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12090118 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10651 RANDY LN CONTRACTORr'1? 7,B i- PERMIT NO: 12090118
1?I2fal4NEf"
OWNER'S NAME: NGUYEN THANH H&HAO T '�" DATE ISSUED:03/05/2013
OWNER'S PHONE: 4084148810 K PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL
LicenseClass
�� f Lic.# f I 5 CONSTRUCT DETACHED 2ND UNIT SFDWL 639 SQ FT
Contractor /�/t/ �A /�Z U(,tM Date ()-.?"— -5
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$83000
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:31602046.1065I Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY F OM LAST CALLED INSP CT 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: Dat '
with all non-poi sourc tions per the Cupertino Municipal Code,Section
9.18.
7 RE-ROOFS:
Signature L%` Date S -U / > All roofs shall be inspected prior to any roofing material being installed.if a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business.&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the ay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Yrpertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&SafetyCode,Sections 5505,2 and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
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,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
Building Departmeut
Citti Of Cupertino
10300 Torre Avenue
Cupertino, CA 9501 4-325
C O P E RTI N O Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
1oB nDDREss _SRN—�flniF� Gl�� RMIT --- - 1 - _
— to – — --
OWNER SNAML: {�N�'I N --VEN - - --- P1[HONE " - - j6
GENERAL CONTRACT—OR:OR: /U � " �
— --- ---- -_ ---- -Q-r1_T/- -��WC_ lt)VJ BUSINESS LICENSE #
ADDRESS: � Q_gVI: i-� N I)
. Ak
��,�� — -
-- -- - -C'I"f'Yi l l f C O D E: 9_h_-�l ronl -
*Our municipal code requires all busiuesses «orking in the city to hmv a Cily orCupertino husiness license.
NO BUILDING FINAL OR FINAL OCCIPANCY INSPECTIONS) 1"L1 BE' SCHEDULED UNUL THE,
CENERAL CONTRACTOR AND MA. S ,BCON I RACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors: ,�-- --- ------ -- _ -_-- �
. ' nature Date
/i
Please check applicable subcontractors and complete the Tbllowiug information:
SUBCONTRACTOR - BUSINESS NAME BUSINESS WENSE #
Cabinets & Millwork
Cement Fhhskng
Electrical
FxcavatU n
Fencing
Flooring/ Carpeting
Linoleum/ Wood
Glass/Glazing
Healing
Insulation
----- ---- -
Landsc.apinu
Lathing
Masonry
Painting/ Wallpaper
Paving
Plastering
Plumbing–
Roofing
Scpdc Tank
Sheet Metal
Shcet Rock
Tile
Owner/Contractor Signature Date
Project Name: 10651 Randy Ln.
Project Address.
10651 Randy Ln., Cupertino, CA 95014
Project Description: ----__ —___ —.--- --------- ----------- ��i�.l"ti/ -----
SECTION 1 — DESIGN VE Rl FIC,i41'IION ��"._._....__.__._..�.._.._.._._._......�..__.�._......_..,....�..
Complete all lines of Section 1 —"Design Verification"and subrnit the completed checklist(Columns 1 and)}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 2010 California Green Building Standards(lode:: as
adopted by the City of Cupertino.
Owner's Si nature ate
Owner's Name {Please Print}
Thanh Nguyen
Design Professional's Signatur '+ 'Daef
Design Professional's Name (Please Print)
Qui Son _
Signature of Licens r fessional responsible for CalGreen compliance Date
Name of License Professional responsible for CalGreen compliance{Please Print} Phone
Kamran Aslanpour
Email Address for License Professional responsible for CalGreen compliance
kamran @ava-construction.com
sEc-riaN 2 - IMPLEMENTATION VERIFICATION - �`._..._._...__�._.._...,.._..,____,_..._..�
Complete, sign and submit the competed checklist, including column 3, together with all original signatures on rection
2 to the Building Department prior to Building [)epartment 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 2010 California Green Bui ing 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 Phone _
t r! Green Builder Proafessiona'
_;1bt1-i�fii�N.•i�-.H;"—'^tet-'-f',�-..�_
Email-Address for License Professional responsibiE forCafGreon compliance
a
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope— Insulation; Roofing; Fenestration (Page 1 of 3)
Site Address: Enforcement Agency: Permit Number:
© .
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate
applicable to the portion of construction for which they are responsible;alternatively,the person with chief responsibilityfor construction shall
prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check boxes require to be checked to ensure
the mandatory measures have been met.
Description of Insulation
1. RAISED FLOOR
Material: Brand Name:
Thickness (inches): Thermal Resistance (R-Value):
❑ §150(d):Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor.
2. SLAB FLOOR/PERIMETER
Material: '-r 2 Brand Name:
Thickness (inches): &L1hzV1_1,f&L1_1, Thermal Resistance (R-Value):
Perimeter Insulation D7fth(inches):
❑ §150(1):Water absorption rate for the insulation material alone without facings is no greater than 0.3%;water vapor permeance
rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration.
3. EXTERIOR WALL
a.Insulation Type (e.x. Batt,Loose Fill, Spray Foam) a. Thermal Resistance(R-Value):
b. . Insulation Type(e.x. Batt, Loose Fill, Spray Foam)
r�_All b. Thermal Resistance(R-Value): .- 1
Brand:
Spray/Loose fill)Installed Actual Thickness Spray/Loose fill)
(inches): Contractor's min installed weightJftz lb
Ma�iufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value)
❑ §150(c):Minimum R-13 insulation in wood-frame wall or equivalent U-factor.
Exterior Foam Sheathing(rigid Insulation)
Material: Brand Name:
Thickness (inches) : Thermal Resistance (R-Value) :
4. FOUNDATION WALL
Material: Brand Name:
Thickness(inches): Thermal Resistance(R-Value):
5. CEILING
Batt or Blanket Type: '' j�C Brand Name:
Loose Fill Type: Thermal Resistance(R-Value):
Spray Foam Type: Brand Name: OtVj�F *
Installed Actual Thickness (inches): Contractor's min installed weight/ft' lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value):
❑ §150(a):Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
6. ATTIC ROW I ULATION AND/OR ATTIC RADIANT BARRIER f,,�
Material: Brand Name:IJ G�yjzW- l/U(f-
Material: Brand Name:
Thickness (inches): Thermal Resistance(R-Value): C
❑ §118(a): Insulation installed meets Standards for Insulating Material.
❑ §150(g):Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope — Insulation; Roofing; Fenestration (Page 2 of 3)
Site Address: Enforcement Agency: Permit Nu ber:
b l �l
Description of Roofing Products
CRRC Product ID Manufacturer Product Roof Roof Product Initial Solar Aged Solar Thermal
Number} Information Brand/Model Type Area Sloe weight' Reflectance Reflectance" Emittance
❑3
❑3
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
ww.coolroofs.org/products/search.php
2. The weight in lbs per square feet of the roofing product being installed.
3. Check box if the Aged Reflectance is a calculated value using the equation below,footnote 4.
4.If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the
directory and use the equation(0.2+0.7( ;ni,;at—0.2)to obtain a calculated aged value.
✓OCHECKAPPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT"COOL ROOF"REO UIREMENT:
❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/ft is exempted from the above Cool Roof
criteria.
