14090140 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10923 NORTHFIELD SQ CONTRACTOR:A PLUS HEATING&A/C PERMIT NO: 14090140
OWNER'S NAME: LAWSON PEARL C AND BRUCE W 244 GREAT MALL PKWY DATE ISSUED:09/22/2014
OWNER'S PHONE: 4084895330 MILPITAS,CA 92683 PHONE NO:(408)934-0730
LAY LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
} REMOVE AND REPLACE FAU; ADD NEW A/C IN
(,
License ClassS- Z V(( Li..# &3 I ` SIDEYARD
Contractor / —Rtu � Date 2 2'- 1
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$7500
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:31637021 00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS F1,77CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
�e I ROOFS:
Signature Date All roofs shall be inspected prior to anyny 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. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
1 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,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent: Date:
permit is issued.
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 LEN NG 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
GENERAL PERMIT APPLICATION AD
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION wV"
10300 TORRE AVENUE.CUPERTINO,CA 95014-3255 /
CUPERTINO (408)777-3998-FAX(408)777-3333•buildina(rO.cuoertino.org ,`� m tit;`
❑PLUMBING ❑iMECHAMCAL [:]ELECTRICAL ❑MISCEL�LLAANNEOUS
PROJECT ADDRESS �. t A /� �/'II APN 2 2/cp 2 •099 1.0:�
OWNER NAME l� v` `j./r it `gyp t +C/,llJJ1 —�� AO YVl PHONE j O�.�t�l.�c�7 MAIL
STREET ADDRESS l�q�� A I O ^ �. �fid,"�M- CICY,STATE,21Pca��Vlo
I FAX
CONTACT NAME l V V r'�r 1 PHONE D �O I�DE-MAIL
STREET ADDRESS n I CTtY,STATE ZIP N) 1I /� FAxDg.q�
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME N ' I LICENSE NUMBER�/_ LICENSE TYPE /� ,,' "BUS.LIC
COMPANY NAME A- P Vl� �.a.(' E-MAIL '(��J /�.{ I.�A(' /� C llIV1�), FAX D� 1.3
VI/l.� � ) J�� �_
•
STREET ADDRESS r/ L' Wn l ��ll/ CITY,STATE ZII' w/ ,�1 `� NE u-r,�44
ARCHSIECr/ENGINEER NAME r LICENSE NUMBER ,- "1 BUS.LIC R
COMPANY NAME' E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑YES -PROJECT IN ❑YES IS THE BLDG AN "❑YES
BUILDING: ❑CAMIvfERGW. URBAN INTERFACE AREA :❑ NO" -FLOOD ZONE ❑NO EICHLER HOME? ❑NO
DESCRIPTION OF WORK
R�moY� .is n r LA R, wow
Ad c
I -
TOTAL VALUATION: RECEIVED BY:
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-.1Lhave read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating b 'din construe' `I authorize representatives of Cupertino to enter the above-id entiie ro for inspection pulposes.
Signature ofApplicant/Agent r1 Date:
SUPP AL INFORMATION REQUIRED - - OFFICE USE ONLY
❑ OVER-THE-COUNTER
G
❑ EXPRESS
U
u ❑ STANDARD
U
❑ LARGE
❑ A7AJOR
MEPMuc,4pp_011.doc revised 06/31111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS:10923 northfield sq DATE: 09/22/2014 REVIEWED BY: Mendez
APN: BP#: EVALUATION: 1$7,500
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: FURN/A
WORK remove and replace fau; add new a/c in side and
SCOPE
7 77777
2E� - �
Re
Sr
m .
Mech.Plan Check "00 $0.00 E'/xfrlb. Pkin Cheek 1:7ec, 1'/an Check
Mech,Permit Fee: IMPERMIT I limb. T'ermit 1' �e: 1 Fie(_ �,erna,,
E3__L_
Other Mech.Insp. 0.0 hrs $48.00 �?aw Plu��r�Tt 7rr:t�. Ur',,e�`Lies-Irasg:>.
t-Ie Jz, fr sp; i"?>,, f1hinib. lusp. Fee: Imp.
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . Theseees are based on the relimina information available and are onlyan estimate. Contact the Det or addh7 info.
