13060135 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10878 SYCAMORE CT CONTRACTOR:DE SWANSON PERMIT NO: 13060135
CONSTRUCTION
OWNER'S NAME: DAVE MEHUYS 2433 CORY AVE DATE ISSUED: 12/04/2013
OWNER'S PHONE: 4087331617 SAN JOSE,CA 95128 PHONE NO:(408)891-0742
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL
��
G - LT ADD BALCONY,CHANGE ROOF LINE, REMODEL 182 SQ
License ClassLie.# FT
Contractor 5 W 1�i�SJ �/ Date �'Z -7 0i y IN MASTER LIVING ROOM, INSTALL RECESSED LIGHT IN
I hereby affirm that I am licensed under the provisions of Chapter 9 AREA 10 LIGHTS AND 4 SWITCHES,ADD FLOOR
(commencing with Section 7000)of Division 3 of the Business&Professions HEATING
Code and that my license is in full force and effect. REVISION#1-CHANGE DETAILS OF RAILING SYSTEM-ISSD OTC
I hereby affirm under penalty of perjury one of the following two declarations: 5/28/2014
1 have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$25000
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:34257036.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHI SYS 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 AST CALLED INSP 'CTI N.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses whichPitionally,
ay accrue against said City in consequence of the -5 2 6 /!/
granting of this permit the applicant understands and will comply Issued by: Date:
with all non-point s rcelations per the Cupertino Municipal Code,Section
9.18.
1�S"`Z(i i fr RE-ROOFS:
Signature -' Date_ _ / All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection,1 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
1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sea 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(x)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cup Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Seetions 5 5533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent: Dater
permit is issued.
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18,
Signature Date
CONSTRUCTION PERMIT APPLICATION
Is COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333 • buildinqCa)cupertino.org
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS APN# 1
cc,m r. G 10 .� t
OWNER NAME n I, In ^^��I� _/C PHONE TMAIL
_T_
STREET ADDRESS CITY, STATE,ZIP FAX
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY,STATE, ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME! �� LICENSE NUMBER ������ LICENSE TYPE BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NA ME E-MAIL FAX
STREET ADDRESS CITY.STATE,ZIP PHONE
DESCRIPTION OF WORK a`? „) r C /C ✓ r, / I I"I S
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODELAREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH
❑ATTACH
DWELLING UNITS. IS A SECOND UNIT YES SECOND STORY ❑YES
BEING ADDED? ONO ADDITION? ❑NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO
By my signature below,I certify to each of the Ilowing: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have prov` e 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 b In struction, I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agenc Date: 2 �— 2U� I
SUPPLEMENT L INFORMATION REQUIRED M.AK HECKTYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit forOVER-THE-COUNTER El BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of build'
permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD El PUBLICWORKS
form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_201 Ldoc revised 06/21/11
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10878 SYCAMORE CT CONTRACTOR:-�)i BE PERMIT NO:13060135
W_T A ED
OWNER'S NAME: DAVE MEHUYS v(rLSd-V DATE ISSUED: 12/04/2013
OWNER'S PHONE: 4087331617 worn bf.- PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
11
License Class Lic.# ?7_� 6& S t I ADD BALCONY,CHANGE ROOF LINE,REMODEL 182 SQ
L'' ✓ ,I�j G.� FT J 2. - �/ lcs�
Contractor /,� Date IN LIVING ROOM,INSTALL RECESSED LIGHT IN
I hereby affirm that I am licensed under the provisions of Chapter 9 MASTER