To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of 20 mils across the entire roof surface and
meet minimum peifibrinance requirements listed in§I18(i)3 and Table 118-C. Select the applicable coating
❑ Aluminum-Pigmented Asphalt Roof Coating ❑Cement-Based Roof Coating ❑ Other
✓ ❑ CRRC-1 Label Attached to CF-6R
(Note if no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance).
FENESTRATION/GLAZING
Product # Total Quantity Add.Exterior Comments/
Manufacturer/Brand Name U- Product of NFRC of Like Product Area Shading Dev. Location/Special
Item (GROUP LIKE RODUCTS) factor SHGC' Panes Certified"Z (Optional) ftZ or Overhang Features
1 ` " ? d 2
2
4
5 c� y
6 �i
7.
8.
I. Use values firom a fenestration product's AnFRC Certified Label.For fenestration products without an AFRC label,use the default values from Section 116,Table
116-A and 116-B of the 2008 Energy Efficiency Standards.
2.NFRC Label Certificates shall not be removed until the building inspector has verified the efficiency.Enter Yes or No.
Z §116(a)l:Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
Ql §116(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U-factor and/or a lower SHGC than that specified on
the Certificate of Compliance(Form CF-1R).
Z §116(a)4:Fenestration products(except field-fabricated windows)have a label listing the certified U-Factor,certified Solar Heat Gain
Coefficient(SHGC),and infiltration that meets the requirements of§10-111(a)
V1§117:Exterior doors and windows weather-stripped;all joints and penetrations caulked and sealed.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope—Insulation; Roofing; Fenestration (Page 3 of 3)
Site Addr ss: Enforcement Agency: Permit Number:
a i
DECLARATION STATEMENT
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative
of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)confornis
to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement
agency.
• 1 reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific
requirements for the installation. 1 certify that the requirements detailed on the CF-1R that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a
signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installing Subcontractor or
General Contractor or Builder/Owner)
Responsible Person's Name: Responsible Person's Signa
7&Y,
,
CSLB License: Date
�S)ig ed: Position With Company itle):
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-LTG-01
Residential Lighting (Pa e 1 of3)
Site Address: Enforcement Agency: Permit Number:
1.Kitchen Lighting
Does project include kitchen lighting?
Yes,complete section 1 ❑No,go on to section 2
Yes §150(k)3:The wattage of permanently installed luminaires(lighting fixtures)has been determined asspecified by§I30(d).
❑Yes ©No §150(k)3:In the kitchen,are there electrical boxes finished with a blank cover or where no electrical equipment has been
installed,and where the electrical box can be used for a luminaire or a surface mounted ceiling fan?If -es,the following row must also be -es:
2 Yes ❑NA Wattage has been calculated as 180 watts of low efficacy lighting er blank electrical box.
§150(k)8 Kitchen Lighting must comply with either method(a),(b),or (c) below:
(a)All high efficacy luminaires
¢� Yes,complies because only high efficacy luminaires have been installed in the kitchen.
❑ No,complies with method(b)or(c).
(b)>50%watts used by high efficacy luminaires
d Yes,complies because at least 50%of the installed watts are from permanently installed high efficacy luminaires
as demonstrated in the table below:Total A>Total B.
❑ No,complies with method(a)or(c).
Fill out the following table if complying with either method(b)or(c).
Table(b)
Efficacy
Luminaire Type High Low Watts x Quantity = High Efficacy Watts or Low Efficacy Watts
L F—P U&VI 1 ❑ ❑ 13, x = or
❑ ❑ x = or
❑ ❑ x = or
❑ ❑ x = or
❑ ❑ x = or
Complies with method(b)if A>B Total: A: > B:
(c)Additional Kitchen Low Efficacy Lighting
Yes,complies because the kitchen lighting qualifies for additional low efficacy lighting
and as demonstrated in table in(b)(above)and the table in(c)(below)that(A+C)>_B
❑ No,complies with method(a)or(b).
Additional kitchen low efficacy lighting is available only if all of the following are true:
El Yes. All low efficacy luminaires in the kitchen are controlled by a vacancy sensor
Dimmer energy management controls stem(EMCS)or a multi-scene programmable control system.
❑ Yes. Permanently installed luminaires in garages laundry rooms closets greater than 70 square feet and utility rooms are high efficacy
luminaires AND are controlled by a vacancy sensor.
Table c
Use 50 W for dwelling units_<2,500 ftz
From the Table in(b) Use 100 W for dwelling units>2,500 ft-' Add Yes/No?
A B C A+C Is(A+C)>B?
2. Lighting Internal to Cabinets
Does projject includes lighting int rnal to cabinets?
❑Yes, complete section 2 0 No,go on to section 3
❑Yes,§150(k)9:Permanently installed lighting internal to cabinets uses<20 watts of power per linear foot of illuminated cabinet.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-LTG-01
Residential Lighting (Page 2 of 3)
Site Addre s: Enforcement Agency: Pert Numpe r
lee � 0 CV
3.Installed Devices and Components Have Been Certified tp the Energy Commission
Do the project include any of the devices or components listed below? 'es,complete section 3 ❑No,go on to section 4
Yes
§119 and§150(k)7(F):Any of the following devices and components which have been installed have been certified to the Energy Commission
according to the applicable provisions of§1 19:All LED lighting systems that are classified as high efficacy,ballasts used in recessed luminaires,
vacancy sensors(automatic off/manual on occupant sensors),dimmers,track lighting integral current limiters,and outdoor motion sensors.
4.Lighting Controls Complete section 4
❑ Yes ❑ NA §I50(k)7A:Permanently installed low efficacy luminaires are controlled by switches separate from those controlling high
efficacy luminaires.
❑ Yes ❑ NA §150(k)7B:Exhaust fans with integral lighting systems are switched separately from lighting systems,OR have alighting
system that can be manually turned on and off while allowing the fan to continue to operate for an extended period of time.
❑ Yes ❑ NA §150(k)7C:All permanently installed luminaires are switched with readily accessible controls that permit the luminaires to be
manually switched on and off.
❑ Yes ❑ NA §150(k)7D:All lighting controls have been installed in accordance with the manufacturer's instructions.
❑ Yes ❑ NA §150(k)7E:All lighting circuits that are controlled by more than one switch,where a dimmer or vacancy sensor has been
installed to comply with§I50(k),no controls bypass the dimmer or vacancy sensor functions.
5.Luminaires(Lighting Fixtures)
Does the project include the installation of any luminaires(indoor or outdoor)?
Yes,complete section 5 ❑No,go on to section 6
❑Yes,high efficacy luminaire classification has been determined according to§I50(k)I.and low efficacy luminaire classification has been
determined according to§150(k)2.
❑ Yes ❑ NA §150(k)4:Fluorescent lamps rated 13 watts or greater have an electronic ballasts having an output frequency no less than 20
kHz.
❑ Yes ❑ NA §I50(k)5:Permanently installed night lights,and night lights integral to permanently installed luminaires or exhaust fans,
contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and do not contain a line-voltage
socket or line voltage lamp holder,OR the night light is rated to consume no more than 5 watts of power and does not contain
a medium screw-base socket.
❑ Yes ❑ NA §150(k)6: Lighting integral to exhaust fans,in rooms other than kitchens,meet the applicable requirements of§150(k).
