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14120096
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21120 GRENOLA DR CONTRACTOR: HOMESTEAD PERMIT NO: 14120096 CONSTRUCTION INC OWNER'S NAME: SAILAPPAN SRIDHAR S AND AVADAIAPPAN 10080 STERN AVE DATE ISSUED: 03/30/2015 OWNER'S PHONE: CUPERTINO, CA 95014 PHONE NO: (408) 255-8999 1 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 1 % CONSTRUCT 2 STORY RESIDENCE -1ST FLOOR (2264 SQ License Class Lie. # FT); 2ND FLOOR (1388 SQ FT); ATTACHED GARAGE (529 ��// Contractol %JM,0 C D �S SQ FT), PORCH (413 SQ FT). I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $620000 ,Performance of the work for which this permit is issued. 1 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: 32628062.00 Occupancy e: p y Typ permit is issued. APPLICANT CERTIFICATION 1 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 WITI� 18 T 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 S FROM L D INSPECT ON. indemnify and keep harmless the City of Cupertino against liabilities, judgments costs, and expenses which may accrue against said City in consequence 3Q / granting of this permit. Additionally, the applicant understands and will comply a y: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. b '% RE -ROOFS: Signature Dat .M 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 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, 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. Iwill I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations. Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533"14f,5_534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: -c1i D permit is issued. � AMM 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 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 " S C PERTINO jo NTEW CONSTRUCTION CONsTRUCT[ON PERMIT APPL[CAT[ON COMMUNITY DEVELOPMENT DEPARTMENT , BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildir q cupertino,or ❑ ADDITIONt ❑ ALTERATION / TI 19 REVISION / EFERRED VA nooct W ORIGINAL PERMIT PROJECT ADDRESS OAITERNAIJE PHONWT-) E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX �f/ �iz�,✓�G gn c' L',�, oosv CONTACT NAME PHONE E-MAIL STREET ADDRESS CIT Y, STATE, ZIP FAX !�OWNER ❑ OWNER -BUILDER ❑ OAINERAGENT ❑ CONTRACTOR ❑ CONTR4CTORAGENT ❑ ARCHITECT ❑ ENGI+\'EER ❑ DEVELOPER ❑ TENANT CONTRACTOjL NAME LICENSE NUMBER LICENSE TYPE BUS. LIC R 1115, C01IP 1NAA4E �i E-MAIL ,eWC1 / FAX STREETADKESS CITY, STATE. ZIP_ I Q � J K I PHONE � ✓� c ARCHITECT/ENGLN'r.ER NMAIE LICENSE NUI,4BER BUS. LIC COIhIPANY NAME E-I✓,AIL FAK STREET ADDRESS CITY, STATE, ZIP PHONE { _ DESCRIPTION OF WORK /Af/(%s fWGIV, -NA-A/ sl, JIAI 6m T r��Tc�� AWP 'AIYAI 6'3) � b PdvjZ_, rf3 oI2hTioiJ1"7_--' fi`l(�,e7 EXISTING USE PROPOSED USE CONSTR. TYPE _ STORIES USE TYPE OCC. SQ.FT. VALUATION' (w) F%ISTG NEM FLOOR DEMO TOTAL AREA AREA AREA NET.42.E4 BATI-IROOM KITCHEN OTHER REMODELARF.A REMODEL AREA REMODELAREA PORCH AREA DECK F-LF_.9 TOTAL DECKIPORCH AREA G?3 4GE AREA: LJDETACH ❑ ATTACH DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? I]NO ADDITION^ 1:] 1q0 PRE -APPLICATION ❑ YES IF YES. PROVIDE COPY OF IS THE BLDG .4N ❑ YES 'RE EIti ED BS '�. -N,� � � 3 _i TOTAL VALUATION:PL.A?`TiNG.4PPLj ❑NO PLA?\TIt,'GAPPROVAL LETTER EICHLERHO?,4E? ❑NO I K v r t a3h `� I By my signature below, I certify to each of the following: I am the property owner or authorized went o act Jn the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building C-Drrptruction. I authorize representatives of Cupertino to enter the above -identified proper Ly. for inspection purposes. Signature of Applicant/ARent: _ Date: SUPPLEMENTAL I' ,I TION REQUIRED =, PI A �'CHECI. T] PE , . „I, I yr > ROlJ7ING SLIP.Y New SFD or h-fultifamily dwellings: Apply for demolition permit for 4' � " � ❑ — existing building(s). Demolition pennit is required prior to Issuance ofbuilding Oti ER Ti -TE COII\TER r BUIiDI\G PLA.\ RE1 IER pennitfornew building. ❑ E�TRESSx L� Pro\\L\GPLi�RE�IE�§ Commercial Bid -s: Provide a Completed Hazardous Materials Disclosui C1 sT��73 n C7L PLELIC`6CRi 7'0 -nn if any Hazardous N�aterials are being used as part ofthis project. �❑ URGE -� ❑k FIRE DEPT Copy of Plai-i-ning Approval Letter or Meeting with Planning prior to U r ❑ irtal ofBui]din]Icatlon. submgPeinlit app F14JOR iz x Ss\IT4RI �EiiERDISTRICI :. ; -.�c $\°IRO\1iE;�TALHE�LIH Bldp pp_?011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 19 ADDRESS: 21120 GRENOLA DR DATE: 12/17/2014 REVIEWED BY: Mendez APN: BP#: / 7 vo� *VALUATION: 1$620,000 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? 0 Yes (E)No PENTAMATION 1 R3SFD PERMIT TYPE: i WORK CONSTRUCT 2 STORY SFDWL LIVING 1ST FLOOR 22642ND FLOOR 1388 SQ FT; ATTACHED SCO -PE GARAGE 529 SQ FT; PORCH 413 SQ FT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA ss. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 4,594 il-lech. Insp. Yee: IR3PLNCK $3,854.58 IR3INSP $3,854.58 Suppl. Insp. Fee:(j) Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 # new units $667.73 Adrninist? ative Fee: Q Work Without Permit? 0 Yes (•) No $0.00 Advanced Planning Fee: IPLLONGR TOTALS: 4,594 $3,319.38 �� $3,854.58 $80.60 NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are onlv an estimate Contact the Dept for addn I info. FEE ITEMS (Fee Resolution 11-053 al. 711/13) l Bala, i'lcan Cr.eckI'ltuaab. Plnra Check Iae::.-Picafz (. "heck A'teah. Per' idl Fee: Plaarnl), P(.`rfnit Pee: EA? c. Peraali Fee: Other 11ech. Inslj. Other Phwih lnsp. Ocher 1;lec. jmp' il-lech. Insp. Yee: Plura b' Inq). ree: hlet. Insl.). Fee:' NOTE: This estimate does not includejees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are onlv an estimate Contact the Dept for addn I info. FEE ITEMS (Fee Resolution 11-053 al. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,319.38 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,854.58 Suppl. Insp. Fee:(j) Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 # new units $667.73 Adrninist? ative Fee: Q Work Without Permit? 0 Yes (•) No $0.00 Advanced Planning Fee: IPLLONGR $643.16 Select a Non -Residential ) Building or Structure 0 I i Travel Documentalion Fees: Strong; Motion Fee: IBSEISMICR $80.60 0 # Revisions $0.00 IREVSFDWL SFDWL Bldg Stds Commission Fee: IBCBSC $25.00 ', $ SUBTOTALS $8 590.45 $0.00%TOTAL EEE 0.45 Revised: 10/01/2014 CONTRACTOR / SUBCONTRACTOR LIST: Buildling.l.)epartment Ci ty.0 f C' i i p er t i n o 1,03300 To.r.re Avenue Cupertiho.- CA 95014-3255 1:616plione; 4084 77-.3228 Fm 40-777-31333. JCB �1�DRCSS PC NAMEP17111( BUSINESSLICEENSEff, . .. . ........... . . .... ..................... .... . ......... GENERAL CONTRAC TOR:��—;� C I MWSINE, S L, ADDRESS., 4 CITY-YZIPCODR� 's 'Om ur.unicipalco.de reqAOres:abu ll shae.s.ses worldng in the C ness 110611 e. .No maOING LIAL 0AFI NAOCCIJPI�NCY'INSPECT ON (S) WKLL at,;.scmr!,1)u.I;n.D UNTIL Tffl� GENF-,R,,%L CONTR.kCTOR AND ALL SUBCONTRACTORS 11�4,.YE- OBTAINEDA CITY OF CUPERTINO, BUSINESS LICENSE. 191.11 not ushig! AHysiffic'Ontractors: ... . . . ......... . .. . .. . ......... Signaturk, D.Ato Plea.se. eh.eekapplic.able subcouiradors and coMpWe the :f6.1110wi0ti;",.i,tlii.'i)rniation:� V SUBCONTRACTOR, HP U SI N. ES'S N A N11, ........ BUSINESSLICEENSEff, . Cabinets & Millwork . ......... . ..... Cement Finishln'g Electrical. AV/ 0 FaXcavation Fenciii '[Ftooring ".."Car ppting L Mof euM '/'Wc)od .......... .. . . ............ .. ... . ... .......... - H.*eqti.ng Insufatloil Landscaping: Aq- � d ..-P............. . . ...... .9 V L,4 -ft Qom. -2 ............... . ..... L� . . ..... ........... Lathing, ................ . .... . ..... ........ . ........ ..... .......... . .... . ...... . ..... . . . ......... . . ..... . . . .. .. . ..... ...... Masom y AA S C Y4 <,–r.R c -r/ o AJ j?"Ell.n.ting./ Wallpaper . . . ............ . ..... . . ..... aNr f ng . Plumbing . ......... . 7) F -Al 1XPC1A Ll+ T7d?.r--- rhieh . ......... . .. M/ -3 septic T -4'n . k Sheet M' tal. Sheet .Rock. Til .... . ...... . ..... . .. Date MHA Consulting Ennineers, Inc. 1�1-42 OU J(® October 22, 2015 City of Cupertino I' 1623 Wright Avenue Sunnyvale Ca 94087 Ph# : 408-735-1524 Fax: 408=733-1548 Building Division RLQ Attn: Building Inspector. S Subject: 21120 Grenola Dr, Cupertino, CA. (" Final Framing. -.Observation by MHA Consulting Engineers Inc. Date: 10-22-2015 Time: 2.00 pm On this date, final framing observation for the above project was performed by MHA Consulting Engineers Inc. We find that in general the overall framing is substantially in conformance with the approved plans and subsequent plan revisions. We approve of the final framing. Additional Remedial Actions (None if Blank) 1) All Headers to add LTP4 at each end 2) For All Floor Beams to add TS22 at each end. 3) All Ceiling posts must be straped to Ceiling Beams Yours Sincerely, Moses Huang MHA Consulting Engineers Inc STATEMENT OF SPECIAL INSPECTIONS, 2013 CBC COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a.cupertino.org SITE CtRIvN�Lti /iQ Ca✓lpE7'LfIAI� APN BP# ADDRESS Registered Design Professional in Charge Owner Owner.......?'..........J. a.PPa Contractor....................................................................................................... Address... /.................................................................. e....... N...! .... ...................... ....6;'.b- Address ............... ............................................................................................ City/St...... eYVnLl ...............Zip....I. 14 ...... 644`7267 Phone..................... City/St................................,.n............... zip ................... Phone ........................ Applicant......... .....�1...........als....................................ng ine Architect...K.... .�.�..... Address...........................................................................................................Address�.�2...Z1.. ' P% IA Z [ 8JCr1 IjJL Signature ................... .................. ��1...........?-f'�. �................. 4-eAb.,,........ City/St............................................. Zip ........................... Phone ..................... City/St... dC. W!' 4,dd,&....(,A.ZiP.qg1e--71.1Phone. .�. PROJECT DESCRIPTION: o W facC — 2— ��Q �� �'� w / This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705. This form is structured after and used by permission from the Structural Engineer Association of Northern California's (SEAONC) mode statement of Special Inspections. Also, included with this form is the following: ❑ "LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and other special inspectors that will be retained to conduct the tests and inspections for this project ❑ "SCHEDULE OF SPECIAL INSPECTION" (page „3 — 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special Ins ors will refer to the approved plans and specifications for detailed special inspection requirements. Any additional test spections required by the approved plans and specifications shall also be performed. Special Inspections and Testing will be performed in acc ff'70ke with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reports i1I,,re submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CB&ec'ion 1704.1.2. A Final Report of Special Inspections documenting required- w e l' nspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certi CAe of Use and Occupancy (Section 1704.1.2). The Final Report will document: • Required special inspections. V--fCorrection of discrepancies noted in inspections. �5di' l REC The Owner recognizes his or her obligation to ensure that the con t` � ctio, complies with the ap7BY'. ,( u jos and t implement this program of special inspections. In partial fulfillment ofobligations, the OwnOW L= tltj pay fo the Special Inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: • Review and approve the qualifications of the Special Inspectors who will perform the inspections. • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. • Perform inspections as required by the local building code. 1 have read and a ree to corno1v with the terms and conditions of this statement Prepared By: Project (ii( Engineer ❑ Architect Registered Design Professional in Charge Signature ...:........................................... :.............. Lic.