FEE ITEMS ()W Resolution 11-053 Eff. 7111132 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 0 # Mechanical
Suppl. PC Fee: •, Reg. 0 OT 0.0 1 hr's $0.00 $143.00 IMFR=<Ioo I Furnace,Forced-Air
PME Plan Check: $0.00 = # Mechanical
Permit Fee: $0.00 $72.00 IBREMAIR A/C Units(<=10K cfm)
Suppl. Insp. Fee:E, Reg. 0 OT 10.01 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $48.00
(�c1t4.�'Pt`PdC`$tt3Y# .lL7�Y:
Administrative Fee: ]ADMIN $45.00
Work Without Permit? 0 Yes No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential E)
Travel Documentation Fee: ITRA VDOC $48.00 Building or Structure 0
i
Strong Motion Fee: 1BSEISMICR $0.98 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
$142.98 $215.00 r TOIL{�1LFEE; $357.98
Revised: 08/20/2014
� dCI2 5�b
0
3' /A I c
r.lr?�;NITr .�cvELof;t,ENr RTntENT
BUiLDINC= Pi I'lSION r_ l.ir_-ERTINO
APPROVED
`his set cf plans ars specficahons V'ST be kept at the
co sile dunngc:;r;!ruction. It is unlT-Oul to make any
changes or altefations on same, or to deviate
herefrom, wrtncu( approval from the Building Official.
The Stamping or;m; and specifications SHALL NOT
^e held to per,T'-t or to be an appfoval of the violation
,f any provisi is : any City Ordinance or State Law.
BY o•
DATE -
PERMIT#
OFN 'low
PLOT
FLAB
C' zZ /9-
QoN G DEpr,
DATE ' vim '"off
NORTHPO:INT HOMEOWNERS ASSOCIATION
PROPERTY MODIFICATION NOTICE
Please indicate below which modification(s) are planned for your property. Provide
brochure(s) if possible and a copy of any proposal(s), including the contractor's
license number: Any modification not expressly listed herein, or not conforming to
the restrictions and requirements listed herein for that modification will require an
Architectural Review Application to be submitted to the Grounds and Architectural
Committee and the Board of Directors for approval. Satellite Dish installation has a
separate form to be completed and submitted for approval.
Modification Restrictions and Requirements
Air conditioning unit Unit will be designed for quiet
residential use. Unit will be
`E�WAjo* tfA"CX f�(AftjAc.(� located within the enclosed yard
SL.a Igo v Ac of the property. There will be no
part of the unit visible to common
5 `h 3y/ A Pco5 A L areas. Installed by a licensed
et,i L,pI-kA-5 contractor.
Replacement window/ Must be same size aperture and
Sliding door location of existing window or sliding
door. Any necessary touch-up
painting is the responsibility of the
Homeowner. Installed by a license
contractor.
Garage door Must be windowless and in conformity
with general architectural style of the
complex. Repainting to conform to
exterior color scheme is responsibility
of the Homeowner. Installed by a
licensed contractor.
Any damages caused to property as a result of modifications will be the homeowner's
responsibility. All prohibitions, restrictions, conditions, and rights of the Association
enumerated under Article V of the amended and restated Covenants, Conditions and
Restrictions of the Northpoint Homeowners Association are applicable to modifications
Contained herein. City permits may be required.
Please Print
Homeowners Name(s) (3w c-o 2 AWS oty
Property Address:L Qct Z3 tJ-69 ri) P19LD Phone: 4D8 9.9 6 B"q
Date of Notification: `1 I Date of Completion:
Homeowner has 6 months to complete the designated modifications and is responsible for a
notifying management upon project completion.
Office Use Only
Notification received by: Date:
&approved by: 43. Q. Date: ILI
Form adopted 8/10/1999 Revised 5/00
32
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-03-E
Alterations-HVAC CZ 1,3 to 7 and 16(formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency: Date Prepared: Permit#:
Equipment Type Equipment Efficiency New:Ducting,Plenums,Lineset Conditioned Thermostat
Required R-value Floor Area(sq ft)
❑Packaged System ❑Evaporator Coil AFUE COP XR-6 (CZ 1,3-7)Ducts Served by s stem K Setback
❑R-8' (CZ 16)Ducts Q is ft (If not already
❑Split System Condensing Unit SEER q
HSPF ❑R-6(all CZ's)Plenums present must
Furnace 11 Lineset EER ❑R-5 or R7.5 Uneset3 be installed)
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out`bVhand. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site.
