13050108 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10229 SCENIC BLVD CONTRACTOR:ALLEN HSU PERMIT NO: 13050108
OWNER'S NAME: ALLEN HSU 10229 SCENIC BLVD DATE ISSUED:07/17/2013
OWNER'S PHONE: 4088938007 SAN JOSE,CA 95129-3946 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL LJ COMMERCIAL
License Class Lic.# CONSTRUCT NEW 2 STORY SFD WITH 3689 SQ FT OF
LIVING SPACE WITH 462 SQ FT ATTACHED GARAGE&
Contractor Date 473
1 hereby affirm that I am licensed under the provisions of Chapter 9 SQ FT OF PORCH AREA
(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:$610000
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:35709010.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF ERMIT 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 F T CALLED 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 complyue y: Date: 7
11-3
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date All roofs shall be inspected prior to any roofing material being installed.if a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
OWNER-BUILDER DECLARATION
thereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,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)
1,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(x)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,Sec i ns)25505,2553 'and- 55 34.
Section 3700 of the Labor Code,for the performance of the work for which this /
permit is issued. Owner or authorized age ��'�: `= tz� Date: h
r
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per;the Cupertino Municipal Code,Section Licensed Professional
9.18. r )
Signature �- --tate E
f' .
CONSTRUCTION PERMIT APPLICATIONv
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O�
10300 TORRE,AVENUE•CUPERTINO, CA 95014-3255 O
(40.8).777-3228 FAX(408) 777-3333•buiidinp(a)cupertino.org
�C--,U/PERTWO
t` NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS IC
C r 1 C V APN# — 1 n
OWNER NAME PHONE o��� 7� i
STREET ADDRESS/O�� �O hc,,o 5`ei,, CITY, STATE,ZIP �J �V FAX �yy
CONTACT NAME {.. "n PHONE 0f 6/ ,U t_u4"C 1 Q E-MAIL y�IGti�cJQ ,/iii 1�.
STREET ZZ ADDRESS 4!c. C - CITY,STATE,ZIP V 6!'-t1'J` -C``'-'l(�q�7 0 FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT k3_ARCH[TECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
-7
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
QHITE /ENGINEER NAME LICENSE NUMBER 1 r 2-3
3 U BUS.LIC#
COMPANY NAME E-MAIL 1 FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTIIdGUSEPROPOSESE CONSTR.TYPE #STZS USE TYPE OCC. SQ.FT. VALUAON($)
EXISTG NEW FL00 DEMO VV T(1 TOTAL
TI
AREA,�1 1 _ AREA j "} AREA t` NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA D
6 oz
.PORCH AREADECK AREA TOTAL/D�E�CK/11 AREA GGA/RAGE AREA: DETACH
'VI 3, 1. 4__1, ,Z TACH r 0,
#DWELLINGUNITS:' ND UNIT []YES SECOND STORY ❑YES -
" y
=CODED? V ADDITION? ONO
PRE-APPLICATION JZYES IF YES,PROVIDE COPY OF 1S THE BLDG AN ❑YES
PLANNING ADPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 3" f�
By my signature below,I certify to each of the following: I am the property owner or authorized agent to a the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to build g cons ction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: Tj�U"1 r/,I
SUPPLEMENTAL INFORMATION RE Do NOEI t
�o>Trurc s�ne.
New SFD oT Multifamily dwellings: Apply for demolition permit for
existing building(s):..Demolition permit is required prior to issuance of building ♦,,
permit for new building. Cl ExPxES' � Prt _
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ,C �TtvDnRD TJsld o� r
form if any Hazardous Materials are being used as part of this project. I'� D
Copy of Planning Approval Letter or Meeting with Planning prior to
q,
su_bmittal of Building Permit application. �R MA70 _ 5 �R E visTlu
^ .,f ENVi$ONbiENTAI CLTA =,s
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 10229 SCENIC BLVD DATE: 05/14/2013 REVIEWED BY: MELISSA
APN: 357 09 010 BP#: % 3 G�SZ�f-) 'VALUATION: $610,000
%PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction
PRIMARY SFD or Duplex 2nd Unit? 0 Yes •' No PENTAMATION 1R3SFDW
USE: PERMIT TYPE:
WORK CONSTRUCT NEW 2 STORY SFD WITH 3689 SQ FT OF LIVING SPACE WITH 462 SQ FT
SCOPE ATTACHED GARAGE &473 SQ FT OF PORCH AREA
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
R-3 (Custom) II-B,111-B,IV,V-B 4,624 $3,094.33 IR3PLNCK $3,641.62 IR3INSP
TOTALS: 4,624 $3,094.33 $3,641.62
P,
LlNOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS(Fee Resolution 11-053 Ef 7/1/121 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $3,094.33 Select a Misc Bldg/Structure
Suppl. PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $3,641.62
Suppl. Insp. Feer Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
#new
Construction Tax: 1BCONSTAXR 1 units $641.96
Work Without Permit? 0 Yes No $0.00 E)
Advanced Planning Fee: 1PLLONGR $601.12 Select a Non-Residential 0
Building or Structure 0
i
Strong Motion Fee: 1BSEISAffCR $61.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $25.00
SUBTOTALS; 1 $8,065.031 $0.00 TOTAL FEE: 1 $8,065.03
Revised: 04/29/2013
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: 408-777-3228
CUPERTINO Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: PERMIT# 0 S$ )
OWNER'S NAME: C, / PHONE# -- �3
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing -I--/' >2. e-11 P4` Cf1 Z
Electrical S S ��" � /� ��s' C) Z-
Excavation
f i' �c er `� 3 �L.
Fencing �Ti� u cL �� c �71 �' 4�
Flooring/Carpeting
Linoleum/ Wood 11 L-Jn
Glass / Glazing
HeatingU vov o $3 n
Insulation /7� �/ a K o C-)Landscaping i "ne12Gk1 t�� t ; 34"TJ Z
Lathing p ;;2 CZ)r -3 4 S' Z
Masonry '
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing 77
r
Septic Tank
Sheet Metal �, ��� �„ U o0 U a 3 J
Sheet Rock _S', N • 2,UL, S-�
Tile ��DCID
� SD 1
Own Contractor Signature Date
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RTI N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: 1(0 2 9 Cwt C ✓Gly• PERMIT# d
OWNER'S NAME: PHONE#
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/Carpeting
Linoleum/Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
G
Ow /Contractor Signature Date
INSTALLATION CERTIFICATE (Page 1 of 13) CF-6R
-,. ,-1
Site Address Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections.(The
information provided on this form is required;however,use of this form to provide the information is optional.)After
completion of final inspection,a copy must be provided to the building department(upon request)and the building owner at
occupancy,per Section 10-103(b).
HVAC SYSTEMS: Ej -
Healing Equipment
Equip. g of Efficiency Duct Duct 0,1
; ti Heating
Type(pkg. CEC Certified Mfr Name Identical (AFUFi,etc.)' Location Piping oad Capacity
heat ournal an bd el umber systems
v e
-r it-M)
Cooling Equipment
Equip. CEC Certified Compressor k of Efficiency Duct Cooling Cooling
'type(pkg. Unit Mfr Name and Identical (SEER,etc.)' location Duct Load Capacity
[>CF- -v 13t r (Btu/hr)
I. >reads greater than or equal to.
I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed,2)equivalent to or more
efficient than that specified in the certificate of compliance(Form CF-1 R)submitted for compliance with the Energy
Lucien Standards for residential buildings,and 3)equipment that meets or exceeds the appropriate requirements for
m9P4#0tured devices(from the Appliance Eyficiency Regulations or Part 6),where applicable.
►°16�a�veitJc'-�
Signature,Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATING SYSTEMS:
Distribution If Recir- #of Rated= Tank Effi- External
Flealer CEC Certified Mfr 'type(Std, culation, Identical Input(kW Volume cicncy' Standby' Insulation
Ty Name&Model Number Point-of-Use) Control Type Systems or Btu/hr) (gallons) EF,RE) Loss(°/u R-value'
2 For small gas storage(rated input of less than or equal to 75,000 Btulhr),electric resistance and heat pump water beaters,list Energy Factor.
For large gas storage water heaters(rated input of greater than 75,000 titAr),list Recovery Efficiency,Standby boss and Rated Input.
For instantaneous gas water heaters,list Recovery Efficiency and Rated Input.
3, R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58.