#... .(._.................................. Date:.. .1..�......f..� Owner Name: n S• Sct41064 R �V, J Owner's Authorizatio Signature .................................................................................................................. Date:....i.1...D.r.. Y Inspection Agency/ Inspector Name: ' P% IA Z [ 8JCr1 IjJL Signature ................... .................. Lic.# .....t.i.. .77.a........ Date:.`? ... ........ Building Official or designee: Sinature .../�//xl.,............... .......................................... !� Date: tt-V7 .J d u SpecialnspectionFonn_2012.doc revised 09106112 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency,testing facility, and special inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre=approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing and Inspection Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow two weeks to complete the application process. The following are the testing and special inspection agencies that will be retained to conduct tests and inspection on this project: EXPERTISE FIRM / INSPECTOR INFORMATION 1. Special Inspection (except for geotechnical) Firm ..... 6.4t?.0i-A.... r�,�.60P.kkA;9. j1WAddr.......f]� U�..I ,�x....1.4h.1.................................. Cit Q. State ... ..... 4a.l2. Telephone...�19.-�i �� 2. Material Testing Firm.....................................................................Addr......................................................................................... City.......................................................................................................... State .......................Zip ...................... Telephone.......................................Fax............................................ Email......................................................... 3. Geotechnical Inspections Firm.....................................................................Addr......................................................................................... ``, 1AYAe, #4 4-11 City.......................................................................................................... State .......................Zip ...................... Telephone ...................................... Fax ............................................ Email......................................................... 4. Other: Firm.....................................................................Addr......................................................................................... City.......................................................................................................... State .......................Zip ...................... Telephone...................................... Fax ............................................ Email......................................................... *All agencies specified on this form must be pre -approved and listed on the City of Cupertino's Approved Special Inspector's List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic -force -resisting system and designated seismic systems subject to special inspections as per Section 1705.3: S��n�soh s�}ahs �al� The extent of the seismic -force -resisting system is defined in more detail in the construction documents. WIND REQUIREMENTS Section 1705.4.1 Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section 1705.4.2: The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents. SpecialnspectionFonn_2012.doc revised 09/06/12 im SCHEDULE OF SPECIAL INSPECTION SITE APN BP# ADDRESS PROJECT DESCRIPTION: Notation Used in Table: Column headers: C Indicates continuous inspection is required. P Indicates periodic inspections are required. The notes and/or contract documents should clarify. Box entries: X Is placed in the appropriate column to denote either "C" continuous or "P" periodic inspections. --- Denotes an activity that is either a one-time activity or one whose frequency is defined in some other manner. Additional detail regarding inspections and tests are provided in the project specifications or notes on the drawings. VERIFICATION AND INSPECTION C p REFERENCED IBC REFERENCE STANDARD INSPECTION OF FABRICATORS 1. ❑ Inspect fabricator's fabrication and quality control --- 1704.3 procedures. INSPECTION OF STEEL 1. Material verification of high-strength bolts, nuts and washers. ❑ Identification marking to conform to ASTM stds AISC 360, specified in the approved construction documents. --- X Section A3.3 and applicable ASTM material standards ❑ Inspect fabricator's fabrication and quality control procedures. X 2. Inspection of high-strength bolting: ❑ Snug -tight joints. --- X ❑ Pretensioned and slip -critical joints using turn -of -nut with matchmarking, twist -off bolt or direct tension --- X AISC 360, indicator methods of installation. 1704.3.3 Section M2.5 ❑ Pretensioned and slip -critical joints using turn -of -nut without matchmarking or calibrated wrench methods X --- of installation. 3. Material verification of structural steel and cold -formed steel deck. ❑ For structural�steel, identification markings to conform AISC 360, to AISC 360. X Section M2.5 ❑ For other steel, identification markings to conform to Applicable ASTM ASTM standards specified in the approved --- X material standards construction documents. ❑ Manufacturer's certified test reports. --- X SpecialnspectionFonn_2012.doc revised 09/06/12 VERIFICATION AND INSPECTION C p REFERENCED STANDARD IBC IREFERENCE 4. Material verification of weld filler materials: ❑ Identification marking to conform to AWS specification in the approved construction documents. --- X AISC 360, Section A3.5 and applicable AWS A5 documents --- ❑ Manufacturer's certificate of compliance required. --- X --- --- .5. Inspection of welding: a. Structural steel and cold -formed steel deck: ❑ Complete and partial joint penetration groove welds. X --- AWS D1.1 1704.3.1 ❑ Multipass fillet welds. X --- ❑ Single -pass fillet welds > 5/16" X --- ❑ Plug and slot welds. X --- ❑ Single -pass fillet welds <= 5/16" --- X ❑ Floor and roof deck welds. --- X AWS D1.3 b. Reinforcing steel: ❑ Verification of weldability of reinforcing steel other than ASTM A 706. --- X AWS D1.4 ACI 318: Section 3.5.2 - ❑ Reinforcing steel resisting flexural and axial forces in - intermediate and special moment frames, and boundary elements of special structural walls of concrete and shear reinforcement. X --- ❑ Shear reinforcement. X --- ❑ Other reinforcing steel. --- X 6. Inspection of steel frame joints details for compliance: ❑ Details such as bracing and stiffening. --- X --- 1704.3.2 ❑ Member locations. --- X ❑ Application of joint details at each connection. --- X VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE INSPECTION OF WELDING 1. D Welded studs when used for structural diaphragms. --- X --- 1704.3 2. ❑ Welding of cold -formed steel framing members. --- X 3. ❑ Welding of stairs and railing systems. --- X SpecialnspectionForm_2012.doc revised 09/06/12 VERIFICATION AND INSPECTION, C P REFERENCED STANDARD IBC REFERENCE INSPECTION OF CONCRETE 1. ❑ Inspection of reinforcing steel, including prestressing --- X ACI 318: 3.5, 7.1-7.7 1913.4 tendons and placement. 2. ❑ Inspection of reinforcing steel welding in accordance AWS D1.4 ACI 318: --- with Table 1704.3 Item 5b. ___ --- 3.5.2 3. ❑ Inspection of bolts to be installed in concrete prior to and during placement of concrete where allowable X --- ACI 318: 8.1.3, 1911.5, 1912.1 loads have been increased or where strength design 21.2.8 is used. 4. ❑ Inspection of anchors installed in hardened concrete. --- X ACI 318: 1912.1 5. ❑ Verifying use of required design mix. 1904.2.2,1913.2, --- X ACI 318: 1913.3 6. ❑ At time fresh concrete is sampled to fabricate ASTM C 172 specimens for strength tests, perform slump and air X --- ASTM C 31 1913.10 content tests and determine the temperature of the concrete. ACI 318: 5.6, 5.8 7. ❑ Inspection of concrete and shotcrete placement for X --- ACI 318: 5.9, 5.10 1913.6, 1913.7, proper application techniques. 1913.8 .8. ❑ Inspection for maintenance of specified curing --- X ACI 318: 5.11-5.13 1913.9 temperature and techniques. 9. Inspection of prestressed concrete: ❑ Application of prestressing forces. X --- ACI 318:18.20 ❑ Grouting of bonded prestressing tendons in the X --- ACI 318: 18.18.4 seismic force -resisting system. 10. ❑ Erection of precast concrete members. --- X ACI 318: Ch. 16 --- 11. ❑ Verification of in-situ concrete strength, prior to stressing of tendons in posttensioned concrete and --- X ACI 318: 6.2 --- prior to removal of shores and forms from beams and structural slabs. 12. ❑ Inspect formwork for shape, location, and dimensions --- X ACI 318: 6.6.1 --- of the concrete member being formed. 13. ❑ Bolts Installed in Existing Masonry or Concrete 0 Direct tension testing of existing anchors. --- X See ICC ES Reports form special inspection requirements for proprietary products 11 Direct tension testing of new bolts. --- X ❑ Torque testing of new bolts. --- X ❑ Prequalification test for bolts and other types of anchors. --- X 14. ❑ Other: SpeciaGupectionForm_2012.doe revised 09/06/12 SpecialnspectionForm_2012.doc revised 09/06/12 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402/ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 INSPECTION OF LEVEL 1 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved --- X --- --- Art. 1.5 submittals shall be verified. :2. ❑ Verification off and f,Ac prior to construction --- X --- -__ Art. 1.413 except where specifically exempted by this code. 3. ❑ Verification of slump flow and VSI as delivered to X --- --- --- Art. 1.513.1.b.3 the site for self consolidating grout. 4. As masonry construction begins, the following shall be verified to ensure compliance: ❑ Proportions of site -prepared mortar. --- X --- --- Art. 2.6A ❑ Construction of mortarjoints. --- X --- --- Art.3.313 ❑ Location of reinforcement, connectors, ___ X -__ __- Art. 3.4, 3.6A prestressing tendons, and anchorages. ❑ Prestressing technique. --- X -- --- Art. 3.613 ❑ Grade and size of prestressing tendons and X --- --- Art. 2.4B, 2.4H anchorages. 5. During construction the inspection program shall verify: ❑ Size and location of structural elements. --- X --- --- Art. 3.3F ❑ Type, size, and location of anchors, including Sec. 1.2.2(e), other details of anchorage of masonry to --- X --- 1.16.1 ___ structural members, frames or other construction. ❑ Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and --- X --- Sec. 1.15 Art. 2.4, 3.4 anchorages. ❑ Welding of reinforcing bars. X --- --- --- ❑ Preparation, construction and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, __- Art. 1.8C, 1.8D 40 degrees F). or hot weather (temperature above 2104.4 90 degrees F). ❑ Application and measurement of prestressing X --- --- --- Art. 3.613 force. 