❑ Yes ❑ NA Any electrical box finished with a blank cover or where no electrical equipment has been installed,and where the electrical
box can be used for a luminaire or a surface mounted ceiling fan,has been treated as low efficacy luminaires for compliance
with§150(k).
Does the project include any luminaires that are recessed into insulated ceilings?
Yes,complete the rest of section 5 ❑No,go on to section 6
)� Yes,§150(k)12: Luminaires that are recessed into insulated ceilings meet all of the following conditions:
Ok Yes,are listed,as defined in§101,for zero clearance insulation contact(IC)by UL or other nationally recognized testing/rating
laboratory,and
❑ Yes,have labels that certify the luminaires are airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance
with ASTM E283(Exhaust fan housings are not required to be certified airtight),and
❑ Yes,are sealed with a gasket or caulk between luminaire housings and the ceiling,and all air leak paths between conditioned and
unconditioned spaces have been sealed with a gasket or caulk.(including all exhaust fan housings),and
❑ Yes,allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without
requiring the cutting of holes in the ceiling.
6.Indoor Lighting(any indoor room that is not a kitchen)
Does the prQject include permanently installed luminaires in any room that is not a kitchen?
Yes,complete section 6 ❑No,go on to section 7
Yes ❑ NA §150(k)10:Permanently installed luminaires in bathrooms,garages,laundry rooms,closets>70 ft2,and utility rooms are high
efficacy luminaires OR are controlled by a vacancy sensor.
Yes ❑ NA §I50(k)11:Permanently installed luminaires located in rooms or areas other than in kitchens,bathrooms,garages,laundry
rooms,closets,and utility rooms are high efficacy luminaires,OR are controlled by a dimmer switch OR are controlled by
a vacancy sensor.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-LTG-01
Residential Lighting (Page 3 of 3)
Site Address: Enforcement Agency: Permit Number:
_Z4Y4 �. U1��
r
7. Outdoor Lighting
Does the project include any permanently installed outdoor lighting?
Yes,complete section 7 ❑No,go on to section 8
Yes ❑ NA §150(k)13:Luminaires providing outdoor lighting,including outdoor lighting for private patios on low-rise residential buildings
with four or more dwelling units,entrances,balconies,and porches,and which are permanently mounted to a residential
building or to other buildings on the same lot are high efficacy luminaires OR are controlled by a manual on/off switch,plus a
motion sensor not having an override or bypass switch that disables the motion sensor,plus one of the following three
additional control methods:
a. A photocontrol that does not have an override or bypass switch that disables the photocontrol;or
b. An astronomical time clock not having an override or bypass switch that disables the astronomical time clock;
or
C. Energy management controls systems(EMCS)not having an override or bypass switch that allows the
luminaire to be always on.
❑ Yes ❑ NA Exception 2: Low efficacy outdoor luminaires used to comply with Exception 1 to§150(k)13 are controlled by an override
switch which temporarily bypasses the motion sensing function,and the motion sensor is automatically reactivated within six
hours.The luminaire is controlled by a photocontrol,astronomical time clock,or EMCS as required by Exception 1 to
§150(k)13.
❑ Yes ❑ NA Exception 3: There are permanently installed luminaires in or around swimming pools,water features,or other locations
subject to Article 680 of the California Electric Code which do not need to be high efficacy luminaires.
❑ Yes❑NA §150(k)14: Internally illuminated address signs comply with§148,OR do not contain a screw-base socket and consume no
more than 5 watts of power as determined according to§130(d).
❑Yes ❑NA §150(k)15 Lighting for parking lots and carports with a total of 8 or more vehicles per site have lighting that complies with
§130,132, 134, and 147.Lighting for parking garages for 8 or more vehicles comply with§130,131, 134,and 146.
If yes,the Nonresidential compliance forms must be submitted
8.Common areas of low-rise residential buildings
Does the project include the installation of any luminaires in common areas of low-rise residential buildings?
❑Yes,complete section 8 ❑No,go on to section 9
❑ Yes,§150(k)16: Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s)certified to comply with§119(d).
DECLARATION STATEMENT
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative
of the person responsible for construction(responsible person).
• 1 certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)conforms
to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement
agency.
• 1 reviewed a copy of the Certificate of Compliance(CF-1R)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a
signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
N 0PYJ1J, 2
Responsible Person's Name: Responsible Person's Signature:
HV N lU. vytw
CSLB License: Date Sig ed: Position With Company(Ti e):
A„
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-01
Domestic Hot Water(DHW) (Pae 1 of 2)
Site A dr ss: Enforcement Agency: Permit Number:
� ) be0lj
1. WATER HEATING SYSTEMS:
Distribution Rated
CEC Type If #of Input(kW Tank Standby
Heater Certified Mfr Name&Model (Std,Point-of- Recirculation, Identical or Volume Efficiency Loss
Tye Number Use,etc) Control Tye Systems Btuft)i (gallons) (EF,RE) (%)I
urn' ®D Rlf
Note 1:For small gas storage(rated input less than or equal to 75,000 Btu/hr),electric resistance and heat pump water heaters,list
Energy Factor(EF).For large gas storage water heaters(rated input of greater than 75,000 Btulhr), list Recovery Efficiency(RE),
Thermal Efficiency,Standby Loss and Rated Input. For instantaneous gas water heaters,list the Thermal Efficiency and Rated Input.
2. Mandatory Measures
YTO,COMPLY-ALL BOXES MUST BE CHECKED
§110-§113:Water heaters,showerhead and faucets are certified by the California Energy Commission.
§1500):Water System Pipe and Tank Insulation.And Cooling Line Insulation
1. Storage tank insulation
❑ A. Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are
externally wrapped with insulation having an installed thermal resistance of R-12 or greater;and
B.Unfired storage tanks 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.
2. Water piping and cooling system line insulation thickness and conductivity
❑ First 5 feet of hot and cold water pipes closest to water heater tank,non-recirculating systems,and entire
length of recirculating sections of hot water pipes are insulated per Standards Table 150-B;and
❑ Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of
Standards Table 123-A.
Insulation is protected from damage,including that due to sunlight,moisture, equipment maintenance,and
wind.
§151(08D:If indicated on the CF-1R,all hot water piping that runs from the hot water source to the kitchen fixtures is
insulated per Standards Table 150-B.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-01
Domestic Hot Water(DIIW) (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
3. Central Water Heating in Buildings with Multiple Dwelling Units(required for prescriptive)
TO COMPLY-ALL BOXES MUST BE CHECKED
IR All hot water piping in main circulating loop is insulated to requirements of§1500)
❑ Central hot water systems serving six or fewer dwelling units which have(1)less than 25' of distribution piping
outdoors;(2)zero distribution piping underground;(3)no recirculation pump;and(4)insulation on distribution
piping that meets the requirements of Section 1500)
❑ Central hot water systems serving more than 6 dwelling units-presence of either a time control or a
time/temperature control
DECLARATION STATEMENT
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized
representative of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)
conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I reviewed a copy of the Certificate of Compliance(CF-1R)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
Company Name: (InstallingSu�c�General Contractor or Builder/Owner)
Responsible Person's Name- Responsible Person's Signature:
Go t%c
CSLB License: Date 'gn dam�: Position With Company( itle).