G1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
Can include new ducting
All Equipment, CF111-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R:MECH-01,MECH-20-HERS
Air Handler/Furnace CF3R:MECH-20-HERS
Installer Requirement:Duct leakage(:S.15%or,:L10%10%to outside,or seal all accessible leaks)
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned
space,or 113.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF1R-ALT-02-E
CF2R-MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS
CF3R-MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS'
Installer Requirement:Duct leakage c6%,Fan Efficacy(.58W/CFM),Air Flow 2 350 CFM/ton(or Standards Table 150.0-C/D alternative)
❑3.All New Duds with Replacement Required Compliance Documents to be left on site for Final:
Includes replacing or installing All New CF1R-ALT-02-E
Ducts'and one or more of the following: CF2R-MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS
Condenser Unit,Evaporator Coil,Furnace CF3R-MECH-20-HERS,MECH-(23 or 24)-HERS
Installer Requirement:Duct leakage<691.,Air Flow 2 350 CFM/ton(or Standards Table 150.0-C/D alternative)
❑Exempted from dud leakage testing I existing dud systems are constructed,insulated or sealed with asbestos.
❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
Adding or replacing ducts in unconditioned CF111-ALT-02-E
space but less than All New Duds' CF2R:MECH-20-HERS
CF3R:MECH-20-HERS
Installer Required to:Duct leakage I<15%or,5.10%to outside,or seal all accessible leaks)
JK Exempted from duct leakage testing I existing duct systems are constructed,insulated or sealed with asbestos.
'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls,between floors etc.
'A New Duct system is when the duct system is constructed of at least 75 percent new duct material,and up to 25 percent may consist of reused
parts from the dwelling unit's existing dud system(e.g.,registers,grilles,boots,air handler,plenums,duct material.
a R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%",2.5-3T-2%",3.5 to 4T-2%.",5T-4%"
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts 1 and 6 of the California Code of Regulations(CCR).
4. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Responsible Designer Name: Respons' a Design ture: Date Signed: License:
Company: Address: City/State/Zip: P one:
For assistance or questions regarding the Energy Standards,c nta a Energy Hotli a at:1-800-772-3300
CERTIFICATE OF COMPLIANCE - CFiR-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 4)
Project Name: 10923 NORTHFIELD SQUARE-BRUCE LAWSON Date Prepared: 2014-09-09
A.General Information
CF111-ALT 02 is applicable to multiple space conditioning systems contained within a.single dwelling.unit.When multiple dwelling units must be
documented,use one CF111-ALT 02 document for each dwelling unit.
01 Project Name 10923 NORTHFIELD SQUARE-BRUCE LAWSON; 02 Date Prepared 2014-09-09
03 Project Location 10923 NORTHFIELD SQUARE 04 Building Type Single family
OS CA City Cupertino 06 Dwelling Unit Name 10923 NORTHFIELD SQUARE-BRUCE LAWSON
07 Zip Code 95014 013 Dwelling Unit Conditioned 1100
Floor Area(ft2)
Number of space conditioning
09 Climate Zone 3 10 (SC)systems in this dwelling 1
unit.
.,Y
B.Space Conditioning(SC)System nft►rmation ; ,,
�.. ,r .. :
01 02 03E 04 09 10
: s Is ,.e Sc Wlei"stalli►g a
SC System SC System CFA served, . .system a. refrigerant Installing new SC =Installing Installing Installing
Identification or Location or Area =T;bvthis:S.0 duc#ed containing system more than 40 entirely new entirely new
Name Served System(ft2) system? component? ,components? feet of ducts? duct system? SC system? Alteration Type
System 1 Location 1 1100 Yes Yes Yes No No No Altered space
conditioning system
C. Extension of Existing Duct System,Greater Than 40 Feet(Section150.2(b)1Diib)
This section does not apply to.-this project.'
