecl�a��tions: IEl[e�l�h�c Safe4y�oc➢e,Sec�ioan 25532(�)shouVd II store ou-h�ncYle�►�zardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additnom�lly,shou9c�II use equflpnnent or c9eveces whuc9n emit hazaa�clous Compensation,as provided for by Section 3700 of the Labor Code,for the �ir coe►taminants as de4iu�ec➢my the l��y E1�ea E1iu��u�flity l�][anagemen�IID'estruca d performance of the work for which this permit is issued. will maintain comp�iance with the�upemtimo M[ue►icipal�ode,�ha�ter 9.fl2 and I have and will maintain Worker's Compensation Insurance,as provided for by the lEIIea9th�Saffety�ode,5ecte s 25505,25533, d 25534. Section 3700 of the Labor Code,for the performance of the work for which this d^- ��„' � �"_;'�.� /�� we►er or auQVuorized ageeeg: IlDate: > 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 ��5��II��II'��`�� become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby�rm 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.) 1Lenc�er's 1Vaune �IPILII�AIV'II'�lEl[�'II'II1FdCA'Il'd�iV lLender's Ac➢dress 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 ��II�,��,II,,S��,II,II�� 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 - �� o� ��r��o��6�� \ COMMUNITY DEVELOPMENT DEPARTMENT� BUILDING DIVISION \\ 10300 TORRE AVENUE� CUPERTINO, CA 95014-3255 � (408)777-3228^ FAX(408)777-3333� buildinaC�cupertino.org � � �Y��F��Cf4�� ❑NEW CONSTRUCTION L� ADDITION �ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECTADDRESS ' APN" !�� O' �•�`-' �� ` �p(�l d'�V� `a�e . :/ OWNERNAME �� PHON�E � o E-MAIL �..a�. �- �� '�„'b B:. ..�:�� i� STREET ADDRESS q C1TY, STATE,ZIP � �� F� �� '� ¢��cc�w �'�`!� �� A�. �,�''� � • � CONTACT NAME ��1�Pfa '�,Q�1 PHO �`�' a'�� —� �� E-MAI��P�`Il�6�R�i��°�PA� `�. �it�0�n�,��r STREET ADDRESS ��e CITY,STATE,ZI��' �� F� ��, ��ca.. � "� ❑ OWNER ❑ OWNER-BUII.DER ❑ O�t�'ER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT 4!� ARCHITECT �ENGINEER � DEVELOPER ❑ TENANT ', CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC n COMPANY NAME E-MAIL F� STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICEIQSE NUI�4BER BUS.LIC# (��e�eA ��A-o �-- `�� COMPAt�'Y NAME E-MAIL F� STREET ADDRESS CITY,STATE,ZIP �� ' "� �` PHONE �C� �.��-�.. � �- �e �-�� —"� ��' DESCRIPTION OF WORK ��s°�'�s� � '-�S-�vb�. �,��U�o�� -�'$�f ��. � �. �-„'�'��.�.t� � �aa�4�- (�-� `� �,�, �� -�r � H3:ISTING USE PROPOSED USE CONSTR I'YPE K STORIES � � � e P� � USE TYPE OCC. SQ.FT. VALUATION(�) af E7:ISTG p NE4V FLOOR DEA40 TOTAL (� AREA g no�p�o� P.R�A��o� AREA NET AREA O��e� �s �j!/ fl �� a ��. BATHROOM KITCHEN OTI3ER REMODEL AREA �' REMODEL AREA � REMODEL AREA a��q� �� PORCH AREA DECK,�REA TOTAL DECK/PORC AREA GARAGE AREA: ❑DETACH � �°�e� ��'C°� �ACH � �DWELLING UNITS: IS A SECOND UIVTT ❑YES SECOND STORY ❑YES BEII�G ADDED? �T. ADDITIOI�? �.AF9° PRE-APPLICATION 'ES IF TES,PROVIDE COPY OF IS THE BLDG A1V S i AECEI�Y�i{ ` ��,.,t{ . TOO TrAL vAL•UATIOO�I�: � PLAI�R�INGAPPL# �A'0 PLAhTNIN P,�'�tOV LETI'ER EICHLERHOME? �NO �'�: ` '�,��ii�+ � a � _� r x�:x �z��t "�h�� `�I�� '�1�'k� ��;z ��..a t'�t�K '.�S ' s ,.;§fi ��..�F `� iS.� By my signature below,I certify t ach o he following: I am the property o�mer or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil �n�construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Si�nature of ApplicandAgent: Date: � g (� `� ( �� SUPPLEMENTAL INFORIvIATION REQUIRED ;� ,:r�niv,c��cxTi��= ,}��`�,.` �, .,�,x._'S'xouT��sL��'�,� #.:_.��.' .n. �� c �� 4 .. �s i-.�+pfnu : 3 b -� �- $ 7w �` +�S"+r,u ti i`�-s�_ � . New SFD or Multifamily dwellings: Apply for demolition permit for � �k � "x ' s " 0 1 O�'ER THE COUNTER > Bi7ILb�IlVGP ANREUIEW, �r, � existing building(s). Demolition permit is required prior to issuance of buildmg ;�,,,_� �'�x�- j tix$' �; � � 4 �k,�,' ""�� ,�' '� ��` � ,; ��i '� "' a� � u � P�`'�II\GPLA�REVLEW xs *� permit for new building. '0�E�xEss�s r�r tz, y , � Y� �r r *� �. y�ci� i� zt �� p'��.. f �gt�Eyj� ��-�4�5{d ik "� r4t-. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure � ; ' sT�,�'na�zn = ' x� '� ' 0 Pusi`,icwoxres� � � �tr Y . E yL4 . � Y�" t .F � x,t �.. R µ�SL I y�, 7 '. form if any Hazardous Materials are being used as part of this project. ' ��mr`' � f ' °� ' 'y 'k � �t � ��` `i � n �❑ .LARGE z � � T ��FIRE b$P'P��' ��t,� '�� '� '^si� �. . r e ? �` � '�, r`��"�`z� ti � i.y �z'IF P�, tti�-"�� '��tiz : Copy of Planning Approval Letter or Meeting��,�ith Planning prior to ' � �`� , �,:f� � ��,sa,�I�aRY sE�u�g�,vlsz'iucx r ; , submittal of Building Perinit application. '� ��J�R�'M��`��r � K�'- " , y' � � �'�� t �� ` �`F ' � ' �- : , h �t � � , � f � �� s .K,� . x v. '; � ' a „r.... Y 0�.EI�VIROI�T1\tENTA�HEALTfI.�,�z'�'.'.� ,+ �ri ...,....._��.r� v_. . ,�.�.�., BldgApp_2011.doc revised 06/21/I1 �� —�� A�II�][8]ES�: 609�willowg�ove 9� ��'d7E: ��/26/��4 ][�V�IE�IE�l��': mendez _ AlP1V: ]�lP#: <� �VAILVJr�'�'��1�1: $100,000 � ��1�[d�"�'�1��: Buiiding Permit �P�AN��1��'��]�: Addition r-�; ]P]E�ICIl�1[AIEg�' 2ncU�Jnflt`? � �'es °t 1�10 lP]El�t�'Al�(r��1�1 1 R3SFDADD � �5�: SFD or Duplex ��? ��es �- No ]P]E�lo��"�'��]�: � W�� 463 s ft addition to front of sfdwl remodel kitchen 144 s ft � convert e bedroom to livin room 132 S��P� sq ft); panel upgrade 200 amp ��gJIP�Sl�i��''�'�'IPIE: '�'�']P]E�]E' ]F'][,ll�AIE�lEf1 lP�]F'IEIES ]P�]F]E]E�� ]�lP]E'lE]E� lE�]P]F']E]E�� 1�tS']Cll2. (s.f.) R-3 (Custom) II-B,III-B,IV,V-B 463 $1,626.0'0 IADDPLCK $1,323.00 IADDINSP � ,: � r . �'�'�'AlLS: 463 $1,626.00 �t�ar',�'=�� y��..ti�� $1,323.00 �..`.�TM r�� .��,.� � � �. �'e$ �'l�o �]P�.,�J10N�[l�,IE��T]L�� 'es �k7�10 ,IE]L.IC(C;lE3[�'�.T]1�]L�4' ,�� ,��,OxI�I"o'� � r M L{ x1D�lE�]E�,]EI[��][�IL�.'�, , � ,° - � ' . ,�.�v..4�. ..> . � F ';n e -- �. �.. .e >., :.,.,._.�.> a„�, . - v �i . �, ..-,��F _ .�w..a .� .... d ��€ "wE.` ...,,...,. m � � r.,�.a, ) yt. (7 /, ,G�•�,tr. 1'l�rn f.vr��:c�k �3ft.{iiT?. �}l�!/7�.Y7C't�� 1:,iE:�.�ILli2l�.?�Ctt� . .. � g�z f � ��ii,:C. �'�c'�`3rxtt�`�'E': ;�L1ec;;. T'errl�;t C��e>: � tr ra:�. T< ��t��t Ir�f<c:: �);1:=ef�:�Jec•7r. 7r:�;r��. � �1�,`�Er,�Ylur,�1J T-rt:��rz � f�rf;r>r`I�_-ie.t:.Ir��:,. � .:��c:"'I2.�F�2Sf1 C:t;: �yr�"t477t(t. �ii1'�7. �'('i': f.r'(;E:..�??5�:;. r��.t." NOTE: Thls estimate does not inclucle fees�lue to other l�epart�nents(i.e.Planning,I'ublic 6�'orks,F'ire,Sanitary Sewer District,School District,etc. . .These ees are based on tlze relimina� in orrrzation available nnd are onl an estirreate. �ontact tlze I)e t for addn'l in o. ]['+]Ci]E]I'd']El�l[� (Fee Resolution 11-053 L'ff 7,/1/13) lF]ElE ��'�''�'�' �� Plan Check Fee: $1,626.00 144 s.£ Remodel,Kitchen(<=300 sfl � Suppl.PC Fee: �"�, Reg. Q OT 0.0 hrs $0.00 $645.00 1�'M�'SKIT � PME Plan Check: $0.00 132 s.f. Remodel, Other PermitFee: $1,323.00 $431.00 1�M1t�'SOTx Suppl. Insp. Fee:� Reg. Q OT Q.Q hrs $0.00 � PME Unit Fee: $0.00 PME Permit Fee: $0.00 `' ��.�.��:s��tc�t€'c��z "1"c7:�.� � e t�i'rr-�i��ri:str��xcivc�1°'ec:=: Work Without Permit? � Yes � No $0.00 � Advanced Plallnin�I�ee: IPLLONGR $64.82 Select a Non-Residential � �°' Building or Structure � �'�1'tdt c=l' 1...)Crt'?,l;tltt':g2ft.illCtY1 i''£'�'.3': � Stt•on�M.otion Fee: 1BSEISMICR $13.00 Select an Administrative Item Bld�;Stds Commission Fee IBCBSC $4.00 -- ��7]�'�'�'��]��}f 3,030.82 $1,076.00 • ; , ,� � x � � �'�' `][lF']� �, _ , �� ' � �� ]� _� $4,106 82 , $; :°, ... � �rm� _... �. Revised: 10/01/2014 I�unnll�ln�n��°��nh City Of Cupertino _ 10300'I'orre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 �� Fax:408-777-3333 �C�I�T`�'��'� � , / ��Jl��; >I�T�I��'�'�I� �L��`�I' JOB AI�I�IZESS: �f� " � � ��/ %f��.