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13120127CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19651 DRAKE DR OWNER'S NAME: CRAFF FERNANDO D AND VIRGINIA OWNER'S PHONE: 4082030205 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lie. # Contractor Date - 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. 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 permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 11 OWNER -BUILDER DECLARATION CONTRACTOR: CRAFF FERNANDO D PERMIT NO: 13120127 AND VIRGINIA 19651 DRAKE DR DATE ISSUED: 04/09/2015 CUPERTINO, CA 95014-2433 PHONE NO: JOB DESCRIPTION: RESIDENTIAL F1 COMMERCIAL CONSTRUCT ONE STORY ADDITION (494 SQ FT) WITH COVERED PORCH (47 SQ FT); CONVERT BEDROOM INTO AN OFFICE (NO EGRESS WITH ADDITION) AND INSTALL A I hereby affirm that I am exe :tt oom the Contractor's License Law for one of the following two reasons: ,Ji"` I, as owner of the property, o y ployees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -p ' source regulations per the Cupe1 o Municipal Code, Section 9.18. Signature Date Sq. Ft Floor Area: I Valuation: $40000 APN Number: 31632029.00 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN ig PERMIT ISSUANCE OR Qn ALLED INSPECTION. Date: RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Se ' S25505,2 Owner or authorized agent Date: CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 13120127 19651 DRAKE DR CUPERTINO CA 95014 (316 32 029) CRAFT FERNANDO D AND VIRGINIA 19651 DRAKE DR CUPERTINO CA 95014 OWNER'S NAME: CRAFF FERNANDO D AND VIRGINIA DATE ISSUED: 04/09/2015 OWNER'S PHONE: 4082030205 PHONE NO: 4082030205 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor CRAFF FERNANDO D AND VIRGINIA Date 3/1/2016 —BLDG _ELECT —PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: CONSTRUCT ONE STORY ADDITION (494 SQ FT) WITH I hereby affirm under penalty of perjury one of the following two declarations: COVERED PORCH (47 SQ FT); CONVERT BEDROOM INTO AN 1. I have and will maintain a certificate of consent to self -insure for Worker's OFFICE (NO EGRESS WITH ADDITION) AND INSTALL A Compensation, as provided for by Section 3700 of the Labor Code, for the SKYLIGHT. performance of the work for which this permit is issued. REVISION #1 - REMOVE "SIPS PANEL ROOF SYSTEM" ROOF 2. I have and will maintain Worker's Compensation Insurance, as provided for FRAMING AND REPLACE WITH ROOF FRAMING ON SHEET S 1; by Section 3700 of the Labor Code, for the performance of the work for which UPGRADE (E) 125 AMP PANEL TO (N) 200 AMP PANEL; ADD (N) this permit is issued. DOOR AT (N) OFFICE; REMOVE BAR FROM (N) LIVING ROOM - APPLICANT CERTIFICATION ISSUED 3/1/2016 1 certify that I have read this application and state that the above Sq. Ft Floor Area: Valuation: $40000.00 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby APN Number: Occupancy Type: authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep 316 32 029 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 with all non -point source regulations per the Cupertino Municipal PERMIT EXPIRES IF WORK IS NOT STARTED Code, Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 3/1/2016 Issued by: PAUL O'SULLIVAN OWNER -BUILDER DECLARATION O Date: 3/1/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RE -ROOFS: I, as owner of the property, or my employees with wages as their sole All roofs shall be inspected prior to any roofing material being installed. If a roof is compensation, will do the work, and the structure is not intended or offered installed without first obtaining an inspection, I agree to remove all new materials for for sale (Sec.7044, Business & Professions Code) inspection. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date: 3/1/2016 t. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for HAZARDOUS MATERIALS DISCLOSURE by Section 3700 of the Labor Code, for the performance of the work for which I have read the hazardous materials requirements under Chapter 6.95 of the this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will a. I certify that in the performance of the work for which this permit is issued, I maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health & Safety Code, Section 25532(a) should I store or handle hazardous Worker's Compensation laws of California. If, after making this certificate of material. Additionally, should I use equipment or devices which emit hazardous exemption, I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Quality Management District I Labor Code, I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and be deemed revoked, the Health &Safety Co coons 25505, 25533 553 APPLICANT CERTIFICATION Owner or authorized agent r 1 certify that I have read this application and state that the above information is Date: 3/1/2016 correct. I agree to comply with all city and county ordinances and state laws CON TRUCTION E relating to building construction, and hereby authorize representatives of this city I hereby affirm that there is a construction lending agency for the performance to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is issued (Sec. 3097, Civ C.) