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B-2017-0998 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0998 0735 STEVENS CREEK BLVD STE H CUPERTINO,CA 95014-2104(326 32 054) RTJN ENTERPRISE S INC CONCORD,CA 94519 OWNER'S NAME: LAU ALLAN CHOOK YEE AND LINDA YIM SEUNG ET 'DATE ISSUED:09/25/2017 OWNER'S PHONE:408-761-1127 PHONE NO:(925)676-0119 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic.#698514 • Contractor RTJN ENTERPRISES INC Date 10/31/2019 X BLDG _ELECT _PLUMB MECH_RESIDENTIAL X COMMERCIAL 1 hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: HABIT BURGER GRILL#H-1ST FLOOR;T.I.(2338 SF) I hereby affirm under penalty of perjury one of the following two declarations: REV#1-RELOCATE REAR DOOR TO CLEAR FIRE RISER;REVISE I have and will maintain a certificate of consent to self-insure for Worker's FLOOR PLANS&MEP-ISSUED 10/13/2017 rt Compensation,as provided for by Section 3700 of the Labor Code,for the •rmance of the work for which this permit is issued. 1'., ave and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$230000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 326 32 054 A(Tenant Improvements) representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence;of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. A It 1, Ignature /di i1 C.,. Date 10/13/2017 Issued by:Abby Ayende Date:09/25/2017 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is t. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:10/13/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the - performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2, I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: )eS APPLICANT CERTIFICATION Date: 10/13/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit., Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION • Code,Section 9.18. I understand my plans shall be used as public records. Signature Date 10/13/2017 Licensed Professional �� CONST1,UCTi.ON PERMIT APPLICATION • ,`• '/ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION .. 10300 TORRE AVENUE • CUPERTINO', CA 95014-3255 • 440,,rsr' (408) 777-3228 • building@cupertino.org PEMIT#B.- 20 11 - 01(;\q CUP'E'RTINO REV# I DEF# ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION Q T.I. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA • PROJECT ADDRESS _ APN# OWNER NAMEPHONE "no r E-M ' CA,"4fW I C7oL Yee OgAri (.vid6()y MCrerf, - dots- - 4127 ,/e ,$deo .tryl-1-2,(_C-5Ceyc cio. STREET ADDRESS ,'11 CITY,STATE,ZIP /�7 Cain ( ,CONTRACTORNAME ❑OWNER-BUILDER COMFANY NAME L'I'4 NSE UMBER 09C c,a LICENSE TYPE I/WQiCh m rnouvS 1c to WwrCaval d 07740 i G et .l 1 . STREET ADDRESS CITY,STATE, ZIP I S'6gC 62ocorc3evd, . C,o ncard cac q ICY1 E-MAILPHONE I BUS.LIC if C1)6),:r-+ VIft(c6Y1ri 0 172CIE7 .UlnCtfS:67(1a— vi(01 1 (-0 35-02_,' ❑ARCHITECT ❑OWNER,❑OWNER AGENT ($CONTRACTOR AGENT 0 ENGINEER❑DEVELOPER[TENANT • CONTACT NAME ' E-MAIL II STREET ADDRESS CITY,STATE ZIP, PHONE j�(94 -gee �Tid 10A +4s?