�, �1�— PEI�MIT# ��d C�� G OWNER'�NAME: �d , t`� � �"� PHONE# �/5 �3� "� � GENE�ZAL CONTRACTOlZ: � ,,`„d�t, `C� �a� ��`�� BUSINESS LICENSE# ADI�RESS: �� <�p�'�/c ; CITY/ZIl'COI�E: r G d��-�( �� *�un��nnau�nn��ll��1��°��unn�°��ll knau�n�n��°ll�n�ng n�n�lln� �n�� lln�� u��Cuu��°hn�n�i�an�n�n��lln��n��a N�� I��JIDL��l�T� IF�I�r��. �llg IF�l�A�, ��JI��I��1Y gl�V�l�IEcC'�'��I�� ILIL 1�1E �cCIH{IE��JlL1E� �J�1'�'�lL '�'IE�IE �GIEI�lE�IL ��N��'IL�A�C'�'�]E8 AI��D �]LIII, ��.TI��I�'�Il��'�'�1E8� II�A�IE �I�'�'A�l�lEll� r� tC�'�'�' �IF ��71�]Ellg'�'�I�� l��J��1V1E��,��lEl��IE, � ��Il�n��h��a �n��n�� IPIl��t� �I�Il��CI� �]�](�IlllcC�� A��1CIl�1C°��lC°� �Illl� ��IlIl71�D��pIl� ��5'll]CIl�llIlll��1C°Il�lIl��ll�Il1lo c� SlU]�cC�l�'�']E��'�'�Il� ]��J��I�11E�� 1��1M[IE I��J��l��E�� IL�tC]EN`�IE # Cabinets �i 1Vlillworlc �ement Finishing Electrical Excavation��d�,h�a s�� - �� :� �f!'�.� Fencing �� F'looring/ Carpeting �,inoleum/Wood Cilass / Glazing �� [�i ��fa V�'p e� ��' s'�-�v°�-'� l �� Ynsulation Landscaping L,athing 1Vlasonry Painting/Wallpaper Paving Plastering Plumbing l�oofing � Septic 'Tank Sheet Metal Sheet�Zock Tile ` c�� --,� ✓ � � �/� ��n��/cC��u��°��h��°�n��uu�� h� --- '� , BUILDING ENERGY ANALYSIS REPORT � _� ,�� ,� �� ' �� .- . � �' a � � �' e PROJECT: �, �r� ��.�5 rt F� �'�4�� +�J,F• QB�'a 1 "'1. {.P"' � a J . : � )1 F'a}E ;' Yang Residence ,z�r r-��` e ��,,;�,�,�, r�� , '.�=� 6092 Willowgrove Lane . ��,� � �f� ��`�;r,�d��x Cupertino, CA 95014 =� -�a` , ° r� ,� `; ;;_:�,;,�;: �\;��,�r��J�r'��i �`�{� ��+�`� ��)ctr,H>.{.,�<��`��„��. Project Designer: t;�u�F�,,��:� �,,, ,_�:��,,..: ��^..,.-- Anthony Chau & Partners LLC � 765 Moraga Road Lafayette, CA 94549 415-307-7538 Report Prepared by: Anthony Cha ners LLC �; �5�° A��''jr ��=�j� �_ G� ///�� x ��s-�� '�V 7 �� ,.:, ;'�'�� 5� ::\ v ANf N4NY CM��•KEUNG. y�.� �� , � '� � � �A� . ` � � �t, ;. �r'�'� �� ' ��..�"�Q�Y� * .,y � y''\�a �+'`�� F�u1., ,, � ,�1 .� .._�� . R��t.a��st2oo9 � .,, � .. (��,,,� ,; �,w � ,� � �_ �� CA�-�F�� _.-�-�� Job um er: µ "�� 1320 ��J �� 1�� a Date: � 11/25/2014 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 Califomia Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy E�ciency Standards. This program developed by EnergySoft,LLC—www.energysoft.com. Ene Pro 6.3 b Ener Soft User Number.7225 ID:1320 , TABLE OF CONTENTS Cover Page � Table of Contents 2 Form CF-1 R Certificate of Compliance 3 Form MF-1 R Mandatory Measures Summary 10 Room Load Summary 13 EnergyPro 6.3 by EnergySoft Job Number: ID:1320 User Number.7225 CERTIFICATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFi R-PRF-01 . Project Name:Addition and Existing Calculation DatelTime:11:03,Tue,Nov 25,2014 Page 1 of 7 Calculation Description:Title 24 Analysis Input File Name:1320 yang 11-24-14.xm1 GENERAL iNFORMATION 01 Project Name Addition and Existing 02 Calculation Description Titie 24 Analysis 03 ProJect Location 6092 Willowgrove Lane 04 CA City Cupertino 05 Standards Version Compliance 2014 06 Zip code 95014 07 Compliance Manager Version BEMCmpMgr 2013-3(651) 08 Climate Zone CZ4 09 Software Version EnergyPro 6.3 10 Building Type Single Family 11 Front Orientation(deg/Cardinai) 180 12 Project Scope Addition and/or Alteration 13 Number of Dwelling Units 1 14 Total Cond.Fioor Area(FT2) 1684.1999999999998 15 Number of Zones 3 16 Siab Area(FT2) 1107.6 17 Number of Stories 1 18 Addition Cond.Floor Area 333.8 19 Natural Gas Available Yes 20 Addition Slab Area(FT2) 333.8 21 Glazing Percentage(%) 33.5% COMPLIANCE RESULTS Qi Building Complies with Computer Pertormance 02 This building DOES NOT require HERS Verification 03 This building incorporates one or more Special Features shown below ENERGY USE SUMMARY 04 05 06 07 O8 Energy Use(kTDV/ftZ-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 23.32 18.72 4.60 19.7% Space Cooling 11.05 g.48 1,57 14•2°�a IAQ Ventilation 0.00 0.00 0.00 0.0% Water Heating 16.44 16.44 0.00 0.0% Photovoltaic Offset ---- 0.00 0.00 ---- TOTAL 