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant Lender's Address understands and will comply with all non -point source regulations per the CupeZMciinvDate3/1/2016 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signa CONSTRUCTION PERMIT APPLICATION f043V COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ' (408) 777-3228 • FAX (408) 777-3333 • buildin c ertino.or CUPERTINl7 ❑ NEW CONSTRUCTION iDDITION ❑ ALTERATION / TI REVISION /DEFERRED ORIGINAL PERMIT ,# PROJECT J.D�E5 y t APN # 3 `� OWNER N PHON(� E-MAIL ,kl STREET ADDRE$SQ 6<1P CITY fA E, I FAX l �AO- CONTACT NAMA. /1� ��- PHONE /O MAIL L� STRE DRESS CITY, STATE, ZIP p 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 ARCHITE=ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Icy f T7� ► �� C 14�; rn AN905ft� WMI : W�°� lob mqa- EXISTING USE PROPOSED USE CONSTR. TV PE # STMLL USE TYPE OCC. SLR)J !t� EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: EIDETACH ❑ 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 RE BY: _TOTAL VALUATION: PLANNING APPL # [:]NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authorized aeent to act on the property owner's behalf. I have read this application and the information I have 'ded is correct. I have read the Descrip ion of Work and verify it is accurate. I agree to comply with all applicable local ' ordinances and state laws relating t ild' g construction. o epres rt es of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: 3�/� Date: 311 SUPPLEMENTAL 1NF0R1\4ATr6N__REQUlRED_7 PLAN CHECK TYPE ROUTING SLIP OVER-THE-COUNTER BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. Q ❑ LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting With Planning prior to ❑ 4LaaoR ❑ SANITARY submittal of Building Permit application. SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH Bldg App_2011.doc Devised 06/21/11 R ri H CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (ie. Planning, Public works, tire, 3anirarynewer vistricy acnuui —f Ti% o r ae aro hnead nn fico nraliminany infarmalian availahle and are nnly an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 !ff. 72.13) ADDRESS: 19651 DRAKE DR DATE: 03/01/2016 REVIEWED BY: PAUL Plan Check Fee: Hourly Only? ® Yes (F) No APN: 316 32 029 BP#: "VALUATION: Iso "PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PME Plan Check: PENTAMATION 1 REAP2 USE: Permit Fee: PERMIT TYPE: WORK REVISION #1 - REMOVE "SIPS PANEL ROOF SYSTEM" ROOOF FRAMING AND REPLACE WITH SCOPE I ROOF FRAMING ON SHEET S1; UPGRADE (E) 125 AMP PANEL TO (N) 200 AMP PANEL; ADD (N)a NOTE: This estimate does not include fees due to other Departments (ie. Planning, Public works, tire, 3anirarynewer vistricy acnuui —f Ti% o r ae aro hnead nn fico nraliminany infarmalian availahle and are nnly an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 !ff. 72.13) FEE QTY/FEE Elec. Plan Check 0.0 1 hrs $0.00 Plan Check Fee: Hourly Only? ® Yes (F) No $0.00 Elec. Permit Fee: IEPERMIT Suppl. PC Fee: Q Reg. Q OT 0.0 Other Elec. Insp. 0.0 hrs $48.00 $0.00 PME Plan Check: $0.00 NOTE: This estimate does not include fees due to other Departments (ie. Planning, Public works, tire, 3anirarynewer vistricy acnuui —f Ti% o r ae aro hnead nn fico nraliminany infarmalian availahle and are nnly an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 !ff. 72.13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes (F) No $0.00 1 amps Electrical $48.00 IBELEC200 Services Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reu. C O"1' 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 71 Administrative Fee: ]ADMIN $45.00 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 hours Plan Check, Hourly 0� $286.00 isTr'l.;vC1;:1 Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: $0.00 Select an Administrative Item 7 ` 1 Bldg Stds Commission Fee: $0.00 SUBTOTALS: 1 $141.001 $334.00 TOTAL FEE: 1 ($475.001 Revised: 0� CUPERTINO CONSTRUCTION PERMIT APPLICATION ^/ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �5 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building (d-.cupertino. org \� ❑ NEW CONSTRUCTION Rf ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESSs/I fl,pf'�� (� A APN# OWNER NAME �Y't%i,��i K � � • ��/A��T ''Q� PHONE ,a _ p� �a' ' E-MAQ.�r G, STREETADDRESS / / S/ i� D� ` C CITY, STATE ff, CONTACT NAME PHOT/019 ►'.03 T C2 24P'5;1 E-MAIL & C7eo,7 STREET ADD aAT�2 ZIP ^ FAX / E ,7 y ❑ OWNER OWNER-BUIIAER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TFNA\ I CONTRACTOR NAME 7 LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY. STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTING USE OQPA) C&C CC (F, I"RqPOSID1JSE lv/ CONSIR TYPE #STORIES USE TYPE OCC SSQQ..F , ($) VALUATIONEX[STG AREA / 7 f S NEW AREAFI��49$ DEMO AREA r� TOTAL NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA 0 DETACH I O ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BIOTIC ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICEILER HOME? ❑ NO RECEIVED BY: TOTAL nVAL DON: By my signature below, I certify to