(commencing with Section 7000)of Division 3 of the Business&Professions AREA 10 LIGHTS AND 4 SWITCHES,ADD FLOOR
Code and that my license is in full force and effect. HEATING
I hereby affirm under penalty of perjury one of the following two declarations:
1 have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$250
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:34257036.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DA=AST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against Iiabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point so a regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date/Z 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
1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). t 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 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equi "t or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay ea Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cu rtino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections,, 5,2 533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: /� Date:
permit is issued. All
I certify that in the performance of the work for which this permit is issued,l 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,1 CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must 1 hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against Iiabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the 1 understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 6�S'�U �,�+n„v,� �� DATE: -/7 3 REVIEWED BY:
APN: BP#: 30a *VALUATION: $ ,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1GENRES
USE: I PERMIT TYPE:
WORK f0c1 le r
SCOPE
Elec.Plan Check 0.0 hrs $0.00
Elec.Permit Fee: IEPERMIT
Other Elec.Insp. 0.0 hrs $45.00
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the Dept-for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E�. 7f %1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 = # Balcony Addition
Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $733.00 1BALCONYAD
PME Plan Check: $0.00 = s.f. Remodel,Other
Permit Fee: $0.00 $400.00 IREMRESOTH
Suppl. Insp.Fee-.0 Reg. Q OT 0.0 hrs $0.00 ® Electrical
PME Unit Fee: $0.00 $45.00 1BREMRECEP Recep/Switch/Outlets
PME Permit Fee: $45.00 10 # Electrical
Cou."iP.- tion 'ax; ' $67.00 IBREMF'IXT Fixtures,Lighting
Administrative Fee: IADMIN $42.00
Work Without Permit? ® Yes Q No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential E)
Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure
i
Strong Motion Fee: 1BSEISMICR $2.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $135.501$1,245.001 TOTAL FEE: 1 $1,380.50
Revised: 04/29/2013
CONSTRUCTION PERMIT APPLICATION
h
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 VLp
(408) 777-3228 • FAX (408) 777-3333• buildinmeculaertino.org ,�
CUPERTINO
❑
NEW CONSTRICTION [-IADDITION EgAL`rERATION 1 TI ❑ REVISION 1 DEFFR,RF,.D ORIGINAL PERMIT r1
PRcn,l:rr.v>DREssI��'� CA vy10Yt C�-� APx k _ Z — 5-7_ 0 3�
OW'JER NA\II}^��t Q� �4 Da-e �f w, PHO\'f 7r:A�atein- me-IV)Ltq-s ,Ir,)rp
VI_ >
}/l V S4Q3--73--3-) (.-,77 ��e C�
r_ J
STRFLT ADDRESS 1 C),87 G is m 6rC c•ITY, STATF,7IP FAX
( ����� , ee CU tt�^^�r� O (2 f
CONTACT ?:1AIE l.�U l��� rupN[ 4�J �(Drrp �{8 ( E-ALAIL I ttU 1/ll(�GCG�d W —Gu�t ')q C(J
vn
STRETT ADDRESSI � C�O�� !`If v r C!TY,STATE, 7)P C,rye V� .� qn ` x
µTER (1A1T'FR-riCllf)FR f�❑BONA-,,TFR/AG NT V❑ CONTRACTOR ❑COh-TRAC70RR.A�GFNT ❑ ARCHITECT 7❑l ENGLNFER ❑ Dsivrl.OPF..R ❑ TT,."Ni
CONTRACTOR NAMF I.ICENSE NUMBER LICENSE TYPE HUS,L C s
CONIPAN'Y N, 7E L-MAIL FAX
STREET.ADDRESS -`.__..._.. C11 Y,STATE,ZIP PHONE
AR A`TES'"r!E'N`INEE �At<tE 1 (Q LICENSE NUMBER � Ri:s I.IC
COMPANY NAME J r-ASAI'. FAX
STREET ADDRESS CI T Y,STATF,ZIP PHONE
DESCRIPTION OF WORK
aQco C �'�-fi o- c4 a-
4,5,
EXiS3'I.SCi LUE PROPOSED USE, CONSTR.TYPE ! x STORIES f �
t;sly: I N11,E ()CC. SQ F?'_ vA1 u:,Tiov isi
1
EXISIG NESS'FLOOR DEASO 'OTAI.