50.81 44.64 6.17 12•'t% Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version-CF1R-10172014-651 Report Generated at 2014-11-25 11:06:54 CERTIFICATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFi R-PRF-01 . Project Name:Addition and Existing Calculation Daterfime:11:03,Tue,Nov 25,2014 Page 2 of 7 Calculation Description:Title 24 Analysis Input File Name:1320 yang 11-24-14.xm1 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 � Window overhangs and/or fins • No cooling system included PROJECT HERS FEATURES The following are project-level features that must be field-verified as a condition for meeting the modeled energy performance for this computer analysis. These,plus any additional HERS features listed in the building components tables below,requre field verification by a certified HERS Rater. Building-level Verifications: --None-- Cooling System Verifications: --None-- HVAC Dlstribution System Verifications: --None-- Domestic Hot Water System Verlficat�ons: --None-- ENERGY DESIGN RATING This is the sum of the annuai 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. Reference Energy Use Energy Design Rating Margin Percent improvement Total Energy(kTDVff2)* 103.84 97.67 6.17 5.9% 'includes calculated Appliances and Miscellaneous Energy Use{AMEU) BUILDING FEATURE INFORMATION 01 02 03 04 05 O6 07 Number of Dwelling Number of Number of Water Project Name Conditioned Floor Area(sft) Units Number of Bedrooms Number of Zones Ventilation Cooling Systems Heating Systems Addition and Existing 1684.2 1 4 3 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Floor Area Avg.Ceiling Zone Name Zone Type HVAC System Name (ft2) Height Water Heating System 1 Water Heating System 2 Front bedrooms and entry Conditioned HVAC Systemi 333.8 8 DHW Sys 1 (N)Atrium Conditioned HVAC Systemi 242.8 12.5 DHW Sys 1 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version-CF1R-10172014-651 Report Generated at Z014-11-25 11:06:54 CERTIFICATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 . Project Name:Addition and Existing Calcufation Dateffime:11:03,Tue,Nov 25,2014 Page 3 of 7 Caiculation Description:Title 24 Analysis Input File Name:1320 yang 11-24-14.xm1 Existing House Conditioned HVAC Systemi 1107.6 8.5 DHW Sys 1 OPAQUE SURFACES pi 02 03 04 05 06 07 OB 09 10 Veriffed Window and Door Tilt(deg Existing Name Zone Construction Azimuth Orientation Gross Area(ft2) Area(ft2) } Status Condition Front Wall Front bedrooms and entry R-13 Wali 180 Front 228 79.584 90 New N/A Left Wall Front bedrooms and entry R-13 Wall 270 Left 120 30.7 90 New N/A Right Wall Front bedrooms and entry R-13 Wall 90 Right 92.8 90 New N/A Front Wali 2 (N)Atrium R-13 Wall 180 Front 68 13.2 90 New N/A Left Wall 2 (N)Atrium R-i3 Wa11 270 Left 56.8 8.8 90 New N/A Rear Wall (N)Atrium R-13 Wall 0 Back 68 132 90 New N/A Right Wall 2 (N)Atrium R-13 Wall 90 Right 170.4 8.8 90 New N/A Front Wali 3 Existing House R-0 Walli 0 Back 174.4 16.7 90 Existing No Left Wall 3 Existing House R-0 Walli 90 Right 242 36 90 Existing No Rear Wail 2 Existing House R-0 Walli 180 Front 418 316.7 90 Existing No Right Wa113 Existing House R-0 Wall1 270 Left 159.2 90 Existing No OPAQUE 5URFACES—Cathedral Ceilings 01 02 03 04 05 O6 07 08 09 10 11 12 13 Roof Roof Framin Verified Orientatio Area Skylight Roof Rise Roof Roof Refiectan Emmittan g Statu Existing Name Zone Type n (ft2) Area(ft2) (x in 12) Pitch Tilt(deg) ce ce Factor s Condifion Roof Front bedrooms and R-0 Roof _specify- 333.8 0 0 0 0 0.7 0.75 0.1 New N/A entry Cathedral Roof 2 (N)Atrium R-0 Roof _specify- 242.8 42.2 0 0 0 0.7 0.75 0.1 Alt�ere N/A Cathedral Roof 3 Existing House R-0 Roof _specify- 1107.6 14.2 0 0 0 0.7 0.75 0.1 New N/A Cathedral Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version-CF1R-10172014-651 Report Generated at 2014-11-25 11:06:54 , CERTIFICATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 . Project Name:Addition and Existing Caiculation DatelTime:11:03,Tue,Nov 25,2014 Page 4 of 7 Calculation Description;Titie 24 Analysis input File Name:1320 yang 11-24-14.xm1 WINDOWS 01 02 03 04 05 06 07 08 09 10 it Verified Width(ft Height Multiplie Existing Name Side of Building ) (�4) P Area(ft2) U-factor �HGC Exterior Shading Status Condition Window at bedrooms Front Waii ---- ---- 1 42.0 0.32 028 Insect Screen(default} New N/A Window Front Wall 6.0 8.0 0.783 37.6 0.32 0.28 insect Screen(default) New N/A Window 2 Left Wall ---- ---- 1 14.0 0.32 0.28 Insect Screen(default) New N/A French door Left Wali ---- ---- 1 16.7 0.32 0.28 Insect Screen(default) New N/A Window 3 Front Wall 2 6.0 11.0 0.2 13.2 0.32 0.28 Insect Screen(default) New N/A Window 4 Left Wall 2 4.0 11.0 0.2 8.8 0.32 0.28 Insect Screen(defauit) New N/A Window 5 Rear Wall 6.0 11.0 02 13.2 0.32 0.28 Insect Screen(default) New N/A Window 6 Right Wall 2 4.0 11.0 0.2 8.8 0.32 0.28 Insect Screen(default} New N/A Skylight Roof 2 1 42.2 0.37 0.29 New N/A New Window Left Wa�l 3 ---- ---- 1 26.0 0.32 0.28 Insect Screen(default) New N/A Existing Windows Left Wall 3 ---- ---- 1 10.0 0.32 0.28 Insect Screen(default) Existing No Existing Windows 2 Rear Wa11 2 ---- ---- 1 316.7 0.32 0.28 Insect Screen(default) Existing No Skylight 2 Roof 3 1 14.2 0.37 0.29 New N/A D�ORS 01 02 03 04 05 06 Name Side of Building Area(ftZ) U-factor Status Verified Existing Condition Door Front Wall 3 16.7 0.50 Existing No OVERHANGS AND FINS 01 02 03 04 05 O6 07 08 09 10 11 12 13 14 Overhang Left Fin Right Fin Left Right Window Depth Dist Up Extent Extent Flap Ht. Depth Top Up DistL Bot Up Depth Top Up Dist R Bot Up Window 4 0.1 4 4 0 4 0 0.1 0 4 0 0.1 0 Window 3 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 4 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 5 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 6 2 0.1 2 2 0 U 0 0 0 0 0 0 0 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency 5tandards-2013 Residential Compliance Report Version-CF1R-10172014-651 Report Generated at 2014-11-25 11:06:54 CERTIFICATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFiR-PRF-01 . Project Name:Addition and Existing Calculation Date/Time:11:03,Tue,Nov 25,2014 Page 5 of 7 Caiculation Description:Titie 24 Analysis Input File Name:1320 yang 11-24-14.xm1 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 Construction Name Surface Type Framing Total Cavity R-value Assembly Layers • Inside Finish:Gypsum Board R-13 Wall Exterior Walis 2n4 @ 16 in.O.C. R 13 • Caviry/Frame:R-13/2�c4 • Exterior Finish:Wood Siding/sheathing/tlecking � • Inside Finish:Gypsum Board • Caviry/Frame:no insul./2x4 R-0 Roof Cathedral Cathedral Ceilings 2x4 @ 16 in.O.C. -no insulation- • Roof Deck:Wood Siding/sheathing/decking • Above Deck Insu/ation:R30 Sheathing • Roofing:Light Aoof(Asphalt Shingle) • Inside Finish:Gypsum 8oard R-0 Wall1 Exterior Walls 2x4 @ 16 in.O.C. -no insulation(vertical)- • Caviry/Frame:no insul./2x4 • Exterior Finish:Wood Siding/sheathing/decking SLAB FLOORS p1 02 03 04 05 O6 07 08 09 Verified Perimeter Carpeted Existing Name Zone Area(ft2) (ft) Edge Insul.R-value Fraction Heated Status Condition Slab Front bedrooms and entry 333.8 55.5 -none- 1 IVo New No Slab 2 (N)Atrium 242.8 0.1 -none- 1 No Existing No. Slab-on-Grade Existing House 1107.6 118 -none- 1 No Existing No BUILDING ENVELOPE-HERS VERIFICATION 01 p2 03 04 Quality Insulation Instailation(QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage ACH @ 50 Pa Not Required Not Required Not Required --- WATER HEATING SYSTEMS 01 02 03 04 05 O6 Veriffed Existing Name Distribution Type Number of Heaters Solar Fraction(%) Status Condition DHW Sys 1 Standard 1 Annual Existing No Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards-2013 Residential