each of the following: I am the property owner or authorizedagent to act Fun property owner's behalf. I_have read this application and the information I have ded is correct. I have read the Description of ork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating ildin construction. I oWeesenta v Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTERBUILD G PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing buil&*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 ANDARD ❑ PUBLIC WORKS _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJoR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp_201 1. doc revised 06/21/11 FO CITY OF CUPERTINO f ►J0I FF.F. F.CT11%4AT011, — RIiII,DING DIVISION 191 ADDRESS: 19651 drake dr DATE: 12/17/2013 REVIEWED BY: Mendez PC FEE ID APN: BP#: 131 c -,?—``VALUATION: $40,:100 j *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? 0 Yes 1@ No I OTC. 0 Yes (E)No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK 495 sq ft addition to create family room create new opening in quest room for skylight SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 495 $1,579.00 IADDPLCK $1,284.00 IADDINSP $0.00 PME Plan Check: $0.00 Permit Fee: $1,284.00 Suppl. Insp. Fee.S Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 495 $1,579.00 $1,284.00 MECH„HOURLY 0 Yes (F) No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public worKs, rtre, aanuary,3ewer vIstrict, ocnool i.,...,..1 ,,...[.,... „ 1.*-.;- .... "-,r .-. i;.-.i;il Ato n.,d n.o nntlr nn octimato. t- antar/ tho Dont for addn'l into. FEE ITEMS (Fee Resolution 11-053 L f. 7;1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,579.00 0 # $418.00 Skylight ISKYL<IOSF <= 10 s.f. Suppl. PC Fee: Q Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,284.00 Suppl. Insp. Fee.S Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 E) Work Without Permit? Q Yes (E) No $0.00 Advanced Planning Fee: IPLLONGR $69.30 Select a Non -Residential Building or Structure E) 0 i Strom, Motion Fee: 1BSEIS1vffCR $4.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $2,938.30 $418.00 TOTAL FEE: 1 $3,356.30 Revised: 10/01/2013 CUPERTINO BUILDING PERMIT / APPLICATION EXPIRATION LETTER COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 September 12, 2014 (408) 777-3228 • FAX (408) 777-3333 • building cup CRAFF FERNANDO D AND VIRGINIA 19651 DRAKE DR CUPERTINO CA, 95014-2433 SUBJECT: PLAN REVIEW EXPIRATION NOTICE Site Address: 19651 DRAKE DR Permit Number: 13120127 Permit Expiration Date: 9/15/2014 „n As a courtesy, the Building Department makes every effort prior to the expiration of a construction permit application to notify the applicant of the impending expiration. Per the California Building Code Section 105.3.2, ... "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued" This notification letter is issued as a reminder that the construction permit application for the specified project will expire on the date shown above unless the following action is taken: A. A building permit application is approved and the building permit is paid for and issued prior to the expiration date specified; or B. A request for an extension is submitted in writing with a justifiable cause demonstrated to the Building Official prior to the expiration date of the application. A $45.00 fee shall apply to all extension requests, payable to the City of Cupertino at the time the request is made. Each extension, if granted, will be for a period of not more than 90 days. Extension requests shall be hand delivered to the building department or e-mailed to suew(oDcupertino.org. If a plan review application expires, the renewal of the application will NOT be granted unless the construction plans comply with the 2010 California Codes and any new local regulations that came into effect from the date of the original application. Additional plan review (and associated fees) will be required to verify compliance with these new regulations. The plans will become null and void after the expiration date if a building permit is not secured or an extension is not granted. You will have 15 business days to pick up your documents or they will be recycled. The permit application will then be voided in the Permit System and all documents pertaining to the permit application will be recycled. Sincerely, Sue Winslow, Administrative Clerk City of Cupertino Building Department suety(&, ertino.org (408-777-3246) Expiration Letter.doc revised 6/06114 1512- 01-2-1 A It-cAq-/,oi 2-O ( 2 / , CW vww.G �'K �b6e F -�-,�q �0- f�o0p�occe� � 4'X42W `2 f�o0p�occe� � 4'X42W City of Cupertino Building Department 10300 Tore Ave. Cupertino, CA 95014 Building permit Application # 13120127 Dear Sirs, I would like to apply for an extension to my building application. I have been in contact with the plan designers, because they have to change the design, to include a new roof structure, with Structural Insulated Panels (SIP), which are easy to install, energy efficient and are green according to today's standards. As soon as I get the new revised plans, I will submit them to the City of Cupertino Building Department. Sincerely, A? 11e,4 Fernando D. Craff 19651 Drake Dr. Cupertino, CA 95014 BUILDING ENERGY ANALYSIS REPORT I PROJECT: PROPOSED ADDITION 19651 DRAKE DRIVE CUPERTINO, CA 95014 Project Designer: AM Design 1005 West Eighth Street Stockton , CA 95206 Z (650) 330-0328 Report Prepared by: , -UPS A> IN ' W 1- Jose Jimenez_., y�iiry, RT U y N cepa f ?;.