Faucets&Shower Heads:
All faucets and showerheads installed are certified to the Commission,pursuant to Title 24,Part 6,Section 111.
I,the undersigned, verify that equipment listed above my signature is: 1)the actual equipment installed;2)equivalent to
or more efficient than that sp 'fied in the certificate of compliance (Form CF-IR) submitted for compliance with the
Energy F.�c•ency Standar for residential buildings; and 3) equipment that meets or exceeds the appropriate
7�
requirem fo devices( m he Appliance I fciency Regulations or Part 6),where applicable.
1 t� r111A1kASr1C pbvlb� ldr.
Signature,Date Installing Subcontractor(Co. Name)OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
HERS Provider(if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-23
IN/STALLATION CERTIF�yIC//ATE (Page 2 of 1.3) CF-6R
Site Address L Permit Number
FENESTRATION/GLAZING-
Total
Quantity
Product Product or Like Exterior Shading
U•Factor'(5 SHGC'(5 #of Product Square Device or Comments/Location/
Manufacturer/Brand Name CF-IR value)2 CF-IR value)' Panes (pnrionah Feet Overhang Smcial Features
(GROUF IAKI PRODUCTS)
2.
3. Sr-- -. - — -- —
6.
7.
8.
9.
12. —
13.
14. --
15.
' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the
default values from Section 116 of the Energy Efficiency Standards.
' Installed U-Factor must be less than or equal to values from CF-IR. Installed SHGC must be less than or equal to values
from CF-IR,or a shading device(exterior or overhang)is installed as specified on the CF-IR. Alternatively,installed
weighted average U-Factors for the total fenestration area are less than or equal to values from CF-1 R.
I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product
installed;2)is equivalent to or has a lower U-Factor and lower SHGC than that specified in the certificate of compliance
(Form CF-I R) submitte for compliFneith the Energy Efficiency Standards for residential buildings; and 3) the
product meets or exce he ap ropriI ments foj manufactured devices(from Part 6),where applicable.
GjL� �� I�C
7
Item As Signature,Date Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR Window Distributor
Item#s Signature,Date Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR. Window Distributor
Item#s Signature,Date Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR Window Distributor
COPY TO: Building Department
HERS Provider(if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-24
INSTALLATION CERTIFICATE (Page 3 of 13) CF-6R
Site Address Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
❑ DUCT LEAKAGE REDUCTION
Pressurization Test Results(CFM @ 25 PA)
Test Leakage(CFM) G��1
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons,or as 21.7 x Heating Capacity
in Thousands of Btu/hr,enter calculated value here /Poo
If fan flow is measured,enter measured value here
Leakage Fraction =Test Leakage/(Measured or Calculated Fan Flow)= &
Pass if leakage fraction 5 0.06 ❑
Pass Fail
❑ For AEROSOL TYPE SEALANTS ONLY-The following diagnostic testing was completed:
Duct Fan Pressurization at rough-in measured leakage(CFM)
CHECK AFTER FINISHING WALL:
❑
1 s 1:1No ❑ Pressure pan test or House pressurization test
lld Yes ❑ No ❑ Visual Inspection of Duct Connections 0/ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE(TXV) _
IYes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection d/ ❑
Yes is a pass Pass Fail
❑ DUC-> DESIGN
1• Yes ❑ No ACCA Manual D Design calculations have been
completed, Duct Design is on the plans and duct installation
,�
� matches plans.
2• M Yes ❑ No TXV is installed or Fan flow has been verified. if no TXV,
verified fan flow matches design from CF-1 R.
Measured Fan Flow=
Yes for both 1 and 2 is a Pass Pass Fail
` 1,the undersigned,verify that the above diagnostic test results and the work I performed associated with the test(s)is in
conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF-6R
signed by the builder employees sub-contractors certifying that diagnostic testing and installation meet the requirements
for compliance credit.]
iro�u,
Tests Signature,Date Installing Subcontractor(Co.Name)OR
Performed General Contractor(Co.Name)
COPY TO: Building Department
HERS Provider(if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-25
INSTALLATION CERTIFICATE (Page 4 of 13) CF-6R
Site Address Permit Number
REFRIGERANT CHARGE AND AIRFLOW MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Thermostatic Expansion Valves
Outdoor Unit Serial# a 014-E Z-4Zg2i
Outdoor Unit Make CA?,A EA,
Outdoor Unit Model z4-^6173
3
Cooling Capacity .4�'C"q 0 Btu/hr S;'7 C �'� G'CC� b-To
Date of Verification 061611z_11114
Date of Refrigerant Gauge Calibration (must be checked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Standard Charge and Airflow Measurement(outdoor air dry-bulb 55 OF and above):
Note:The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
Measured Temperatures
Supply(evaporator leaving)air dry-bulb temperature(Tsupply,db) OF
Return(evaporator entering)air dry-bulb temperature(Treturn,db) __7
jr OF
Return(evaporator entering)air wet-bulb temperature(Treturn,wb) °F
Evaporator saturation temperature(Tevaporator,sat) 3 Zi
°F
Suction line temperature(Tsuction,db) 4S OF
Condenser(entering)air dry-bulb temperature(Tcondenser,db) Zt�)°F
Superheat Charge Method Calculations for Refrigerant Charge
Actual Superheat =Tsuction,db—Tevaporator,sat OF
Target Superheat(from Table 1) OF
Actual Superheat—Target Superheat OF
(System passes if between-5 and+5°F)
Temperature Split Method Calculations for Adequate Airflow
Actual Temperature Split =T return,db-Tsupply,db S°F
Target Temperature Split(from Table 2) l� OF
Actual Temperature Split-Target Temperature Split OF
(System passes if between-3°F and+3°F or,upon
remeasurement, if between +3°F and-25°F)
Standard Charge and Airflow Measurement Summary:
System shall pass both refrigerant charge and adequate airflow calculation criteria from
the same measurements. If corrective actions were taken,both criteria must be
remeasured and recalculated ,
System Passes " yes or no
Compliance Forms August 2001 A-26
INSTALLATION CERTIFICATE (Page 5 of 13) CF-6R
Site Address Permit Number
Alternate Charge and Airflow Measurement(outdoor air dry-bulb below 55°F):
Weigh-in Charging Method for Refrigerant Charge
Actual liquid line length: ft.
Manufacturers Standard liquid line length: D ft•
Difference(Actual—Standard): Mme, ft.
Manufacturers correction(ounces per foot) _ eT x differe se in length =ounces
(+ add (-=remove)
Measured Airflow Method for Adequate Airflow
Airflow criterion:Cooling Capacity X 0.032= CFM
Measured Airflow is__ __a CFM and passes since it is greater than the criterion.
Alternate Charge and Airflow Measurement Summary:
System charge shall be corrected and it shall also pass measured adequate airflow criterion.