Campliance Report Version-CF1R-10172014-651 Report Generated at 2014-11-25 11:06:54 CERTIFICATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFiR-PRF-01 . Project Name:Addition and Existing Calculation Date/Time:11:03,Tue,Nov 25,2014 Page 6 of 7 Calculation Description:Titie 24 Analysis Input File Name:1320 yang 11-24-14.xmi WATER HEATERS 01 02 03 04 05 06 07 �S Tank Volume Energy Factor or Tank Exterior Standby Loss Name Heater Element Type Tank Type (gal) Efficiency Input Rating Insulation R-value (Fraction) �HW Heater 1 Natural Gas Small Storage 50 0.575 EF 40000-Btu/hr 0 � WATER HEATING-HERS VERIFICATION 01 02 03 04 05 06 07 Recirculation with Recircutation with Name Pipe Insulation Parallel Piping Compact Distribution Point-of Use Manual Control Sensor Control DHW Sys 1 n/a n/a n/a n/a n/a n/a HVAC SYSTEMS 01 02 03 04 05 06 07 08 09 Heating System Cooling System Distribution Fan Floor Area Verified Existing Name System Type Name Ducted Name Ducted System System Served Status Condition HVAC Systemi Other Heating and Heating N� HVAC Yes HVAC HVAC Fan 1684.2 Existing No CoolingSystem Componentl Systemi-cool Systeml-dist 1 HVAC-HEATWG SYSTEMS 01 02 03 Name Type Efficiency Heating Component 1 CombHydro-Water heating system can be gas storage 78 AFUE HVAC-COOLING SYSTEMS 01 02 03 04 05 06 07 Efficiency Multi-speed Name System Type EER SEER Zonally Controlled Compressor HERS Verification HVAC Systemi-cool NoCooling-No cooling equipment 11.3 No No N/A Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards-2013 Residential Comptiance Report Version-CF1R-10172014-651 Report Generated at 2014-11-25 11:06:54 CERTIFfCATE OF COMPLIANCE-RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 . Project Name:Addition and Existing Calculation Datetfime:11:03,Tue,Nov 25,2014 Page 7 of 7 Calculation Description:Title 24 Analysis Input File Name:1320 yang 11-24-14.xm1 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1.I certify that this Certificate of Compliance documentation is accurate and complete. Documentatio Author Name: Documentation Author Si ture: , . ��,� �� 1' Company: Signature Date: Anthony Chau & Partners LLC 11/25/2014 Address: CEAIHERS Certification Identification(If applicable): �;'� �� - • City/State2ip: Phone: �..�-- ' �., �'��2- - c, �� " � " �� RESPONSIBLE PERSO 'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of Ca►ifornia: 1. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the buiiding design identified on this Certificate of Compliance. 2. I certify that the energy features and performance specifications identified on this Certificate of Gompliance 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 Desi ner Signature: Anthony Chau Company: Date Signed: Anthony Chau � Partners LLC 4�� '�� `� � � Address: License: �� 765 Moraga Road �' �� City/State2ip: Phone: Lafayette, CA 94549 415-307-7538 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards-2013 Residentiai Compliance Report Version-CF1R-10172014-651 Report Generated at 2014-11-25 11:06:54 MANDATORY MEASURES SUMMARY: Residential Pa e 1 of 3 MF-1 R Project Name Date Yang Residence 11/25/2014 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- 1R-ALT Form)shall supersede the items markeci 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 lans. Buildin Envelo e Measures: 110.6 a 1:Doors and windows between conditioned and unconditioned s aces are manufactured to limit air leaka e. §110.6(a�: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 re uirements of 10-111 a . 110.7:Exterior doors and windows are weather-stri ed;all'oints and enetrations are caulked and sealed. 110.8 a :Insulation s ecified or installed meets Standards for Insulatin Material. Indicate t e 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 s ecified on the CF-1 R Form. * 150.0 a:Minimum R-30 R-19 for Alterations insulation in wood-frame ceilin or e uivalent U-factor. 