6. Prior to grouting the following shall be verified to ensure compliance: ❑ Grout space is clean. --- X --- --- Art. 3.2D ❑ Placement of reinforcement and connectors and ___ X --- Sec. 1.3 Art. 3.4 prestressing tendons and anchorages. ❑ Proportions of site -prepared grout and _-- X --- --- Art. 2.613 prestressing grout for bonded tendons. ❑ Construction of mortar joints. --- X --- --- Art. 3.313 7. Grout placement: ❑ Grout placement shall be verified ensure X _-- --- -_- Art. 3.5 compliance. ❑ Observe grouting of prestressing bonded X -__ --- --- Art 3.6C tendons. SpecialnspectionForm_2012.doc revised 09/06/12 SpecialnspectionForin_2012.doc revised 09/06/12' REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402/ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 8. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be --- X 2105.2.2, --- Art. 1.4 observed. 2105.3 INSPECTION OF LEVEL 2 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved --- X --- --- Art. 1.5 submittals. 2. ❑ Verification of f'm and f nnc prior to construction and, for every 5,000 square feet during --- X --- --- Art. 1.413 construction_ . 3. ❑ Verification of proportions of materials in premixed or preblended mortar and grout as --- X --- --- Art. 1.513 delivered to the site. 4. ❑ Verification of slump flow and. VSI as delivered to X --- --- --- Art. 1.513.1.b.3 the site for self consolidating rout. 5: The following shall be verified to ensure compliance: ❑ Proportions of site -prepared mortar, grout, and --- X --- --- Art. 2.6A prestressing grout for bonded tendons. ❑ Placement of masonry units and construction of --- X --- --- Art. 3.313 mortar joints. ❑ Placement of reinforcement, connectors and --- X --- Sec. 1.15 Art. 3.4, 3.6A prestressing tendons and anchorages. ❑ Grout space prior to grouting. X --- --- --- Art. 3.2D ❑ Placement of grout. X --- --- --- Art. 3.5 ❑ Placement of prestressing grout. X --- --- --- Art. 3.6C ❑ Size and location of structural elements. --- X --- --- Art. 3.3F ❑ Type, size, and location of anchors, including other details of anchorage of masonry to X --- --- Sec. 1.2.2(e) structural members, frames and other construction. ❑ Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and --- X --- Sec. 1.15 Art. 2.4, 3.4 anchorages. • Welding of reinforcing bars. X --- --- Sec. 2.1.9.7.2, --- - 3.3.3.4 (b) ❑ Preparation, construction, and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, --- Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). ❑ Application and measurement of prestressing X --- --- --- Art. 3.613 force. 6. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be X --- 2105.2.2, --- Art. 1.4. observed. 2105.3 - SpecialnspectionForin_2012.doc revised 09/06/12' VERIFICATION AND INSPECTION C p REFERENCED STANDARD IBC REFERENCE INSPECTION OF WOOD 1. ❑ Inspect prefabricated wood structural elements and assemblies in -accordance with Section 1704.2. --- _-- 1704.6 2. ❑ Inspect site built assemblies. --- --- 3. Inspect high -load diaphragms: 11 Verify grade and thickness of sheathing. --- 11 Verify Verify nominal size of framing members at adjoining --- --- panel edges. --- 1704.6.1 ❑ Verify nail or staple diameter and length, --- --- ❑ Verify number of fastener lines, --- --- ❑ .Verify spacing between fasteners in each line and at _-- --- edge margins. 4. ❑ Metal -plate -connected wood trusses spanning 60 feet or greater: Verify temporary installation restraint/bracing and the permanent individual truss --- X --- 1704.6.2 member bracing are installed in accordance with the approved truss submittal package. REQUIRED VERIFICATION AND INSPECTION OF SOIL 1. ❑ Verify materials below footings are adequate to achieve the desired bearing capacity. _-- X 2. ❑ Verify excavations are extended to proper depth and have reached proper material. --- X 3. ❑ Perform classification and testing of compacted fill materials. X --- Table 1704.7 4. ❑ Verify use of proper materials, densities and lift thicknesses during placement and compaction of X --- compacted fill. 5. ❑ Prior to placement of compacted fill, observe subgrade and verify that site has been prepared properly. _-- X REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS 1. ❑ Verify element materials, sizes and lengths comply X with the requirements. 2. ❑ Determine capacities of test elements and conduct X --- additional load tests, as required. 3. ❑ Observe driving operations and maintain complete X _-- and accurate records for each element. 4. ❑ Verify locations of piles and their plumbness, confirm type and size of hammer, record number of blows per --- Table 1704.8 foot of penetration, determine required penetrations to X --- achieve design capacity, record tip and butt elevations and document any damage to foundation element. 5. ❑ For steel elements, perform additional inspections in accordance with Section 1704.3. 6. ❑ For concrete elements and rconcrete filled elements, perform additional inspections in accordance with --- --- Section 1704.4. SpecialnspectionForm_2012.doc revised 09/06/12 VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE 7. ❑ For specialty piles, perform additional inspections as determined by the registered design professional in --- --- --- Table 1704.8 responsible charge. REQUIRED VERIFICATION AND INSPECTION OF CAST -IN-PLACE DEEP FOUNDATION ELEMENTS 1 ❑ Observe drilling operations and maintain complete and X --- accurate records for each element. 2. ❑ Verify placement locations and plumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable), and X --- --- Table 1704.9 adequate end -bearing strata capacity. Record concrete or grout volumes. 3. ❑ For concrete elements, perform additional inspections in accordance with Section 1704.4. --- --- HELICAL PILE FOUNDATIONS 1. ❑ Record installation equipment used, pile dimensions, X --- --- 1704.10 tip elevations, final depth, final installation torque. SPRAYED FIRE-RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. ❑ Inspect surface for accordance with the approved fire - resistance design and the approved manufacturer's --- --- written instructions. ❑ Verify minimum ambient temperature before and after --- X application. ❑ Verify ventilation of area during and after application. --- X 2. ❑ Measure average thickness per ASTM E605 and Section 1704.12.4. --- 1704.12.1 3. ❑ Verify density of material for conformance with the approved fire-resistant design and ASTM E605. (Ref. --- --- Section 1704.12.5) 4. ❑ Test cohesive/adhesive bond strength per Section 1704.12.6. 5. ❑ Condition of finished application. MISCELLANEOUS 1. Mastic and Intumescent Fire -Resistant Coating. --- --- --- 1704.13 2. Exterior Insulation and Finish'Systems (EIFS). Water - resistive barrier coating when installed over a sheathing --- --- --- 1704.14 substrate. 3. Special Cases --- --- --- 1704.15 4. Smoke Control System --- --- --- 1704.16 5. Seismic Resistance ❑ Suspended ceiling systems and their anchorage. --- --- --- 1705.3 [4.3] Specialnspec[ionForm_2012.doc revised 09/06/12 VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE 6. Wind Resistance ❑ Roof cladding and roof framing connections. --- --- --- ❑ Wall connections to roof and floor diaphragms and framing. ❑ Roof and floor diaphragm systems, including._ collectors, drag struts and boundary elements. - ❑ Vertical wind -force -resisting systems, including braced frames, moment frames, and shear walls. ❑ Wind -force -resisting system connections to the foundation. ❑ Fabrication and installation of systems or components required to meet the impact resistance requirements --- --- --- of Section 1609.1'.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood ❑ Inspect field gluing operations of elements of the main X wind -force -resisting system. --_ 1706.2 ❑ Inspect nailing, bolting, anchoring, and other fastening of components within the main windforce-resisting X system, including wood shear walls, wood diaphragms, drag struts, braces and hold-downs. 2. Cold -Formed Steel Framing ❑ Welding of elements of the main wind -force -resisting system. X ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main "' 1706.3 wind -force -resisting system including shear walls, --- X braces, diaphragms, collectors (drag struts) and hold- downs. 3. Wind -resisting components ❑ Roof cladding. --- X --- 1706.4 ❑ Wall cladding. --- X SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. ❑ Special inspection for welding in accordance with theX ___ 1707.2 quality assurance plan requirements of AISC 341. 2. Structural Wood ❑ Inspect field gluing operations of elements of the X __- seismic -force -resisting system. Inspect nailing, bolting, anchoring, and other fastening of components within the seismic -force -resisting 1707.3 system, including wood shear walls, wood --- X diaphragms, drag struts, braces, shear panels and hold-downs. 3. Cold -Formed steel light -frame construction ❑ Welding of elements of the seismic -force -resisting X system. 1707.4 SpecialnspectionFonn_2012.doc revised 09/06/12 BUILDING ENERGY ANALYSIS REPORT PROJECT: SINGLE HOUSE 21120 GRENOLA DR. CUPERTINO, CA 95014 CUPERTINO Building DeparbMir Project Designer:, MAPi, 2 3 2015 REVIEVVEu FOR 0"DDE COMPLIANC Revleweci By. jer,9,,,t h, Report Prepared by: PERFECT DESIGN & DEVELOPMENT, INPB %P- Z91� Job Number: P14 --4597R Date: 2/16/2015 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC—www.energysoft.com. 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O N e -I O N Y -o a) fa c c al l7 0 CL w w 01 T Ln C) 0 N N 14N N O U C O v O CL ai cr RESIDENTIAL MEASURES SUMMARY RMS-1 Project Name SINGLE HOUSE Building Type 10 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2/16/2015 Project Address 21120 GRENOLA DR. CUPERTINO California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 3,649 Addition n/a # of Units 1 INSULATION Construction Type Area Cavity (ft) Special Features Status Roof Wood Framed Attic R 30 2,365 New Wall Wood Framed R 15 2,832 New Demising Wood Framed w/Crawl Space R 19 2,262 New Demising Wood Framed w/o Crawl Space R 19 1,387 New FENESTRATION Total Area: 568 Glazing Percentage: 15.6 % New/Altered Average U-Factor: 0.30 Orientation Area(ft) U-Fac SHGC Overhang Sidefins Exterior Shades Status Skylight 2.3 0.510 0.26 none none None New Front (Vv) 148.1 0.300 0.21. none none Bug Screen New Rear (E) 242.0 0.300 0.21 none none Bug Screen New Left (N) 41.6 0.300 0.21 none none Bug Screen New Right (S) 129.5 0.300 0.21 none none Bug Screen New Skylight 4.0 0.510 0.26 none none None New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80%AFUE Split Air Conditioner 13.2 SEER Setback New 1 Central Furnace 95% AFUE Split Air Conditioner 14.