System Passes U/ yes or no
Compliance Forms August 2001 A-27
INSTALLATION CERTIFICATE (Page 6 of 13) CF-6R
Site Address Permit Number
Table K-l: Target Superheat(Suction Line Temperature- Evaporator Saturation Temperature)
Return Air Wet-Bulb Temperature(°F)
.4
50 51 52 53 54 1 55 56 57 58 59 60 1 61 62 63 1 64 1 65 66 67 68 69 1 70 1 71 72 1 73 1 74 75 76
55 8.8 10.1 11.5 12.8 14.2 15.6 17.1 18.5 20.0 215 23.1 24.6 26.2 27,8 29.4 31.0 32.4 33.8 35.1 36.4 1 37.7 39.0 40.2 41.5 1 42.7 43.9 45.0
56 8.6 9.9 11.2 12.6 14.0 15.4 16.8 18.2 19.7 21.2 22.7 24.2 25.7 27.3 28.9 30.5 31.8 33.2 34.6 35.9 37.2 38.5 39.7 41,0 42.2 43.4 44.6
57 8.3 9.6 11.0 12.3 13.7 15.1 16.5 17.9 19.4 20.8 22.3 23.8 25.3 26.8 28.3 29.9 31.3 32.6 34.0 35.3 36.7 38.0 39.2 40.5 41.7 43.0 44,2
58 7.9 9.3 10.6 12.0 13.4 14.8 16.2 17.6 19.0 20.4 21.9 23.3 24.8 26.3 27.8 29.3 30.7 32.1 33.5 34.8 36.1 37.5 38.7 40.0 41.3 42.5 43.7
59 7.5 8.9 10.2 11.6 13.0 14.4 15.8 17.2 18.6 20.0 21.4 22.9 24.3 25.7 27.2 28.7 30.1 31.5 32.9 34.3 35.6 36.9 38.3 39.5 40.8 42.1 43.3
60 7.0 8.4 1 9.8 1 11.2 12.6 14.0 1 15.4 16.8 18.2 1 19,61 21.0 22.4 1 23.8 1 25.2 26.6 28.1 29.6 31.0 32.4 1 33.7 35.1 36.4 37.8 39.1 40.4 41.6 42.9
61 6.5 7.9 9.3 10.7 12.1 13.5 14.9 16.3 I T7 19.1 20.5 21.9 23.3 24.7 26.1 275 29.0 30.4 31.8 33.2 34.6 35.9 37.3 38.6 39.9 41.2 42.4
62 6.0 7.4 8.8 10.2 11.7 13.1 14.5 15.9 17.3 18.7 20,1 21.4 22,8 24,2 25.5 27.0 28.4 29.9 31.3 32.7 34.1 35.4 36.8 38.1 39.4 40.7 42.0
63 5.3 6.8 8.3 9.7 11.1 12.6 14.0 15.4 16.8 18.2 19.6 20.9 22.3 23.6 25.0 264 27.8 29.3 30.7 32.2 33.6 34.9 36.3 37.7 39.0 40.3 41.6
64 - 6.1 7.6 9.1 10.6 12.0 13.5 14.9 16.3 17.7 19.0 20.4 21.7 23.1 24A 25.8 27.3 28.7 30.2 31.6 33.0 34.4 35.8 37.2 38.5 39.9 41.2
s 65 5.4 7.0 8.5 10.0 115 12.9 14.3 15.8 17.1 18.5 19.9 21_2 22.5 23.8 25.2 26.7 28.2 29.7 31.1 32.5 33.9 35.3 36.7 38.1 39.4 40.8
66 6.3 7.8 9.3 10.8 12.3 13.8 15.2 16.6 18.0 19.3 20.7 22.0 23.2 24.6 26.1 27.6 29.1 30.6 32.0 33.4 34.9 36.3 37.6 39.0 40.4
M7O
5.5 71 R.7 102 I17 13.2 14.6 16.0 17.4 I8.8 20.1 21.4 22.7 24.1 25.6 27.1 28.6 30.1 3L5 33.0 34.4 35.8 37.2 38.6 39.9
- 6.3 8.0 9.5 11.1 12-6 14.0 15.5 16.8 i8.2 19.5 20.8 22.1 23.5 25.0 26.5 28.0 29.5 31.0 32.5 33.9 35.3 36.8 38.1 39.5
a 5.5 7.2 8.8 10.4 11.9 13.4 14.8 16.3 17.6 19.0 20.3 21.5 22.9 24.4 26.0 27.5 29.0 30.5 32.0 33.4 34-9 36.3 37.7 39.1
r. - 6 4 8.1 9.7 l1.2 12.7 14.2 15.7 17A 18.4 197 20.9 22.3 23.9 25.4 27.0 28.5 30.0 31.5 33.0 34.4 35.9 37.3 383
4 5.6 7.3 8.9 10.5 12.1 13.6 15.0 16.4 17.8 19.1 20.3 21.7 23.3 24.9 26.4 28.0 29.5 31.0 32.5 34.0 35.4 36.9 38.3
6.4 8.1 9.8 11.4 12.9 14.4 15.8 17.2 18.5 19.7 21.2 22.8 24.3 25.9 27.4 29.0 30.5 32.0 33.5 35.0 36.5 37.9
€ 73 5.6 7.3 9.0 10.7 12.2 13.7 15.2 16.6 17.9 19.2 20.6 22.2 23.8 25.4 26.9 285 30.0 315 33.1 34.6 36.0 37.5
F 74 - 6.5 8.2 9.9 11.5 13 1 145 15.9 17.3 186 20.0 21.6 23.2 24.8 26.4 280 29.5 31.1 32.6 34.1 35.6 37.1
h 75 5.6 7.4 9.2 10.8 12.41 13.9 1 15.3 16.7 1 18.0 19.4 21.1 22.7 24.3 1 25.9 27.5 29.1 30.61 32.2 317 35.2 1 36.7
76 - 6.6 8A 10.1 11.7 13.2 14.7 16.1 17.4 18.9 20.5 22.1 23.8 25.4 27.0 28.6 30.131.7 33.3 34.8 36.3
77 - 5.7 7.5 9-3 11.0 12.5 14.0 15.4 16.8 18.3 20.0 21.6 23.2 24.9 265 28.1 29.7 31.3 32.8 34.4 36.0
-o
78 6.7 85 10.2 11.8 13.4 14.8 16.2 173 19.4 21.1 22.7 24.4 26.0 27.6 29.2 30.8 32.4 34.0 35.6
e 79 5.9 77 9.5 11.1 12.7 14.2 15.6 17.1 18.8 20.5 22.2 23.8 25.5 27.1 28.8 30.4 32.0 33-6 35.2
U 80 - 69 8.7 10.4 12.0 13.5 15.0 16.6 18.3 20.0 21.7 23.3 25.0 26.7 28.3 29.9 1 31.6 33.2 34.8
81 - 60 7.9 9.7 11.3 12.9 14.3 160 17.7 19.4 21,1 22.8 24.5 262 27.9 29.5 31.2 32.8 34.4
82 52 7.1 8.9 10.6 12.2 13.7 15.4 17.2 18.9 20.6 22.3 24.0 25.7 27.4 29.1 30.7 32.4 X0
83 - 6.3 8.2 9.9 11.6 13.1 14.9 16.6 18.4 20.1 21.8 23.5 25.2 26.9 28.6 30.3 32.0 33.7
84 5.5 74 9.2 10.9 12.5 14.3 16.1 17.8 19.6 21.3 23.0 24.8 26.5 28.2 29.9 31.6 33.3
85 6.6 1 8.5 10.3 11.9 13.7 15.5 17.3 19.0 20.8 1 22.6 24.3 1 26.0 27.8 29.5 1 31.2 32.9
86 5.8 7.8 9.6 11.3 13.2 15.0 16.7 18.5 20.3 22.1 23.8 25.6 27.3 29.1 30.8 32.6
87 50 7.0 8.9 10.6 12.6 14.4 16.2 18.0 19.8 21.6 23.4 25.1 26.9 28.7 30.4 32.2
88 - - 6.3 8.2 10.0 12.0 13 9 15.7 17.5 19.3 21.122.9 24.7 26.5 28.3 30.1 31.8
H90
89 5.5 7.5 9.4 It 13.3 15.1 17.0 18.8 20.6 22.4 24.3 26.1 27.9 29.7 31.5
6.8 1 8.8 1 10.9 12.8 14.6 16.5 18.3 20.1 22.0 23.8 25.6 27.5 29.3 31.1
Compliance Forms August 2001 A-28
INSTALLATION CERTIFICATE (Page 7 of 13) CF-6R
Site Address Permit Number
Table K-1: Target Superheat(Suction Line Temperature- Evaporator Saturation Temperature) (continued)
Return Air Wet-Bulb Temperature('F'
50 51 52 53 54 55 56 57 1 58 59 60 61 62 63 64 1 65 66 67 68 69 1 70 1 71 72 73 F74 75 76
91 - - - - - - 6.1 8.1 10.3 12.2 14.1 15.9 17.8 19.7 21.5 23.4 25.2 27.1 28.9 30-8
92 - 5.4 7.5 9.8 11.7 13.5 15.4 17.3 19.2 21.1 22.9 24.8 26.7 28.5 30.4
93 6.8 9.2 ILI 13.0 14.9 16.8 18.7 20.6 22.5 24.4 26.3 28.2 30.1
94 6.2 8.7 10.6 12.5 14,4 16.3 18.2 20.2 22.1 24.0 25.9 27.8 29.7
95 5.6 8.1 10.0 12.0 13.9 IS.8 ITS 19.7 21.6 23.6 2S.S 27.4 29.4
E 96 - - - 7.5 9-5 11.4 13.4 15.3 17.3 19.2 21.2 23.2 25.1 27.1 29.0
97 - - 7.0 8.9 10.9 12.9 14.9 16.8 18.8 20.8 22.7 24.7 26.7 28.7