�[ �te►1t J&M Design , 1 t �." ? 1005 kn�eCt Rth Stree �.' d F2015 = J Stockton 95206'L-1WF:ta r.() Li � 1 � � CA 95206'L:U'j,� c,c�M� gMCE i� c, 7 650 793-1491 Ni_:v-eyyea CO Lam- 0 �ITT w C = 2 ~ Job Number: P*4!�c Date: 12/12/2013 The EnergyPro computer program has been used to perform the calculations summarized in this compliance repThis program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Buildin nergy Efficiency Standards. This program developed by EnergySoft, LLC—www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number. 6555 RunCode: 2013-12-12T10:22:54 ID I TABLE OF CONTENTS I i..nV-r Page I 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 1 EnergyPm 5:9 by EnergySoft Job Number: ID: User Number: 6555 1 PERFORMANCE CERTIFICATE: Residential Part 1 of S CF -1 R Project Name PROPOSED ADDITION Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration 11211212013 Date Project Address 19651 DRAKE DRIVE CUPERTINO California Energy Climate Zone CA Climate Zone 04 I Total Cond. Floor Area 2,280 Addition 495 # of Stories 1 CIC/ 11lyC�C/`TI1� C�ICO/�V (!I.IC/�I!! ICT .__z a__ _ aER F" s- s ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. El 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 ' wan Wood Framed None 1,114 Existing Roof Wood Framed Attic R-11 1,785 Existing Door Opaque Door None 17 Existing Slab Unheated Slab -on -Grade None 1,785 Perim = 155' Existing Wall Wood Framed R-13 432 New Door opaque Onor None 58 New Roof Wood Framed Attic R-30 495 New Slab Unheated Slab -on -Grade None 495 Perim = 54' New FENESTRATION U- Exterior Orientation Area(f Factor SHGC OverhangSidefins Shades Status Front (lM 64.0 0.510 0.61 none none Bug Screen Existing Rear (E) 2080 0.510 0.61 none none Bug Screen Existing Left (N) 28.0 0.510 0.61 none none Bug Screen Existing Front (tM 6.7 0.510 0.61 none none Bug Screen New Right (S) 18.0 0.390 0.37 none none Bug Screen New HVAC S T STEIviS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE No Cooling 13.0 SEER Setback Existing Hvnr DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 Existing WATER HEATING Qty. Type Gations Min. Eff Distribution Status . 1 EnergyPro 5.1 by tnergySott User Number. 6555 RunCode: 2013-12-12110:22:54 IU: Page 3 of 11 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name PROPOSED ADDITION Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 11211212013 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 vrith 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 Carrier 58MTBOO120-20 (Low Heat) does not include a cooling system, field verification is not necessary. The Roof R-30 Roof Attic includes an Airgap below Roofing requires verification. t HERS REQUIRED VERIFICATION e !toms Ir this se^ti.nn ren�;ire fiel:i testin anc!!nr eWit tic,, by 2 CartifiPd HF—RS Rater. The In f,Br_ or rn-ust rFr_.eive n completed CF -4R form for each of the measures listed below for final to be given. 6 EnergyPro-5.1 by EnergySbft- User Number., 6555 RunCode: 2013-12-12710:22:54 ID: Page 4 of 11 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date PROPOSED ADDITION ❑ Multi Family I0 Existing+ Addition/Alteration 11211212013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV tkgtti%ftp-�r Spade Heating 4145 36.78 4.67 Space Cooling 12.64 11.13 1.51 Fans 8.31 7.46 0.85 Domestic Hot Water 17.57 1757 0.00 Pumps 0.00 0.00 0.00 Totals 79.98 72.95 7.03 Percent Better Than Standard: 88% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (►M 270 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (M 526 71 Fuel Available at Site: Natural Gas (N) 435 28 Raised Floor Area: 0 (E) 547 208 Slab on Grade Area: 2,280 (S) 437 18 Average Ceiling Height: 9.3 Roof 2,260 0 Fenestration Average U-Factor: 0.50 TOTAL: 325 Average SHGC: 0.60 Fenestration/CFA Ratio: 14.2% REMARKS s 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 J&M Design 12/1 13 Address 1005 West 8th Street Name Jose Jimenez CitV!State,7i Stockton . CA 95206 - 650 793-1401 Datc 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. De.signer or '—I ner (per Pasi, ess & Professions Mode" Company J&M Design Address 1005 West Eighth Street Name Jose Jimenez City/State/Zip Stockton, CA 95206 Phone (650) 330-0328 ned License # Date Ener Pro 5.1 by Ener Soft User Number: 6555 RunCode: 2013-12-12710:22:54 ID: Pae 5 of 11 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name PROPOSED ADDITION Building Type m Single Family ❑ Multi Family ❑ Addition Alone [21 Existing+ Addition/Alteration Date 2/12/201 OPAQUE SURFACE DETAILS Surface IU- I Insulation Tv,—,e I Area Factor , Cavity Exterior Frame , Interior Frame! Azm I Tilt I Status Joint Appendix 1 4 L^^afion/Comments Wal! 1 183 0.356 None 270 90 Existing 