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15110010CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10210 RICHWOOD DR CUPERTINO CA 95014 (369 08 028) CONTRACTOR: OWNER-BUILDER PERMIT NO: 15110010 10210 Richwood Dr Cupertino, CA 95014- 3361 OWNER'S NAME: CHOI HENRYAND JACQUELIN DATE ISSUED: 02/18/2016 OWNER'S PHONE: 650-450-2363 PHONE NO; (650) 450-2363 i ICENSED CONTRACIOR'S DECLARATION BUILDING PERMIT INFO; License Class Lic. #' Contractor OWNER-BUILDER Date BLDG _ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH _RESIDENTIAL _COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: ADD 845 S.F. TO CREATE (N) MASTER BEDROO BATH & EXTEND (E) LIVING RM & BEDROOM. REMOD L (E) SFD 1. I have and will maintain a certificate of consent to self-insure for Worker's 1,202 S.F.; REROOF (13.5 SQ'S) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. REV#1 - RECONFIGURE KITCHEN LAYOUT INSECOND UNIT; 2. I have and will maintain Worker's Compensation Insurance, as provided for by RECONFIGURE BATHROOM #2; CHANGE FRONT WINDOW AT Section 3700 ofthe Labor Code, for the performance of the work for which this HOME STUDIO AT MASTER BEDROOM #1; INST kLL (N) PENDANT permit is issued, LIGHT IN HOME STUDIO AND INSTALL 2 (I) FR ONT EXT. LIGHTS APPLICANT CERTIFI ATION - ISSUED 3/10/2016 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 DEF#1 - TRUSS CALCS and state laws relating to building construction, and hereby authorize ISSUED - 6/29/2016 representatives of this city to enter upon the above mentioned property for Sq. Ft Floor Area: Valuation: $140000.00 inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. APN Number: Occupancy Type: Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. 369 08 028 Signature Date -_6/29/2016 PERMIT EXPIRES I.F. WORK ISN T STARTED OWNER-BUII DER DECLARATION WITHIN 180 DAYS OF PERMIT IS SU CE OR 180 DAYS FROM LAST C ECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole Issued by: ALEX VALLELUNG compensation, will do the work, and the structure is not intended or offered for Date: 02/18/2016 J sale (Sec.7044, Business & Professions Code) + (2� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Sec.7044, Business & Professions Code). RE-ROOFS: All roofs shall be inspected prior to any roofing material be g installed. If a roof is I hereby affirm under penalty of perjury one of the following three declarations:. installed without first obtaining an inspection, I agree to rcint ve all new materials for 1. I have and will maintain a Certificate of Consent to self-insure for Worker's inspection. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Applicant: 2. I have and will maintain Worker's Compensation Insurance, as provided for by Date: 6/29/2016 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER (3/ 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 1 1 v Worker's Compensation laws HAZARDOUS MATERIALS DI SCLOSURE of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the I have read the hazardous materials requirements unde California Health & Safety Code, Sections 25505, 2553 Chapter 6.95 of the , and 25534. 1 will Labor Code, I must forthwith comply with such provisions or this permit shall maintain compliance with the Cupertino Municipal Code Chapter 9.12 and the be deemed revoked. Health & Safety Code, Section 25532(a) should I store or handle hazardous APPLICANT CERTIFICATION material, Additionally, should I use equipment or devices which emit hazardous I certify that I have read this application and state that the above information is air contaminants as defined by the Bay Area Air Quality T 4anagement District I correct. I agree to comply with all city and county ordinances and state laws will maintain compliance with the Cupertino Municipal Code. ' Chanter 9.12 and relating to building construction, and hereby authorize representatives of this city the Health & Safety Code, Sectis 25505, 2553 , an to enter upon the above mentioned property for inspection purposes. (We) agree Owner to save indemnify and keep harmless the City of Cupertino against liabilities, or-authonied4gpli judgments, costs, and expenses which may accrue against said City in Date: 6/29/2016 consequence of the granting of this permit. Additionally, the applicant understands CONSTRUCTION LENDING AGENI Y and will comply with all non-point source regulations per the Cupertino Municipal I hereby affirm that there is a construction lending agency for the performance Code, Section 9.18.. of work's for which this permit is issued (Sec. 3097, Civ.) Lender's Name Signature— Date 6/29/2016 Lender's Address Der* I CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION/ 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUP.,ER `! 11 N (408)777-3228.• FAX (408) 777-3333 = buildingcupertino.ora f S/fov EINEW CONSTRUCTION LADDITION . ' ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRES ^ OWPHONE NERNAME VPE S L� !J G� ® STREET ADDRESS TCITY, S ATE,� FAX Pr ov A P?157-0f CONTACT NAME n r�Q S % ��Y1 y Z ® �� 1 E-MAIL f#7,2_ k GC�SI 41 S�G C STREET ADD SSS �+( %' / ® � CITY, STATE,� I�-� y FAQ P 2 v ❑ OWNER ❑. OWNER -BUILDER ❑ OWNERAGENr ❑ CONTRACTOR '❑ �// CONTRACTOR AGENT �I ARCHITECT ❑ ENGINEER ❑ DEVELO ER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAMED LICENSE NUMBER �• BUS. LIC # COMPANY N E-MAIL .... C—v -FAXf 93.4 ap STREET D CITY TPHO C PAZ —/ AYGY DESCRIPTION OF WORK. au�i uvv uan rxVYUSEU USE CONSTR. TYPE I # STORIES - - USE TYPE OCC. SQ.FT. ALUA-110N II ($ j EXISTG NEW FLOOR - DEMO - ,J TOTAL AREA AREA AREA NET AREA BATHROOM 7 KrECHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA ❑ ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY - ❑ YES BEING ADDED? ' []NO ADDITION? ❑ NO Rif'. PRE-APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED .PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLERHOME? NORL By my signature below, I certify. to each of the following: I am the properly owner or.authorized agent t on the property owner's behalf. I have re d this application and the information I have provided is correct. I have r*the Description of Work and verify is accurate. I