98 - - 6.4 8.4 10.4 12.4 14.4 16.4 18.3 20.3 22.3 24.3 26.3 28.3
49 5.8 7.9 9.9 11.9 13.9 15.9 17.9 199 21.9 24.0 26.0 28.0
° 100 5.3 7.3 9.3 11.4 13.4 15.4 17.5 19.5 21.5 23.6 25.6 27.7
101 - - - 6.8 8.8 10.9 12.9 15.0 17.0 19.1 21.1 23.2 25.3 273
102 6.2 8.3 10.4 12.4 14.5 16.6 18.6 20.7 22.8 24.9 27.0
103 T 5.7 7.8 9.9 11.9 14,0 16.1 18.2 20.3 22.4 24.5 26.7
r 104 - - - - - - - - - - - - - - - 5.2 Z2 9.3 ILS 13.6 15.7 ITS 19.9 22.1 24.2 26.3
Ct 105 I I 1 6.7 1 8.8 11,01 13.1 1 15.2 17.4 19.5 121.7 23.8 126,0
106 6.2 8.3 10.5 12.6 14.8 17.0 19.1 21.3 23.5 25,7
107 - 5.7 7,9 10.0 122 14.4 16.6 18.7 21.0 23.2 25.4
a 108 5.2 7.4 9,5 11.7 13.9 16.1 18.4 20.6 22.8 251
109 - 6.9 9.1 11.3 13.5 15.7 18.0 20.2 22.5 24-7
110 - - 6.4 1 8.6 10.8 13.1 1 15.3 17.6 19.91 22.1 24.4
III - 5.9 8.1 10.4 12.6 14.9 17.2 19,5 21.8 24.1
112 - 5.4 7.6 9.9 12.2 14.5 16.8 19.1 21.5 23.8
113 - 7.2 9.5 11.8 14.1 16.4 18.8 21.1 23.5
114 6.7 9.0 11.4 13-7 16.1 18.4 20.8 23.2
115 6.2 8.6 10.9 13.3 15.7 18.1 20-5 22.9
Compliance Forms August 2001 A-29
INSTALLATION CERTIFICATE (Page 8 of 13) CF-6R
Site Address Permit Number
Table K-2: Target Temperature Split(Return Dry-Bulb-Supply Dry-Bulb)
Return Air Wet-Bulb(°F)(T,.um,wb)
50 51 52 53 54 55 1 56 57 58 59 60 61 1 62 163 64 65 1 66 67 1 68 1 69 70 1 71 1 72 73 74 75 76
70 20.9 20.7 20.6 20.4 20.1 19.9 19.5 19.1 18.7 18.2 17.7 17.2 16.5 15.9 15.2 14.4 13.7 12.8 11.9 11.0 10.01 9.0 1 7.9 6.8 5.7 4.5 3.2
_ 71 21.4 21.3 21.1 20.9 20.7 20.4 20.1 19.7 19.3 18.8 18.3 17.7 17.1 16.4 15.7 15.0 14.2 13.4 12.5 11.5 10.6 9.5 8.5 7.4 6.2 5.0 3.8
72 21.9 21.8 21.7 21.5 21.2 20.9 20.6 20.2 19.8 19.3 18.8 18.2 17.6 17.0 16.3 15.5 14.7 13.9 13.0 12.1 11.1 10.1 9.0 7.9 6.8 5.6 4.3
z 73 22.5 22.4 22.2 22.0 21 A 21.5 21.2 20.8 20.3 19.9 19.4 18.8 18.2 17.5 16.8 16.1 15.3 14.4 13.6 12.6 11.7 10.6 9.6 8.5 7.3 6.1 4.8
74 23.0 22.9 22.8 22.6 22.3 22.0 21.7 21.3 20.9 20.4 19.9 19.3 18.7 18.1 17.4 16.6 15.8 15.0 14.1 13.2 12.2 11.2 10.1 9.0 7.8 6.6 5.4
w 75 23.6 23.5 23.3 23.1 22.9 22.6 22.2 21.9 21.4 21.0 20.4 19.9 19.3 18.6 17.9 17.2 16.4 15.5 14.7 13.7 12.7 11.7 10.7 9.5 8.4 7.2 5.9
76 24.1 24.0 23.9 23.7 23.4 23.1 22.8 22.4 22.0 21.5 21.0 20.4 19.8 19.2 18.5 17.7 16.9 16.1 15.2 14.3 13.3 12.3 11.2 10.1 8.9 7.7 6.5
77 - 24.6 24.4 24.2 24.0 23.7 23.3 22.9 22.5 22.0 21.5 21.0 20.4 19.7 19.0 18.3 17.5 16.6 15.7 14.8 13.8 12.8 11.7 10.6 9.5 8.3 7.0
78 - 24.7 24.5 24.2 23.9 23.5 23.1 22.6 22.1 21.5 20.9 20.2 19.5 18.8 18.0 17.2 16.3 15.4 14.4 13.4 12.3 11.2 10.0 8.8 7.6
L
G 79 - - - 24.8 24.4 24.0 23.6 23.1 22.6 22.1 21.4 20.8 20.1 19.3 18.5 17.7 16.8 15.9 14.9 13.9 12.8 11.7 10.6 9.4 8.1
Q 80 - - 25.0 24.6 24.2 23.7 23.2 22.6 22.0 21.3 20.6 19.9 19.1 18.3 17.4 16.4 15.5 14.4 13.4 12.3 11.1 9.9 8.7
81 - - - - 25.1 24.7 24.2 23.7 23.1 22.5 21.9 21.2 20.4 19.6 18.8 17.9 17.0 16.0 15.0 13.9 12.8 11.7 10.4 9.2
3 82 - - - - - - 25.2 24.8 24.2 23.7 23.1 22.4 21.7 21.0 20.2 19.3 18.5 17.5 16.6 15.5 14.5 13.4 12.2 11.0 9.7
a 83 - - - 25.3 24.8 24.2 23.6 23.0 22.3 21.5 20.7 19,9 19.0 18.1 17.1 16.1 15.0 13.9 12.7 11.5 10.3
84 - - - 25.9 25.3 24.8 24.2 23.5 22.8 22.1 21.3 20.4 19.5 18.6 17.6 16.6 15.6 14.4 13.3 12.1 10.8
Compliance Forms August 2001 A-30
INSTALLATION CERTIFICATE (Page 9 of 13) CF-6R
Site Address Permit Number
DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS
❑ DU9T IN CONDITIONED SPACE
Yes ❑ No Duct in conditioned space criteria matches CF-1 R
Yes is a Pass Pass Fail
❑ REDUCED DUCT SURFACE AREA
Measured duct exterior surface area in the following unconditioned duct locations(square feet):
Attics
Crawlspaces
Basements
Other(e.g., garages, etc.)
Yes ❑ No Duct surface area matches CF-1R? U3// ❑
Yes is a Pass Pass Fail
lJ 1 the ned undersig verify that the duct surface area and duct locations claimed for duct surface area reductions and duct
location improvements beyond those covered by default assumptions match those on the plans. [The builder shall provide
the HERS provider a copy oftZF-bR signed by the builder employees or sub-contractors certifying that diagnostic testing
and installation meet t7hr ents�for"compliance credit.]
Tests ignature. Date Installing Subcontractor(Co.Name)OR
Performed General Contractor(Co.Name)
COPY TO: Building Department
HERS Provider(if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-31
INSTALLATION CERTIFICATE (Page 10 of 13) CF-6R
Site Address Permit Number
BUILDING ENVELOPE LEAKAGE DIAGNOSTICS
❑ ENVELOPE SEALING INFILTRATION REDUCTION
Diagnostic Testing Results
Building Envelope Leakage(CFM @ 50 Pa)as measured by Rater
1. ❑ Is measured envelope leakage less than or equal to the required level from
Yes No CF-I R?
2. ❑ is Mechanical Ventilation shown as required on the CF-1 R?
Yes No
2a. 0 ❑ if Mechanical Ventilation is required on the CF-I R(Yes in line 2),has it
Yes No been installed?
2b. 14 ❑ Check this box yes if mechanical ventilation is required(Yes in line 2)
Yes No and ventilation fan watts are no greater than shown on CF-IR.
Measured Watts=
3. ❑ Check this box yes if measured building infiltration(CFM @ 50 Pa)is
es No greater than the CFM @ 50 values shown for an SLA of 1.5 on CF-I R
(If this box is checked no,mechanical ventilation is required.)