14.3.1-A1 Existing plus Addition Wall 282 0 356 None 180 90 Existing 4.3.1-A1 Existing.plus Addition Wall 259 0.356 None 90 90 Existing 4.3.1-A1 Existing plus Addition Roof 1,785 0.079 R-11 0 0 Existing 4.2.1-A2 Existing plus Addition Wall 390 0356 None 0 90 Existing 4.3.1-A1 Existing plus Addition Door 17 0.217 None 0 90 Existing 4.5.1-A4 plus Addition Slab 1,78 0.730 None Wall/ 234 0.102'R-13 1 0 1 270 180 Existing 90 New 4.4.7-A 1 14.3.1-A3 Existing plus Addition Existing plus Addition Door 38 0.217 None 270 90 New 4.5.1-A4 Existinq.plus Addition Wall 60 0 102 R-13 135 90 New 4.3. i -A3 Existing plus Addition Door 20 0.217 None 135 90 New 4.5.1-A4 Existing plus Addition Wall 137 0.102 R-13 180 90 New 4.3.1-A3 Existing plus Addition Roof 495 0.031 R-30 0 0 New 4.2.1-A20 Existing IUs Addition Slab 495 0730 1 None 0 180 New 4.4.7-A1 Existing plus Addition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 1 Window 640 0.510 NFRC 0.61 NFRC 270 Existing Vinyl/Clear Existing plus Addition 2 Window 192.0 0.510 NFRC 0.61 NFRC 90 Existing Vinyl/Clear Existing plus Addition 3 Window 16.0 0.510 NFRC 0.61 NFRC 90 Existin Vin (/Clear Existing plus Addition .41nrc, :ar 0`1O,NFRr' n6' '`irk ✓iny;Clear f,;.cu g. -;;r A,jrfrrr,,r, 5 Window 6.7 0.510 NFRC 0.61 NFRC 270 New Vinyl/Clear Existing plus Addition 6 Window 18.0 0 390 NFRC 0.37 NFRC 180 New Low -E Vinyl Existing plus Addition (1) LI -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 12) SHGC Type: 116-8 = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade Type SHGC H t Wd Ove hanq Len H t LExt REA Left Fin Dist Len H Ri ht Fin t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 076 5 ,Bug Screen n le 6 Bug Screen 0.76 i I EnergyPro 5.1 by EnergySoft User Number. 6555 RunCode: 2013-12-12710:22:54 ID. Page 6 of 11 CERTIFICATE OF COMPLIANCE:- Residential (Part 5 of 5) CF -1 R Project Name PROPOSED ADDITION Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 12112/201 BUILDING ZONE INFORMATION �r • J =utCk1 - e !v.arre Floor Area ft I - a .iew Ex_istin A.tGred 1 Perno✓e„ 1 ol�ir'e dear Bulit HVAC System Existing 1.785 16.601 1962 Proposed 495 4,604 t Totals 4951 1,785 0 0 HVAC SYSTEMS System Name Qty. Heating Type I Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 80% AFUE I No Cooling 1 a o SEER Setback Existing HVAC DISTRIBUTION t System Name Heating Diirt Ducts Coolinq I Duct Location R -Value Tested? Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 ❑ Existing El El 11 AT ER HEATIiNG SYSTEMS ! S stem Name Qty- Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas Kitchen Pipe Ins 40,000 50 0.58 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILSHYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft o i� a ¢ — System Name Pipe Length Pipe Diameter Insul. I Thick. Ot . HP Plenum Outside Buried ❑ EnBr?yPrn .5, 1 by EnP.rny.SQf1 I/.gar �k/mher: 65._55 RitnCnd 2013-12-12T10'22'5d. ID: Pane 7 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 1 of 3 MF -1 R Project Name PROPOSED ADDITION Date 11211212013 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 I nto 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)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestrationproducts(except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Cnefficient (SHGC)- and infiltration that meets the requirements of 610-111(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(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. *§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 Ll -factor. *§1 50 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 : 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 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonr or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §I50(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(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 Conditioni::e.:"►ater HeatEna snd Plumbina Svstem 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)S. §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). §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 having an installed thermal resistance of R-12 or greater. §1500)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. §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(')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. §1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 6555 Run Code: 2013-12-12T10:22:54 ICS: 719-18-1f, I MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF-1 R Project Name Date PROPOSED ADDITION 11211212013 §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 plenurnS are insulated to a rninimurn 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)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. §I 50(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 ad;at;on that can cause degradation of t, e rr.a:eriai. 150 m 10: Ffexibie 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 An pool or spa heatin system shall he certified to have: a thermal efficient that complies with the Appliance Efficient �)� Y P- n Y y ... p pp Y Regulations; an on-oft 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 oroarammed to run only during off-peak electric demand periods. 