2008 Residential Compliance Forins August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems,Ducts and Fans (Page I of 2)
Sit A dr s: Enforcement Agency: PT
umber:
1/ P1l
Space Conditioning Systems
Heating Equipment
Duct
Efficiency Location
Equip (AFUE, (attic,
Type ARI #of etc.)"' crawl- Heating Heating
(package- CEC Certified Mfr.Name Reference Identical (>_CF-1R space, Duct Load Capacity
heat um ) and Model Number Number 2 Systems value)4 etc.) R-value (Btu/hr) (Btu/hr)
Cooling Equipment
Efficiency Duct
Equip (SEER Location
Type and EER) (attic,
(package #of 1,3 crawl- Cooling Cooling
heat CEC Certified Mfr.Name ARI Reference Identical (>_CFAR space, Duct Load Capacity
um ) and Model Number Number 2 Systems value)4 etc.) R-value (Btu/hr) (Btu/hr)
1. If project is nely construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative
compliance.
2.ARI Reference Number can be found by entering the equipment model number at http://lviviv.aridirecto7y.org/ari/ac.plip#
3. Listed efficiency on this page must be greater than or equal(>_)to the value shown on the CF-1 R form.
a. Whew CF-1R is reference it is also applicable to the CF-1R, CF-IR-AA or CF-IR-ALT
19§1
L BOXES MUST BE CHECKED TO BE A VALID FORM
�I{ §110-§113:HVAC equipment is certified by the California Energy Commission.
§150(h):Heating and/or cooling loads calculated in accordance with ASHRAE,SMACNA,or ACCA.
§I50(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of§I12(c).
§1500)2:Pipe insulation for cooling system refrigerant suction,chilled water and brine lines meets minimum
requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems,Ducts and Fans (Page 2 of 2)
Site Address- Enforcement Agency: Permit ilz
0 en JvW
Ducts and Fans
§150(m):Duct and Fans
1.All air-distribution system ducts and plenums installed,sealed and insulated to meet the requirements of CMC
Sections 601,602, 603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a
minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic,tape
or other duct-closure system that meets the applicable requirements of UL 181,UL 181A,or UL 181B or aerosol
sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch,the
combination of mastic and either mesh or tape shall be used;and
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.
El 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.
VJ 7.Exhaust fan systems have back draft or automatic dampers.
8.Gravity ventilating systems serving conditioned space have either automatic or readily accessible,manually
operated dampers.
9.Protection of Insulation.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.
0 10.Flexible ducts cannot have porous inner cores.
DECLARATION STATEMENT
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized
representative of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)
conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available-with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
CompanyN e: (Installing Sybcontrac��a�ntractor or Builder/Owner)
7AI
Responsible Person's NC.-ammee%/(`/ Responsible Person's Signature•
N
CSLB Licen e: Date Siped- Position With Company ti itle)•
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-05
Indoor Air Quality and Mechanical Ventilation (Page I of 5)
Site Address: Enforcement Agency: PermitNumbe��
Ventilation for Indoor Air Quality(IAQ): All dwelling units shall meet the requirements of ANSUASHRAE standard 62.2.
Ref Title 24 Part 6 Section 150(0). Equation and table numbering on this CF-611?corresponds to the numbering for that
information in the published ASHRAE Standard 62.2.
WHOLE-BUILDING VENTILATION
Ventilation Rate: A mechanical supply system,exhaust system,or combination thereof shall provide whole-building
ventilation with outdoor air each hour at no less than the rate in equation 4.1 a. For dwelling occupant densities known to be
greater than(Nb,+ 1),the rate shall be increased by 7.5 cfm for each additional person.
Where: Enter Eq 4.1a Calculation:
(Eq.4.1 a) Qf,,=0.01 A +7.5(Nb,+ ]) Anoor=conditioned floor area,fi Afl OOT=
fl°°` Nb,=number of bedrooms:not to be less than one Nb,=
Qf.=ventilation air requirement=fan flow rate,(cfm) Qfan=
Delivered Ventilation: The effective ventilation rate of an intermittent system is the combination of its delivered
capacity,its fractional on-time,cycle time,and the ventilation effectiveness from Table 4.2. This calculation only applies
to intermittent systems.
Where: Enter Eq 4.2 Calculation
Q =ventilation air requirement from Eq.4.1a(above) (if applicable).
{) f r dailyfractional on-time, % Q`
(Eq.4.2) Qf=Qr�(Ef) ( ) _
e=ventilation effectiveness(from Table 4.2) f
Qf=fan flow rate during the on-cycle(cfm) E
Qf=
Table 4.2—Ventilation Effectiveness for Intermittent Fans Whole-Building Ventilation Rate Summary
Select the method used to provide Whole-
Daily Fractional On Time,f Ventilation effectiveness,e Building Ventilation and enter the required fan
f<35% 0.33 flow rate(cfm). Select one:
35%:S f<60% 0.50 ❑ Continuous fan flow(cfm)= 70
60%<f<80% 0.75 Intermittent fan flow(cfm)= f v
Use the fan flow rate from this summary for
80%<f 1.0 selection of the whole-building ventilation fan
and for the duct design for the whole-building
Fan runs at least once every 1.0 ventilation system. Provide the system design
three hours information in applicable sections below.
LOCAL VENTILATION EXHAUST
Local mechanical exhaust fans shall be installed in each kitchen and bathroom. The minimum airflow rates shall be at least
the amount indicated in tables 5.1 and 5.2.
Table 5.1 Table 5.2
Intermittent Local Ventilation Exhaust Airflow Rates Continuous Local Ventilation Exhaust Airflow Rates
Application Airflow Notes Application Airflow Notes
Vented range hood Based on Kitchen
Kitchen 100 cfin required if exhaust fan Kitchen 5 ACH Volume
flow is less than 5 ACH
Bathroom 50 cfm Bathroom 20 cfin
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-05
Indoor Air Quality and Mechanical Ventilation (Page 2 of 5)
SitedSitetdZ es / pAn'Vil Enforcement Agency: Permit Numbe *ll A,
VENTILATION SYSTEM DESIGN—Fan selection and duct design criteria for compliance
The airflow rates required refer to the delivered airflow of the system as installed and tested using a flow hood,flow grid, or other
airflow measuring device. Alternatively,the airflow rating at a pressure of 0.25 in.w.c.of a certified fan may be used to demonstrate
compliance without testing of the airflow of the installed system,provided the system duct sizing meets the prescriptive requirements of
Table 7.1, or manufacturer's design criteria. Other methods may be used to provide the required ventilation rates when approved by a
licensed design professional,subject to confirmation of delivered ventilation airflow of the installed system. Central Fan Integrated
(CFI)ventilation systems shall demonstrate compliance by field testing of the delivered ventilation airflow of the installed system.
WHOLE-BUILDING VENTILATION SYSTEM DESIGN-Identify the ventilation system design criteria
(select one criteria from this column) Requirements for installer to demonstrate compliance with Airflow Test
code Required?
Enter the installed ventilation air-moving equipment
information and the installed ventilation duct system
(Prescriptive design(Table 7.1) information in the tables below,and certify on the CF-6R that no
the installed system conforms to the Table 7.1 prescriptive
design criteria.
Central forced air system fans used in Central Fan Integrated
ventilation systems shall demonstrate, in air distribution mode,
❑ Central Fan Integrated(CFI) a watt draw less than 0.58 W/CFM per Standards §151(f)l 1. yes
Submit a CF-6R-MECH-22-HERS form for each forced air unit
used for a CFI system. HERS verification is required.