agree to comply with all appl cable local ordinances and state laws relating to b ding construction. I auth e representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent:-) / Date: / /�jj© �— / l v t✓ . New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. _ Commercial Bldgs: 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. • BIdgApp_2011.doc revised 06/21/11 I` CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING V ON r _ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ION ,# Aso (408) 777-3228 FAX (408) 777-3333 • building(�i_)cupertino.org CUPERTINO NEW CONSTRUCTION El ADDITION 0 ALTERATION / TI F REVISION /DEFERRED ORIGINAL PERMIT It � _ PROJECTADDRE," — b Q ° OWNER NAME1 A �( PHONE6 r//�.,_�2-3` 3 7F-Lh enr -amI M, -t cry STREET DRESS �C CITY, STATE, ZIP `flJ`/tel b FAX b �u Q . ® qVO144 CONTACT NAMEQ PHO E-MAIL u' - 1 ' �n arkoles► s o�c� r STREET ADDRESS ( C V U CITY, STATE, ZIP D F 17 a - 6-633G ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT QrENGINEER ❑ DEIVELOPER ❑ TENANT CONTRACTOR NAME T. LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGEI EER NAME r N e ` I a,4 LICENSE NUMBER A b 4 BUS. LIC # COMPANY NAMEbg. u EMAIL a FAX -nee 'K n Q9V @5b fol -ft'P- STREET ADDRESS CITY, ST TE, Z PHONE DESCRIPTION OF WORK Ze a m. sae joi a- I Ke tom- I y — 15 1 ' C✓ I •- yv- -r-s -• -I J'a"j• -t EXISTG NEW FLOOR DEMO TOTAL ® -. AREA I i _ AREA AREA ' f NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA:: DETACH ry-� ❑ ATTACH # DWELLING UNITS: IS A SECOND UNITSECOND STORY BEING ADDED? O ❑N ADDITION? PRE-APPLICATIGN ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN E] YES D BS�', 8. - TOTAL ALUA7ION, PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? Q r1G0 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 haN e read this application and the information I hav ovided 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 d' " constiuction. I au iz eprese�ntatives of Cupertino to enter the above -identified property for inspection purposes. Signature ofApplicant/Agem: Date: o i SUPPLEMENTAL INFORMATIOtZ REQUIRED New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. _ Commercial Bldgs: 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. Bldg,Aplr_2011.do� revised 06121/11 I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15110010 10210 RICHWOOD DR CUPERTINO CA 95014 (369 08 028) CHOI HENRYAND JACQUELIN 10210 RICHWOOD DRIVE OWNER'S NAME: CHOI HENRY AND JACQUELIN DATE ISSUED: 02/18/2016 OWNER'S PHONE: 6504502363 PHONE NO: 6504502363 LICENSED CONTRACTOR'S DECLAR TION BUILDING PERMIT INFO: License Class Lic. # Contractor CH01 HENRY AND JACQUELIN Date 2/18/2016 —BLDG -ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing RESIDENTIAL — MECH _ — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD 845 S.F. TO CREATE (N) MASTER BEDROOM ATH & I hereby affirm under penalty of perjury one of the following two declarations: EXTEND (E) LIVING RM & BEDROOM, REMODEL (E) SFD 1. I have and will maintain a certificate of consent to self-insure for Worker's 1,202. S.F. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $140000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 369 08 028 authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and PERMIT EXPIRES IF WORK IS NO r STARTED expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will WITHIN 180 DAYS OF PERMIT ISSUANCE OR comply with all non-point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, Section 9.18. `__? Issued by: PAUL O'SULLIVAN Signature Date 2/18/2016 Date: 2/18/2016 RE-ROOFS: OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remov, all new materials for 1. 1, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: , I, as owner of the property, am exclusively contracting with licensed Date; 2/18/2016 J,2. s contractors to construct the project (Sec.7044, Business & Professions Code). 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533 and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, hapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous P `s. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous / shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & SafetgCd,,,,Sec,1.ion s 25505, 2553 n 5534. exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I roust forthwith comply with such provisions or this permit shall Owner or authorized agent be deemed revolted. Date: 2/18/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENC I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C. relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit.. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non-point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9:1 Licensed Professional Signatur Date 2/18/2016 imam CCUPERTINO 1 I TSF.W r01JCTRT1r CONSTRUCTION PERMIT APPLICATION COW11UNITY DEVELOPMENT DEPARTNIIENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 85014-3255 (408) 777-3228 • FAX(408)777-3333 • building(d),cuuerbno.org p g 00 1 rTr)ls W d T1)nT_r)'.T I. I A T T 'D A'Mn1 T / TT 17 i 1 PROJECT ADtDRESS j o;? i1 ® (�l led C/C I W&P lJr\ APN n 1 61^ 0- 026 OWNERNAM,E f P\1 R l &t461 I PIi o E JhIL �y 6 J o 2 3 65 STREET ADDRESS Q 210 6 i,C4 06 P t 1) I CITY, STATE O' EKTI Wo crS014 I AX CON ACT N.4NIE aIl 1 Te I PH01 ed - 2 30- 806t STREci ADDRESS CITY, STATE, ZiP FAX 0 OWIQER ❑: owNER-BLIII-DER',�y❑ oA=NERAGE117 ❑ CON-IRACTOR EICON7RACTORAGEN7 11PaCFiI ECT RrENGII cR ElE\ELOpER ElMNAN-r CONi'RACTORNAME T LICENSENUhA3ER (� ( LICENSE TYPE ( BUS. LIC 601,4PANY NAIS E-MAIL FAX STREET ADDRESS CITY, STAT, ZIP I PHOKE ARCH TECT/ENGINEERNAME AR t 9 I r� I LICENSE NUMBER �t �/ N C BUTS. LIC n COMPANY NAla A- E FN ilVEr'Pi R6 E-MAIL k j.�1 STREET ADDRESSCITY, (032-SQnl s dzm St Z STATE; lbs PHONE � n�� ae� � .�o . -�� - o DESCRIPTION OF WORK. � i ev ® aq T Sig e_ 4zrqo e . A 4J) vn & 5�" =STIMG USE PROPOSED USE CONST& TYPE hiSTORIES - - 1 USE I TYPE OCC. SQ.FT. I VALUATION (S) AREA � NEW OOR X' DEMO - . I AREA AREA t'+6 TOTAL WE7. AREA f q© 1 BAITIRDOM ' CHEN OTiMR REMODEL AREA REMODEL AREA RE1,10DELAREA i2 P PORCH AREA. DECK AREA TOTAL DECK,PORCH AREA GARAGE AREA: DETACH ❑ ATTACH 4 DWELUNIG UI\Trs: IS A SECOND UNrr ❑ YES - SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO I PRE•.A4.