4. ❑ Check this box yes if measured building infiltration(CFM @ 50 Pa)is less
Yes No than the CFM @ 50 values shown for an SLA of 1.5 on CF-1R,
mechanical ventilation is installed and house pressure is greater than
minus 5 Pascal with all exhaust fans operating.
l� ❑
Pass if: Pass Fail
d. Yes in line 1 and line 3,or
e. Yes in line 1 and line2,2a,and 2b,or
f. Yes in line 1 and Yes in line 4.
Otherwise fail.
}LJ I,the undersigned,verify that the building envelope leakage meets the requirements claimed for building leakage
reduction below default assumptions as used for compliance on the CF-I R. This is to certify that the above diagnostic test
results and the work I performed associated with the test(s)is in conformance with the requirements for compliance credit.
[The builder shall provide the HERS provider a copy of the CF-GR signed by the builder employees or sub-contractors
certify
certifying that diagnostic testing and installation meet the requirements for compliance credit.]
_
4.
(r' G'�L' -6111 Gra 14L9,
Test Performed Signature Date Testing Subcontractor(Co.Name)OR
General Contractor(Co.Name)
COPY TO: Building Department
HERS Provider(if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-32
INSTALLATION CERTIFICATE (Page 11 of 13) CF-6R
Site Address Permit Number
The following is an explanation of many of the input values required on this form:
HVAC SYSTEMS
Heating Equipment T e must be one of the following:
__V(Furnace: as(including Liquefied Petroleum Gases)or oil-fired central furnace&
space heater
Boiler: Gas or oil-fired boiler
PckgHeatPump: Packaged central heat pump
SplitHeatPump: Split central heat pump
RoomHeatPump: Room heat pump
LgPkgHeatPump: Large packaged heat pump(?65,000 Btu/hr output)
Electric: Electric resistance heating(fixed HSPF=3.413);radiant electric resistance
(fixed HSPF=3.55)
CombinedHydro: Reference water heater under water heating systems below
CEC Certified Manufacturer Name&Model Number from applicable Commission approved appliance directory.
#of Identical Systems is for those systems with the same efficiency,duct location,duct R-value and capacity.
Efficiency from applicable Commission certified appliance directory.
Duct(or Piping) Location is attic,crawl space,CVC crawl space,conditioned space,unconditioned space or none.
Duct(or Piping) 111-Value from Directory of Certified Insulation Materials and/or manufacturer's data.
Heating/Cooling Load refer to Commission approved load calculation procedure.
Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over
2,000 ft above sea level require a derating of output capacity(refer to manufacturer's literature).
Cooling Equipment T e must be one of
SplitAirCond: lit system air con ' ' ner
PckgAirCond: Packaged air conditioner
Split Heat Pump: Split system heat pump
PckgHeatPump: Packaged heat pump
RoomHeatPump: Room heat pump
LgPkgHeatPump: Large packaged heat pump(>_65,000 Btu/hr output). Substitute EER for SEER
when SEER is not available
RoomAirCond: Room air conditioner. Minimum SEER varies*
LgPkgAirCond: Large packaged air conditioner(?65,000 Btu/hr output). Substitute EER for
SEER when SEER is not available
EvapDirect: Direct evaporative cooling system. For compliance calculation purposes,fixed
values: SEER= 11.0;duct location=attic;duct insulation R-value=4.2
EvapIndirect: Indirect evaporative cooling system. For compliance calculation purposes, fixed
values: SEER= I3.0;duct location=attic;duct insulation R-value=4.2
*Refer to Energy Commission publication Appliance Efficiency Regulations, P400-92-029
Compliance Forms August 2001 A-33
INSTALLATION CERTIFICATE (Page 12 of 13) CF-6R
Site Address A-11 Permit Number
The following is an explanation of many of the input values required on this form:
WATER HEATING SYSTEMS
Distribution Systems Refer to Residential Manual for more details:
Standard: Standard—Supply pressure based system,no pumps
Pipe Insulation: Pipe Insulation on all 3/4-inch pipes
POU/HWR: Point of Use/Hot Water Recovery System
Recirc/NoControl: Recirculation loop with no controls
Recirc/Timer: Recirculation loop with a timer
Recirc/Temp: Recirculation loop with temperature control
Recirc/Time+Temp: Recirculation loop with a timer and temperature control
Recirc/Demand: Recirculation loop with demand control
Water Heater Type Information Needed
Energy Factor Recovery Efficiency Standby Loss Rated Input
Storage Gas,Oil or Electric Yes No No No
Heat Pump Yes No No No
Instantaneous Gas No Yes No No
Instantaneous Electric Yes No No No
Large Storage Gas No Yes Yes Yes
Indirect Gas(Boiler) No Yes(AFUE) No Yes
FENESTRATION/GLAZING
Fenestration: Windows,sliding glass doors,French doors,skylights,garden windows,and
any door with more than one square foot of glass
Operator Type: Slider,hinged,fixed
U-Factor: Installed U-Factor must be less than or equal to value from CF-I R
OR
Installed weighted average U-Factor for the total fenestration area is less than
orequal to value from CF-I R
SHGC: Installed SHGC must be less than or equal to value from CF-iR
OR
Instal led weighted SHGC for the total fenestration area is less than or equal to
value from CF-1R
OR
An interior shading device,overhang,or exterior shading device is installed
consistent with the CF-I R
Shading Device: Include when the building complied using an exterior shading device:woven
sunscreen, louvered sunscreen, low sun angle sunscreen, roll-down awning,
roll-down blinds or slats(do not list bug screen),or an overhang(include
depth in feet
Compliance Forms August 2001 A-34
INSTALLATION CERTIFICATE (Page 13 of 13) CF-6R
Site Address Permit Number
The following is an explanation of many of the input values required on the Diagnostic portion of this form(page 3 of 6):
TYPE OF CREDIT
Refer to Residential Manual Chapters 4 and 5 for more details:
Reduced Duct Surface Area: Calculated as the outside area of the duct.Areas must be measured and
verified by a HERS rater.
Improved Duct Location: Supply duct located in other than attic,as verified by location of registers
(does not require HERS rater verification).
Catastrophic Leakage: Pressure pan test readings must be less than 1.5 Pascal at a house pressure of
25 Pascal.
TXV: Access cover required to facilitate verification.
Infiltration Reduction: Infiltration is measured without mechanical ventilation operating.
Mechanical ventilation is required for very tight house construction when
credits for infiltration reduction using diagnostic testing are being used for
achieving compliance. These very tight houses are defined as those with SLA
of less than 1.5. The compliance documentation(CF-1 R)will contain the
measured CFM target value from a blower door test at 50 Pascal pressure
difference that represents this SLA of 1.5. Mechanical ventilation is also
required if the builder chooses to design the building to use mechanical
ventilation and claims a credit for infiltration below an SLA of 3.0. The
compliance documentation(CF-1 R)will contain the measured CFM target
value that represents this 3.0 SLA. If the builder claims credit in a design for
infiltration reduction that is at an SLA of 3.0 or higher,and the actual
measured SLA is 1.5 or greater,then mechanical ventilation is not required.
If the SLA in this case were below 1.5,then mitigation(such as mechanical
ventilation)would be required.
Compliance Forms August 2001 A-35
s CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 3) CF-1R
r
-
Project Title Date v >79S n ��. �3 �
Project Addre4 Building Permit#
Documentation Author Telephone Plan Check/Date
Field Check/Date
Compliance Method(Package or Computer) Climate Zone Enforcement gency se only
GENERAL INFORMATION
Total Conditioned Floor Area ft2 Average Ceiling Height:_ 0 ft
Conditioned Slab Floor Area_ - ft
Building Type: _,K_Single Family Addition
(check one or more) Multi-Family Existing-Plus-Addition
Front Orientation: North/South/East/West/All Orientations
(input front orientation in degrees from True North and circle one)
Number of Stories
Number of Dwelling Units: 41 --
Floor Construction Type: Slabised Floor a one or both)
RADIANT BARRIER(required in climate zones 2,_4,8-15) Required for this submittal_yes no
BUILDING ENVELOPE INSULATION
Component Frame Type Cavity Sheathing Total R- Assembly Location/Comments
Type wd=wood Insulation Insulation Value' U-Factor' (attic,garage,typical,etc.)
stl=steel R-Value R-Value
Wall
Wall
Roof s^�
Roof
Floor
Floor i
Slab Edge
For prescriptive compliance T,�tal R-Value and Assembly U-Factor are not required for a wood-frarned wall that meets cavity R-value
insulation requirements for the Prescriptive Package.