� ��76 9�z ECRE'T N, c r E\PC 'e(oca✓ v er dextr 4e r�r A-re te(r-. iavi -- - p pais y r)) • • ❑SINGLE-FAMILY/DUPLEX El MULTI-FAMILY 0 INDUSTRIAL,(COMMERCIAL - EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. ' VALUATION($) C-t2¢s-C-, 2(31% 9' f7' V 1 2 3 % ' REMODEL nA REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED - BATHROOM SF iii—' SF SF SF ❑DETACHED .. EXIS NG MES ISPRINKLERS El NO 0 NO i EICHLER 0 YES t SECOND STORY ADDITION El YES FIRE NO DWELLING SECOND DWELLING DYES ❑ATTACHED❑DETACHED OTHER UNITS# UNIT ADDITON: ❑NO ' S F ' (J 0(Al?.� PO OA ❑FIBERGLASS ❑VINYL-LINED '❑GUNITE ❑PREFABRICATED I POOL-SF SPA-SF' .I SPA ATTACHED❑YES 0 NO TOTAL-SF (RECEIVED BY: i TOTAL VALUA�QN: Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval \ ' 'lS,ryy�`yv RE-ROOF'EXISTING ROOF TYPE: ❑BUILT UP ROOF LI ASPHALT SHINGLES]]WOOD SHAKES I=1 WOOD SHINGLES❑TILE OTHER(SPE TY) �(/V REMOVE/REPLACED NO,I IF NO PLYWOOD ❑2" ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS El yEs #OF LAYERS THICKNESS❑5/8" OTHER ❑OSB ❑CDX OTHER '12 A PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER *Provide a signed copy of the Cupertino's Tear-Off Policy SF #of SQUARES ' By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have 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 construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. I acknowledge and authorize all information contained on this application form to be made available for public record. •-- q' i Signature of Applicant/Agent:• .. Date: Zig! I SUPPLEMENTAL INFORMATION REQUIRED *New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition.permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA-Provide a letter of approval from the Home Owner's Association i BldgApp_2017.doc revised 08/01/17 j CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0998 20735 STEVENS CREEK BLVD STE H CUPERTINO,CA 95014-2104(326 32 054) RTJN ENTERPRISES INC CONCORD,CA 94519 OWNER'S NAME: LAU ALLAN CHOOK YEE AND LINDA YIM SEUNG ET DATE ISSUED:09/25/2017 OWNER'S PHONE:408-761-1127 PHONE NO:(925)676-0119 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#698514 Contractor RTJN ENTERPRISES INC Date 10/31/2019 ?X BLDG _ELECT _PLUMB MECH_RESIDENTIAL X COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: HABIT BURGER GRILL#H- 1ST FLOOR;T.I.(2338 SF) I hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self-insure for Worker's 0 Compensation,as provided for by Section 3700 of the Labor Code,for the ormance of the work for which this permit is issued. '" ave and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$230000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 326 32 054 A(Tenant Improvements) representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. `nature t &5' COt 5 /`7�iDate 9/25/2017 Issued by:AbbyAyende Date:09/25/2017 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/25/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of Califomia. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. 