AREA ARCA N/A_ AREA I(J/A- '4T-,T AR;:A .
BATHROOM KITCHEN 1 OTHER
RE.S10DELARFA RrFNMDEL.AREA �(� - ( RL`41oD[t..ARFA
PORfH AREA D __A
ECK ARF.A� Rr.
GARAGE A
��j�� iOT:AL UEC'k:.���OACH AAEA : DEThCFi
gATTACH I
l
C DWELLING L�':TS IS A SECOND UNIT �[]�YF:S SECON D STORY []YES
' BEING ADDED? '0:.0 ADDITION? E \0
-RF-APPLICATION' ;3�TS IF YES MOVIDE:Copy of IS THE BLDG AN ❑YI-S R1iCFIVFD HY:
I-AINNING ADPL,' E)NO PLANNFNG APPROVAL L .F ,F..R EICELER 11011E? O
By my signature below,t certify to each of the fol oxinR: I am the property orvncr or authorized agent to act on the property uwner s behaif. l have read this
application and the inforniation 1 have pr ided is c acct. nave read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to bt'di ucti 1 autho ' re reSentativesofCuperti to enter tlhc above-idem icd prepertm °or inspection purposcs.
Signature of Applicant/Agent: _. __ (L { _ ate:
S01)ITE!v-IE;N T'AT,INFORNtATION .QUIRE.[ P1..4y CIIECICTYPE ROUTING SLIP
Nets-SFD or Multif unily d,�vclliugs: Apply fDr demolition hermit for
----- ❑ OVER-ME-COUNTER ❑ BUILDING PL4N RENIM
existing building(s). Demolition pe-mii is required prior to issuance of buildin,
permit for new buildin;, ❑ EXPRESS ❑ PLANNING PLAN RE%IFAV
_CumHtercial Bides: Provide a completed hazardous,laterials Discloser; ❑ STANDARD ❑ PUBLICYYORKS
form if any Hazardous Materiak are heing used as part of this proiect.
LARGE ❑ FIRE DEPT
Copy of Planning Approti al Letter or Nleeung YY ith Planning prior to
1LAJOR u SANITARY SM-ER DISTRICT
Submittal of Building Permit application.
❑ ENV1ROAI11ENTAL 11EALT H .
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10878 SYCAMORE CT CONTRACTOR:DE SWANSON PERMIT NO: 13060135
CONSTRUCTION
OWNER'S NAME: DAVE MEHUYS 2433 CORY AVE DATE ISSUED: 12/04/2013
OWNER'S PHONE: 4087331617 SAN JOSE,CA 95128 PHONE NO:(408)891-0742
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL
� ADD BALCONY, CHANGE ROOF LINE, REMODEL 182 SQ
License Class J Lic.k � '6 S , FT IN LIVING ROOM,INSTALL RECESSED LIGHT II T
Contractor Df*r 5N/�/lSla!`z DateYU MASTER AREA 10 LIGHTS AND 4 SWITCHES,ADD FLOOR
C� / HEATING
I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION#2-ON SECOND DECK LEVEL,CHANGE DOOR
(commencing with Section 7000)of Division 3 of the Business&Professions SWING ON PROPOSED(N)DOOR& CONVERT(E)SECOND
Code and that my license is in full force and effect. WINDOW TO(N)DOOR(SAME SIZE, NO STRUCTURAL)-
I hereby affirm under penalty of perjury one of the following two declarations: ISSUED 6/10/14
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:$25000
j.J>dve 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:34257036.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180D PE IT 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 LED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses whic a rcrue against said City in consequence of the /b
granting of this permit ovally,the applicant understands and will comply sued by: Date: —
with all non-point so re a ulations per the Cupertino Municipal Code,Section
9.18.