FENESTRATION
ShadinPr Devices
Fenestration Orien- Area Fenestration Fenestration Exterior Overhangs/
#!T e/Pos. tation ft2U-Factor SHGC Shading Att. Fins
Front
Front
Left
Left
Rear
Rear
Right
Right
Skylight
Skylight
Compliance Forms August 2001 A-2
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2/of 3) CF-1R
Project Title I Dam
HVAC SYSTEMS
Note:Input hydronic or combined hydronic data under Water Heating Systems,except Design Heating Load.
Distribution
Heating Equipment Minimum Type and Duct or Heat Pump
Type(furnace,heat Efficiency Location Piping Thermostat Configuration
pump,etc.) (AFUE or HSPF) (ducts,attic,etc.) R-Value Type (split or package)
-� P M,-,xF osj, .- 1 -?.— & SSG,
Cooling Equipment Minimum Duct Heat Pump
Type(air conditioner, Efficiency Location Duct Thermostat Configuration
heat pump,evap.cooling) (SEER) (attic,etc.) R-Value Type (split or packs c)
SEALED DUCTS and TXVs (or Alternative Measures)
Sealed Ducts(all climate wries)
(installer testing and certification and EIERS rater field verification required)
,((
"r TXVs,readily accessible(climate zones 2 and 8-15 only)
(Installer testing and certification and ETERS Rater or field verification required)
Refrigerant Charge/Air Flow(climate zones 2 and 8-15 only)
(installer testing and certification and HERS Rater or field verification required)
OR
1 Alternative to Sealed Ducts and TXVs(see Package C or D Alternative Package Features for Project Climate Zone)
Climate Zone Window SHGC Window U-Factor SEER Heating
WATER HEATING SYSTEMS
Energy' External
Rated' Tank Factor or Tank
Water Heater Distribution Number Input(kW Capacity Recovery Standby' Insulation
Type Type in System or Btu/hr) (gallons) Efficiency Loss(%) R-Value
1. For small gas storage water heaters(rated inputs of less than or equal to 75,000 Btu/hr),electric resistance,and heat pump water heaters,list Energy
Factor. For large gas storage water heaters(rated input of greater than 75,000 Btulhr),list Rated Input,Recovery Efficiency and Standby Loss,
For instantaneous gas water heaters,list rated input and recovery efficiencies.
SPECIAL FEATURES(add extra sheets if necessary). Package C and D: TXVs,Sealed Ducts,Radiant
Barriers(see installation requirements for radiant barriers in Section 8.13 of the 200 1 Residential Manual).
Package C: thermal mass(thermal mass type,covering,thickness,and description).
Compliance Forms August 2001 A-3
i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF-1R
10 -2-1 ( � -
Project Title Date /
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24,Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall design responsibility. When this certificate
of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that
is varied is indicated in the Special Features/Remarks section.The undersigned recognize that compliance using
duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS
rater.
Designer or Owner(per Business and Professions Code) Documentation Author
Name: Name:
Title/Firm:tr-- Title/Firm:
Address: �%L 'r/f Address:
c)
Telephone: ✓ 6Z-Z go Telephone:
l.ic. f
(d e) l (signature) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Compliance Forms August 2001 A-4
1
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems,Ducts and Fans Pae 1 of 2
Site Address- eat Agency: 71 -3
Permit Number:
o ?� lti?fi— Gtr o 5V/o
Space Conditioning Systems
Heating Equipment
Duct
Efficiency Location
Equip (AFUE, (attic,
Type ARI #of etc.)I,i crawl- Heating Heating
(package- CEC Certified Mfr.Name Reference Identical (zCF-IR space, Duct Load Capacity
heat um and Model Number Number 2 systems value° etc.) R-value Btu/hr Btuihr
SSS C&4 100�, o i- L 6:-tp> rel,aC40 (00 0o 0
G�►' t
/Z--
4t A S 7
Cooling Equipment
Efficiency Duct
Equip (SEER Location
Type and EER) (attic,
(package #of 1'3 crawl- Cooling Cooling
heat CEC Certified Mfr.Name ARI Reference Identical (aCF-IR space, Duct Load Capacity
um and Model Number Number 2 Systems value)° etc. R-value Btu/hr Btu/hr
' L4A69 34-0tc-3 14C 04 13 iG PE, Qe';0nc' e 000
E
1. If project is new construction, see Footnotes to Slandards Table 151-B and Table ISI-C for duct ceiling alternative
compliance.
2.ARI Reference Number can be found by entering the equipment model number at hitp:,1/www.aridireclory"org/arilac.php#
3.Listed efficiency on this page must be greater than or equal(>_)to the val:ee shown on the CF-1 R form.
4. When CF-1R is reference it is also applicable to the CF-1R, CF-IR-AA or CF-IR-ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
❑ §110-§113:HVAC equipment is certified by the California Energy Commission.
❑ §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE,SMACNA,or ACCA.
❑ §I50(i):Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of§112(c).
❑ §1500)2:Pipe insulation for cooling system refrigerant suction,chilled water and brine lines meets minimum
requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-04
.Space Conditioning Systems,Ducts and Fans (Page 2 of 2
Site Address: Enforcement Agency: Permit Number:
VIJ.
r4'J
Ducts and Fans %
Ll 1 ):Duct and Fans
Eff 1.All air-distribution system ducts and plenums installed,sealed and insulated to meet the requirements of CMC
Sections 601,602,603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a
minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic,tape
or other duct-closure system that meets the applicable requirements of UL 181,UL 181 A,or UL 181 B or aerosol
sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch,the
com ination of mastic and either mesh or tape shall be used;and
I.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
causp,reductions in the cross-sectional area of the ducts.
ET'2D.Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive
duct pes unless such tape is used in combination with mastic and draw bands.
r,�,/7.Exhaust fan systems have back draft or automatic dampers.
L( 8.Gravity ventilating systems serving conditioned space have either automatic or readily accessible,manually
operated dampers.
b"'9.Protection of Insulation. Insulation shall be protected from damage,including that due to sunlight,moisture,
equipment maintenance,and wind.Cellular foam insulation shall be protected as above or painted with a coating that is
w,_ate
E pre
' tardant and provides shielding from solar radiation that can cause degradation of the material.
10.Flexible ducts cannot have porous inner cores.
DECLARATION STATEMENT
• 1 certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 ofthe Business and Professions Code to accept responsibility for construction,or an authorized
representative of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(thc installation)
conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• 1 reviewed a copy of the Certificate of Compliance(CF-1 R)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the Cl--IR that apply to the installation have been met.
• 1 will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
le f4E-A`,&,k5 k 147R— CQti 6l7/oA_)rrUL:,
Responsible Person's Name: Responsible Person's 'g
CSLB License: Date Signed: Position With Co any(Title):
7Ll 3 Z gg c)i,VtiF
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE C'F-6R-LTGOI
Residential Lighting (Page 1 of 3
Site Address: - Enforcement Agency: Permit Number.
- !o 229 Scenic. 61YA- oSv/v
1.Kitchen Lighting
Does project include kitchen fighting?
19 Yes,complete section 1 ❑No,go on to section 2
19 Yes §150(k)3:The wattage of permanently installed luminaires Oighting fixtures has been determined as TScified by§130(d).
❑Yes ®No §150(k)3:In the kitchen,are there 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?If yes,the following row must also be es:
❑Yes ®NA Wattage has been calculated as 180 watts of low efficacy lighting blank electrical box.
§150(k)8 Kitchen Lighting must comply with either method(a),(b),or(c)below:
(a)All high efficacy luminaires
F14 Yes,complies because only high efficacy luminaires have been installed in the kitchen.
❑ No,complies with method or c).
(b)_>50%watts used by high efficacy luminaires
R Yes,complies because at least 50%of the installed watts are from permanently installed high efficacy luminaires
as demonstrated in the table below:Total A>Total B.
❑ No,complies with method a or c).
Fill out the following table if complying with either method(b)or(c).