Registration Number:214-A0090748A-000000000-0000 Registration Date/Time: 2014-09-09 10:16:41 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-09-09 10:16:46
Schema Version:0.551SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT HVAC) (Page 2 of 4)
D.Altered Space Conditioning System (Sections 150,2(b)1E and F)
01 02 03 04 05 0.6 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered' Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
All new All new This field or This field or
Central gas Central split
System 1 heating AFUE . 0.78 cooling SEER. 13 Setback section is not section is not
furnace components AC components applicable applicable
Reauired Documentation:
CF211-MCH-01-E-Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums:R6.
CF2R-MCH-20-H&CF3R-MCH-20-H—Duct Leakage testing required when heating or cooling components are installed inducted systems,orwhen more than 40 ft of duct length is replaced.
-Leakage rate compliance:515%,or 510%leakage to outside,or seal all accessible leaks..
CF2R-MCH-25-H&CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15).
CF2RCF3R-MCH-23&CF3R-MCH-23 Air Flow z 300 CFM/ton required when MCH-25 �requmed a
Exceptions: E
-Duct systems registered with HERS provider asp ;0usly sealed are. em "t,"fro< CH-20 Duct Rxiakage
ge Testing re[iit pots.
-Heating-only systems and Air Handler/Furnace E ages do not aqui ca-• of Air:Flow MOcRefri a rge MESH $
-Existing duct systems constructed,insulated or ed withsesto `;e a," t)i MC 20 pTq Jnr r remen l K�.
x i. 3".' 'W" .. - .
2a
E. Entirely New or Complete Replacement,.Duct System,with or without Equipment0ihjeout(Sections 150.2(b)1Diia and 150.2(b)1E,F)
This section does nota pply to thistproject _
Registration Number:214-A0090748A-000000000-0000 Registration Date/Time;. 2014-09-09 10:16:41 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-09-09 10:16:46
Schema Version:0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 3 of 4)
F. Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)1C)
This section does not apply to this'pro)ect.
. }% .� €k a: .mss ��� E":I.• -._...
G
1
s
t
Registration Number:214-A0090748A-000000000-0000 Registration Date/Time: 2014-09-09 10:16:41 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 :_. Report Generated:2014-09-09 10:16:46
Schema Version:0.551SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT HVAC) (Page 4 of 4)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: il n ,,/J
AID,Jane ( cQ
Company: - Signature Date:
A Plus General Contractors Inc 2014-09-09 10:16:41
Address: CEA/HERS Certification Identification(if applicable):
11330 Knott St.
City/State/Zip: Phone:
Garden Grove CA 92841 714.901-1958
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California;.
1. The information provided on this Certificate of Compliance is true and correct. „
2. I am eligible under Division.3 of the Buslness;.an P ofessions Code to accept,rgsponsibiltty for the building design q system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performnee speciE netions,mater components and manufacturedeuices for tfe building designor system design identified on this Certificate of Compliance conform to the
requirements of Title 24,Part 1 and �f-6 of the California�Cod f `egUlations
4. The building design features or s � esign features id"e'latifie o $'Certificate o. m p trice a onsisteni'with information,provided'on other applicable compliance documents,worksheets,
calculations,plans and specificatio bmitted.X e enforc�men. cy for appr kih this., i in'" rmit app
3
5. I will ensure that a registered copy o �js�Cert?:6,. f�al ip i ces �he ra] d a. �e�gGtfh� �Id g p rmtY ued f-r ti a uClcfing,of d mpae,avaHaDle to the enforcement agency for all applicable
inspections.I understand that a registered copy oft Is 1 11 D . (Sliaisce is re`qui'red to berme Gded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature: O
AID,Jane G722P ef9
Company: 'Date Signed:
A Plus General Contractors Inc '2014.709-09 10:16:41
Address: License:
11330 Knott St. 763154
City/State/Zip: _ Phone:
Garden Grove CA 92841 714 901-1958
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the
information.
Registration Number:214-AO09074BA-000000000-0000 Registration Date/Time: 2014-09-09 10:16:41 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31,.._ Report Generated:2014-09-09 10:16:46
Schema Version:0.551SDD