150.0 b :Loose fill insulation shall conform with manufacturer's installed desi n labeled R-Value. * 150.0 c:Minimum R-13 insulation in 2x4 wood-frame wall R-19 in 2x6 or e uivalent U-factor. * 150.0 d :Minimum R-19 insulation in raised wood-frame floor or e uivalent U-factor. 150.0 :Air retardin wra is tested,labeled,and installed accordin to ASTM E1677-95 2000 when s ecified on the CF-1 R Form. 150.0 :Mandato Va or barrier installed in Climate Zones 14 or 16. §150.0(I}:Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%;water vapor permeance rate is no reater than 2.0 erm/inch and shall be rotected from h sical dama e and UV li ht 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 Condifioned Floor Area,whichever is reater,is exem t from the maximum U-factor re uirement. 150.0 r Solar Read Buildin s.Shall meet the re uirements of Section 110.10 a licable to the buildin ro'ect. Fire laces, Decorative Gas A liances and Gas Lo Measures: 150.0 e 1A:Mason or facto -built fire laces have a closable metal or lass door coverin the entire o enin 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 e ui ed with a with a readil accessible,o erable,and ti ht-fittin dam er 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 buildin ,are rohibited. Space Conditionin ,Water Heatin and Plumbin S stem 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 revention, um isolation valve,and recirculation loo connection re uirements of 110.3 c 5. §110.5:Continuously burning pilot lights are prohibited for natural gas:fan-type central fumaces,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 s a heaters. 150.0 h : Heatin and/or coolin loads are calculated in accordance with ASHRAE,SMACNA or ACCA. 150.0 i :Heatin s stems are e ui ed with thermostats that meet the setback re uirements of Section 110.2 c. §150.0(j)1A:Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wra ed with insulation havin an installed thermal resistance of R-12 or reater. §150.0(j)1 B:Unfired storage tanks,such as storage tanks or backup tanks for solar water-heating system,or other indirect hot water tanks have R-12 extemal insulation or R-16 internal insulation where the intemal insulation R-value is indicated on the exterior of the tank. EnergyPro 6.3 by EnergySoft User Number. 7225 ID:1320 Page 10 of 13 MANDATORY MEASURES SUMMARY: Residential Pa e 2 of 3 MF-1 R Project Name Date Yang Residence 11/25/2014 §150.0(j)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 befinreen tanks. v.Piping buried below grade. vi.All hot water i es from the heatin source to the kitchen fixtures. §150.0(j)2:Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of Standards Table 120.3-A. 150.0'3A:Insulation is rotected from dama e,includin that due to sunli ht,moisture,e ui ment maintenance,and wind. §150.OQ)4:Solar water-heating systems and/or coltectors 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 retum-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 appficable requirements of UL 181,UL 181A,or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or ta e is used to seal o enin s reater than 1/4 inch,the combination of mastic and either mesh or ta e 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.Ducfs 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 n,ibber adhesive duct tapes unless such ta e is used in combination with mastic and draw bands. 150.0 m 7:Exhaust fan s stems have back draft or automatic dam ers. §150.0(m)8:Gravity ventilating systems serving conditioned space have either automatic or readily accessible,manually operated dam ers. §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 es above or painted with a coating that is water retardant and proyides shielding from solar radiation that can cause de radation of the material. 