Enter the installed ventilation air-moving equipment
information and the installed ventilation duct system
❑Engineered Design information in the tables below,and certify on the CF-6R that yes
the installed system conforms to the engineered ventilation
system design approved by the enforcement agency.
Enter the installed ventilation air-moving equipment
information and the installed ventilation duct system
❑Manufacturer's design criteria information in the tables below,and certify on the CF-6R that no
the installed system conforms to the manufacturer's ventilation
system duct design criteria.
LOCAL VENTILATION SYSTEM DESIGN-Identify the ventilation system design criteria
(select one criteria from this column) Requirements for installer to demonstrate compliance with Airflow Test
code Required.
Enter the installed ventilation air-moving equipment
information and the installed ventilation duct system
1�Prescriptive design(Table 7.1) information in the tables below,and certify on the CF-6R that no
the installed system conforms to the Table 7.1 prescriptive
design criteria.
Enter the installed ventilation air-moving equipment
information and the installed ventilation duct system
❑Engineered Design information in the tables below,and certify on the CF-6R that yes
the installed system conforms to the engineered ventilation
system design approved by the enforcement agency.
Enter the installed ventilation air-moving equipment
information and the installed ventilation duct system
❑Manufacturer's design criteria information in the tables below,and certify on the CF-6R that no
the installed system conforms to the manufacturer's ventilation
system duct design criteria.
2008 Residential Compliance Formas August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-05
Indoor Air Quality and Mechanical Ventilation (Page 3 of 5)
Slie Ad re Enforcement Agency: Permit Naber:
Table 7.1 Prescriptive Duct Sizing Requirements
Diameter,(in) Flex Duct Smooth Duct
Fan Rating din
0.25 in.w. 50 80 100 125 50 80 100 125
Maximum Allowable Duct Length(ft)
Diameter,(in) Flex Duct Smooth Duct
3 X X X X 5 X X X
4 70 3 X X 105 35 5 X
5 NL 70 35 20 NL 135 85 55
6 NL NL 125 95 NL NL NL 145
7 and above NL NL NL NL NTL NL NL NL
This table assumes no elbows. Deduct 15 ft of allowable duct length for each turn,elbow,or fitting. Interpolation and extrapolation in
Table 7.1 is not allowed. For airflow values not listed,use the next higher value. This table is not applicable for airflow>125 cfrn.
NL=no limit on duct length of this size.
X=not allowed,any length of duct of this size with assumed turns,elbows,fittings will exceed the rated pressure drop.
INSTALLED VENTILATION AIR-MOVING EQUIPMENT 1N'FORMATION
Ventilation devices and equipment shall be tested and rated by HVI procedures for airflow and sound. Sound rating maximum is I.0
sone for all continuous duty fans;I.0 sone for intermittent duty whole-building fans;and 3.0 sone for intermittent duty local exhaust
fans. Refer to the Residential Compliance Manual section 4.6 for information about exclusions to these sound rating requirements. In
the table below, list the an equipment installed that meets there uirement or vAole uilding ventilation and local ventilation exhaust.
Fan or System Fan Power
System Type Required Fan Certified Sound Ratio
Name or (WBV Airflow3 Manufacturer Fan Airflow Rating Fan (Watt per
Location' or LVE) (CFM) Name Model Numbers (CFM) (Sone) Watts' CFM)9
1)Enter the Fan or System Identification Name or Location Name or System Identifier(e.g. "Bath02""MastBath", Xitchen0l').
2)What type of ventilation requirement is the fan specified to meet?TYBV(whole-building ventilation)or LVE(local ventilation exhaust).
3)Enter the required ventilation airflow values determined by the calculations or tables in the WHOLE-BUILDING VENTILA TION
and/or LOCAL VENTILATIONEXHA USTsections at the beginning of this Installation Certificate(CFS. At least one fan must be
designated for usefor compliance with the"Whole-Building Ventilation"requirement.
4)Enter the fan manufacture's name.
5)Enter the fan model number or series number.
6)Enter thefan's Certified Airflow rating at 0.25 inch w.c. (CFM). Fans rated at less than 0.25 inch w.c. (e.g. 0.]inch w.c.)cannot be
used to comply with the ventilation requirements using the prescriptive design criteria in Table 73. 7his certified airflow rating value
must be equal to or greater than the required airflow f rom column 3 of this table when demonstrating compliance using Table 7.I.
7)Enter thefan's certified sound rating(Sone)
8)Enter the fan watt draw
9)Divide the Watt value from column 8 by the Certified Airflow value(CFM)f-om column 6. For dwellings utilizing the performance
energy compliance method,for standalone whole-building ventilation systems(does not apply to local ventilation exhaustfans), the
fan power ratio must be less than orequal to the fat power ratio value reported on the Performance CF-IR.
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-611-MECH-05
Indoor Air Quality and Mechanical Ventilation (Page 4 of 5)
Site d ess: Enforcement Agencv: Permit Num r-INSTALLED VENTILA ON DUCT SYSTEM INFORMATION
Airflows required by the standard refer to delivered airflow of the installed system as determined by testing with a flow hood,flow grid,
or other measuring device. Alternatively,the installed equipment's HVI airflow rating at a pressure of 0.25 inch w.c.may be used,
provided the system can be inspected to confirm the duct sizing meets the prescriptive requirements of Table 7.1, or manufacturer's duct
design criteria.
Fan or Compliance Required Airflow Number of Actual Allowable Pass
System Name Method2 Airflow3 Test' Elbows and Duct Lenoth7 Duct Length8 or
or Location] (T;P;or M) (CFM) (CFM) Duct TyPe5 Fittin s6 (ft) (ft) Fail°
1. Enter the Fan or System Identification Name,or Location Name,or System Identifier. These should be the same identifiers as shown
in the INSTALLED VENTILA TION AIR-MOVING EQUIPMENT INFORMATION table column 1 above.
2. Enter the]method for demonstrating compliance with the ventilation airflow requirements. Enter"T"for Tested;"P"for Prescriptive
Table 7.1 design criteria(inspection); "M"for Manufacturer's duct design criteria(inspection). Note:the building official may
require submittal of manufacturer's published design criteria documentation if compliance is to be demonstrated by inspection of the
installation for conformance to manufacturer's design criteria.
3. Enter the required ventilation airflow values determined by the calculations or tables in the WHOLE-BUILDING VENTILATION
and/orLOCAL VEAWLATIONEXHA UST sections at the beginning of this Installation Certificate(CFM. These should be the same
airflow values that were entered for each corresponding fan in column 3 of the INSTALLED VENTILATIONAIR-MOVING
EQUIPMENT INFORMATION table above.
4. If complying by a method that requires an Airflow Test of the installed system, enter the resultfrom the Airflow Test for the installed
system(CFM).
5. Enter duct type for the installed system. Choices are'Flex"or"Smooth"if using Table 7.1 for compliance.
6. Enter total number of elbows or f ttings or abrupt turns in the ventilation duct for the installed system.
7. Enter the installed system's actual total duct length(ft).
8. If complying by use of the prescriptive design criteria or manufacturer's design criteria, enter the Maximum Allowable Duct Length
(ft)for the system as determined by Table 7.1 or manufacturer's duct design criteria.