Table
Efficacy
Luminaire Type High Low Watts x Quantity High Efficacy Watts or Low Efficacy Watts
(1L(Ris a ❑ Z�j x D = t D Or
❑ ❑ x = v or
❑ ❑ x = or
❑ ❑ x — or
° ❑ x = or
Complies with method(b)if A>_B Total: A: -2-613 _> B: Mokt—
(c)Additional Kitchen Low Efficacy Lighting
12 Yes,complies because the kitchen lighting qualifies for additional low efficacy lighting
and as demonstrated in table in above and the table in c low that A+C >_B
❑ No,complies with method a or
Additional kitchen low efficacy lighting is available only if all of the following are true:
❑ Yes. All low efficacy luminaires in the kitchen are controlled by a vacancy sensor
Dimmer energy management control system(EMCs)or a multi-scene programmable control system.
10 Yes. Permanently installed luminaires in garages laundry rooms closets greater than 70 square feet and utility rooms are high efficacy
luminaires AND are controlled by a vacancy sensor.
Table c
Use 50 W for dwelling units<_2,500
From the Table in ) Use 100 W for dwelling units>2,500 If Add YeslNo?
A B C A+C Is(A+C)>B?
2.Lighting Internal to Cabinets
Does project includes lighting internal to cabinets?
❑Yes, complete section 2 53 No,Fo on to section 3
❑Yes §150(k)9:Permanently installed lighting internal to cabinets uses:5 20 watts of power per linear foot of illuminated cabinet.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE ''F-6R-LTG01
Residential Lighting (Page 2 of 3'
Site Address: Enforcement Agency: Permit Number:
/6 X-q .5'caxtic. r tri
3.Installed Devices and Components Have Been Certified to the Energy Commission
Does the pro'ect include any of the devices or components listed blow?❑Yes,complete section 3 61 No,go on to section 4
❑ Yes
§119 and§150(k)7(F):Any of the following devices and components which have been installed have been certified to the Energy Commission
according to the applicable provisions of§119:All LED lighting systems that are classified as high efficacy,ballasts used in recessed luminaires,
vacancy sensors automatic off/manual on occupant sensors),dimmers,track lighting integral current limiters,and outdoor motion sensors.
4.Lighting Controls Complete section 4
14 Yes ❑ NA §150(k)7A:Permanently installed low efficacy luminaires are controlled by switches separate from those controlling high
efficacy luminaires.
Q Yes ❑ NA §150(k)7B:Exhaust fans with integral lighting systems are switched separately from lighting systems,OR have a lighting
system that can be manually turned on and off while allowing the fan to continue to operate for an extended period of time.
® Yes ❑ NA §I50(k)7C:All permanently installed luminaires are switched with readily accessible controls that permit the luminaires to be
manually switched on and off.
® Yes ❑ NA §150(k)7D:All lighting controls have been installed in accordance with the manufacturer's instructions.
® Yes ❑ NA §150(k)7E:All lighting circuits that are controlled by more than one switch,where a dimmer or vacancy sensor has been
installed to comply with§150(k),no controls bypass the dimmer or vacancy sensor functions.
5.Luminaires(Lighting Fixtures)
Does the project include the installation of any luminaires indoor or outdoor?
Q Yes,complete section 5 ❑No,go on to section 6
®Yes,high efficacy luminaire classification has been determined according to§150(k)1,and low efficacy htminaire classification has been
determined according to§150(k)2.
* Yes ❑ NA §150(k)4:Fluorescent lamps rated 13 watts or greater have an electronic ballasts having an output frequency no less than 20
kHz.
❑ Yes CKNA §150(k)5:Permanently installed night lights,and night lights integral to permanently installed luminaires or exhaust fans,
contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and do not contain a line-voltage
socket or line voltage lamp holder,OR the night light is mated to consume no more than 5 watts of power and does not contain
a medium screw-base socket.
❑ Yes 01 NA §I50(k)6: Lighting integral to exhaust fans,in rooms other than kitchens,meet the applicable requirements of§150(k).
❑ Yes R NA Any electrical box 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,has been treated as low efficacy luminaires for compliance
with§150(k).
Does the project include any luminaires that are recessed into insulated ceilings?
Ig Yes,complete the rest of section 5 ❑No,go on to section 6
ld Yes,§150(k)l2: Luminaires that are recessed into insulated ceilings meet all of the following conditions:
53 Yes,are listed,as defined in§101,for zero clearance insulation contact(IC)by UL or other nationally recognized testing/rating
laboratory,and
ja Yes,have labels that certify the luminaires are airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance
with ASTM E283(Exhaust fan housings are not required to be certified airtight),and
14 Yes,are sealed with a gasket or caulk between hmminaire housings and the ceiling,and all air leak paths between conditioned and
unconditioned spaces have been sealed with a gasket or caulk.(including all exhaust fan housings),and
Yes,allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without
requiring the cutting of holes in the ceiling.
6.Indoor Lighting(any indoor room that is not a kitchen)
Does the project include permanently installed luminaires in any room that is not a kitchen?
®Yes,complete section 6 ❑No,go on to section 7
jd Yes ❑ NA §150(k)10:Permanently installed luminaires in bathrooms,garages,laundry rooms,closets>70 ft',and utility rooms are high
efficacy luminaires OR are controlled by a vacancy sensor.
CK Yes ❑ NA §150(k)11:Permanently installed luminaires located in rooms or areas other than in kitchens,bathrooms,garages,laundry
rooms,closets,and utility rooms are high efficacy luminaires,OR are controlled by a dimmer switch OR are controlled by
a vacancy sensor.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-LTG-01
Residential Lighting (Page 3 of 3
Site Address: Enforcement Agency: Permit Number.
-!6++g�- B C rt�tio
7.Outdoor Lighting
Does the project include any permanend installed outdoor lighting?.
iQ Yes,complete section 7 ❑No,go on to section 8
B.Yes ❑ NA- §150(k)13:Luminaires providing outdoor lighting,including outdoor lighting for private patios on low-rise residential buildings
with four or more dwelling units,entrances,balconies,and porches,and which are permanently mounted to a residential
building or to other buildings on the same lot are high efficacy luminaires OR are controlled by a manual on/offswitch,plus a
motion sensor not having an override or bypass switch that disables the motion sensor,plus one of the following three
additional control methods:
a. A photocontrol that does not have an override or bypass switch that disables the photocontrol;or
b. An astronomical time clock not having an override or bypass switch that disables the astronomical time clock;
or
C. Energy management controls systems(FMCS)not having an override or bypass switch that allows the
luminaire to be always on.
❑ Yes IR NA Exception 2: Low efficacy outdoor luminaires used to comply with Exception 1 to§1 50(k)l 3 are controlled by an override
switch which temporarily bypasses the motion sensing function,and the motion sensor is automatically reactivated within six
hours.The luminaire is controlled by a photocontrol,astronomical time clock,or EMCS as required by Exception 1 to
§150(k)13.
❑ Yes ® NA Exception 3: There are permanently installed luminaires in or around swimming pools,water features,or other locations
subject to Article 680 of the California Electric Code which do not need to be high efficacy luminaires_
❑ Yes IRNA §150(k)14: Internally illuminated address signs comply with§148,OR do not contain a screw-base socket and consume no
more than 5 watts of power as determined according to§130(d).
❑Yes 14 NA §I50(k)15 Lighting for parking lots and carports with a total of 8 or more vehicles per site have lighting that complies with
§130,132,134, and 147.Lighting for parking garages for 8 or more vehicles comply with§130,131, 134,and 146.
If yes,the Nonresidential compliance forms must be submitted
8.Common areas of low-rise residential buildings
Does the project include the installation of anluminaires in common areas of low-rise residential buildings?
❑Yes,complete section 8 M No,go on to section 9
❑ Yes,§150(k)16: Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s)certified to comply with§119(d).
DECLARATION STATEMENT
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative
of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)conforms
to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement
agency.
• I reviewed a copy of the Certificate of Compliance(CF-1 R)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a
signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
S W F Aa0A<AS Z'VL
Responsible Person's Name: Responsi �Iture:
to I
CSLB License:I Date Signed: Position With Company(Title):
—LV n ..M,
2008 Residential Compliance Forms August 2009
F
f
INSTALLATION CERTIFICATE CF-6R-MECH-01
Domestic Hot Water(DHW) (Pae 1 of 2
Site Address: !� Enforcement Agency: Permit Number.