6 0(1--42r----- ner or authorized agent e Cj APPLICANT CERTIFICATION Date:9/25/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 9/25/2017 Professional �. /" CONSTRUCTION PERMIT APPLICATION „:„ ` COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION /�z``•Jr 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildingaa4upertino.orq ❑NEW CONSTRUCTION ❑ ADDITION ® .ALTERATION/TI ❑ REVISION I D ERRED ORIGINAL PERMIT# Mal 01..MIPS,0.40111V PROJECT ADDRESS 'y • APN# 2O73E $ve+z ns Creek'E ,-:,u 30 u1 . A , ..... OWNER NAME E-MAIL t i4� PHONE M"761• 1121 Mv (ZEE a o.hop • COM STREET ADDRESS X38 INT,AA, CITY,STATE,ZIP , CA n�`1�i7� FAX CONTACT NAME Je tr4a� �C: PHONE 1127•`86:37( E-MAIL "J , I. b EiseY ,Cpm STREET ADDRESS ,�,+� • CITY,STATE,ZIP . • I FAX ?r07-��. 1052 F r4ireabriLt Catr-ield GA 41459,3 o OWNER 0 OWNER-BUILDER 0 OWNER AGENT ❑ CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER )4 TENANT CONTRACTOR NAME I r � ``�� LICENSE NUMBER LICENSE TYPE BUS,LIC E *6,��5„14/ COMPANY NAME , 1 �J E-MAIL *[5:... IY L/J T"k, tICnRi�%r Con5.\'rt ,k:'eA Cir-o�? l\1i '/11,LIC0n' CdLv •Co(1 76 D3 STREET ADDRESS pi 1 C O(\a), S., r d , V Ci CITY,STATE,ZIP �' )I�CO G7+ /t ?(45-/P (�5/n, PI_I SIE 76_ 0//, ARCIIITB /ENGINEER NAME • `\� LICENSE NUMBER (-,` ('(� 1 `F 7 B�US,JLIC P 5rair L.'agle. C•ZggsiS COMPANY NAME •Li18 DeS N Gawp E-MAIL _we4n +'. id � � FAX n STREET ADDRESS '51% ti„)1 matt? Q CITY,STATE, ti HONE ( J DI.. G tot ' ?115'•369-q j DESCRIPTION OF WORK Tr oomef T -Pit. e ct5 re -I W ant -FAC +4 a nG4CJU Atti. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES Re4USE TYPE OCC. SQ,FT, VALUATION(S) e1ulaln �SAOIutMi' >j$ 23d/ODS EXISTG NEW FLOOR DEMO TOTAL AREAE 1335% AREA AREA NET AREA 2 $31? Cdril BATIiR00M KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA -210t Sr + itlS PORCRA A DECK AREA TOTAL DEC3/PO��AREA GARAGE AREA: 0 DETACH 'PR SF WA /a/A #4,/A 0 ATTACH It DWELLING UNITS: ISA SECOND UNIT YES SECOND STORY OYES N/A BEINGADDED? I&NO ADDITION? ®NO PRE-APPLICATION OYES IF YES,PROVIDE COPY OF IS THE BLDG AN 0 YES E I 1` V,�1JATION wry PLANNING APPL# '�NO PLANNING APPROVAL LETTER EICHLER HOME? ,NO ,I' *R0 2/� / Jr l.0 By my signature below,I certify to each of the following: I am the property owner or authorized agent to act ononthe property owner's beha f I have read this (/L/ application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction, I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: 'Sk4/C.. 'E$.L4... Date: r01Z3411 SUPPLEMENTAL INFORMATION REQUIRED PLAN...HECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ❑:OVER-TIS-COUNTER 0 BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. 0 EXPRESS 0 PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD • 0 PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑.FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑_ttlAaox ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. 