°PLICATION ❑ 1•ES IF ITS. PROVIDE COPY OF IS THE BLDG AN - 1 ra,C •IIID 3Y - TOT VALu'k I PLNING APPL R ❑ NO PLANI\TINI G APPROVAL LFER I EICHLER HOME? ❑ T.0 13- - //U By my signature below, I certify to each of the follovring: I am the property oi� r auth ed as eriy ov, nor . I have read this/� application and the information I have provided is correct. I have read the D , o ork and accurate. I agree to comply with a liczble local ordinances and state laws relating to mp on t on. I authorize representatives of Cupertino to enter the above -identified proper yfor inspection' -purposes. Signature of ApplicantlAgent: �� Date: fl 021201 SUPPLE14ENTAL INFORMATION REQUIREDI - 1 611sNew Nal ❑ oiR r>caukrEx BLILDl� SFD or Multifamily d«=ellings:Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building PiAxRE� - — _ = permit for new building,x�rsss� L PL4 IAL! PL 4h RE�4i t� cT nAxD = _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ PUE>c OR?uc =_ form if any Hazardous Materials are being used as part of this project. Copy of Planning Approval Letter or'eeting with Planning prior to _D'LSSOR �k'LitiB� — Szih`IT}.R SEiR�ISTRICT - submittal of Buildir_g Permit application. T B1dg.4pp_201 Ljdoc revised 06121/11 W CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION , ADDRESS: 10210 RICHWOOD DR DATE: 11/02/2015 REVIEWED BY: ELISSA APN: 369 08 028 BP#: *VALUATION: $140,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition FEE PRIMARY SFD or Duplex USE: 2nd Unit? •` Yes No OTC? Yes E) No PENTAMATION PERMIT TYPE: 1 R3SFDADQ WORK ADD 845 S.F. TO CREATE N MASTER BEDROOM/BATH & EXTEND E LIVING RM & BEDROOM. SCOPE REMODEL (E) 1,350 S.F. hrs OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) 11 -B,111 -EB 845 1 $2,654.00 IR3PLNCK 1 $1,666.00 IR3INSP TOTALS: i 845 $2,654.00 1 >ch..l'lr tt Check i14ec'h. Permit kee: other."Uec'k .tris]). :'Vfe h' &5P. Fee: Plsimb. Plan ('heek Famb. Permit Fee: oil?er I'hallb.fnsp. Phimb. Insp. 1<ee: sIf>c. Plan Check Ielec. Petra t Fee: ]7_ 01hei Elec. Insp. Elea hnyp. Fee' NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewi District, etc.. These ees are based on the preliminar information available and are on an estimate.. Contact the D r District, School 7(for addn7 in o. FEE ITEMS fFee Resolution 11-053 E . 7/U131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.001,202 1 s.f. Remodel, Other $4,604.00 LUMRES2 Suppl. PC Fee: (j) Reg. 0 OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,666.00 Suppl. Insp. Fee: Reg, 0 OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: f°@(Iminisirative _Fee.': 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee. IPLLONGR $118.30 Select a Non -Reside Building tial E) r Structure O r Travezl .Doc e��r entaiion, Tees: Strong Motion Fee: IBSEISMICR $18.20 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $6.00 TuBTvm-- $4.462.501$4.604.00 — TO $9,066.50 Relvised: 10/01/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10210 RICHWOOD DR CUPERTINO CA 95014 08 028) CONTRACTOR: PERMIT NO: 15110010 (369 CHOI HENRY AND JACQUELIN 10210 RICHWOOD DRIVE OWNER'S NAME: CHOI HENRY AND JACQUELIN DATE ISSUED: 02/18/2016 OWNER'S PHONE: 6504502363 PHONE NO: 6504502363 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor CHOI HENRY AND JACQUELIN Date 2/18/2016 —BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing MECH . RESIDENTIAL _ COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: ADD 845 S.F. TO CREATE (N) MASTER BEDROOM/BATH & 1. 1 have and will maintain a certificate of consent to self -insure for Worker's EXTEND (E) LIVING RM & BEDROOM. REMODEL (E) SFD 1,202 S.F. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. z. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $140000.00 APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 369 08 028 authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City inconsequence of the granting of this permit. Additionally, the applicant understands and. will. WITHIN 180 DAYS OF PERMIT ISSUANCE OR comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, Section 9.18. Signature Date Issued by: PAUL O'SULLIVAN 2/18/2016 Date: 2/18/2016 OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the At] roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, as owner of the property, or my employees with wages as their sole inspection, compensation, will do the work, and the structure is not intended or offered � for sale (Sec.7044, Business & Professions Code) /kz Signature of Applicant: z. i, as owner of the property, am exclusively contracting with licensed Date: 2/18/2016 ° contractors to construct the project(See.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER t. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the z. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous , 3. I certify that in the performance of the work for which this permit is issued, I f' material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I 7will Worker's Compensation laws of California. If, after making this certificate of maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of theLabor the Health & SafetgCd,,,,Scctions 25505, 2553 n 5534. Code, I must forthwith comply with such provisions or this permit shall be deemed revolted. Owner or authorized agent Date: 2/18/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit.. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9-18, Licensed Signatur Date 2118/2016 Professional CONSTRUCTION PERMIT APPLICATION vmtk COMMiUNI T Y DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 55014-3255 t3 Y (408) 777-3228 • FAX (408) 777-3333 building, ..cuperlino.org 113110010 0 �� CCUPERTINO ^ ^ 6 I I UF.W rC)VgTR T ir-m lTJ 13?r AT)T)TTi(W I I AT TFR GTT()TJ/TT I I T?'MTT.CT()iSJ TI'C'CT:'D D=n (1A Tl:TKTAT 'OCD T= X PROJ-rZr ADDRESS I o i � V S I APN R' 361- 6" 0 " 028 OGiNERNAMET 1 fFN RY C O I I P 6 o tt S o -2 3 65 E-NhIL 6' � STREET ADDRESS (02 I ® F iC4 WX Q RD I CITY, STATE fu U V eTt 4 CONTACT NAVE PHONE c UI T. ��� 208-23a�- ®&-( E-N�SII. � i &- i s STREET ADDRESS SCOT -T V - it i CITY, STATE, Z P 1] owNmp ❑. O'XgER-BUIIAER ❑ O'AWERAGENT ❑ CONTRACTOR ❑CON-rRiCTORAGENT ❑ ARCHEEcT RrENcI EER ❑ DE\ELOPER. ❑ TENAN-r CONTRACfORNAME - LICtTSENTU110ER I LICENSE TYPE ( BUS. LIC 4 COIaANY NA1,M I E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE ARCHITECT/E.N0IN,EFRNA,14E AR FNIti EEI 11 - [ I LICENSE NUMBER Grigg BUS. LIC n COMPANY NAiv�M E-MAIL j FAX STREET ADDRESS G�or51- ICITY, STAT: IPHO`032-Sgn}-a G o f DESCRT710N OF WORK �. iJr e. f S r fl S1 e- o C- lroor Ck. ()Jfn Morn anon IVJ'i n tn')eSAC.,- e FXISTLNGU E -PROPOSED USE CON�ST� E 4STO S I 71CC � USE. I TYPE ( OCC.. SQ.FT. I VALUATIONS) Fm-sTG AREA J,3 � NEW FLOOR ( AREA DET'0 AREA.. ' �j r} TOTAL )\t f AREA ' q O I i BATHROOM CHEM OTHER REMODEL AREA REMODEL AREA I REIMODEL AREA PORCH AREA DECK AR=A TOTAL DECF;JPORCii AREA GARAGE AREA:. DETACH ❑ ATTACH �DWELLDAGUNITS: ISASECONDUNIT E] YES SECOND STORY DYES BEING ADDED? ❑NO ADDrTION? ❑NO PRt-APPLICATION ❑ Y`rS IF YES, PROVIDE COPY OF IS THE BLDG AN -[n-YES C�IZ�D BI =f TOTAL VALLJ-AT Iy PLANWIiIGAPPLR ❑NO PLANINTINGAPPROVAL LETTER I EICHLERHOME? ❑I\O By my signature below, I certify to each of the following: I am the property, oN�. r auth ed ae e, owner I have read this application and the information I have. provided is cone ct. I have read the D ork and s accurate. I agree to comply with licable local ordinances and state laws relating to I m on t on. I authorize representatives -of Cupertino to enter the abov``e-ideeFntified propery for inspectio purposes. Signature of Applicant/Agent: _� Date.: _1 // 02/ 1 SUPPLEMENTAL R\TFORMiATION REQUIRED - f r� OZ�RTHE-GOL'hTE22 = - � BUILDL'�GPLA.NI:2EVIEY3r New SFD or Multifamily dvvellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of bullaLng permit for new building .REss Rn 1� PL4\IiZtGPL4 RE�TEFi Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 1� cTA �DARD r� PUBcoRxs form if any Hazardous Materials are being used as part of this project. — _ Copy of Planning Approval Letter or Meeting with Planning prior to CoA7`TYSERvzsazrcr v - - submittal of Building Permit application. Bldg.4pp_2011.doc revised 06/21/11 W CITY OF CUPERTINO FRF. F;CTIMATOR — BUILDING DIVISION 10 ADDRESS: 10210 RICHWOOD DR DATE: 11/02/2015 REVIEWED BY: MELISSA APN: 369 08 028 BP#. VALUATION: 1$140,000 *PERMIT TYPE: Building Permit Remodel, Other IREMMS2 PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: p hrs 2nd Unit? Yes '' No OTC? ® Yes E)No PENTAMATION 1 R3SFDADp PERMIT TYPE: A WORK ADD 845 S.F. TO CREATE N MASTER BEDROOM/BATH & EXTEND E LIVING RM & BEDROOM. SCOPE REMODEL (E) 1,350 S.F. Permit Fee: $1,.666.00 Ileck Plan Check: A,1ecla. Permit Fee: Other Mock Insp. k,ck Insp. Fee: Phimb. Plan. C Cee/c Plumb. Permit Fee: Other Pluraab .Ins3. I hImb. InspFee: t rec. Plaii Check E.tec, Perrtrit Fee: Other 1 It:c. hup. Elec. Insp. Fee NOTE. This estimate does not include -fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, :--,-a..:.. —i — —hy "" octimat0- vnnrarr rn.p UPDT Tar aaan i intu. IJLJLT6lL, GLL.. 1/LGJG GGJ KLc uua v,a .,,..V. ....... FEE ITEMS (Fee Resolution 11-053 Ef. 7/f 1/13) — __. _-_______ FEE ______ QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 1,202 s.f. $4,604.00 Remodel, Other IREMMS2 Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan. Check: $0.00 Permit Fee: $1,.666.00 Suppl. Insp. Feer Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: rtchninis restive Fee: Work Without Permit? 0 Yes (E) No $0.00 Advanced. Planning Fee IPLLONGR $118.30 Select a Non -Residential Building or Structure - 'A 1? e1 Documentation Fees: Strong Motion Fee: IBSEISMICR $18.20 �L= Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $6.00 S'CI3T OT;r $4,462.50 $4,604.00 zAL $9,066.50 Revised: 10/01/2015 UTILITY RELEASE REQUEST FORM COMMUNIP( DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 (408) 777-3228 ® FAX (408) 777-3333 o buildinq a&cupertino.org For residential single family or duplex construction, there are cases where gas and electric utilities are requested to be released prior to the issuance of the certificate of occupancy. Upon approval from the building inspector, the City of Cupertino is allowing both utilities to be released prior to the final sign -off of the building. INSTRUCTIONS 1. Download this form at: htt2://www.cunertino.org/index.aspx?page=297. 2. Complete the form and obtain signatures from both the owner of the property and the primary contractor. 3. Pax, E -Mail, Mail or hand deliver the original signed form to: City of Cupertino Building Division Attn: Utility Release Request Form 408-777-3228 office 10300 Torre Ave. 408-777-3333 fax Cupertino, CA 95014 building&cupertino.org 4. Schedule a Gas Meter Release inspection (#403) and/or Electric Meter Release inspection (#404). Please note, a Gas Test inspection (#506) is required prior to or at the same time of the Gas Meter Release inspection. BUILDING INFORMATION (Please complete the following information): APN 369-08-028 BLDG PERMIT #: 15110010 DATE: 05 Oct 2016 SITE 10210 Richwood Drive, Cupertino CA 95014 ADDRESS: OWNERS NAME: Henry Choi PHONE #: 650-450-2363 FAX #: MAILING ADDRESS (if different from site address): CONTRACTOR: Same (owner builder) PHONE #: 650-450-2363 FAX #: CONTACT: same PHONE #: FAX #: I request the City to release my utilities prior to obtaining a final inspection approval for the building. I fully understand the occupants of the building cannot move into the residence until they receive all of the required final sign -offs and the City has issued a certificate of occupancv for the buildinq. Owner. ..�},...........Henry Choi 05 Oct 2016 .................................................. Print:............ ...........I .......................... Date:.......... ................ Contractor: ... ......��..�..... .. Henry Choi 05 Oct 2016 Print:................. ...................... Date ............................ UtilityReleaseForm 2011.docrevised08109111 J d CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • building(5cuaertino.ora Dear Property Owner(s): An application for a building permit has been submitted in your na ng yourself as the builder of the property improvements s�aeRci n,ew. I D i r`L_J%A1ArA l'1Q 1 V:w r4o) SITE ADDRESS P2,1" -9T ch r�Jo o . � .... APN... :. Z� I OWNER NAME e r, n/„ o - ��-vll / OWNER ADDRESS-. 10 H D /� , / wed ®r / �-1 C�[ij DESCRIPTION OF WORK: o Dr Ira14/ f7 We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- Bullder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. I understand. building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 13. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 9,4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the otal value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. e— 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. W --?--7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for 4—yfinancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 r �_C9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. a_!�10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. 4K11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. ff�-12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information l have -provided on this form. Licensed contractors are regulated by-laws designed to protect.the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a. result of a complaint -Your only remedy against unlicensed Contractors maybe in civil court. Itis also important for you -to understand that if an unlicensed Contractor or employee of that individual or firm is injured .while working on your property, you maybe held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verificatioq acceptable to the city may be required to be presented when the permit is issued to verifv the propertv owners siq re. Property Owner's Signature: Date: eifj, fd'� --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's drivers license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owners signature. Property Owner's Signature: Date: OwnerBuilderForm 2010.doc revised 04114110 i 4 BUILDING ENERGY ANALYSIS REPORT PROJECT: Choi's Residence 10210 Richwood Drive Cupertino, CA 95014 0 Project Designer: ?�t", <I -Mark Design Group G"J �a�e4 1659 Scott Blvd. Ste 36 Santa Clara, CA 95050 o 408-345-5002 Go o� c Report Prepared by: Qui T. Son I -Mark Design Group 1659 Scott Blvd. Ste. 36 Santa Clara, CA 95050 408-345-5002 Job Number: 150416 Date: 1/26/2016 -k&cE1 UES 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. IThis program developed by EnergySoft, LLC — www.energysoft.com. Ener Pro 6.7 by Ener Soft User Number: 6570 ID: 150416 . CERTIFICATEL OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml CF1R-PR"'-01 Page 1 of 9 GENERAL INFORMATION ENERGY USE SUMMARY 01 Project Name Choi's Residence 04 05 02 Calculation Description Title 24 Analysis 08 Energy Use (kTDV/ft2-yr) 03 Project Location 10210 Richwood Drive Compliance Margin Percent Improvement 04 City Cupertino 05 Standards Version Compliance 2015 06 Zip Code 95014 07 Compliance Manager Version BEMCmpMgr 2013-4 (744) 08 Climate Zone CZ4 09 Software Version EnergyPro 6.6 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 270 12 Project Scope Newly Constructed 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft) 2699 15 Number of Zones 2 16 Slab Area ( 2) 0 17 Number of Stories 1 18 Addition Cond. Floor N/A 19 Natural Gas Available Yes 20 Addition Slab Are N/A 21 Glazing Percentage (%) 15.6% COMPLIANCE RESULTS 01 Building Complies omp or 02 This building incorpoAm"Ithat riLire fi nd/o r i yerti ERS u he supervision of a CEC-a — p pproved HERS provider. 03 1 This building in Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 15.16 11.29 3.87 25.5% Space Cooling 9.56 10.50 -0.94 -9.8% IAQ Ventilation 1.11 1.11 0.00 0.0% Water Heating 11.25 11.28 -0.03 -0.3% Photovoltaic Offset ---- 0.00 0.00 ---- Compliance Energy Total 37.08 34.18 2.90 7.8% Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Ducts with high level of insulation HERS FEATURE SUMMARY dFIR-PRr-01 Page 2 of 9 The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • High Quality Insulation Installation (QII) • IAQ mechanical ventilation Cooling System Verifications: • Minimum Airflow • Verified EER • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: * Duct Sealing Domestic Hot Water System Verifications: • — None -- ENERGY DESIGN RATING This is the sum of the annual TDV energy TDV energy consumption for lighting and on-site renewable energy system. rd Design Building (Energy Budget) and the annual accounting for the annual TDV energy offset by an *,TefereVVn®y 9% Margin Percent Improvement Total Energy (kTDV/f2-yr)* 1 81.68 2.90 3.6% * includes calculated Appliances and Miscellaneous Energy Use (AMEU) BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Choi's Residence 2699 1 4 2 2 2 Registration Number: 216-No029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml G F 1 R -P R`-01 Page 3 of 9 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Main House Conditioned HVAC Systeml 2064 8 DHW Sys 1 DHW Sys 2 Secondary House Conditioned HVAC System2 635 8 DHW Sys 1 DHW Sys 2 OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft) Window & Door Area (ftZ) Tilt (deg) Front Wall Tin House R-15 Wall 270 Front 338 95 90 Rear Wall n House R-15 Wall 90 Back 366 122 90 Right Wall House R-15 Wall 180 Right 526 128 90 Interior Surface us R-15 Wall 216 Roof Raised Floor Main Hou Me R-30 Roof Attic oor ME 2064 2064 Left WallAwn Rear Wall 2 a ouse econ use R-1 all 5 a 0 a 360 117 62 53 90 90 Interior Surface 3 condary House»_Gars _ 5 Wal 142.6 Roof 2 Secondary House R-30 Roof Attic 635 Raised Floor 2 Secondary House R-19 Floor Crawlspace 635 Front Wall 2 _Garage_ R-13 Wall 270 Front 162 100 90 Left Wall 2 _Garage_ R-13 Wall 0 Left 166 20 90 Roof 3 _Garage_ R-30 Roof Attic 374 ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic _Garage_ Attic Garage Roof Cons Ventilated 0 0.1 0.85 No No Attic Main House Attic RoofMain House Ventilated 4 0.1 0.85 No No Attic Secondary House I Attic RoofSecondary House Ventilated 4 0.1 0.85 No No Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 I , CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml 0 F 1 R -P R¢-01 Page 4 of 9 WINDOWS 01 02 03 04 05 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Width (ft) Height (ft) Multipli er Area (ft) U -factor SHGC Exterior Shading Window Window Front Wall (Front -270) ---- ---- 1 75.0 0.32 0.25 Insect Screen (default) Window 2 Window Rear Wall (Back -90) --- ---- 1 122.0 0.32 0.25 Insect Screen (default) Window 3 Window Right Wall (Right -180) ---- ---- 1 128.0 0.32 0.25 Insect Screen (default) Window 4 Window Left Wall (Left -0) ---- ---- 1 42.0 0.32 0.25 Insect Screen (default) Window 5 Window Rear Wall 2 (Back -90) ---- ---- 1 53.0 0.32 0.25 Insect Screen (default) DOORS 01 02 03 04 Name Side of Building Area (ftZ) U -factor Door Front Wall 20.0 0.50 Door Left Wall 20.0 0.50 Door 3 r 100.0 0.50 Door 4&Ell-WIP"2*%20.0 0.50 on 0%06 HERS a PRG�IOER Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml dF1 R -PR? -01 Page 5 of 9 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R -value U -value Assembly Layers • Inside Finish: Gypsum Board • Cavity/Frame: R -13/2x4 • Exterior Finish: Wood R-13 Wall Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 13 0.095 Siding/sheathing/decking • Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 R-30 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R30 0.032 Over Floor Joists: R-20.9 insul. • Cavity/Frame: no insul. /2x4 Top Chid 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic Garage Roof Cons Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Cavity/Frame: no insul. /2x4 Top Chid 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RootMain House Attic Roof Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Over Floor Deck: Wood Siding/sheathing/decking R-19 Floor Crawlspace Cra e or R 1 0.049 Cavity/Frame: R -19/2x6 Id • Inside Finish: Gypsum Board %.,a ttRl• • Cavity/Frame: R -15/2x4 Exterior Finish: Wood R-15 Wall Exte alts al 4 @ 1 89 Siding/sheathing/decking • Inside Finish: Gypsum Board • Cavity/Frame: R -15/2x4 R-15 Wall Interior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 15 0.086 Other Side Finish: Gypsum Board • Cavity/Frame: no insul. /2x4 Top Chid 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofSecondary House Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50 Required Not Required Not Required -- Registration Number: 216-No029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08252015-744 Report Generated at: 2016-03-26 21:21:14 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Input File Name: Richwood-Rev.xml G F 1 R -PR- -01 Page 6 of 9 WATER HEATING SYSTEMS 01 02 03 04 05 01 02 03 04 05 06 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 - 1/1 DHW Standard DHW Heater 1 1 .0% DHW Sys 2 - 1/1 DHW Standard DHW Heater 2 1 .0% WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Storage 50 0.6 40000-Btu/hr 0 0 DHW Heater 2 Natura s Small Instantaneous 0 0.84 185000-Btu/hr j 0 0 1i� WATER HEATING - HERS VERIF 01 0 02 ni nA lel Pi C pac ributi i 0506 tP -of Use Recirculation Control --- 07 Central DHW Distribution --- Name s ion DHW Sys 1 - 1/1 System Type DHW Sys 2 - 1/1 --- Cooling Unit Name Fan Name Distribution Name SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name HVAC System1 Other Heating and Cooling System Heating Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 HVAC System2 Other Heating and Cooling System Heating Component 2 Cooling Component 2 HVAC Fan 2 Air Distribution System 2 HVAC - HEATING UNIT TYPES 01 02 03 Name Type Efficiency Heating Component 1 CntrlFurnace - Fuel -fired central furnace 80.2 AFUE Heating Component 2 CntrlFurnace - Fuel -fired central furnace 78 AFUE Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 CERTIFICATEIOF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Input File Name: Richwood-Rev.xml CF1R-PRr-01 Page 7 of 9 HVAC -COOLING UNIT TYPES 01 02 03 04 05 06 07 Name System Type Efficiency EER SEER Zonally Controlled Multi -speed Compressor HERS Verification Cooling Component 1 PkgAirCond 11.2 13 Not Zonal Single Speed Cooling Component 1 -hers -cool Cooling Component 2 NoCooling Not Required -- --- -- Required HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name rified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1 -hers -cool Required 350 Required Not Required Not Required � s HVAC - DISTRIBUTION SYSTE 01 02 4 05 06 07 Name &Cage ue Ty n at 4 08 Bypass Duct HERS Verification Air Distribution System 1 s ra None Air Distribution System 1 -hers -dist Air Distribution System 2 le DuctsAttic d ed i None Air Distribution System 2 -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 07 08 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Location Verified Duct Design Buried Ducts Deeply Buried Ducts Low -leakage Air Handler Air Distribution System 1 -hers -dist Required 6.0 Not Required Not Required Not Required Not Required --- Air Distribution System 2 -hers -dist Required 6.0 Not Required I Not Required Not Required Not Required HVAC -FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1 -hers -fan HVAC Fan 2 Single Speed PSC Furnace Fan 0.58 — Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml CF1R-PRS-01 Page 8 of 9 HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan Required 0.58 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ Watts/CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 64.49 0.25 Default 0 Required COOLING VENTILATION 01 02 03 04 05 Name Cooling Vent CFM Cooling Vent Watts/CFM Total Watts Number of Fans WH Fan 1 50 0 0 1 WH Fan 2 0 0 1 peA""caicERT!i, HERS �� Inc. Registration Number: 216-No029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-01-26 21:21:14 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Choi's Residence Calculation Date/Time: 21:20, Tue, Jan 26, 2016 Calculation Description: Title 24 Analysis Input File Name: Richwood-Rev.xml CSF 1 R -P Rlr-01 Page 9 of 9 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Qui Son Company: Signature Date: -Mark Design Group 2016-01-26 23:24:52 Address: CEA/HERS Certification Identification (If applicable): 1659 Scott Blvd. Ste 36 n/a City/State/Zip: Phone: Santa Clara, CA 95050 408-230-8051 RESPONSIBLE PERSON'S DECLARATION STATIEMENT I certify the following under penalty of perjury, and a laws of the State of California: perjury,, 1. 