150.0 m 10:Flexible ducts cannot have orous 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 I11 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 as su I line with a ca aci of at least 200,000 Btu/hr. §150.0(0):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 S a Heatin S stems and E ui ment 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 heatin or a ilot li ht. §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-u connections for future solar heatin . 110.4 b 2:Outdoor ols or s as that have a heat um or as 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 ro rammed to run onl durin off- eak electric demand eriods. 150.0 :Residential ool s stems or e ui ment meet the um sizin ,flow rate, i in ,filters,and valve re uirements of 150.0 Residential Li htin 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 150.0-8,as a licable. 150.0 k 1 C:The watta e of ermanentl installed luminaires shall be determined as s ecified b 130.0 c. 150.0 k 1 D:Ballasts for fluorescent lam s rated 13 Watts or reater shall be electronic and shall have an out ut fre uenc <=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 re uired to be controlled b vacanc sensors. EnergyPro 6.3 by EnergySoft User Number.7225 ID:1320 Page 11 of 13 MANDATORY MEASURES SUMMARY: Residential Pa e 3 of 3 MF-1 R Project Name Date Yang Residence 91/25/2094 150.0 k 1 F:Li htin int ral to exhaust fans,in rooms other than kitchens,shall meet the a licable re uirements of 150.0 k. 150.0 k 2:All switchin devices and controls shall meet the re uirements 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 ftz or 100 watts for dwelling units larger than 2,500 ftz 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 b vacanc 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 li htin installed in each bathroom shall be hi h efficac or controlled b vacanc sensors. §150.0(k)6:Lighting installed in attached and detached garages, laundry rooms,and utility rooms shall be high efficacy luminaires and controlled b vacanc 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:Li htin in detached stora e buildin less than 1000 s uare 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 testing/rating 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 housin and ceilin . §150.0(k)9A: For single-family residential buildings,outdoor Iighting permanently mounted to a residential buitding 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.Controtled 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, 1302, 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)96 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 com I with the a licable re uirements 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-b8se socket,and consume no more than five watts of ower as determined accordin to 130.0 d . §150.0(k}11: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 instatled lighting for the interior common areas in that building shall be high efficacy luminaires or controlled by an occupant sensor. §150.0(k)128.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 stain+vells sha{I 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 in ress and e ress. EnergyPro 6.3 by EnergySoft User Number.7225 ID:9320 Page 12 of 13 ROOM LOAD SUMMARY Project Na+ne Date Yang Residence 11/25/2014 System Name Floor Area HVAC System 9,684 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible Front bedrooms and entry Entry and new bedrooms 9 136 2,929 991 136 2,929 191 78 5,324 (N)Atrium new atrium/living 1 131 2,822 139 131 2,822 939 46 3,126 Existing House Exsiting portion of house 1 607 13,085 635 607 13,085 635 301 20,507 PAGE TOTAL 874 18,836 966 425 28,957 TOTAL* 874 18,836 966 425 28,957 "Total includes ventilation load for zonai s stems. Ene Pro 6.3 b Ener Soft User Number.7225 RunCode;2014-11-25T11:08:36 ID:1320 Pa e 13 of 13