0 ENVIRONMENTAL HEALTH BldgApp_2011.doe revised 06/21/11 k L - Millennium Construction Group IR* Win MU g4,0q-UVA 2888 Concord Blvd Concord Ca 94519 925=852-8322 Document No. HBG-003-BID-002°01-01-16 REQUEST FOR INFORMATION PROJECT: Habit Burger-254 Cupertino CA RFI # 4 TO: Architect of Record Scott Mienert ATTN: Architect&Habit CM SUBJECT: Fire wrap specification Author: Curt Cryer 3M fire wrap specified on the plans is not readily available for installation SUGGESTED SOLUTION: We propose to use Thermal Ceramics Firemaster Fast Wrap XL as an approved equal • DATE: 12/1/2017 SIGNED: ce E-MAIL: curtamillconoroup.corn PHONE#: RESPONSE REQUIRED BY: ASAP Please e-mail response to: curKamillcongroup.com REPLY: We do not have any objection to the substituted fire wrap manufacturer from 3M to Thermal Ceramics FireMaster FastWrap XL as long as approved the local authority have jurisdiction. • (jizDATE: 12/6/2027 SIGNED: �E s„4, L F L. 71- rul-Q3 a 1-1r1- PeRinit+ 5RR- -OcicIS • 0 EMPIRE 3 cansidfing Eagiabess, December 7,2017 Project: The Habit Burger Grill 20735 Steven Creek Blvd.,Suite H Cupertino,CA.95014 E3, Job#: 17062-00-221 To Whom It May Concern: We do not have any objection to the deletion of general note#12 on sheet P100 as long as agreed by the Habit/Architect. Please see below and attached sheet P100. 1 , 12. .e - e e -e • • •-••••• : • -, ,- • - - •,. - . - , , • Please call for an questions. • • . Sincerely, I ‘;410 f4°Ser Krishna C.V.Kumar,P.E Sr.Mechanical Engineer/Associate Empire Consulting Engineers,Inc. • EMPIRE • • '‘AP. 3 CONSULTING ENGINEERS,INC. Corporate Office 7010 Arlington Ave.,Suite 205 website:www.enairelnet Rinaldo, A.92503 (951)5094900•(951)509-1911 Fax ?2_617- r o1' "-�— LINGLEDE SIGNGR[7UPINC WWW LiN ah.F.DER, It.UOM 1 58 WEST MAIN STREETLENA, IL 61048 1 860 W EVANS ENGLEWOOD CO 80110 PHONE:81 5.369.9 1 55 FAX. 815.369.4495 4‘", December 11,2017 ARCHITECT/ENGINEER Certificate of Substantial Completion The Habit Burger Grill 20735 Stevens Creek Blve.,Cupertino,CA 95014 Project Address The Habit Burger Grill,20735 Stevens Creek Blvd I hereby certify that the plans and specifications and any amendments thereto for the above referenced property were designed in accordance with the provisions of Cal Green code and that to my best knowledge, the work at the above referenced site has been completed as of December 8,2017 ARCHITECT/ENGINEER Carl Lingle (Please print name) Aldr. .111! (Signature) DATE: 12/8/2017 COMMENTS: Seal Imagine Create Excite . • . i _tor? --- Cqg cli- A . .roj'ect Name _...a...m.4i i 1 - 'ejitriRati ilti.gAiRe.. all4.,ANCLiaE:0#1114411.1 '......_ ::.11 rik 1-6,71 --- (** 44--.0.1( 6/) a 1-3.12.„ -0, 13 - : el t .. al U ti, C ' i.D7 35- 5trAkit-S 6r6e44, ---t Technician• : i (--kktri". -(4%0 Cett i CO tel. 5f-bre tv. ?..1s-zt, E i-tai 1 thent Test it.e•ort , s tem: -. p-Trorr‘ I E.ui s meat location: /11,1Cr Ti T2 Pan:_ Make C.e.vttfo, Model L( 14-aq, ti2Z'* I Actual TA, c't)0 , ur, Line Voits „._,EW g ZIA- Alt ;33 Serial# 6-4,t tc.120.6, motor Am=s NINRIONIMIIMPFir Motor: H.P. v Re°,aired Actual - -L oik MFGR . iMet A..14.- Fan RPM 1V1- '0 Phase 2 S.F. Motor RPM t 7,1`S- ' , Egg - .m.milsimm............1111MITIwo -E3111111F Sheave data: Acrustable i ill. Desi' S.P. Otit- " W.G. Motor " ULA-.*D x ? ! : o Pos S.P. C,j)_" W.G. Fan " . t'. I . . NeEr. S.P. 047" W.G. Belts. 