9. If complying by airflow test, the system passes if the Tested Airflow°equals or exceeds the Required Airflowj. If complying by
demonstrating conformance to prescriptive design criteria or manufacturer's design criteria, the system passes if actual total duct
len th rwn column 7 is less than the maximum allowed length rom column 8. Enter: Pass or Fail
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-05
Indoor Air QuaHty and Mechanical Ventilation (Page 5 of 5)
Site Ad ess Enforcement Agency: Permi Nu b�r:�
/ I
OTHER REQUIREMENTS
The items listed below(6.1 through 6.8)correspond to the information given in ASHRAE 62.2 Section 6"Other Requirements". Refer
also to Chapter 4.6 of the Residential Compliance Manual(Section 4.6.5)for information describing these "Other Requirements". The
signature of the Responsible Person in the declaration statement below cerfifies that the building complies with these requirements
specified in ASHRAE 62.2 Section 6.1 thorough 6.8 if applicable.
❑ 6.1 Transfer Air
❑ 6.2 Instructions and Labeling
❑ 6.3 Cloths Dryers
❑ 6.4 Combustion and solid-fuel burning appliances
❑ 6.5 Garages
❑ 6.6 Ventilation Opening Area
❑ 6.7 Minimum filtration
❑ 6.8 Air Inlets
❑ Prescriptive Designs: For ventilation systems that utilize prescriptive design criteria,the signature of the Responsible
Person in the declaration statement below certifies that the installed system conforms to the prescriptive ventilation
system design criteria from Table 7.1 of Standard 62.2 and manufacturer's installation specifications.
❑ Engineered Designs: For ventilation systems that utilize engineered design criteria,the signature of the Responsible
Person in the declaration statement below certifies that the installed system conforms to the engineered ventilation
system design documentation approved by the enforcement agency.
❑ Manufacturer's design criteria: For ventilation systems that utilize manufacturer's design criteria,the signature of the
Responsible Person in the declaration statement below certifies that the installed system conforms to the manufacturer's
published duct system design criteria and installation specifications.
DECLARATION STATEMENT
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized
representative of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)
conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the doc/Ilnentation the builder provides to
the building owner at occupancy.
Compan Mame: (Installing Subcontractor or General Contractor or Builder/Owner)
7-Al
Responsjble Person's It'am : Responsible Person's Signature:
CSLB License: Date Sig ed: Position With Company(Title):
2008 Residential Compliance Forms August 2009
BUILDING ENERG '. ORT
FAt
L.
PROJECT:
REMODEL & ADDITION -
7541 ORANGE BLOSSOM DRIVE
SUBMITTAL CUPERTINO, CA
#3 Project Designer:
�tP 13 2010
180 Martingale Dr. ^�
Fremont, CA 94539
510-656-8287
Report Prepared by:
Lung Hwa Associate � �� IA
Job Number:
10-02
Date:
8/11/2010
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report.This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC—www.energysoft.com.
EnergyPro 5.0 by EnergySoft User Number. 4745 RunCode:2010-08-11T16:32:2 ID: 10-02
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Form CF-1 R Certificate of Compliance 3
Form MF-1 R Mandatory Measures Summary 8
HVAC System Heating and Cooling Loads Summary 11
Room Load Summary 12
Room Heating Peak Loads 13
Room Cooling Peak Loads 14
UserNumber4745
Ener Pro 5 0 b Ener Soft Job Number: �D: 10 02-
9Y Y --9Y- ---- - —----- --
PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R
Project Name Building Type [a Single Family m Addition Alone Date
REMODEL &ADDITION ❑ Multi Family EI Existing+ Addition/Alteration 8/11/2010
Project Address California Energy Climate Zone Total Cond. Floor Area Addition #of Stories
7541 ORANGE BLOSSOM DRIVE CUP CA Climate Zone 04 786 786 1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes 0 No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special
Construction Type Cavity (ft ) Features (see Part 2 of 5) Status
Floor Wood Framed w/Crawl Space R-19 786 New
Roof Wood Framed Attic R-30 1,548 Radiant Barrier New
Wall Wood Framed R-13 966 Ext=R-13.0 Int=R-13.0 New
Door Opaque Door None 20 New
Door Opaque Door None 20 New
FENESTRATION U- Exterior
Orientation Area(fo Factor SHGC Overhang Sidef ins Shades Status
Skylight 7.0 0.370 0.29 none none None New
Front(S) 67.9 0.390 0.37 none none Bug Screen New
Rear(N) 96.0 0.390 0.37 none none Bug Screen New
Right(E) 72.0 0.390 0.37 none none Bug Screen New
HVAC SYSTEMS
aty. Heating Min. Eff Cooling Min. Eff Thermostat Status
1 Central Furnace 80%AFUE Split Air Conditioner 13.0 SEER Setback Existing
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R-Value Status
HVAC Ducted Ducted Crawlspace 4.2 Altered
WATER HEATING
Qty. Type Gallons Min. Eff Distribution Status
Ener yPro 5.0 by EnergySoft User Number.4745 Run Code:2010-08-11T16:32:2 ID. 10-02 Page 3 of 14
ProjeAct Name Building Type ® Single Family ® Addition Alone Date
REMODEL 81 ADDITION ❑ Multi Family ❑ Existing+Addition/Alteration 8/11/2010
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
The Roof R-30 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential
Appendix RA4.2.2.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF-4R form for each of the measures listed below for final to be given.