.�� /` _ RE-ROOFS:
Signature Date // All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(See,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)show d 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 equip nt or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by th72/55, 5533,
Air Quality Management District
performance of the work for which this permit is issued. will maintain compliance with the Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Section and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this q _zc
permit is issued. Owner or authorized agent: Date
t/'
certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18,
Signature Date
CONSTRUCTION PERMIT APPLICATION
12 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO
(408) 777-3228• FAX (408)777-3333• buildingQcupertino.orq
/
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISION/DEFERRED ORIGINAL PERMIT# b U I �/
PROJECT ADDRESS #
APN
IU y�z 4,- C,` 2 -S _
OWNER NAME v PHONE _ �/ ` V 7 E-MAIL
STREET ADDRESS CITY, STATE,ZIP FAX
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY,STATE, ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ♦✓1 W / LICENSE N 4$ER, �_ LICENSE TYPE BUS.LIC#
COMPANY NAME i �Z v w �✓ ��/ E-MAIL FAX
STREET ADDRESS 7 ��,[�A/�L r CITY,STATE,ZIP P ONE Z
ARCHITECT/ENGINEER NAME " LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK _
oat
L LsvL{e- r- Y,/ L
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ,FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: LJDETACH
[]ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? ❑NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: TOTAL V.ALUA
PLANNING APPL# ❑No PLANNING APPROVAL LETTER EICHLER HOME? E]N
By my signature below,I certify to each of the llowing: I am the property owner or aut ed agent to act on the pro rty own s behalf. I have ad this
application and the information I have provi Kiorrect. I have read the Description o Workand verify it is accurat . Iagr c comply with all a plicable local
ordinances and state laws relating to b I got ' authorize representatives of Cupertino to enter the above- Ified property for inspection purposes.
Signature of Appl icant/Agent: Date: 10
SUPPLEMENTttFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EXPRESS- ❑ PLANNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. E]_MAJOR. El SANITARY SEWER DISTRICT -
❑ ENVIRONMENTAL HEALTH
BIdg,4pp 2011.doe revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 10878 sycamore ct DATE: 06/10/2014 REVIEWED BY: melissa
APN: 342 57 036 BP#: 13060135 `VALUATION: Iso
'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex PENTAMATION 1GENRES
USE: PERMIT TYPE:
WORK REVISION # 2 - ON SECOND DECK LEVEL CHANGE DOOR SWING ON PROPOSED N DOOR &
SCOPE CONVERT (E) SECOND WINDOW TO (N) DOOR (SAME SIZE, NO STRUCTURAL) -ISSUED 6/10/14
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School
District, etc.). Thesefees are based on the prelimina information availahle and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Ff' 7%1%73) FEE QTY/FEE MISC ITEMS
Plan Check Fee: Hourly Only? ® Yes Q No $0.00 0 hours Plan Check, Hourly
Suppl. PC Fee: Q Reg. Q OT 0.0 1 hrs $0.00 $139.00 ISTPLNCK
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. Q OT Fo,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Work Without Permit? 0 Yes E) No $0.00 G
Advanced Planning, Fee. $0.00 Select a Non-Residential G
Building or Structure
i
Strom Motion Fee: $0.00 Select an Administrative Item
Bldg,Stds Commission Fee: $0.00
SUBTOTALS: $0.00 $139.00 TOTAL FEE: $139.00
Revised: 04/01/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
C O P E RT I N O Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST 22
JOB ADDRESS: lof 7 e 1%1'911e- PERMIT -JS
OWNER'S NAME: fll- PHONE# 4'49'K / - O 6 7
GENERAL CONTRACTOR: L-'. W��So,d BUSINESS LICENSE#
ADDRESS: Z Y 7,7 dK�� S.t J-dflr CITY/ZIPCODE: 9 t-t 7
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
j/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/Carpeting
Linoleum/Wood
Glass/Glazing
Heating
U Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering �--
Plumbing
Roofing
Septic Tank
Sheet Metal L T
Sheet Rock
(/ Tile 7' G" .v►I G c2v V r L yi✓G—
/0 - 1.7 - 20ly
caner/Contractor Signature Date
Insulation Certificate
V I
Awnher and Street
Count}