1111111/4 5-S— - Total S.P. 0. - " W.G. Motor ADJ 117111Mfall out rinv Shaft C to C Aix" • C 'I.kflit-ir a r, Pre Filter " %V.G. Delta P Delta P = = cooling Final Filter , " W.G. : • DelM P ,. . Cooling Temperatures: • Heating Temperatures: I I EAT= °DB /'WE 70 EAT= *DB *WS L1 , LAT= °DB &MIMI I t ‘ LAT= °DB *WB .Area Opening Sq Ft Required Required Prelim. Prelim. Final Final Served Number ''''`u Area Velocity CFM Velocity CFM Velocity CFM ..4. •x ,.. 0 Itk ep- . vi' 1 0, ( 1,4,- 111111111111111 . utside tdf , Air 2:60:A# 1:115:17 Return ,, Air System . Total Air 1111111111111111111 : 1 Remarks: (1)= 103 lqa,r6 XU f 1 . . . . Page of TOTAL AIR BALANCE CO,INC. SACRAMENTO VALI.Ey 114o Mica-BLVD.StATE#142 ROCKLIN,OA sue T 916.408.6868 F 916408-6898 eiti FRANCISCO BAY AREA T408280.6194 F408.280.6195 Www.TABC SA.001.4 HOMAN ISLANDS T 1306.478..4284 F80&441. TOTAL AIR BALANCE CO,INC. Project Name: Date Range: Technician: Air Distribution Test Re'ort - Opening SQ FT Required. Preliminary Final; Area Served Na. Type Size . Area Vel CFM Vel CFM Vel CFM_ c . too 11111111111111111MIIMIE3111' VIM tx .t. oa 404 `111211111111111111111111111111111 11111110 l al 7` i " s. � - 1.111111111 0 7- 11111111111111111111111M 1111.101EMIN 1101111rAINIMN '314 - e MOM INMEN111 111111111U"5211111111111111111111111 1.1.1 • di k immin _ _ ammiain Rema kS. TOTAL AR BALANCE CO,INC. . Page of SACRAIIENTO VALLEY 1140 SUNSET BLVD.SUITE#142 ROCKLIN,CA 95765 T 916.408.686€1 F 916.408.6898 SAN FRANCISCO BAY AREA T408.280.6194 I=406.280.6195 WWW.TABCO-USA.COM HAV/MAN ISLANDS T 808 478.4264 F 808.441.5353 ■ TOTAL AIR BALANCE-CO;INC. . y Project Mame: Date Range: Technician: E lei meat Test ate art r i 5. stern — S Stll: — t 4L1-{-r r ci,. Equipment location: .1) _ : ! Make - T1. ,2-13 TI-73 Mcel L(,, [ r Rated --- Tyne ' ,3Y G 4 Line Volts _K Actual 4 ,p-OV 1f1�1 A c (41( ., Serial# 6 t 3 . -77 Motor Ain i s _ ? Required Actual Motor: H.P MFGR Viitk(A Fan RPM PAl/ - '513 Plums S.F. - ,1 s" Motor RPM 11(4,5' 1 S stem CFM 1111.311011111 1-a `t Sheave data: ' _Adjustable i ---- . Dew.? S.P. IP NI— " W.O. Motor " Vgg X 7/c--.11 Pos S.F. st,1 " W.G. Fan " A"-X 14f T �- "e. S.P. II_ Total S.P. W.O. Betts. � 1, " W.G. Motor AD:T in ; '? out 1,5""•, Shaft C to C l..,-" 44- : Coil 0,14 Pre Filter •• W.Cr. 4 ,� Delta P t t�/:G. Delta P - . 1 Cooling ........"'""°' ,.- Final Filter �",�''- ' . W.G. a .� . Chit Deita P Delta Cooling Temperatures- ; '. , Heating Temperatures G y EAT= °DB WB EAT= °DB °WB Cl, LAT= °DB ° 1` LAT= __ °DB . °W Area Opening Size Sq Ft Required Required Prelim. Prelim. Final Final Served Number Area Velocity CFM Velocity CFM Velocity CFM Min. Outside J-- '0, al'.