Pa e4 of 14
Ener Pro 5.0 t)v Ener Soft User Number:4745 Run Code:2010-08-11T16:32:2 ID: 10-02
PERFORMAINCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R
Prosect Name Building Type m Single Family 10 Addition Alone Date
REMODEL & ADDITION ❑ Multi Family ❑ Existing+ Addition/Alteration 8/11/2010
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV (kgtu/ftp-yr
Space Heating 24.21 26.22 -2.02
Space Cooling 33.04 30.76 2.28
Fans 12.46 12.02 0.44
Domestic Hot Water 0.00 0.00 0.00
Pum s 0.00 0.00 0.00
Totals 69.71 69.00 0.70
Percent Better Than Standard: 1.0%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (S) 180 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 0.33 (S) 394 68
Fuel Available at Site: Natural Gas (W 246 0
Raised Floor Area: 786 (N) 356 96
Slab on Grade Area. 0 (E) 246 72
Average Ceiling Height: 9.0 Roof 1,555 7
Fenestration Average U-Factor: 0.39 TOTAL: 243
Average SHGC: 0.37 Fenestration/CFA Ratio: 30.9%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author 6C,
Company Lung Hwa Associates, Li-Sheng Fu AIA
Address J\ /ldci��'I)� i�� j- Name 1 _� � 1"� ,-r 8/11/2010
fr{�iyy�.pyL� . Phone Sf0" 65: -�Z Si ed Date
City/State/Zp1�C�
The individual with overall design responsibility hereby certifies that the propose&bdilding design r sented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company ((yy©b/(
Address 180 Martingale Dr. Name Li-Sheng Fu a
City/State/Zip Fremont, CA 94539 Phone 510-656-8287 igned cense# Date
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CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R
Protect Name Building Type 10 Single Family 10 Addition Alone Date
REMODEL & ADDITION ❑ Multi Family ❑ Existing+ Addition/Alteration 8/11/2010
OPAQUE SURFACE DETAILS
Surface U- Insulation Joint Appendix
_Type Area Factor Cavit Exterior Frame AorFrame Azm 1-ilt Status 4 Location/Comments
Floor 786 0037 R-19 0 180 New 4.4.1-A4 (N)FLOOR
Roof 1,548 0.030 R-30 0 0 New 4.2.1-A20 (N)FLOOR
Wall 306 0.066 R-13 13 Wood Wood 180 90 New 4.3.1-A3 (N)FLOOR
Door 20 1.450 None 180 90 New 4.5.1-A1 (N)FLOOR
Wall 260 0.066 R-13 13 Wood 13 Wood 0 90 New 4.3.1-A3 (N)FLOOR
Wall 226 0.066 R-13 13 Wood 13 Wood 270 90 New 4.3.1-A3 (N)FLOOR
Door 20 0.500 None 270 90 New 4.5.1-A4 (N)FLOOR
Wall _ 174 0.066 R-13 13 Wood 13 Wood 90 90 New 4.3.1-A3 (N)FLOOR
FENESTRATION SURFACE DETAILS
ID Type Area — U-Factor ISHGC2 Azm Status Glazing Type Location/Comments
1 Skylight 7.0 0.370 NFRC 0.29 NFRC 0 New Velux Comfort(75)Lowe2/Arg (N)FLOOR
2 Window 67.9 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low-E Vinyl (N)FLOOR
3 Window 96.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low-E Vinyl (N)FLOOR
4 Window 72.0 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low-E Vinyl (N)FLOOR
(1)_UFactor Type: 116-A=Default Table from Standards, NFRC=Labeled Value
(2) SHGC Type: 116-B=Default Table from Standards, NFRC=Labeled Value
EXTERIOR SHADING DETAILS
Window Cive hanq Left Fin Ri ht Fin
ID Exterior Shade TVpe SHGC H t Wd Len I H t L.Ext RExt Dist Len H t Dist Len H t
1 None 1.00
2 Bug Screen 0.76
3 Bug Screen 0.76
4 Bug Screen 0.76
Ener Pro 5.0 by Ener Soft User Number.4745 RurrCode:2010-08-11T16:32:2 ID:=10-02P,
�,, CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF-1 R
Project Name Building Type © Single Family m Addition Alone Date
REMODEL &ADDITION ❑ Multi Family ❑ Existing+Addition/Alteration 8/11/2010
BUILDING ZONE INFORMATION
Floor Area ft
_
System Name Zone Name New Existin Altered Removed Volume Year Built
HVAC NEW FLOOR 786 7,074
Totals 786 0 0 0
HVAC SYSTEMS
System Name Qt Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
HVAC 1 Central Furnace 80%AFUE Split Air Conditioner 13.0 SEER Setback Existing
HVAC DISTRIBUTION
Duct Ducts
System Name Heatin Coolin Duct Location R-Value Tested? Status
HVAC Ducted Ducted Crawlspace 4.2 ❑ Altered
WATER HEATING SYSTEMS
Ext.
Rated Tank Energy Standby Tank
Input Cap. Factor Loss or Insui. R-
S stem Name Qt ___Type Distribution (Btu h) al or RE Pilot Value Status
CEC Standard
MULTI-FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING
Hot Water Piping Length
E ft Cr
E \ `�
»= T � Pipe Pipe Insul.
Control Qty. HP Plenum Outside Buried Q c System Name Len th Diameter Thick.
❑ ❑
❑ ❑
❑ ❑
Ener Pro 5.0 by Ener Soft User Number 4745 RunCode:2010-08-11T16:32:2 ID: 10-02 Pa e 7 of 14
4
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF-1 R
Project Name Date
REMODEL &ADDITION 8/11/2010
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF-1 R, CF-1 R-ADD, or CF-
1 R-ALT Form) shall supersede the items marked with an asterisk (`) below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF-1 R
Form with plans.
Building Envelope Measures:
116 a 1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field-fabricated windows) have a label listing the certified U-Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration that meets the requirements of§10 111(a).
117: Exterior doors and windows are weather-stri ed;all 'oints and penetrations are caulked and sealed.
§118(al: Insulations ecified or installed meets Standards for Insulatin Material. Indicate t e and include on CF 6R Form.
§11 8(i):The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of§118(i)when the
installation of a Cool Roof is specified on the CF-1 R Form.
'§150(a): Minimum R-19 insulation in wood-frame ceiling orequivalent U-factor.
150 b : Loose fill insulation shall conform with manufacturer's installed design labeled R-Value.
'§I50(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. _
'§150(d): Minimum R-13 insulation in raised wood-frame floor orequivalent U-factor.
150(f):Air retarding wrap is tested, labeled,and installed according to ASTM E1677-95 2000 when specified on the CF-1 R Form.
150 : Mandator Va or barrier installed in Climate Zones 14 or 16.
§150(1):Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%;water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1 A: Masonry or factory-built fire laces have a closable metal or lass door coverin the entire o enin of the firebox.
§150(e)1 B: Masonry or factory-built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a
readily accessible, o erable, and ti ht fittin dam er and or a combustion air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket,when that indoor air is vented to the
outside of the building,are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5:Water heating recirculation loops serving multiple dwelling units and High-Rise residential occupancies meet the air release
valve, backflow prevention, um isolation valve, and recirculation loo connection re uirements of 113 c 5.
015. 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
s a heaters.
150 h : Heatin and/or coolin loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
1 50A : Heating systems are e ui ed with thermostats that meet the setback re uirements of Section 1 12(c).
§150(j)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation havin an installed thermal resistance of R-12 or reater.
§150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water-heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R-value is indicated on the exterior of the
tank.
§150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non-recirculating systems, and entire length of
recirculatinq sections of hot water pipes are insulated per Standards Table 150-8.
§150fj)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§150@2: Pipe insulation for steam hydronic heating systems or hot water systems>15 psi, meets the requirements of Standards Table
123-A.
1 50 3A: Insulation is rotected from dama e, includin that due to sunli ht, moisture, e ui ment maintenance, and wind.
§1 50(j Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned s ace.
150 4: Solar water-heating systems andior collectors are certified b the Solar Ratin and Certification Cor oration.
EnergyPro 5.0 by EnergySoft User Number.4745 RunCode:2010-08-11T16:32:22 ID: 10-02 Page 8 of 14
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF-1 R
Protect Name Date
REMODEL &ADDITION 8/11/2010
§150(m)1:All air-distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct-closure system that meets the
applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape s
used to seal openings greater than 1/4 inch the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D:Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such to e is used in combination with mastic and draw bands.
150 m 7: Exhaust fan systems have back draft or automatic dampers.
dampers.: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from
damage, including that due to sunlight, moisture, equipment nainlenance�andwind.Cellular foaminsulation shall beprotected as above orpainted with a coating that is water retardant and pvides g from solar
radiation that can cause degradation of the material.
§150(m)10: Flexible ducts cannot have porous inner cores.
§150(o):All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low-Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a):Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater;a permanent weatherproof plate or card with operating instructions;and
shall not use electric resistance heating ora pilot light.
§1 14(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 .
114 b 2: Outdoor ools ors as that have a heat um or as heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
ro rammed to run onl Burin off- eak electric demand eriods.
1 50 : Residential pool systems orequipment meet the pump sizing,flow rate, piping,filters, and valve requirements of§150
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by§150(k)2.