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R-Value Status 1ST FLOOR AREA Ducted Ducted Attic 8.0 New 2ND FLOOR AREA Ducted Ducted Attic 8.0 New WATER HEATING' Qty. Type Gallons Min. Eff Distribution Status 1 Small Instantaneous Gas 1 0.95 Standard New Ener Pro 6.4 by EnerqySoft User Number., 1919 RunCode: 2015-02-16716:36.27 ID: P14-4597R Pae 12 of 24 2013 Low -Rise Residential Mandatory Measures Summary NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the rmlinnro nnnrnnrh head Fxrantinn.e may annly. Review the resnective code section for more information. Building Envelope Measures: § 110.6(a)1: Doors.and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain § 110.6(a)5: Coefficient SHGC and infiltration that meets the re uirements of kI0-111(a . § 110.7: Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed. §I10.8(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the CF2R. The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of § 110.8(i) when the 110.8(i): installation of a cool roof is specified on the CFI R. § 110.86): A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CFI R. Minimum R-30 insulation in wood -frame ceiling; or the weighted average U -factor shall not exceed 0.031. Minimum R-19 in a § 150.0(a): rafter roof alteration. Attic access doors shall have permanently attached insulation using adhesive or mechanical fasteners. The attic access shall be gasketed to prevent air leakage. § 150.0(6): Loose fill insulation shall conform with manufacturer's installed design labeled R -value. § 150.0(c): Minimum R=13 insulation in 2x4 inch wood framing wall or have a U -factor of 0.102 or less (R-19 in 2x6 or 0.074 maximum U - factor). §150.0(d): Minimum R-19 insulation in raised wood -frame floor or 0.037 maximum U -factor. In Climate Zones 14 and 16 a Class II vapor retarder shall be installed on the conditioned space side of all insulation in all exterior §150.0(g)l: walls, vented attics and unvented attics with air -permeable insulation. In Climate Zones 1-16 with unvented crawl spaces the earth floor of the crawl space shall be covered with a Class I or Class Il § 150.0(g)2: vapor retarder. In a building having a controlled ventilation crawl space, a Class I or Class 1I vapor retarder shall be placed over the earth floor of §I50.0(g)3: the crawl space to reduce moisture entry and.protect insulation from condensation, as specified in the exception to Section 150.0(0). § 150.0(1): Slab edge insulation shall: have a water absorption rate, for the insulation material alone without lacings, no greater than 0.3%; have water vapor permeance rate is no greater than 2.0 perm/inch, be protected from physical damage and UV light deterioration; and when installed as part of a heated slab floor meets therequirements of § 110.8 150.0 § (q)' Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum U- factor of 0.58; or the weighted averse U -factor of all fenestration shall not exceed 0.58. Fireplaces, Decorative Gas Appliances and Gas Log Measures: § 150.0(e) I A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. '§ 150.0(e) I 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 readily accessible operable, and tight -fitting damper or a combustion -air control device. § 150.0(e) IC: Masonry or factory -built fireplaces have a flue damper with a readily accessible control. 050.0(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110.0-§ 110.3: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified to the Energy Commission. §110.3(c)5: Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of § 110.3(c)5. Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appli- § 110.5: ances without an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool ands a heaters. § 150.0(h)1: Heating and/or cooling loads are calculated in accordance with AS HRAE, SMACNA or ACCA using design conditions specified in §150.0(h)2. § 150.0(h)3A: Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any dryer vent. § 150.0(i): Heating systems, are equipped with thermostats that meet the setback requirements of § 1 10.2(c). § 150.06) l A; Storage gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. § 150.06)1 B: Unfired hot water tanks, such as storage tanks and backup storage tanks for solar water -heating systems, have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. For domestic hot water system piping, whether buried or unburied: the first 5 feet of hot and cold water pipes from the storage tank, all piping with a nominal diameter of 3/4 inch or larger, all piping associated with a domestic hot water recirculation system §150.00)2A: regardless of the pipe diameter, piping from the heating source to storage tank or between tanks, piping buried below grade, and all hot water pipes from the heating source to kitchen fixtures must be insulated according to the requirements of TABLE 120.3- A. § 150.06)2B: All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve that allows for installation removal, and replacement of the enclosed pipe and insulation. 2013 Low -Rise Residential Mandatory Measures Summary Pipe for cooling system lines shall be insulated as specified in § I50.0(j)2A. Piping insulation for steam and hydronic heating 150.0(i)2C: systems or hot waters stems with ressure > 15 si shall meet the re uirements in TABLE 120.3-A. § 150.00)3: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall either be rated for outdoor use or installed with a cover suitable for outdoor service. For § 150.00)3A: example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation protected as specified or painted with coating that is water retardant and provides shieldin from solar radiation that de ades the material. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I § 150.00)3B: or Class 11 vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class l or Class 11 vapor retarder. Systems using gas or propane water heaters to serve individual dwelling units shall include: a 120V electrical receptacle within 3 feet of the water heater; a Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the § 150.0(n)1: space where the water heater is installed; a condensate drain that is no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assistance; and a gas supply line with a capacity of at least 200,000 Btu/hr. § 150.0(n)2: Recirculating loops serving multiple dwelling units shall meet the requirements of § i 10.3(c)5. § 150.0(n)3: Solar water -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC) or by a testing agency ap2roved by the Executive Director. Ducts and Fans Measures: All air -distribution system ducts and plenums installed are sealed and insulated to meet the requirements of CMC §601.0, §602.0, §603.0, §604.0, §605.0 and ANSI/SMACNA-006-2006 HVAC Duct Construction Standards Metal and Flexible 3rd Edition. Supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-6.0 (or higher if required by CMC §605.0) or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing (RA3.1.4.3.8). Connections of metal ducts and inner core of flexible ducts are mechanically fastened. Openings shall be sealed § 150.0(m)1: 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 greater than ''A inch, the combination of mastic and either mesh or tape shall be used. 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. Factory -Fabricated Duct Systems shall comply with specified requirements for duct construction, connections, and closures; joints § 150.0(m)2: and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. § 150.0(m)3-6: Field -Fabricated Duct Systems shall comply with requirements for: pressure -sensitive tapes, mastics, sealants, and other requirements specified for duct construction; duct insulation R -value ratings; duct insulation thickness; and duct labeling. § 150.0(m)7: All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic dampers. §150.0(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers combustion inlet and outlet air openings and elevator shaft vents. -except Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not §150.0(m)9: limited to the following: insulation exposed to weather shall be suitable for outdoor service. For example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation. § 150.0(m)10: Flexible ducts cannot have porous inner cores. When space conditioning systems use forced air duct systems to supply conditioned air to an occupiable space, the ducts shall be § 150.0(m)1 1: sealed and duct leakage tested, as confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 feet in length and through a thermal § 150.0(m)12: conditioning component, except evaporative coolers, shall be provided with air filter devices that meet the requirements of §150.0(m)12. Space conditioning systems that utilize forced air ducts to supply cooling to an occupiable space shall have a hole for the placement of a static pressure probe (HSPP), or a permanently installed static pressure probe (PSPP) in the supply plenum. The § 150.0(m)13: space conditioning system must also demonstrate airflow> 350 CFM per ton of nominal cooling capacity through the return grilles, and an air -handling unit fan efficacy < 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Zonally controlled central forced air cooling systems shall be capable of simultaneously delivering, in every zonal control mode, § 150.0(m) 15: an airflow from the dwelling, through the air handler fan and delivered to the dwelling, of> 350 CFM per ton of nominal cooling capacity, and operating at an air -handling unit fan efficacy of <_ 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Neither window operation nor continuous operation of § 150.0(0): central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the Whole Building Ventilation. §150.0(o)IA: Whole Building Ventilation airflow shall be confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Pool and Spa Heating Systems and Equipment Measures: Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Applianec Efficiency § l 10.4(a): Regulations; an on-off switch mounted outside of the heater that allows shutting off the heater without adjusting the thermostat setting; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heatin . 2013 Low -Rise Residential Mandatory Measures Summary Any pool or spa heating equipment shall be installed with at least 36 inches of pipe between filter and heater or dedicated suction § 110.4(b)1: and return lines or built-up connections for future solar heating. § 110.4(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover. § 110.4(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or pro- grammed to run only during off-peak electric demand periods. § 110.5: Natural gas pool and spa heaters shall not have a continuous burning pilot light. § 150.0(p): Residential pool systems or equipment shall meet specified pump sizing, flow rate, piping, filters, and valve requirements. Lighting Measures: § 110.9: All lighting control devices and systems, ballasts, and luminaires shall meet the applicable requirements of § 110.9. Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with § 150.0(k) in accordance with TABLE § 150.0(k)I A: 150.0-A or TABLE 150.0-B, as applicable. When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply § 150.0(k) IB: with the applicable provisions of § 150.0(k). The wattage and classification of permanently installed luminaires in residential kitchens shall be determined in accordance with §150.0(k)1C: §130.0(c). In residential kitchens, the wattage of electrical boxes finished with a blank cover or where no electrical equipment has been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan, shall be calculated as 180 watts of low efficacy lighting er electrical box. §150.0(k)ID: Ballasts for fluorescent lamps rated 13 watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no § 150.0(k) I E: more than 5 watts of power per luminaire or exhaust fan as determined in accordance with § 130.0(c). Night lights do not need to be controlled by vacancy sensors. §150.0(k)IF: Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable requirements of § 150.0(k). § 150.0(k)2A: High efficacy luminaires must be switched separately from low efficacy luminaires. §150.0(k)2B: Exhaust fans shall be switched separately from lighting systems. § 150.0(k)2C: Luminaires shall be switched with readily accessible controls that permit the luminaires to be manually switched ON and OFF. § 150.0(k)2D: Controls and equipment are installed in accordance with manufacturer's instructions. § 150.0(k)2E: No control shall bypass a dimmer or vacancy sensor function if the control is installed to comply with § 150.0(k). § 150.0(k)2F: Lighting controls comply with applicable requirements of § 110.9. An Energy Management Control System (FMCS) may be used to comply with dimmer requirements if: it functions as a dimmer § I50.0(k)2G: according to §110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of § 130.5; and all other requirements in §150.0(k)2. An Energy Management Control System (EMCS) may be used to comply with vacancy sensor requirements of § 150.0(k) if: it § 150.0(k)2H: functions as a vacancy sensor according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of § 130.5; and all other requirements in § 150.0(k)2. §150.0(k)21: A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the functionality of a dimmer according to §110.9, and complies with all other applicable requirements in §I50.0(k)2. § 150.0(k)3A: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. Kitchen lighting includes all permanently installed lighting in the kitchen except internal lighting in cabinets that illuminate only § I50.0(k)3B: the inside of the cabinets. Lighting in areas adjacent to the kitchen, including but not limited to dining and nook areas, are considered kitchen lighting if they are not separately switched from kitchen lighting. § 150.0(k)4: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. §150.0(k)5: A minimum of one high efficacy luminaire shall be installed in each bathroom; and all other lighting installed in each bathroom shall be high efficacy or controlled by vacancy sensors. § I50.0(k)6: Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and controlled by vacancy sensors. §150.0(k)7: Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shal l be high efficacy, or shall be controlled by either dimmers or vacancy sensors. Luminaires recessed into ceilings shall: be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; have a label that certifies that the luminaire is airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; be sealed with a gasket or caulk between the luminaire housing § 150.0(k)8: and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk; and allow ballast maintenance and replacement without requiring cutting holes in the ceiling. For recessed compact fluorescent luminaries with ballasts to qualify as high efficacy for compliance with §150.0(k), the ballasts shall be certified to the Energy Commission to comply with the applicable requirements in § 110.9. For single-family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements: i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of Items ii or iii below; and § 150.0(k)9A: ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically reactivates the motion sensor within 6 hours; and iii. Controlled by one of the following methods: 2013 Low -Rise Residential Mandatory Measures Summary a. Photocontrol not having an override or bypass switch that disables the photocontrol; or b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is programmed to automatically turn the outdoor lighting OFF during daylight hours; or c. Energy management control system which meets all of the following requirements: At a minimum provides the functionality of an astronomical time clock in accordance with §110.9; meets the Installation Certification requirements in §,130.4; meets the requirements for an EMCS in § 130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and, is programmed to automatically turn the outdoor li ting OFF during daylight hours. For low-rise multifamily residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor lighting for residential parking lots and residential carports with less than eight vehicles per site shal I comply with one of the § 150.0(k)9B: following requirements: i. Shall comply with § 150.0(k)9A; or ii. Shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0. For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by §) 50.0(k)9B or I50.0(k)9D § 150.0(k)9C:. shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0. Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply § 150.0(k)9D: with the applicable requirements in ' 110.9, 130.0, § 130.2, § 130.4, § 140.7 and ' 141.0. Internally illuminated address signs shall comply with § 140.8; or shall consume no more than 5 watts of power as determined § 150.0(k)10: according to § 130.0(c). Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for § 150.0(k)11: nonresidential garages in 110.9, 130.0, 130.1 '130.4, § 140.6, and '141.0. In a low-rise multifamily residential building where the total interior common area in a single building equals 20 percent or less of § 150.0(k)12A: the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or controlled by an occupant sensor. In a low-rise multifamily residential building where the total interior common area in a single building equals more than 20 percent of the floor area, permanently installed lighting in that building shall: §150.0(k)12B: i. Comply with the applicable requirements in §110.9, §130.0, §130.1, §140.6 and §141.0; and ii. Lighting installed in corridors and stairwells shall be controlled by occupant sensors that reduce the lighting power in each space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of ingress and egress. Solar Ready Buildings: Single family residences located in subdivisions with ten or more single family residences and where the application for a §I 10.10(a)1: tentative subdivision map for the residences has been deemed complete, by the enforcement agency, on or after January 1, 2014, shall comply with the requirements of §110.10(6) through § 110.10(e). § 110.10(a)2: Low-rise multi -family buildings shall comply with the requirements of § 110.10(b) through § 1 10.10(d). The solar zone shall have a minimum total area as described below. The solar zone shall comply with access, pathway, smoke ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or in any requirements adopted by a local jurisdiction. The solar zone total area shall be comprised of areas that have no dimension less than 5 feet and are no less than 80 square feet each for buildings with roof areas less than or equal to 10,000 square feel or no less than 160 square feet each for § 110.10(b)1: buildings with roof areas greater than 10,000 square feet. For single family residences. the solar zone shall be located on the roof or overhang of the building and have a total area no less than 250 square feet. For low-rise multi -family buildings the solar zone shall be located on the roof or overhang of the building or on the roof or overhang of another structure located within 250 feet of the building or on covered parking installed with the building project and have a total area no less than 15 Rercent of the total roof area of,the building excluding any skylight area. § 110.10(b)2: All sections of the solar zone located on steep -sloped roofs shall be oriented between 110 degrees and 270 degrees of true north. § 110.10(b)3A: No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be located in the solar zone. Any obstruction, located on the roof or any other part of the building that projects above a solar zone shall be located at least twice § 110.10(b)3B: the distance, measured in the horizontal plane, of the height difference between the highest point of the obstruction and the horizontal projection of the nearest point of the solar zone measured in the vertical plane. §I 10.10(b)4: For areas of the roof designated as solar zone, the structural design loads for roof dead load and roof live load shall be clearly indicated on the construction documents. The construction documents shall indicate: a location for inverters and metering equipment and a pathway for routing of conduit § 110.10(c): from the solar zone to the point of interconnection with the electrical service (for single family residences the point of interconnection will be the main service panel); a pathway for routing of plumbing from the solar zone to the water -heating system. §1 10.10(d): A copy of the construction documents ora comparable document indicating the information from §1 10.10(6) through §1 10.10(c) shall be provided to the occupant. §1 10.10(e)l: The main electrical service panel shall have a minimum busbar rating of 200 amps. The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a § 110.10(e)2: future solar electric installation. The reserved space shall be: positioned at the opposite (load) end from the input feeder location I main circuit location, and permanently marked as "For Future Solar Electric". HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Date SINGLE HOUSE 2/16/2015 System Name Floor Area 1 ST FLOOR AREA 2,262 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 703 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD 1 COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perSystem 95,200 14,942 1,298 423 15,803 Total Output Btuh 95,200 0 749 0 Output Stuh/ ft 42.1 583 Cooling System 0 Output perSystem 57,000 0 0 0 0 Total OutputBtuh 57,000 0 0 749 1,298 1 17,301 Total Output ons 4.8 583 Total Output Btuh/s ft 25.2 Total Output s ft/Ton 476.2 16,108 Air System CFM per S tem 1970 HVAC EQUIPMENT SELECTION Airflow cfm 1,970 CARRIER 24ABB360/58CVA-155-22 (5 TON) 42,051 11,945 95,200 Airflow cfm/s ft 0.87 Airflow cfm/ron 414.7 Outside Air (%) 0.0% Total Adjusted System Output 42,051 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 11,945 Aug 3 PM 95,200 Jan 1 AM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak) 28 OF 70 OF 70 OF 105 OF Outside Air 0 cfm Supply Fan Heating Coil 105 OF 1,970 cfm .......... .... .. ......... ... ROOM 70 OF 70 OF rri . . .... 4 COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 88 / 68 OF 75 / 62 OF 75161 OF 55 154 OF 01 i E—LIL'TA Outside Air Ar 0 cfm Supply Fan Cooling Coil 55 / 54 OF 1,970 cfm 46.1 % ROOM ENV 75162 OF — 75 161 OF - j r EnergyPro 6.4 by EnergySoft User Number: 1919 RunCode: 2015-02-16T16:36:27 ID: P14 --4597R Page 17 of 24 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Date SINGLE HOUSE 2/16/2015 System Name Floor Area 2ND FLOOR AREA 1,387 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING PEAK COIL HTG. PEAK Heatina System CFM Total ROOM Loads 415 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts Sensible Latent CFM Sensible Output per System 49,000 8,823 1,088 326 12,148 576 0 Total Output (Btuh) 49,000 0 Output Stuh/s ft 35.3 344 Cooling System 0 Output per System 33,400 0 0 344 0 0 0 0 576 Total Output Btuh 33,400 Total Output (Tons) 2.8 Total Output (Btuh/s ft) 24.1 TOTAL SYSTEM LOAD F 9,511 1,088 13,300 Total Output s ft/Ton 498.3 Air System CFM per System 1,200 HVAC EQUIPMENT SELECTION Airflow cfm 1,200 CARRIER 24ABB336/58MVC-80-14 (3 TON) 24,863 6,819 49,000 Airflow cfm/s ft 0.87 Airflow cfm/Ton 431.1 Outside Air % 0.0 % Total Adjusted System Output 24,863 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 6,819 49,000 Aug 3 PM Jan 1 AM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF 70 OF 70 OF 105 OF ... B 1 Outside Air t - —L — 0 cfm Supply Fan Heating Coil 105 OF AL 1,200 cfm R00101 70 °F_ 70 IF _ .... COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 88 ! 68 IF 75162 OF 75 / 61 OF 55 / 54 OF t Outside Air i 0 cfm Supply Fan Cooling Coil 55154 OF 1,200 cfm d ��p 46.4 % 1 DOOM 75 / 62 °F 75 / 62 OF EnergyPro 6.4 by EnergySoft User Number.- 1919 RunCode: 2015-02-16T16:36:27 ID: P14 -4597R Page 18 of 24 ROOM LOAD SUMMARY Project Name SINGLE HOUSE System Name 1ST FLOOR AREA ROOM LOAD SUMMARY Date 2/16/2015 Floor Area 2,262 ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible 1STFLOORPLAN 1STFLOORPLAN 1. 