u i n
Lot N
Description of Installation
ROOF
Material Brand Narne j
Thickness(inches) Thermal Resistance(R-Value)
CEILING
Batt or Blanket Type FIBERGLASS Brand Name JOHNS MANY11 I r'
Thickness(inches) Thermal Resistance(R-Value) 7'2("
Loose Fill Type FIBERCH ASS Brand Nanic JOHNS 1ANVII LF
Contractor*-,minimum installed wei2hLift' 117. Minimum thickness inclic;
Manufacturer's installed weight per square foot to achieve................Thermal Resistance(R-VaILIC)
EXTERIOR WALL
Material FIBERGLASS Brand Njme JOUNS MAN%
Thickness(inches) Thermal Resisiance iR-Value)
RAISED FLOOR
Material -PTPPI?(-,T A(Z4 Brand Name __ lQHNS_MA- XVII L_F_
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Material . Brand Name
Thickness(inches) Thermal Resistance (R-Value)
Width(inches)
FOUNDATION WALL
.MaLerial Brand Nam---
Thicknzss i,inches) Thermal Resistance(R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with rho current Building Energy
Efficiency Standards for new residential buildings contained in Title H4 Of the Califomia Administrative Code.
General Coniracmr(Buiidcn License Numlw
Sipature and Title, Date
Ponzini Insulation, Inc. 635993
Sub-Contractor(Insulation installer) License Number
Sienature ar,d itle Date
PFVISEG JULY 2005
SWANSON
-- ---- -- ---- -----
CONSTRUCTION
2433 CORY AvENUE
SAN JOSE, CA 95128
408.891 .0742
May 28, 2014
City of Cupertino
Building Department
10300 Torre Ave.
Cupertino, CA 95014
Building and Planning,
We would like an extension of the Building Permit 413060135 issued on December 4,
2013 for 10878 Sycamore Ct.
The original design for the custom fabricated deck railing became a bit financially
prohibitive. Much time has been spent searching and researching for an economical
alternative for the deck railing. A decision has been made to use the Feeney prefab
railing system which is also pre-engineered.
Work on the project has started May 27, 2014. We would appreciate a permit extension
to support uninterrupted progress for this project.
Thank you
Drew Swanson
CALIFORNIA CONTRACTORS LICENSE#886654
5/28/2014 PAGE 1 OF 1
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
McHUYS RES ALTERATION TILE 24
10878 SYCAMORE COURT
CUPERTINO, CA.
Project Designer:
MARIANNE or DAVE McHUYS
10878 SYCAMORE COURT
CUPERTINO, CA. 95014
(408) 718-0679
Report Prepared by:
ELMON (AL) BRADY
AM CONSULTANTS
2292 CRESTLINE ROAD
PLEASANTON, CA. 94566-5406
(925) 462-8108
Job Number:
13-167
Date:
6/4/2013
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 2006 Building Energy Efficiency Standards.
This program developed by EnergySoft,LLC—www.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number:2289 RunCode:2013-06-04707.43:45 ID:13-167
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
EnergyPro 5.1 by EnergySoft Job Number: ID:13-167 User Number:2289
PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R
Project Name Building Type ®Single Family ❑Addition Alone Date
McHUYS RES ALTERATION TILE 24 ❑Multi Family m Existing+Addition/Alteration 6/4/2013
Project Address California Energy Climate Zone Total Cond.FloorArea Addition #of Stories
10878 SYCAMORE COURT CUPERTIN CA Climate Zone 04 486 0 1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ 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 ( Features see Part 2 of 5 Status
Roof Wood Framed Rafter R-30 215 Altered
Wall Wood Framed R-13 26 Existing
FENESTRATION U- Exterior
Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status
Rear(E) 12.0 0.550 0.67 none none Bug Screen Removed
Rear(E) 20.0 0.390 0.37 none none Bug Screen New
HVAC SYSTEMS
Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status
1 Central Fumace 60%AFUE No Cooling 13.0 SEER Setback Existing
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R-Value Status
EXISTING SYSTEM Ducted Ducted Attic, Ceiling Ins, vented 8.0 New
WATER HEATING
Qty. Type Gallons Min. Eff Distribution Status
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PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF-1 R
Project Name ®Single Family ❑Addition Alone Date
Building Type
McHUYS RES ALTERATION TILE 24 ❑Multi Family ® Existing+Addition/Alteration 6/4/2013
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 HVAC System EXISTING SYSTEM does not include a cooling system,field verification is not necessary.