150 k 3:The watta e of ermanentl installed luminaires shall be determined asspecified by§130(d),
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line-voltage socket or line-
voltage lamp holder;OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw-base socket.
§150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of§150 k .
150(k)7: All switching devices and controls shall meet the requirements of§150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50%high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi-scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual-on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.0 by EnergySoff User Number:4745 Run Code:2010-08-11T16:32:22 ID. 10-02 Page 9 of 14
�VIANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF-1 R
rolect Name 7DteREMODEL & ADDITION 1/2010
§150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of§119, or by a manual-
on occupant sensor that complies with the applicable requirements of§119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11. _
§150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact(IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory;and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283;and be sealed with a gasket or caulk between
the luminaire housin and ceilin .
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low rise residential buildings with four or more
dwelling units, entrances, balconies, and porches,which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol;OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock;OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool,water features,or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw-base socket, and consume no
more than five watts of power as determined according to§130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)16: Permanently installed lighting in the enclosed, non-dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to complywith thea licable re uirements of 119.
EnergyPro 5.0 by EnergySoft User Number 4745
RunCode:2010-08-11T16:32:22 ID: 10-02 Page 10 of 14
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Vroject Name Date
REMODEL & ADDITION 8/11/2010
System Name Floor Area
HVAC 786
ENGINEERING CHECKS SYSTEM LOAD
Number of Systems 1 COIL COOLING PEAK COIL HTG. PEAK
Heating System CFM Sensible Latent CFM Sensible
Output per System 89,000 Total Room Loads 579 11,360 779 248 _12,820
Total Output(Btuh) 89,000 Return Vented Lighting 0
Output(Btuh/s ft) 113.2 Return Air Ducts 558 1,052
-Cooling System Return Fan 0 0
Output per S stem 46,500 Ventilation 0 0 0 0 0
Total Output(Btuh) 46,500 Supply Fan 0 0
Total Output(Tons) 3.9 Supply Air Ducts 558 1.052
_Total Output(Btuh/sgft) 59.2
Total Out ut(s ft/Ton) 202.8 TOTAL SYSTEM LOAD 12,476 779 14.924
Air System
CFM per System 1,680 HVAC EQUIPMENT SELECTION
Airflow(cfm) 1,680 Bryant 550AN048-E/311JAV048110 34,070 12,225 89,000
_Airflow(cfm/sqft) 2.14
Airflow(cfm/Ton) 433.5
Outside Air(%) 0.0% Total Adjusted System Output 34,070 12,225 89,000
Outside Air(cfm/s ft) 0.00 (Adjusted for Peak Design conditions)
Note:values above given at ARI conditions TIME OF SYSTEM PEAK Aug 3 PM Jan 1 AM
HEATING SYSTEM PSYCHROMETRICS(Airstream Temperatures at Time of Heating Peak)
Outside Air
0 cfm SupplyFan Heating Coil
1,680 cfm
ROOM
COOLING SYSTEM PSYCHROMETICS(Airstream Temperatures at Time of Cooling Peak)
Outside Air
0 cfm Supply Fan Cooling Coil
1,680 cfm ROOM
48.7% O4V!M
EnergyPro 5.0 by EnergySoft User Number 4745 RunCode:2010-08-11T16:32:22 ID: 10-02 Page 11 of 14
ROOM LOAD SUMMARY
Project Name Date
REMODEL &ADDITION 8/11/2010
System Name Floor Area
HVAC 786
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
(N)FLOOR NEWFLOOR 1 579 11,360 779 579 11,360 779 248 12,820
PAGE TOTAL [�5�7911,360 779 248 12,820TOTAL* 11,360 779 248 12,820
Total includes ventilation load for zonal systems.
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ROOM HEATING PEAK LOADS
Project Name Date
REMODEL &ADDITION 8/11/2010
ROOM INFORMATION DESIGN CONDITIONS
Room Name NEW FLOOR Time of Peak Jan 1 AM
Floor Area 786.0 ftZ Outdoor Dry Bulb Temperature 28 OF
Indoor Dry Bulb Temperature 68-F
Conduction Area U-Value AT OF Btu/hr
R-19 Floor Crawlspace 786.0 X 0.0370 X 40 = 1,163
R-30 Roof Attic 1,548.0 X 0.0298 X 40 = 1,845
Velux Comfort(75)Lowe2/Arg 7.0 X 0.3700 X 40 = 104
R-13 Wall 966.1 X 0.0658 X 40 = 2,542
Milgard Classic Low-E Vinyl 235.9 X 0.3900 X 40 = 3,680
Wood Door 40.0 X 1.4500 X 40 = 2,320
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
—— X X = -- -
X X =
X X =
-- X X =
Page Total 11,654
Items shown with an asterisk(`)denote conduction through an interior surface to another room Pa 9
Infiltration:[ 1.00 X 1.077 X 786 X 9.00 X 0.379 /60 X 40 = 1.926
Schedule Air Sensible Area Ceiling Height ACH AT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM 12,820
EnergyPro 5.0 by EnergySoft User Number:4745 Run Code:2010-08-11T16:32;2 ID: 10-02 Page 13 of 14
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name Date
REMODEL &ADDITION 8/11/2010
ROOM INFORMATION DESIGN CONDITIONS
Room Name NEW FLOOR Outdoor Dry Bulb Temperature 88 OF
Floor Area 786.0 ft2 Outdoor Wet Bulb Temperature 68 OF
Indoor Dry Bulb Temperature 78 OF I Outdoor Daily Range: 30 OF
Opaque Surfaces Orientation Area U-Factor CLTD' Btu/hr
R-19 Floor Crawlspace 786.0 X 0.0370 X 4.0 = t70
R-30 Roof Attic (N) 1,548.0 X 0.0298 X 37.0 =R-13 Wall (S) 306.1 X 0.0658 X 6.0 =
Wood Door (S) 20.0 X 1.4500 X 6.0 = 174
R-13 Wall (N) 260.0 X 0.0658 X 3.0 = 51
R-13 Wall (W) 226.0 X 0.0658 X 13.0 = 193
Wood Door (W) 20.0 X 0.5000 X 13.0 = 130
R-13 Wall (E) 174.0 X 0.0658 X 13.0 = 149
X X =
Page Total 2,641
Items shown with an asterisk(`)denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference(CLTD)
Shaded Unshaded
Fenestration Orientation Area GLF Area GLF Btu/hr
Skylight (N) 0.0 X 11.9 + 7.0 X 11.9 = 83
Window (S) 0.0 X 14.9 + 67.9 X 20.5 = 1,389
Window (N) 0.0 X 14.9 + 96.0 X 14.9 = 1,428
Window (E) 0.0 X 14.9 + 72.0 X 37.4 = 2,692
X + X -
X + X -
X + X -
X + X -
X + X -
Page Total 5,593
Internal Gain Btu/hr
Occupants 4.0 Occupants X 230 Btuh/occ. = EA1,
E ui ment 1.0 Dwelling Unit X 1,600 Btu =
Infiltration: 1.077 X 0.61 x 48.67 X 10 = 321
Air Sensible CFM ELA AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 11,360
Latent Gain Btu/hr
Occu ants 4.o Occupants X 20o gtuh/occ. _
Soo
Infiltration: 4,830 x 0.6i X 48.67 X 0.00015 = -21
Air Sensible CFM ELA AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 779
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