703 14,942 1,298 703 14,942 1,298 423 15,803 ' Total includes ventilation load for zonal systems. PAGE TOTAL 1 TOTAL 1 703 14,942 703 14,942 1,298 1,298 423 15,803 423 15,803 Ener Pro 6.4 by Ener Soft User Number. 1919 RunCode: 2015.02-16T16:36:27 ID: P14 -4597R Pae 19 of 24 ROOM LOAD SUMMARY Project Name Date SINGLE HOUSE 2/16/2015 System Name Floor Area 2ND FLOOR AREA 1,387 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK I COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible TLatent CFM I Sensible 'Latent I CFM I Sensible 2ND FLOOR PLAN 2ND FLOOR PLAN I 1 1 4151 8,8231 1,088 4151 8,8231 1,0881 3261 12,148 PAGE TOTAL TOTAL * 415, 8,823 1,088 326 12,148 415 8,823 1,088 326 12,148 ' Total includes ventilation load for zonal systems. Ener Pro 6.4 by Ener Soft UserNumber.- 1919 RunCode: 2015-02-16T16:36:27 ID: P14 --4597R Page 20 of 24 • ROOM HEATING PEAK LOADS Project Name Date SINGLE HOUSE 2/16/2015 ROOM INFORMATION DESIGN CONDITIONS Room Name 1ST FLOOR PLAN Time of Peak Jan 1 AM Floor Area 2,262.0 ft2 Outdoor Dry Bulb Temperature 28 OF Indoor Dry Bulb Temperature 70 OF Conduction Area U -Value X 0.0310 X 0.5100 X 0.0950 X 0.3000 X X X X X X X X X X AT OF X 42 X 42 X 42 X 42 X X X X X X X X Btu/hr _ 1,278 = 49 c 6,115 = 4,414 _ _ _ = _ = = = = = = _ R-30 Roof Attic 981.7 Double Metal Clear... 2.3 R-15 Wall 1,532.5 Double Non Metal Clear (6) 350:3 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X. X X X X X X X Items shown with an asterisk (') denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction through an interior surface X 2,262 X Area to another room 9.00 X 0.257 Ceiling Height ACH Page Total /60] X AT 11,856 42 = 3,947 TOTAL HOURLY HEAT LOSS FOR ROOM 15,803 EnergyPro 6.4 by EnergySoft User Number. 1919 RunCode: 2015-02-16716:36:27 ID: P14 --4597R Page 21 of 24 G ROOM HEATING PEAK LOADS Project Name Date SINGLE HOUSE 2/16/2015 ROOM INFORMATION DESIGN CONDITIONS Room Name 2ND FLOOR PLAN Floor Area 1,387.0 & Indoor Dry Bulb Temperature 70 °F Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area U -Value X 0.0310 X 0.5100 X 0.0950 X 0.3000 X 0.0490 X X X X X X X X X X X X X X X X X X X X X X X X X AT OF = = _ ❑ _ _ = = = = = 42 Btu/hr R-30 Roof Attic 1,383.0 42 1,801 Double Metal Clear.. 4.0 42 86 R-15 Wall 1,299.3 42 5,184 Double Non Metal Clear (6) 210.9 42 Z657 `R-19 Floor W/O Crawlspace 1,278.0 0 0 - X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Items shown with an asterisk (`) denote conduction Infiltration:[ 1.00 X 1,077 Schedule Air Sensible Fraction through an interior surface X 1,387 X Area to another room 9,00 X 0.257 Ceiling Height ACH Page Total /60] X AT 9,728 = 2,421 TOTAL HOURLY HEAT LOSS FOR ROOM 12,148 EnergyPro 6.4 by EnergySoft User Number., 1919 RunCode: 2015-02-16T16:36:27 ID: P14 --4597R Page 22 of 24 L2 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Date SINGLE HOUSE 2/16/2015 ROOM INFORMATION DESIGN CONDITIONS Room Name 2ND FLOOR PLAN Outdoor Dry Bulb Temperature 88 OF Floor Area 1,387.Oft-- Outdoor Wet Bulb Temperature 68 OF Indoor Dry Bulb Temperature 75 °F Outdoor Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R-30 Roof Attic (N) 1,383.0 X 0.0310 X 37.0 = 1,586 R-15 Waft (Wf 316.4 X 0.0950 X 13.0 = 391 R-15 Wall (E) 284.5 X 0.0950 X 13.0 = 351 R-15 Wall (N) 361.0 X 0.0950 X 3.0 = 103 R-15 Wall (S) 337.4 X 0.0950 X 6.0 = 192 'R-19 Floor W/0 Crawlspace 1,278.0 X 0.0490 X 0.0 = 0 X X = X X = X X = Page Total 2,624 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Skylight (N) 0.0 X 10.3 + 4.0 X 46.9 = 187 WINDOWS (W) 0.0 X 8.3 + 57.1 X 21.1 = 1,203 WINDOWS (E) 0.0 X 8.3 + 107.0 X 21.1 = 2,254 WINDOWS (N) 0.0 X 8.3 + 11.6 X 8.3 = 96 WINDOWS (S) 0.0 X 8.3 + 35.2 X 11.5 = 403 X + X = X + X = X + X = X +1 X = Page Total 4,143 Internal Gain Btu/hr Occupants 4.2 Occupants X 255 Btuh/occ. = 1,062 Equipment 1,987 Floor Area X 0.10 I w/sq ft = 473 Infiltration: 1.077 X 0.65 X 57.21 X 13 = 521 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 8,623 Latent Gain Btu/hr- tu/hrOccu ants Occupants 4 2 Occupants X 225 Btuh/occ. - 937 Infiltration: 4,830 X 0.65 x 57.21 X 0.00084 = 151 Air Sensible CFM ELA OW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 11586 EnerqvPro 6.4 by EnerqySoft User Number: 1919 RunCode: 2015-02-16716:36:27 ID: P14--45978 Page 24 of 24 CAPEX ENGINEERING INC. 0.03OX 14198, FREMONT, CA 94539 Tel -(510)669-181,5 Fax: (510)49M690 Project No. 9716 March 23, 2015 Building Department City of Cupertino 10300 Torre Ave. Cupertino, C.A. 9501.4 Subject: Proposed New Residence at 21120 Grenoia Dr. Cupertino, CA FOUNDATION AND DETAIL PLAN Reference: (1) Soil and Foundation Investigation Report By: Caper Engineering Inc. Dated on: November 13, 2014 )0190 (2) Foundation Plans and Detail By: MHA Consulting Engineering Inc, Dated on: November 16, 2014 Dear Sir: Capex Engineering Inc., has reviewed the above referenced materials pertaining to the subject project. Based on our review, it is our opinion that the submitted plans and specifications {Reference 2, Sheet S2 & S5) substantially generally conform to the recommendations presented in reference 1. It should be, noted that (1) the soil engineer on record has been retained to provide soil site observation and provide periodic and final report to the City. (2) Surface drainage must be provided as designed by the project Civil .Engineer and maintained by the property owner at all times. I . Should you have questions, please contact our office at your convenience. Very Truly Yours in pex Engin Inc. Clary cc 0 QS4 47W00FP- _, STATE OF CALIFORNIA DUCT LEAKAGE TEST - COMPLETELY NEW OR REPLACEMENT DUCT SYSTEMMolt, :EC- CF-6R-MECH-20-HERS (Revised 08/09) CALIFORNIA ENERGY COMMISSION " WSTALLATION CERTIFICATE CF -6R -M ECH-20-HERS Duct Leakage Test — Comj!1ete!y New or Replacement Duct System (Page I of 3) Site Address: Enforcement Agency: Permit Number: Z/ 2 0 : 6i_111P&V d LA . 7 s62 . CLIP��%1C,0 W`2 OCi Flo Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: P��V/rA-7 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leaka¢e Diaunnstie Test— cmmnletely new or renineement dnet system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit Allowed for verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must be (CFM) entered for Allowed Leakage. Allowed leakage calculation — (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use a leakage factor of 0.03 in the calculations below. y at/ �1 0 06 — 7,j Cooling system method: / �y ®y Nominal capacity of condenser in Tons x 400 x leakage factor = L (CFM) ❑ Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = (CFM) ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = (CFM) Actual Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage ea Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). List Actual Leakage from duct leakage test (CFM) Pass if Actual Leakage is less than Allowed Leakage ass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation o sampling allowed). List Actual Leakage from smoke test CF Pass if all accessible leaks (except for existing air handler) are sealed using smoke Pass ❑Fail IJ Registration Number: Registration Date%Time: HERSProvider: STATE OF CALIFORNIA ,off?' DUCT LEAKAGE TEST - COMPLETELY NEVA OR REPLACEMENT DUCT SYSTEM CEC- CF-6R-MECH-20-HERS Revised 08/09 CALIFORNIA ENERGY COMMISSION ^^" INSTALLATION CERTIFICATE CF-6R-MECII-20-HERS Duct Leakage Test — Complete!X Complete!New or Replacement Duct System (Page 2 of 3 Site Address: Enforcement Agency: Perm't Number: -211 Z `L ��,: Gni //2 'aa '? Compliance Method This,,dwelling was: select one of the following two choices): Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual inspection at Final construction -Stage it a ucame After installing the interior finishing wall and verifying that the above rough -in tests was completed, the fol owin rocedure must beperformed: For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. all joints to ensure that no cloth backed rubber adhesive duct tape is used. Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct akage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. All supply and return register boots must be sealed to the drywall New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. kMastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections. DECLARATION STATEMENT C I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. a I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. e I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Registration Number: Registration Date/Time: HERS Provider: STATE OF CALIFORNIA DUCT LEAKAGE TEST - COMPLETELY NEIN OR REPLACEMENT DUCT SYSTEM ;EC- CF-6R-MECH-20-HERS (Revised 08/09) CALIFORNIA ENERGY COMMISSION - 4i INSTALLATION CERTIFICATE CF-611-MECH-20-11ERS Duct Leakage Test — Completely New or Replacement Duct System (Page 3 of 3) Site Address: Enforcyem�!en�/tsAg, c�� � P�mjt� �b�� /� / ,0// 2o S % C; '7 1 Respo ibl Person' Na�prmee: Responsible Per s atu61 CSLB License: C�c° �F .-f 2 Date Si ed: -lam/ /� Position With Company (Tit ): ,a4 M ?� Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? Dyes ❑No Registration Number: Registration Date/Time: HERS Provider: INSTALLATION CERTIFICATE CF -6R -ENV -01 Envelope — Insulation; Roofing; Fenestration (Page 1 of 3) Site Address: Enforcement Agency: Permit Number: If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check boxes require to be checked to ensure the mandatory measures have been met. Description of Insulation 1. RAISED FLOOR Material: _ Brand Name: Thickness (inches):? Thermal Resistance (R- alue): ❑ §150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor. 2. SLAB FLOOR/PERIMETER Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): Perimeter Insulation Depth (inches): ❑ § 150(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. 3. EXTERIOR WALL a. Insulation Tp (e.x. Batt, Loose Fill, Spray Foam) b.. Insulation Type (e.x. Batt, Loose Fill, Spray Foam) Brand: a. Thermal Resistance (R -Value): t Y b. Thermal Resistance (R -Value): Spray/Loose fill) Installed Actual Thickness Spray/Loose fill) (inches): Contractor's min installed weight/ft2 lb Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) ❑ §150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor. Exterior Foam Sheathing (rigid Insulation) Material: Thickness (inches) : 4, FOUNDATION WALL Material: Thickness (inches): 5. CEILING Brand Name: Thermal Resistance (R -Value) : Brand Name: Thermal Resistance (R -Value): Batt or Blanket Type: Brand Name: ( 0 1 i 'iq 7-'- , , Loose Fill Type: Thermal Resistance (R -Value): Spray Foam Type: Brand Name: Installed Actual Thickness (inches): Contractor's min installed weight/ft2 lb Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): ❑ §I50(a): Minimum R-19 insulation in wood-fi•ame ceiling or equivalent U -factor. 6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER Material: Brand Name: Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): ❑ §I 18(a): Insulation installed meets Standards for Insulating Material. ❑ § I50(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16 2008 Residential Compliance Forms August 2009 INSTAL,L,ATION CERTIFICATE CF -6R -ENV -01 Envelope — Insulation; Roofing; Fenestration (Page 2 of 3) Site Address:' r 20 Enforcement Agency: Permit Number: ` �r�o (G�Dl 14l200q6 Description of R ofing Products CRRC Product ID Manufacturer Manufacturer/Brand Name GROUP LIKE RODUCTS Product Roof Roof Product Initial Solar Aged Solar Thermal Number' Information Brand/Model T e Area Sloe Weight 2 Reflectance Reflectance' Emittance 2 ❑3 3 �3 4 ❑3 5 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at ww. coolroofs. org/products/search, php 2. The weight in lbs per square feet of the roofing product being installed. 