- il 38# ti t 7 17 3 7 S—r Air Return ` , Air ? = System ,606 ; dLi Total Air Remarks: y {may (I) i.)r+� ..t Fl5 et+ Y Page of TOTAL MR BALANCE COMIC. SACRAMENTO VALLEY 1140 SUNSET BLVD.SUITE#142 ROCI0.114,CA 95765 T 916.408.6868 F 916.408.6898 SAN FRANCISCO BAY AREA 7408.289.6194 F 408.280.8195` W'WW TABCO-USA.COM HAWA9ANISLANDS T I.:47$.4264 F:i..4415353 TOTAL AIR BALANCE CO,INC. Project Name: Date Range: Technician: Air Distribution Test Report Anes SenTed SQ FT Required Preliminary Final No. `T le line Size Area Vet CFM Vet CFM Vel CFM - .' maillipintillffill11111 - 111111111111111111111 IP 11;a, 11110111=11 III LIFZBIIIIIIIIMIIIIIINI rsra mmo 7.40 IIIIIIIIIIIIIIIIBESZIEil _ 11111111111 MINI s-6 asausimiiimm rr ' ' . c� ', ., ;t l i " i 11111 1ti IT 4 � , • kyr -- -..-1 i fid'_ i i _ - ,_ 111111111111111111 — Remarks: _ 111111111111111. BACt A HT0 VALLEY 114U TOTAL AIR BALANCE Co,ItNC, BAN FRAttCtsco BAY AREA 7408,280.6194 04O828tI.6198UNsEr 5,tj.SUITE#142 ROCKLIN,CA 9576 _7916.408.6868 r916.4 6898. age °f WWW.TABCcu Hca Qn tuiw DS- 7868:47,$.4264:• F808441.5353. ' 0 • TOTAL AIR BALANCE Ct",I,INC. btu Date Range: Project Name: iov Technician: E ui ment Test Re tort S tem: unurprrf.ida4 11111111111111.......1 4 ui•ment location: a Fan: Make Cf404C4., 11-12 Model—_,A) P :At` Rated Actual Type (A14;t 04, _ Line Volts_ ?t)Y 21.1 Serial# 30,:St> 3G7a, MotorAmps 5.7 3 . Required Actual Motor: H.P. lvIFGR (.4-5A Fan RPM P PR— S.F. 1,p6r rtitotor RPM _ Y-74ft, 1.‘'•10 S stem CFM 2Lge-, L40 Sheave data: Mustable AGtx Desi?.n S.P. " W.G. Motor " Xt/9 4Lfr - Pos S.P. PViet IO. Fan " , )( N-4! S.F. .t)I " W.G. Belts IX eX7 ; Total S.F. 1401 " W.G. Motor ART in " out j _ Shaft C to C " • Heating Coil " W.G. - Pre Filter " W.G. Delta P Delta P Cooling W Final Filter - WG Col ..G Delta P Cooling Te ratures: Heating Temperatur- • DB WB EAT= : 0 wi3. _ - LAT= DB °WB T °DB °WB Area Openinge Sq Ft Required Required Prelim. Prelim. Final Final Served Number Area Velocity CFM Velocity CFM Velocity CFM Min. - Outside t°7( 17Y' lc 5S 51) To 4, Air t511 Re z I Air Remarks: (I)= UV- yts› Page of TOTAL.ARBAIANCE CO, C. SACRAWITO VALLEY 1140 SUNSET BLVD.SUITE#142 ROCKLIN,CA 95765 T 916A06.6868 F 916.408 6898 SAII FRANCISCO DAY AREA 1408.280.6194 F 408.2816195 Vahm.TABCO-USA.COM HAWAIIAN ISLANDS T 808.479.4264 F A41.5353 i - TOTAL AIR BALANCE CO,INC, ' Project Name: Date Range: ki4-1- (50r-tt &r -r .. . E i Hi 1''tient Test,Re 1"Q1 S stern: gjekrAinWilkEs ui;Ment location: Fan: Make ,: T� Ti.Ts . Model p l4 Rated ct .1 '4. r_¢ ot.,' Line Volts &U . Serial# ''3 -55j Motor Amps c e""° 3 r', Required Actual Motor: H.P. MFGR jrFan RPi E-- r - Ai Phase i S.F. j,Jr Motor RPM t70 System CFM { - Sheave data: Ad'ustable.G� Desi,4 S.P. " W.G. Motor --0,IX 7 tr ,f P'os S.P. W.G. Fan " 2..( 1<--5' " )"- l" . Neg S.P. i.i� " W.G. Belts. I V. X23 Total S.P. . 1,412%, " W.G. Motor ADJ in f 2.:5"„ I out l " Shaft ' '" Heating Coil N wk. • Pre Filter .f W.G. Delta P Delta P Cooling Final— " W-G• Filter "�'' " W.G. i Cooling Temperatures: Heating Temperatures: EAT= °DB ^ ° EAT �3 -----°- – . ° B ..,�- ..