I"ftw 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.
EnergyPro 5.1 Ey Enem
ySoft User Number.2289 RunCode:2013-06-04T07:43:45 ID:13-167 Page 4 of 10
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R
Project Name Building Type m Single Family ❑Addition Alone Date
McHUYS RES ALTERATION TILE 24 ❑Multi Family m Existing+Addition/Alteration 6/4/2013
r ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 0.29 0.27 0.02
Space Cooling 12.96 12.29 0.68
Fans 5.60 5.43 0.17
Domestic Hot Water 0.00 0.00 0.00
Pumps 0.00 0.00 0.00
Totals 18.85 17.98 0.87
Percent Better'rhan Standard: 4.6%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (SK9 213 deg Ext.Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (SK9 0 0
Fuel Available at Site: Natural Gas (N149 0 0
Raised Floor Area: o (NE) 46 20
Slab on Grade Area: o (SE) 0 0
Average Ceiling Height: 9.0 Roof 215 0
Fenestration Average U-Factor: 0.39 TOTAL: 20
Average SHGC: 0.37 Fenestration/CFA Ratio: 4.1%
REMARKS
�1rr
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
Company AM CONSULTANTS
Address
2292 CRESTLINE ROAD Name ELMON(AL)BRADY 4/7013
City/State/ZipCity/State/Zip PLEASANTON, CA.94566-5406 Phone (925)462-8108 Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented 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 MARIANNE or DAVE McHUYS
Address 10878 SYCAMORE COURT Name MARIANNE or DAVE McHUYS
City/State/Zip CUPERTINO, CA. 95014 Phone (408) 718-0679 Signed License# Date
EnergyPro 5.1 by EnerqySoft User Number-2289 RunCode:2013-06-04707.43.45 ID:13-167 Page 5 of 10
CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R
Project Name Building Type m Single Family ❑Addition Alone Date
McHUYS RES ALTERATION TILE 24 ❑Multi Family m Existing+Addition/Alteration 6/4/2013
OPAQUE SURFACE DETAILS
Surface U- Insulation Joint Appendix
Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Roof 215 0.035 R-30 0 0 Altered 4.2.2-A17(E=4.2.1-A2 EXISTING ZONE
Wall 26 0.102 R-13 78 90 Existing 4.3.1 A3 EXISTING ZONE
FENESTRATION SURFACE DETAILS
ID Type Area U-Factor SHGC Azm Status Glazing Type Location/Comments
1 Window 12.0 0.550 Default 0.67 Default 78 Removed Double Non Metal Clear EXISTING ZONE
2 Window 20.0 0.390 NFRC 0.37 NFRC 78 New FRENCH DOOR EXISTING ZONE
y1l�►'
(1) 1-1-Factor 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 Ove hang Left Fin Right Fin
ID Exterior Shade Type SHGC Hat 7 Wd Len Hat LExt I REA Dist Len Hat Dist Len H t
1 Bug Screen 0.76
2 Bug Screen 0.76
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CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF-1 R
Project Name Building Type m Single Family ❑Addition Alone Date
McHUYS RES ALTERATION TILE 24 ❑ Multi Family m Existing+Addition/Alteration 6/4/2013
err BUILDING ZONE INFORMATION
Floor Area ft
System Name Zone Name New Existing Altered Removed Volume Year Built
EXISTING SYSTEM FAMILYROOM 486 4,374 2000
Totals 1 0 01 486 0
HVAC SYSTEMS
System Name Qty. I Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
EXISTING SYSTEM 1 Central Furnace 80%AFUE No Cooling 13.0 SEER Setback Existing
HVAC DISTRIBUTION
Duct Ducts
S stem Name Heating Cooling Duct Location R-Value Tested? Status
EXISTING SYSTEM Ducted Ducted Attic, Ceiling Ins, vented 8.0 ❑ New
WATER HEATING SYSTEMS
Ext.