3. Check box if the Aged Reflectance is a calculated value using the equation below, footnote 4. 4. If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the directory and use the equation 0.2+0.7(pin;,ipi — 0.2) to obtain a calculated aged value. ✓OCHECKAPPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT.• ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/ftp is exempted from the above Cool Roof criteria. To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of 20 mils across the entire roof surface and meet minimum performance requirements listed in ¢118(i)3 and Table 118-C. Select the applicable coatin ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other ✓ ❑ CRRC-1 Label Attached to CF -6R (Note if no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance). FENESTRATION/GLAZING Item Manufacturer/Brand Name GROUP LIKE RODUCTS Product U- factor' Product SEIGC1 # of Panes NFRC Certified' z Total Quantity of Like Product (Optionao Area ftz Add. Exterior Shading Dev. or Overhang Comments/ Location/ Special Features I 2 3 4 5 6 7. 8. 1. Use valuesfrom ofenestration product's NFRC Certfed Label. For fenestration products without an NFRC label, use the default valuesfrom Section 116, Table 116-A and 116-B of the 2008 Energy Efficiency Standards, 2. NFRC Label Certi lcates shall not be removed until the buildinE ins ector has ver! red the efficiency, Enter Yes or No. ❑ §I 16(a)1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ § 116(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U -factor and/or a lower SHGC than that specified on the Certificate of Compliance (Form CF -1R). ❑ § 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) 0 § 117: Exterior doors and windows weather-stripped; al I joints and penetrations caulked and sealed. INS`T'ALLATION CERTIFICATE CF -6R -ENV -01 Envelo e —Insulation; Roofing; Fenestration (Page 3 of 3) Site Address: Enforcement Agency: Permit Number: J 2 (Eo �v�d� C� �>- I 1 DECLARATION STATEMENT ® I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. C I am eligible under Division, 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • 1 certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • 1 reviewed a copy of the Certificate of Compliance (CF -I R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1 R that apply to the installation have been met. • 1 will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. 1 understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner,at occupancy. Company Name: (InstallingrSubcontrractor or Gey ral ontracy'to+r or Builder/Owner) -0 ci r G� � /o'er/. ) rt. t''0 ✓� Responsible Person's Name: I Responsible Person's Signature: CSLB License: I Date Signed: I Position With Company (Title): 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE (Page 1 of 12) CF -6R Site Address Permit Number 'zf ('�' �/ ✓�Gfi.. 'OR 1,* / leu Installation certificates (CF -6R) are required for each and very dwelling unit. When the installation of measures that require field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic testing and the procedures specified in this section. When the installation is complete, the builder or the builder's subcontractor shall complete the CF -6R (Installation Certificate), and keep it at the building site for review by the building department. The builder also shall provide a copy of the Installation Certificate to the HERS rater for any measures requiring field verification and diagnostic testing, per Section 10-103(a). WATER HEATING SYSTEMS: Distribution CEC Certified Type Heater Mfr Name & (Std, Point- .Type Model Number of -Use, etc If # of Rated Input External Recirculation, Identical (kW or Tank Volume Efficiency Standby Insulation , Control Type Systems BW/hr)t alto F, RE)' Loss % 2 R -vat e2 1 Signature: Date: 1 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal Efficiency and Rated Input. 2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58. Kitchen Piping: If indicated on the CF -1R, all hot water piping> 3/4 inches in diameter that runs from the hot water source to the kitchen fixtures is insulated. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive) All hot water piping in main circulating loop is insulated to requirements of § 1500) ❑ Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping that meets the requirements of Section 1500) ❑ Central hot water systems serving more than 6 dwelling units _ presence of either a time control or a time/temperature control ✓ ❑ I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subc tractor (Co. Name) OR General Contractor ( O Owner/� V ,e) Signature: Date: Copies to: BUIL DIN DEPARTMENT, HERS RATER (IF APPLICABLE) B DING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 I INSTALLATION CERTIFICATE (Passe 2 of 12) CF -6R Site Address Permit Number ')-41 _X- Gil Ji 967- .1A , Asn 7-.,� I % q / Z o -If An installation certificate is required to be posted at the Ifuilding site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). FENESTRATION/GLAZING: Item Manufacturer/Brand Name Total t Quantity of Area (GROUP LIKE Product U -factor Product SHGC # of Like Product Square RODUCTS) (< CF -1R value) 2 (5CF-1R value)2 Panes (OptionaO (OptionsFeet Exterior Shading Device Comments/Location/ or Overhang Special Features 1. Signature Date Installing Subcontractor (Co. Name) OR 2. General Contractor (Co. Name) OR Owner 3. OR Window Distributor 4. Signature Date Installing Subcontractor (Co. Name) OR 5. General Contractor (Co. Name) OR Owner 6. OR Window Distributor 7. 8. 9. 10. 11. 12. 13. 14. 15. t� Use values from a fenestration product's NFRC label. For fenestration products without an NFRC label, use the default values from Section 116 of the Energy Efficiency Standards. 2) Installed U -factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values from CF -1R, or a shading device (exterior or overhang) is installed as specified on the CF -1R. Alternatively, installed weighted average U -factors for the total fenestration area are less than or equal to values from CF -1R. If using default table SHGC values from § 116 identify whether tinted or not. ✓ ❑ I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -factor and lower SHGC than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Copies to: Building Department, HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms April 2005 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type .(Pkg. heat um 'CEC Certified Mfr. Name and Model Number # of Identical S stems>_CF-1R Efficiency (AFUE, etc.) value) Duct Location attic, etc. Duct or Piping R -value Heating Load hVhr(Btu/hr) Heating Capacity C °J fs1G � AqCL *6 5 qf�- Yu -9 Q51, ZS 19511 1fl LZSf Cor.rLa ce 1 s C/ 4 SP /-,.so Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical S stems>_CF-1R Efficiency� (SEER or EER) value) Duct Location attic, etc. Duct R -value Cooling Load Btu/hr Cooling Capacity hi/hr to r45A 14 14 ' ,e - v� "ga - S Q51, ZS 19511 1fl LZSf -c ve" �� � d�l� ce r SP /-,.so 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ ❑I I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date:�� % Copies to: BUILD G DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 �"M INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number --;4t Yo t'Z ®L -!2 . N -6c i✓ Z INSTALLER COMPLIANCE STATEMIENT FOR DUCT LEA GE INSTALLER COMPLIANCE STATEMENT The building was: ✓ []Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. ✓ ❑ DUCT LEAKAGE REDUCTION Procedures or eld verification and diagnostic testin of air distribution systems are available in RACM, Append& RC4.3 NEW CONSTRUCTION: Measured Duct Pressurization Test Results (CFM @ 25 Pa) Values„ FS „ 1 Enter Tested Leakage Flow in CFM: ��Es Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfrn/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in without air handle: 11 Pass ❑Fail 100 x Line # 1 / Line # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change-OutYeh Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct �mU 4 System Alteration and/or Equipment Change-Out.Fy' Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct F 5 System for Duct System Alteration and/or Equipment Chane-Out. ., x Enter Reduction in Leakage for Altered Duct System NiY 6 Line # 4 Minus Line # 5 — (Onlyif Applicable) M. m r 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% for Final. 11 Pass ❑Fail 8 100 x Line # 5 / Line # 2)11 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- ✓ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x [ (Line # 5) / (Line # 2;1]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [ (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x [_(Line # 6) / (Line # 4)]] 11 ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection ❑ Pass .❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms December 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM,, Appendix R1. ✓ ✓ ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Access is provided for inspection. The procedure shall Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity consist of visual verification that the TXV is installed on Btu/hr Date of Verification ✓Yes Date of Refrigerant Gauge Calibration ❑ No the system and installation of the specific equipment ❑ ❑ (must be checked monthly) shall be verified. Yes is a as—sj Pass I Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity Evaporator saturation temperature (Tevaporator, sat) Btu/hr Date of Verification Suction line temperature (Tsuction, db) Date of Refrigerant Gauge Calibration OF (must be checked monthly) Date of Thermocouple Calibration OF (must be checked monthly) Standard Chariie Measurement Procedure (outdoor air da -bulb 55°F and above): Procedures for Determining Refrigerant Charge using the Standard Method are available in RA CM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) I°F Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF Superheat Charee Method Calculations for Refrieerant Charee Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) OF Temperature Split Method Calculations for Adequate Airflow Split Method Calculation is not necessary ifAdeguate Airflow credit is taken Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table R133) OF Actual Temperature Split Target Temperature Split (System passes if between - OF 3°F and +3°F or, upon remeasurement, if between -3°F and -100°F Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 6 of 12) CF -6R Site Address Permit Number Z l r Cho LA- -A7 iz a??t%icl 0 1 l �( o", M=, Standard Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. Yes 1 ❑ No I Svstem Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 °F) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is 55 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the Alternate Method are available in RACM, Appendix RD3, Weigh -In Chamaina Method for Refriaerant Charge Actual liquid line length: ft Manufacturer's Standard liquid line length: ft Difference (Actual — Standard): ft Manufacturer's correction (ounces per foot) x difference in length = ounces (+ = add) (- = remove) leasured Airflow Method for Adequate Airflow Verification available in RACM, Appendix RD2.6 Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cf n/Btu-hr) = CFM Measured Airflow is CFM (Measured airflow must be greater than the calculated airflow). Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken both criteria must be remeasured and recalculated. ✓ I D'Yes 111 No I System Passes Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) ORO ner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 7 of 12) CF-f)R Site Address Permit Number MISCELLANEOUS CREDITS ✓ ❑ DIAGNOSTIC SUPPLY DUCT LOCATION, SURFACE AREA AND R -VALUE Procedures for field verification and diagnostic testing for this group compliance credits are available in RACM, Appendix RC, RE & RH. ✓ ❑ LESS THAN 12 LINEAL FEET OF SUPPLY DUCT OUTSIDE OF CONDITIONED SPACE COMPLIANCE CREDIT ✓ []Yes I ❑No I Less than 12 lineal feet of supply duct outside of conditioned space. Yes to this compliance credit is a pass ✓ ❑ Pass ✓ ❑ Fail ✓ ❑ SUPPLY DUCTS LOCATED IN CONDITIONED SPACE COMPLIANCE CREDIT ✓ ❑ Yes 10 No I Ducts are located within the conditioned volume of building. Yes to this compliance credit is a pass ✓ ❑ Pass ✓ ❑ Fail Lu�L oy3Lcui "V31gii VURIAMauvu 10 A cyuia cu IVA a wiuYuauw �a VUIL IVA Luc iviivnaaij;. 1. Supply duct surface area reduction 2. Buried supply ducts on the ceiling 3. Deeply buried supply ducts ✓ ❑ DUCT SYSTEM DESIGN VERIFICATION ✓ ❑ Yes ❑ No Adequate airflow verified ✓ ❑ Yes ❑ No The duct system design plan meets the requirements specified in RACM, Appendix RE, Section RE.4.2 ✓ ❑ Yes ❑ No The duct system design plan exists on building plans ✓ ❑ Yes ❑ No Duct sizes, duct system layout and locations of supply & return registers match the duct system design plan Yes to all is a pass ✓ ❑ Pass ✓ ❑ Fail ✓ ❑ SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCE CREDIT Crawl Attic Space Basement Deeply Covered Covered Other R-4.2 Duct Surface Diameter Area R-6.0 R-8.0 Surface Surface Area Area Yes ❑ No Verified High Insulation Installation Quality ✓ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑ Pass ❑ Fail ❑ ❑ ❑ ❑ ❑ ❑ Total Surface Area for Each R -Value = ✓ ❑ Yes TO No tches Performance's CF -1R? ✓ ✓ Yes to all is a pass ❑ Pass ❑ Fail ✓ ❑ BURIED DUCTS ON THE CEILING COMPLIANCE CREDIT ✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT ✓ El Yes ❑ No Buried Ducts on the Ceiling ✓ Yes ❑ No Verified High Insulation Installation Quality ✓ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑ Pass ❑ Fail ✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT ✓ ❑ Yes ❑ No Deeply Buried Ducts ✓ ❑ Yes ❑ No Verified High Insulation Installation Quality ✓ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑Pass ❑ Fail Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 ✓❑ FAN WATT DRAW Procedures or measuring the air handler watt draw are available in RACM, Appendix RE3.2. ✓ Method For Fan Watt Draw Measurement ❑ 1 RE3.2.1 Portable Watt Meter Measurement ❑ 1 RE3.2.2 I Utilitv Revenue Meter Measurement Measured Fan Watt Draw Measured Fan Flow enter total cfin from airflow verification Enter results of Watts/cfin ❑ RE4.1.1 Diagnostic Fan Flow Using ✓ ❑ Yes ❑ No Measured fan watt/cfm draw is equal to or lower than the fan watt/cfin draw documented in CF -1R ❑ ❑ Diagnostic Fan Flow Using Plenum Pressure Matching Yes is a pass Pass Fail ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures fnr measuring the airflow are availahle in RA CM. Annendix RE3.1 _ ✓ Method For Airflow Measurement ✓ ❑ Yes ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ Yes ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching ❑ Yes ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement ❑ Yes ❑ Yes ❑ No Duct design exists on plans ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum ✓ ✓ cooling capacity in the CF -1R, then the electrical input for the installed systems must be:5 to electrical input in the CF -1R. ❑ ❑ Measured Airflow: Yes to 1 2 and 3• and Yes to either 4 or 5 is a pass Pass Fail Rated Tons cfin/ton ✓ ❑ Yes ❑ No Measured airflow is greater than the criteria in Table RE -2 ✓ ✓ Yes is a pass Pass Fail ✓ ❑ MAXIMUM COOLING CAPACITY Procedures for determining maximum cooling load canacity are available in RACM. Annendix RF3. Watts cfin Watts/cfin Total cfin cfi-n/ton 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑ Yes ❑ No Cooling capacities of installed systems are:5 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum ✓ ✓ cooling capacity in the CF -1R, then the electrical input for the installed systems must be:5 to electrical input in the CF -1R. ❑ ❑ Yes to 1 2 and 3• and Yes to either 4 or 5 is a pass Pass Fail ✓❑ HIGH EER AIR CONDITIONER Procedures for veri Ication are available in RA CM, Appendix Rl. 1 ✓ ❑ Yes ❑ No EER values of installed systems match the CF -1R 2 ✓ ❑ Yes ❑ No Fors lit system, indoor coil is matched to outdoor coil ✓ ✓ 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required) ❑ ❑ Yes to 1 and 2; and 3 If Required) is a pass Pass Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 9 of 12) CF -6R Site Address Permit Number --2-4< vp C il�se%r e4 -n n . -3 / An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ✓ ❑ ENVELOPE SEALING INFILTRATION REDUCTION Procedures for field verification and diagnostic testing of envelope leakage are available in RACM, Appendix RC. Diagnostic Testing Results ✓ ✓ Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater: 1 ❑ ❑ Measured envelope leakage less than or equal to the required level from Yes No CF -1R9 ❑ ❑ 2. Is Mechanical Ventilation shown as required on the CF -1R? Yes No 2a ❑ ❑ If Mechanical Ventilation is required on the CF -1R (`Yes' in line 2), has it Yes No been installed? 11 11 Check this box `yes' if mechanical ventilation is required (`Yes' in line 2) 2b. and ventilation fan watts are no greater than shown on CF -1R. Yes No Measured Watts = ❑ ❑ Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is 3. greater than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R Yes No If this box is checked no mechanical ventilation is required. Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is 4 ❑ ❑ less than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R, Yes No mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if - a. Yes in line 1 and line 3, or ✓ ✓ b. Yes in line 1 and line2, 2a, and 2b, or c. Yes in line 1 and Yes in line 4. ❑ ❑ Otherwise fail. Pass Fail ✓ 1:11, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or subcontractors certifying that diagnostic testing and installation meet the requirements for compliance credit.) Test Performed Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 10 of 12) CF -6R Site Address Permit Number �i1D l 1 411 Insulation Installation Quality Certificate ✓ ❑ Description of Insulation, (CF -6R, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum inches ✓ ❑ Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH) ✓ FLOOR ❑ Yes ❑ No ❑ NA All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end ❑ Yes ❑ No ❑ NA Insulation in contact with the subfloor or rim joists insulated ❑ Yes ❑ No ❑ NA Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS ❑ ❑ ❑ Wall stud cavities caulked or foamed to provide an air tight envelope Yes No NA ❑ Yes ❑ No ❑ NA Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back ❑ ❑ ❑ No gaps Yes No NA ❑ Yes ❑ No ❑ NA No voids over 3/4" deep or more than 10% of the batt surface area. ❑ ❑ ❑ Hard to access wall stud cavities such as; comer channels, wall intersections, and behind Yes No NA tub/shower enclosures insulated to proper R -Value ❑ ❑ ❑ Small spaces filled Yes No NA ❑ ❑ ❑ Rim -joists insulated Yes No NA ❑ ❑ ❑ Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot Yes No NA requirement ✓ ROOF/CEILING PREPARATION ❑ YesNo ❑ ❑ NA All draft stops in place to form a continuous ceiling and wall air barrier Yes 0 No ❑ NA All drops covered with hard covers ❑ Yes ❑ No ❑ NA All draft stops and hard covers caulked or foamed to provide an air tight envelope ❑ ❑ ❑ All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes No NA housing and the ceiling ❑ Yes ❑ No ❑ NA Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics ❑ ❑ ❑ Eave vents prepared for blown insulation - maintain net free -ventilation area Yes No NA ❑ ❑ ❑ Knee walls insulated or prepared for blown insulation Yes No NA ❑ Yes ❑ No ❑ NA Area under equipment platforms and cat -walks insulated or accessible for blown insulation ❑ ❑ ❑ Attic rulers installed Yes No NA Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 11 of 12) CF - Site Address Permit Number / ,?A i ?/� ��/'VG L� P/2 ` < / . e i)�� f iia / �I >_ ✓ ROOF/CEILING BATTS ❑ ❑ ❑ Yes No NA No gaps ❑ ❑ ❑ Yes No NA No voids over'/4 in. deep or more than 10% of the batt surface area. Yes No NA Insulation in contact with the air -barrier Yes No NA Recessed light fixtures covered 1111Net ❑ free -ventilation area maintained at eave vents Yes No NA ✓ ROOF/CEILING LOOSE -FILL Yes No NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. Yes No NA Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent Yes No NA Attic access insulated Yes No NA Recessed light fixtures covered Yes No NA Insulation at proper depth — insulation rulers visible and indicating proper depth and R -value ❑ ❑ ❑ Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements Yes No NA for the target R -value. Target R -value . Manufacturer's minimum required weight for the target R -value (pounds -per -square -foot). Manufacturer's minimum required thickness at time of installation . Manufacturer's minimum required settled thickness . Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R -value. CF -6R only) DECLARATION ✓ ❑ I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 12 of 12) CF -6R Site Address Permit /Number County Subdivision Lot Number Description of Insulation (Formerly IC -1 Form) 1. RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. SLAB FLOOR/PERIMETER Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) 3. 4. 5. EXTERIOR WALL Frame Type A. Cavity Insulation Material Thickness (inches) B . Exterior Foam Sheathing Material Thickness (inches) FOUNDATION WALL Material Thickness (inches) CEILING Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Contractor's min installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 6. ROOF Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) ✓ ❑ I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efciency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance Forms April 2005 CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CER7rIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a.cupertino.org PERMIT CANNOT DE FINALED AND COMPLETED UNT CERTIFICATE HAS BEEN AND IH'i UI2NED TO THE BUILDING DIVISION l .. J PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. h --i existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be cormected to the building wiring. As owner cf the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement �wner� a_ � wn ent's Since......... :. D� ....1..... .......... . �Wontracior loam"�: cSt.nat�ur............................................................. Jr";...................................f�De �.................. Snxoke and CO formdoc revised 03/18/14 CUPERTINO Owner Address A % f 1 0 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 -3228 • FAX (408) 777-3333 • buildingCa_)cupertino'.org / 2 ®% 7 f m �i Permit No.* k)()a(fA9f—a)Sc 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 2'No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. IFC"No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. f"No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. ^� Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. E51fes es My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5.. PPleae check ONE of the following: ® P' My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the followine pane. , l a d Owner or Owner Agent's Signature _AC44 �f7�� Date Upon completing and signing this Certifiqfe, please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. 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