1 am eligible under Division 3 of the nd Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and pe ce specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 3. The building design features sig s i ificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans ecifications enfor e i Iding p it application. Responsible Designer Name: RTonle i ner SigInc, aiLt: Qui Son Company: H ERS PD10,: p E R -Mark Design Group 0 6-- 26 3: Address: License: 1659 Scott Blvd. Ste 36 n/a City/State/Zip: Phone: Santa Clara, CA 95050 408-230-8051 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-N0029964B-000000000-0000 Registration Date/Time: 2016-01-26 23:24:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-08252015-744 Report Generated at: 2016-01-26 21:21:14 RESIDENTIAL MEASURES SUMMARY RMS -1 Project Name Choi's Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1/26/2016 Project Address 10210 Richwood Drive Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,699 Addition n/a # of Units 1 INSULATION Construction Type Area Cavi(ft) Special Features Status Floor Wood Framed w/Crawl Space R 19 2,699 New Wall Wood Framed R 15 1,606 New Door Opaque Door - no insulation 40 New Roof Wood Framed Attic R30 2,699 New Demising Wood Framed R 21 336 New FENESTRATION Total Area: 420[Glazing Percentage: 15.6%1New/Altered Average U -Factor: 0.32 Orientation Area(ft2) U -Fac SHGC Overhang Sidefins Exterior Shades Status Front (Kq 75.0 0.320 0.25 none none Bug Screen New Rear (E) 175.0 0.320 0.25 none none Bug Screen New Right (S) 128.0 0.320 0.25 none none Bug Screen New Left (N) 42.0 0.320 0.25 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Packaged Air Condition 13.0 SEER Setback New 1 Central Furnace 78% AFUE No Cooling 13.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC System Ducted Ducted Cr-aw/space 8.0 New HVAC System Ducted Ducted Attic 8.0 Altered WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ene Pro 6.7 by EnerqySoft User Number- 6570 Run Code: 2016-01-26T21:25:42 ID: 150416 Pae 12 of 22 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 ..,.,Fin.,ro nnn -h v .d Frronfinnc mnv nnnly Review the resnertive ende 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 therequirements of § 10-111 (a). §110.7: Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed. §110.8(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the C172R. 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 CF1R. § 110.8Q): A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CF1R. 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(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -value. 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 - §150.0(c): 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 II § 150.0(g)2: vapor retarder. In a building having a controlled ventilation crawl space, a Class I or Class II vapor retarder shall be placed over the earth floor of §150.0(g)3: the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section 150.0(d). §150.0(1): Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, 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 average U -factor of all fenestration shall not exceed 0.58. Fireplaces, Decorative Gas Appliances and Gas Log Measures: §150.0(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150.0(e)IB: 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. §150.0(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 §I 10.3(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)l: Heating and/or cooling loads are calculated in accordance with ASHRAE, 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 § 110.2(c). §150.06)IA: 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. § 150.00)1B: 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 §150.06)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. '74111 Law -Rice Residential Mandatory Measures Summary Pipe for cooling system lines shall be insulated as specified in §150.00)2A. Piping insulation for steam and hydronic heating §150.00)2C: systems or hot waters stems with pressure > 15 psig shall meet the requirements 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 shielding from solar radiation that degrades 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 II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class II 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)l: 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 § 110.3(c)5. Solar water -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC) §150.0(n)3: or by a testing agency approved 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 ANSIISMACNA-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)l: with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than `/4 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. All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic §150.0(m)7: dampers. §150.0(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers except combustion inlet and outlet air openings and elevator shaft vents. 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)l l: 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(o): 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 Appliance Efficiency § 110.4(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 heating. 