150 : Residential pool systems or equipment 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- Hz§150(k)5: §1 50(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 require ents of §150(k)7. ,t 50(k'i:: A minimum of 50 percent of the total rated wattage of permanently instailed lighting in kitchens shall _�e high efficacy. 1 i- -- 9 fier..._.._. Y 9 9 '9 Y EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 wafts for dwelling units larger than 2,50.0 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 cahinet. EnergyPro 5.1 by EnergySoft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID Page 9 of 11 MANDATOR M&EASLRES SUMMARY: Residential (Page 3 Ot3' �,�IF 1R Project Name PROPOSED ADDITION 1a! 12/12/2013 §150(k)l0: 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 r 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: Liqhtinq in detached storage buildinq less than 1000 square feet located on a residential site is not required to coni I 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 Exceptionl to §150(k)l3 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)l5: 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 dwcfling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occu ant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoff User Number. 6555 Run Code: 2013-12-12T10:22:54 ID Page 10 of 1l HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Date PROPOSED ADDITION System Name HVAC System ENGINEERING CHECKS SYSTEM LOAD Number -of Svstems Total Total Airflow cfm Airflow cfm/sc Airflow ctm Tc Outside Air % Outside Air cfi Note: values above HEATING SYSTEI 2811- 6811- Outside 8°F Outside Air 0 cfm 68 OF 1 88 / 68 °F IOutside Air 0 cfm 12/12/2013 Floor Area 2,280 COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM Sensible 1,324 31,476 939 963 44,988 0 1.228 2,132 0 0 0 0 01 0 0 0 0 1,228 2,132 33,9321 9391 49,251 01 01 1 74,0001 01 0 T4,000 Aua 3 PM Jan 1 AM 68 F 115 If: Supply Fan Heating Coil 113 OF 1,215 cfm -p._ ROOM . 70 OF PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 79163 OF 79 / 62 OF 55153 OF - UAT Supply Fan Cooling Coil 56 / 54 OF 1.' 1 � (In i iTTTT 41.2% ROOM 79 / 63 OF 78 / 62 OF EnergyPro 5.1 by EnergySoff user Number., 6555 RunCode: 2073-12-12T10:22:54 ID: Page!! of 11 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation C Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD 74,000 74,000 32.5 0 0 0.0 ft 0.0 n 0.0 1,215 HVAC EQUIPMENT SELECTION 1,215 Carrier 58MTB00120-20 (Low Heat) 0.53 0.0 0-0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK ( 0.00 at ARI conditions rCHROMETRICS (Airstream Temperatures at Time of 12/12/2013 Floor Area 2,280 COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM Sensible 1,324 31,476 939 963 44,988 0 1.228 2,132 0 0 0 0 01 0 0 0 0 1,228 2,132 33,9321 9391 49,251 01 01 1 74,0001 01 0 T4,000 Aua 3 PM Jan 1 AM 68 F 115 If: Supply Fan Heating Coil 113 OF 1,215 cfm -p._ ROOM . 70 OF PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 79163 OF 79 / 62 OF 55153 OF - UAT Supply Fan Cooling Coil 56 / 54 OF 1.' 1 � (In i iTTTT 41.2% ROOM 79 / 63 OF 78 / 62 OF EnergyPro 5.1 by EnergySoff user Number., 6555 RunCode: 2073-12-12T10:22:54 ID: Page!! of 11 BUILDING ENERGY ANALYSIS REPORT PROJECT: PROPOSED ADDITION 19651 DRAKE DRIVE CUPERTINO, CA 95014 Project Designer: J&M Design 1005 West Eighth Street Stockton , CA 95206 (650) 330-0328 Report Prep r A#E COPY Jose Jimenez J&M Design 1005 West 8th Street Stockton , CA 95206 650 793-1491 Job Number: \. )r Date: 12/12/2013 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 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number. 6555 RunCode: 2013-12-12T10:22:54 !D: I TABLE OF CONTENTS I Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1R Mandatory Measures Summary 8 HVAC System Heating and Cooling Loads Summary 11 �EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 6555 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name PROPOSED ADDITION Building Type m Single Family ❑ Addition Alone ❑ Multi Family la Existing+ Addition/Alteration Date 11211212013 Project Address 19651 DRAKE DRIVE CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,280 Addition 495 # of Stories 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. El Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft) Features (see Part 2 of 5) Status Wall Wood Framed None 1,114 Existing Roof Wood Framed Attic R-11 1,785 Existing Door Opaque Door None 17 Existing Slab Unheated Slab -on -Grade None 1,785 Perim = 155' Existing Wall Wood Framed R-13 432 New Door Opaque Door None 58 New Roof Wood Framed Attic R-30 495 New Slab Unheated Slab -on -Grade None 495 Perim = 54' New FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Front (lM 64.0 0.510 0.61 none none Bug Screen Existing Rear (E) 208.0 0.510 0.61 none none Bug Screen Existing Left (N) 28.0 0.510 a 61 none none Bug Screen Existing Front (W) 6.7 0.510 0.61 none none Bug Screen New Right (S) 18.0 0.390 0.37 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE No Cooling 13.