Rated Tank Energy Standby Tank
Input Cap. Factor Loss or Insul. R-
S stem Name Qty. Type Distribution (Btu h) al or RE Pilot Value Status
MULTI-FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING
Hot Water Piping Length
ft 0
0
m
0 U3 Pipe Pipe Insul.
Control Qty. HP Plenum Outside Buried Q — System Name Length Diameter Thick.
EnergyPro 5.1 by EnergySoft User Number.2289 RunCode:2013-06-04707.43:45 ID:13-167 Pae 7 of 10
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF-1 R
Project Name Date
McHUYS RES ALTERATION TILE 24 6/4/2013
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-stripped;all joints and penetrations are caulked and sealed.
118(a):Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF-6R Form.
§118(1):The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of§118(1)when the
installation of a Cool Roof is specified on the CF-1 R Form.
*§1 50 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.
*§1 50 c :Minimum R-13 insulation in wood-frame wall orequivalent U-factor.
*§1 50 d :Minimum R-13 insulation in raised wood-frame floor orequivalent LI-factor.
150(f):Air retarding wrap is tested,labeled,and installed according to ASTM El677-95 2000 when specified on the CF-1 R Form.
150 :Mandatory Vapor 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 glass door covering the entire opening 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
equip ed with a with a readily accessible,operable,and tight-fitting damper 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 Rrohibited.
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, pump isolation valve,and recirculation loop connection requirements of§113(c)5.
§115:Continuously burning pilot lights are prohibited for natural gas:fan-type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt),and pool and
spa heaters.
150(h):Heating and/or cooling loads are calculated in accordance with ASHRAE,SMACNA or ACCA.
150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§150U)1A:Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§150@113: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.
§1500)2: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 150-13.
§1500)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.
§1500)2:Pipe insulation for steam hydronic heating systems or hot water systems>15 psi, meets the requirements of Standards Table
123-A.
§150(i)3A:Insulation is protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.
§1500)3A:Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
150(i)4:Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
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MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF-1 R
Project Name Date
McHUYS RES ALTERATION TILE 24 6/412013
§150(m)l: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 is
used to seal openings reater than 1/4 inch,the combination of mastic and either mesh or tape shall be used
§150(m)l: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 tape is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: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 maintenance,and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
150 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.
§114(b)1:Any pool or spa heating equipment shall be installed with at least 36"of pipe between filter and heater,or dedicated suction
and return lines,or built-up connections for future solar heating.
114(b)2:Outdoor pools ors as that have a heat pump or gas 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
programmed to run only during off-peak electric demand periods.
150 : 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 wattage of permanently 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.
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MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF-1 R
Project Name Date
McHUYS RES ALTERATION TILE 24 6/4/2013
§150(k)10:Permanently installed luminaires in bathrooms,attached and detached garages,laundry rooms,closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual-on
occupant sensor certified to comply with the applicable requirements of§119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual-on occupancy sensor.
§150(k)11: 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)12: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 housing and ceiling.
§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 Exceptions 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 comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoft User Number.2289 RunCode:2013-06-04T07.43.45 ID:13-167 Page 10 of 10