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)l: 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 - ed 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. §150.0(k)IA: Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with §150.0(k) in accordance with TABLE 150.0-A or TABLE 150.0-B, as applicable. § 150.0(k)1B: When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply 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)1D: 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)IE: 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)1F: 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 (EMCS) may be used to comply with dimmer requirements if. it functions as a dimmer §150.0(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 § 150.0(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 § 150.0(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 f -om 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. §150.0(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 shall 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: 7-011 Law -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 lighting 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 shall 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 § 150.0(k)9B or 150.0(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 occu ant 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 §110.10(a)l: 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 throw 110.10 e . §110.10(a)2: Low-rise multi -family buildings shall comply with the requirements of §110.10(b) through §I10.10(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 feet or no less than 160 square feet each for §110.10(b)l: 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 percent 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. § 110.10(6)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. §110.10(d): A copy of the construction documents or a comparable document indicating the information from § 110.10(b) through § 110.10(c) shall be provided to the occupant. § I I0.10(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 or main circuit location, and permanently marked as "For Future Solar Electric'. HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Choi's Residence Date 1/26/2016 System Name HVAC System Floor Area 2,064 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 953 Return Vented Lighting Return Air Ducts Return Fan Ventilation 50 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perSystem 50,000 16,069 1,159 380 16,531 Total Output Btuh 50,000 0 Output Btuh/s ft 242 442 769 Cooling System 0 0 Output perSystem 37,800 682 -34 50 2,122 Total Output Btuh) 37,800 1,289 1,125 -1,289 Total Output Tons 3.2 442 769 Total Output Btuh/s ft 18.3 Total Output s ft/Ton 655.2 18,924 18,902 Air System CFM perSystem 1,200 HVAC EQUIPMENT SELECTION Airflow cfm 1,200 Carrier 48HJM004 --- 5/6 27,613 9,794 50,000 Airflow cfm/s ft 0.58 Airflow cfm/Ton 381.0 Outside Air % 4.2% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 27,613 9,794 50,000 Aug 3 PM Jan 1 AM Outside Air cfm/s ft 0.02 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak) 28 OF 66 OF Outside Air 50 cfm Supply Fan 1,200 cfm 67 OF 67 OF 109 OF Heating Coil 4 108 OF 68 OF COOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 88/68°F 76/64°F 77/64°F 59/58°F Outside Air Ar 50 cfm Supply I Fan Cooling Coil 1,200 cfm 75/64°F .4 59 / 58 OF ,94.2% 75/64°F EnergyPro 6.7 by EnergySoft User Number.- 6570 RunCode: 2016-01-26T21:25:42 /D: 150416 Page 17 of 22 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Choi's Residence Date 1/26/2016 System Name HVAC System Floor Area 635 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 291 Return Vented Lighting Return Air Ducts Return Fan Ventilation 20 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 60,000 6,053 357 145 5,640 Total Output Btuh 60,000 0 Output Btuh/s ft 94.5 236 267 Cooling System 0 0 Output per System 0 265 126 20 845 Total Output Btuh 0 0 482 0 Total Output Tons 0.0 236 267 Total Output Btuh/s ft 0.0 Total Output s ft/Ton 0.0 6,791 7,019 Air System CFM perSystem 0 HVAC EQUIPMENT SELECTION Airflow cfm 0 (E) Standard Fau 0 0 60,000 Airflow cfm/s ft 0.00 Airflow cfm/Ton 0.0 Outside Air % 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 0 0 Aug 3PM 60,000 Outside Air cfm/s ft) 0.03 Note: values above given at ARI conditions Jan 1 AM HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF i 10 Outside Air 20 cfm 67 OF 65 OF 105 OF Heating Coil -3 104 OF 68 OF COOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 88/68°F Outside Air 20 cfm 76/62°F 76/62°F 55/54°F Cooling Coil 56 / 54 OF 46.5% 11mm- E 75/62°F EnergyPro 6.7 by EnergySoft User Number.- 6570 Run Code: 2016-01-26T21:25:42 /D: 150416 Page 18 of 22 ZONE LOAD SUMMARY Project Name Choi's Residence Date 1/26/2016 System Name HVAC System Floor Area 2,064 ZONE LOAD SUMMARY ZONAL SYSTEM COOLING PEAK HEATING PEAK ZONE NAME SYSTEM NAME Mult. CFM Sensible Latent Heating OA CFM Peak Hr CFM Sensible Latent CFM Sensible Main House 1.0 50 Aug 3 PM 953 16,769 1,315 380 18,686 TOTALS 0 0 0 50 Aug 3 PM 1 16,769 1,315 18,686 (BLOCK LOAD EnergyPro 6.7 by EnergySoft User Number: 6570 RunCode: 2016-01-26T21:25:42 ID: 150416 Page 19 of 22 ZONE LOAD SUMMARY Project Name Choi's Residence Date 1/26/2016 System Name HVAC System Floor Area 635 ZONE LOAD SUMMARY ZONAL SYSTEM COOLING PEAK HEATING PEAK ZONE NAME SYSTEM NAME Mult. CFM Sensible Latent Heating OA CFM Peak Hr CFM Sensible Latent CFM Sensible Secondary House 1.0 20 Aug 3 PM 291 6,334 419 145 6,502 TOTALS 0 0 0 201 Aug 3 PM 6,334 419 6,502 BLOCK LOAD EnergyPro 6.7 by EnergySoff User Number: 6570 RunCode: 2016-01-26T21:25:42 ID: 150416 Page 20 of 22 ROOM LOAD SUMMARY Project Name Date Choi's Residence 1/26/2016 System Name Floor Area HVAC System 2,064 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name I Mult. I CFM Sensible I Latent CFM I Sensible I Latent CFM I Sensible Main House I Living Space I 1 1 9531 16,0691 1,159 9531 16,0691 1,159 3801 16,531 PAGE TOTAL TOTAL' 11 95311 16,069 1,159 380 16,531 953 16,069 1,159 380 16,531 ' Total includes ventilation load for zonal systems. EnerpyPro 6.7 by Ener Soft User Number. 6570 RunCode: 2016-01-26T21:25:42 ID: 150416 Pa e 21 of 22 ROOM LOAD SUMMARY Project Name Date Choi's Residence 1/26/2016 System Name Floor Area HVAC System 635 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name I Room Name Mult. I CFM I Sensible I Latent CFM I Sensible I Latent CFM Sensible Secondary House I Living Space 1 1 291 6,053 357 2,911 6,053 357 145 5,640 PAGE TOTAL TOTAL' Total includes ventilation load for zonal systems. EnergyPro, 6.7 by EnergySoft User Number: 6570 RunCode: 2016-01-26T21:25:42 291 6,053 357 145 5,640 291 6,053 357 145 5,640 22 of 22