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating _ Duct Cooling Duct Location R -Value Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 Existing WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID: Page3 ,7f11 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name PROPOSED ADDI TION Building Type ® Single Family ❑ Addition Alone ❑ Multi Family 10Existing+ Addition/Alteration Date 12/12/2013 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 Carrier 58MTBOO120-20 (Low Heat) does not include a cooling system, field verification is not necessary. The Roof R-30 Roof Attic includes an Airgap below Roofing requires verification. 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. Ener Pro 5.1 by Ener Soft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID: 7 7e 4 of 11 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date PROPOSED ADDITION ❑ Multi Family ❑ Existing+ Addition/Alteration 12/12/201 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV (kBtu/ft2-yr) Space Heating 41.45 36.78 4.67 Space Cooling 12.64 11.13 1.51 Fans 8.31 7.46 0.85 Domestic Hot Water 17.57 17.57 0.00 Pumps 0.00 0.00 0.00 Totals 79.98 72.95 7.03 Percent Better Than Standard: 8.8 i BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (W) 270 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (vv) 526 71 Fuel Available at Site: Natural Gas (N) 435 28 Raised Floor Area: 0 (E) 547 208 Slab on Grade Area: 2,280 (S) 437 18 Average Ceiling Height: 9.3 Root 2,280 0 Fenestration Average U -Factor: 0.50 TOTAL: 325 Average SHGC: 0.60 Fenestration/CFA Ratio: 14.2 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 Company J&M Design 12/12/2013 Address 1005 West 8th Street Name Jose Jimenez City/State/ZipCity/State/Zip Stockton, CA 95206 Phone 650 793-1491 i ned 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 J&M Design Address 1005 West Eighth Street Name Jose Jimenez 12 rv,1 City/State/Zip Stockton, CA 95206 Phone (650) 330-0328 S ned License # Date Ener Pro 5.1 by Ener Soft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID: Page 5:17:1d, CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name PROPOSED ADDITION Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2112/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status Joint Appendix 4 Location/Comments Wall 183 0.356 None 270 90 Existing 4.3.1-A1 Existing plus Addition Wall 282 0.356 None 180 90 Existing 4.3.1-A1 Existing plus Addition Wall 259 0.356 None 90 90 Existing 4.3.1-A 1 Existing plus Addition Roof 1,785 0.079 R-11 0 0 Existing 4.2.1-A2 Existing plus Addition Wall 390 0.356 None 0 90 Existing 4.3.1-A1 Existing plus Addition Door 17 0.217 None 1 0 90 Existing 4.5.1-A4 Existing plus Addition Slab 1,785 0.730 None 0 180 Existing 4.4.7-A1 Existing plus Addition Wall 234 0.102 R-13 270 90 New 4.3.1-A3 Existing plus Addition Door 38 0.217 None 270 90 1 New 4.5.1-A4 Existing plus Addition Wall 60 0.102 R-13 135 90 New 4.3.1-A3 Existing plus Addition Door 20 0.217 None 135 90 New 4.5.1-A4 Existing plus Addition Wall 137 0.102 R-13 180 90 New 4.3.1-A3 Existing plus Addition Roof 495 0.031 R-30 0 0 New 4.2.1-A20 Existing plus Addition Slab 495 0.730 None 0 180 New 4.4.7-A 1 Existing plus Addition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 64.0 0.510 NFRC 0.61 NFRC 270 Existing Vinyl/Clear Existing plus Addition 2 Window 192.0 0.510 NFRC 0.61 NFRC 90 Existing Vinyl/Clear Existing plus Addition 3 Window 16.0 0.510 NFRC 0.61 NFRC 90 Existing Vinyl/Clear Existing plus Addition 4 Window 28.0 0.510 NFRC 0.61 NFRC 0 Existing Vinyl/Clear Existing plus Addition 5 Window 6.7 0.510 NFRC 0.61 NFRC 270 New Vinyl/Clear Existing plus Addition 6 Window 18.0 0.390 NFRC 0.37 NFRC 180 New Low -E Vinyl Existing plus Addition (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 ID Window Exterior Shade Type SHGC H t Wd Overhanq Len H qA LExt RExt Left Fin Dist Len Right Fin H t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 Ener Pro 5.1 by Ener Soft User Number. 6555 RunCode: 2013-12-12710:22:54 ID: Pa e 6 of 11 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name PROPOSED ADDITION Building Type O Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 11211212013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered I Removed Volume Year Built HVAC System Existing 1,785 16,601 1962 Proposed 495 4,604 Totals 495 1,785 0 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 80% AFUE No Cooling 13.0 SEER Setback Existing HVAC DISTRIBUTION System Name Heating Duct Ducts Coolin Duct Location R -Value Tested? Status HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0 ❑ Existing WATER HEATING SYSTEMS ' S stem Name Qt . Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas Kitchen Pipe Ins 40,000 50 0.58 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft 0 i� N ¢ System Name Pipe Length Pipe Diameter Insul. Thick. Ot . HP Plenum Outside Buried Ener Pro 5.1 by Ener Soft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID. Pae 7 of 11 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name PROPOSED ADDITION Date 11211212013 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)l: 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 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 : 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 1A: Masonry or factory -built fireplaces 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 equipped 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 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, 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 ACOA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500)1 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. §1500)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 wafer heater tank, non -recirculating systems, and entire length of recirculatinq sections of hot water pipes are insulated per Standards Table 150-B. §150(j)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. 1 50 ' 3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoff User Number: 6555 Run Code: 2013-12-12710:22:54 ID: Page 8 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date PROPOSED ADDITION 11211212013 §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 is used to seal openings reater 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 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 - easures:§150(k)1: §1 50(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). 1 50 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 2,500 112 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 5.1 by EnergySoft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID: Page 9 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date PROPOSED ADDITION 12/12/2013 §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 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 comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number: 6555 RunCode: 2013-12-12T10:22:54 ID. Page 10 of 11 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name PROPOSED ADDITION Date 12/12/2013 System Name HVAC System Floor Area 2,280 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 1,324 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 74,000 31,476 939 963 44,988 Total Output (Btuh) 74,000 0 Output (Btuh/s ft) 32.5 1,228 2,132 Cooling System 0 0 Output per System 0 0 0 0 0 Total Output (Btuh) 0 0 939 0 Total Output (Tons) 0.0 1,228 2,132 Total Output (Btuh/sqft) 0.0 Total Output (s ft/Ton) 0.0 1 33,932 49,251 Air System CFM per System 1,215 HVAC EQUIPMENT SELECTION Airflow (cfm) 1,215 Carrier 58MTB00120-20 (Low Heat) 0 0 74,000 Airflow (cfm/s ft) 0.53 Airflow (cfm/Ton) 0.0 Outside Air %) 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK o 0 74,000 Jan 1 AM Outside Air (cfm/s ft) -000 Note: values above given at ARI conditions Aug 3 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 28 OF 68 OF Outside Air 0 cfm Supply Fan AL 1,215 cfm 68 IF 68 OF 115 OF Heating Coil E 113 OF ROOM 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 88168 OF 79 ! 63 OF 79 / 62 IF 55 / 53 IF Outside Air Ar 0 cfm AL Supply Fan Cooling Coil 56154 OF 1,215 cfm 41.2% ROOM j 79 ! 63 OF 78 /62 OF EnergyPro 5.1 by EnergySoft User Number: 6555 Run Code: 2013-12-12T10:22:54 ID: Page 11 of 11 4 CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org — Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDR74 ,,_J .0/'K✓7` �F ��' W` APN Z U 2� BP# (-2-01 Z� OWNER.hLAM OWNER ADDRESS , h DESCRIPTION OF WORK: C S� f 7L 4 n O Zv e2 rl _6A+G i We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTI NS: Please read and initial each statement below to signify you understand or verify this information.) 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for t�h1ee nstruction and are not hiring a licensed Contractor to assume this responsibility. U�I��'3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her nam instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. O-I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the otal votal value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. Vaede . I understand if I am considered an "employer" under state and federal law, I must register with the state and l lgovernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject 4idential serious financial risk. 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is p ormed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for ny financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 66 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contr ctors. 0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I a party legally and financially responsible for proposed construction activity at the site address listed above. 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the inf rmation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification 9,aqeptable to the city ma be re�.red to be presented when the permit is issued to verifv the orooerty owner's signal e. ) / i _ _ Property Owner's Signature: Date: --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OwnerBuilderForm 2010.doc revised 04/14/10