<. °WB ,-----17, °IAB °WB _Area Opening Sim Sq Ft Required Required Prelim. Prelim. Final Ficial Served Number Area Velocity CFM Velocity CFM Velocity CFM Min. Outside tax /r es, t3 ' g , (b s' Air I Re n ►r Syste Remarks lock-k— Page of TOTAL AIR BALANCE CO,INC. SACRAMENTO VALLEY 1140 SUNSET BLVD.SUITE#142 ROCKLIN,CA 95765 T 916.408.6868 F 916.408.6898 SAN FRANCISCO BAY AREA 7408.280.6194 F408.280.6195 WWW.TABCO•USA.COM HAWAIIAN ISLANDS T;* 478.4264 F 808.441.5353 , MA , 4 TOTAL AR BALANCE CO,INC. Date Range: "reject Name* i II ail- , 4- Technician: f Es . ' I inept Test Re 0 ort S tern: AmminggesmaggEmmos .ui.ment location: )1 Fan: Make t.ID i, " 621 17-n T-T3 Model 4 L- je3 c Rated Actual P minurorirmaiummum Line Volts ..‘, " - 11' Serial# oikri, Motor Amps c9i,r- Re.uired Actual • Motor:44:tv.- 3Dati.) 1v1FGR. ('iijr:•; ,A Fan RPM , t---- Li Phase i &F. .0 Motor RPM ir 1415- S stem CFM 57, 111111M111111 Sheave data: Acrustable Design&P. MI " W.G. Motor " • Pos S.P. O I I ti viz. Fan if - i Neg §.F-377-k-A. 0, " W.G. Belts. Total S.P. O.ift. " WG. - Motor ALIT- in - " out . . " C to C ,Heating Pre Filter . Coil " W.G. tt mit n Delta P .........---- ' Cooling wnFinal Filter . ------ . Coil ) ' ...poltirr--- ' . - Cooling Temperatures: Heating Temperatures: EA = 0 t: 6 vvB EAT= °D: LAT'= "DR c WB °DB 0 wB , _Area Opening s. Sq Ft Required Required Prelim. Prelim. Final Final Served Number ize Area Velocity CFM Velocity CFM Velocity CFM Min. Outside Air Ai1111111.1 • ' Return Mil Air . • ; . System _ A t 1/573 . Total Air L 4‘, ..1v- . ..tN, 15-46. i i . i Remarks: (1)= CD.La Ot.* 1 * . i . . . . . . Page of TOTAL AIR BALANCENIC BACRAINENTO VALLEY 1140 SUNSET BLVD SUITE 0142 ROPKL1N,C.A 96765 T916.403.6866 F916.403.6898 IN FRANCISCO BAY AREA T45194 F 408280.6196 • .TAI.__.il_ _LmA. m HAwmAN IsLAND8 T808A78.4284 F-808.4413 TOTAL AIR BALANCE CO'INC. Project Name: (4...cjo "' Technician: Equipment Test Report E s ni+went location , S tela: VA; Es i'i't'= T143Fan. Make (0.0.-A, 1142 Actual Model L. .,5194t` - Type e3°(,ukkie Line Volts g015-7-3.> Ct' Serial# , ! t., Motor Amps (9,5-1 0. q Reqaired Actual _ Motor;,Al'P. '?,c?ct MFG .. :� . Fan RPM _Z 'S✓ Phase ! S.F, 1, Motor RPM t S stem CFM NMI ti Sheave data* Arfustable Design S.P. " W.G. Motor -1111111 Pos S.P. c) oet " W.G. Fahr Neg S.P. a,-Vi 't W.G. Belts Total S.P. f Qq" W.G. Motor ADJ y—i _i out mow Sha€t"C`to C Heating Pre Filter Coil W.G. P Delta P' Delta. cooling W.G. Final Filter W.G ; Coil Del t: I`telta l cooling Temperatures: Heating Temperatures: EAT= ° EAT= °DB °WB L.:l ` ` ® °DB °WB Area Opening Size Sq Ft Required Required Prelim. Prelim. Final Final Served Number Area Velocity CFM Velocity CFM Velocity CFM Min: Outside Air Return Air System _ A Total Air 1 ttpk, Remarks: (l)= 55 Page of TOTAL AIR BALANCE CO,NEC. SACRAMENTO VALLEY 1146 SUNSET BLVD.SUITE 042 ROCKLIN,CA 95765 7916:4(16.6866 F 916.406,6896 AN FRANCISCO BAY AREA T408.2806194 F408.280.8195 WWW.TABCO-USA.COM HAWADANISLANDS T808.478.t264 F808.441.5353; 1tifig . P. 0§ o 1; p 4 ii ?' J SEg ars o i �i U- -- iia/ WOO®tg "‘ :-,:-.:'...4',: •-,1* .:':''-':'' :-4,... ,:.,,, ,,(0.:.,:;:.... 1,...-.:..,,,,... „ ,.......::„..,_.-;. ... . . A .. ,I 1 1 i , • 07.11 .„ 0 ,. .• tItl ,... .,,a..:..,..:.,.. A' ".4'. ''''':-',.. :'','. ' •-::: ---.. ...'-' . 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