Z- ! / 114 �t /J
1. WATER LTING SYSTEMS:
7
Distribution Rated
CEC Type If #of Input(kW Tank Standby
Heater Certified Mfr Name&Model (Std,Point-of- Recirculation, Identical or Volume Efficiency Loss
Type Number Use,etc) Control Type Systems Btuthr)) (gallons) (EF,RE) (%)]
NK GCg� -7,<,- ISO
Note 1:For small gas storage(rated input less than or equal to 75,000 Btu/hr),electric resistance and heat pump water heaters, list
Energy Factor(EF).For large gas storage water heaters(rated input ofgreater than 75,000 Biu/hr), list Recovery Efficiency(RE),
Thermal Efficiency,Standby Loss and Rated Input. For instantaneous gas water heaters, list the Thermal Efciency and Rated Input.
2. Mandatory Measures
TO COMPLY-ALL BOXES MUST BE CHECKED
❑ §110-§113:Water heaters,showerhead and faucets are certified by the California Energy Commission.
§1506): Water System Pipe and Tank Insulation.And Cooling Line Insulation
1. Storage tank insulation
❑ A.Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are
externally wrapped with insulation having an installed thermal resistance of R-12 or greater;and
❑ B.Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-16 internal
insulation where the internal insulation R-value is indicated on the exterior of the tank.
2. Water piping and cooling system line insulation thickness and conductivity
First 5 feet of hot and cold water pipes closest to water heater tank,non-recirculating systems,and entire
length of recirculating sections of hot water pipes are insulated per Standards Table 150-13;and
❑ Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of
Standards Table 123-A.
❑ Insulation is protected from damage, including that due to sunlight,moisture,equipment maintenance,and
wind.
❑ §151(f)8D:If indicated on the CF-1R,all hot water piping that runs from the hot water source to the kitchen fixtures is
insulated per Standards Table 150-13.
2008 Residential Compliance Forms August 2009
1
INSTALLATION CERTIFICATE CF-6R-MECH-01
Domestic Hot Water(DHW) (Pa e 2 of 2
Site Address: ,, �,�., Enforcement Agency: Permit Number:
Z1 ,S' rte. r L/4, j0050 lob
3. Central Wat r Heating in Buildings with Multiple Dwelling Units(required for prescriptive)
TO COMPLY-ALL BOXES MUST BE CHECKED
All hot water piping in main circulating loop is insulated to requirements of§1500)
❑ Central hot water systems serving six or fewer dwelling units which have(1)less than 25' of distribution piping
outdoors;(2)zero distribution piping underground;(3)no recirculation pump;and(4)insulation on distribution
piping that meets the requirements of Section 1500)
❑ Central hot water systems serving more than 6 dwelling units- presence of either a time control or a
time/temperature control
DECLARATION STATEMENT
• 1 certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized
representative of the person responsible for construction(responsible person).
• l certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)
conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• l reviewed a copy of the Certificate of Compliance(CF-1 R)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
14f __111( al_rFo i ac-
Responsible Person's Name: Responsible Person's Signature:
_IV9 rti(F C bre—W z"_W/
CSLB License: Date Signed: Position With Company(Title):
2008 Residential Compliance Forms August 2009
i
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope—Insulation• Roofing; Fenestration (Page 1 of 3)
Site Address: Enforcement Agency: Permit Number:
(� �-Z-c� .`AJC �vtil L I�l vL� G..?u'
Ifmore than one person has responsibility for installation of the items on this certificate,eack person shall pivpare and sign a certificate
applicable to the portion of construction for which they are responsible;aliematively.the person with chief responsibility for constracrion shall
prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check bases require to he checked to ensure
the mandato g measures have been met.
Description of Insulation
1. RAISED FLOOR
Material: Brand Name:
Thickness(inches): `I'hennal Resistance(R-Value): q
❑ §I50(d):Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor.
2. SLAB FLOORIPER METER
Material: Brand Name:
Thickness(inches): Thermal Resistance(R-Value):
Perimeter Insulation Depth(inches):
❑ §150(1):Water absorption rate for the insulation material alone without facings is nb greater than 0.3%;water vapor permeance
rate is no greater than 2.0 perm/inch and shall be protected frorn physical damage and trV light deterioration.
3. EXTERIOR WALL
a.Insulation Type(e.x. Batt,Loose Fill, Spray Foam)
a.Thermal Resistance(R-Value): .�
b. .Insulation Type(e.x.Batt, Loose Fill,Spray Foam) b.Thermal Resistance(R-Value):
Brand:
Spray/Loose fill)Installed Actual Thickness Spray/Loose fill)
(inches): Contractor's min installed weight/ft Ib
Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value)
❑ §150(c):Minimum R-13 insulation in wood-frame wall or equivalent 11-factor.
Exterior Foam Sheathing(rigid Insolation)
Material: Brand Name:
Thickness(inches) : Thermal Resistance(R-Value)
4. FOUNDATION WALL
Material: Brand Name:
Thickness(inches): Thermal Resistance(R-Value): __
5. CEILING
Batt or Blanket Type: (r Brand Name: -3a tL is
Loose Fill Type: Thermal Resistance(R-Value): -5
Spray Foam Type: Brand Name:
Installed Actual Thickness(inches): Contractor's min installed weight/ft2 Ib
Manufacturer's installed weight per square foot to achieve Thermal Resistance(k-Value):
❑ §I50(a):Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER
Material: Brand Name:
Material: Brand Name:
Thickness(inches): Thermal Resistance(R-Value):
❑ §I 18(a): insulation installed meets Standards for insulating Material.
❑ §150(8):Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope—Insulation; Roofing; Fenestration (Page 2 of 3)
Site Address: Enforcement Agency: Permit dumber:
to 2 Zcj SLS tI iL �lvdf t�u,' vs�+t�t U
Description of R Rug Products
CRRC Product ID Manufacuver Product Roof Roof Product Initial Solar Aged Solar Thermal
Type Information Area Slope Weight' Reflectance Reflectance` Bmittance
�a
❑1
❑a
!. The C,RRC Product 1D Number can be obtained front the Cool RoofRating Council's Rated Product Directory of
ww.Coo lrtnrfr,org/productsirearch.php
2. The weight in lbs per square feet of the roaling product being installed.
3.Check bar if the Aged Reflectance is a calculated value using the equation Below,faornore 4.
4,lfthe aged reflectance is not available in the Cool RoofRating Council's Rated Product Directory then use the initial reflectance value from the
directory and use the equation 0.2+0.7 r —0.2)to obtain a calculated 9&d vahte.
✓OCHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT"COOL ROOF"REQUIREMENT
❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/fl'is exempted from the above Cool Roof
criteria.
To apply Liquid Field Applied Coatings,the coating must be applied with a ntinintuin dn'"nil thickness of 20 mils across the entire rogf surface and
neet ninirnion per arrtuunce requirements listed in§118(i)3 and Table 118-G Select the applicable coating
❑Aluminum-Pi mented Asphalt Roof Coating Cement-Based RoofCoating ❑Other
V 13CRRC-1 Labcl Attached to CF-6R
(Note f no CRRC-1 label is available,this compliance method cannot be used and another method is required to meet compliance).
FENESTRATION/G LAZIN G
Product 1F Total Quantity Add.Exterior Comments,
Manufacturer/Brand Name U- Product of NFRC of Like Product Area Shading Dev. Location/Special
Item GROUP LIKE RODUCTS factor" SHGC" Panes Certified"" O !Lona flr or Overhang Features
2
3
4
5
6
7.
ti. T_
1, Use values from a fenestration product's NFRC Certified Label.For finextrarion producus without as NFRC label,use the d4o ult values front Section 116.Table
116-A and 116-8 of the 2008 Energy Ejliciency Standards.
2.NFRC Label Certificates shall not be removed until the building inspector has yeti ted the a icienc a Enter Yes or No.
❑ §116(a)l:Doors anti windows between conditioned and unconditioned spaces designed to limit air leakage.
❑§I 16(x)2 and 3:Actual fenestration products installed are equivalent to or have a lower U-factor andfor a lower S14GC than that specified an
the Certificate ofCornpliance(Form CF-1R).
❑§116(&)4:Fenestration products(except field-fabricated windows)have a label listing the certified U-Factor,certified Solar Heat Gain
Coefficient(SHGC),and infiltration that meets the requirements of§10.11 l(a)
❑§117:Exterior doors and windows weather-stripped;all joints and penetrations caulked and sealed.
2008 Residential Compliance Forms August 2009
t
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope—Insulation; Roofin • Fenestration (Page 3 of 3)
Site Address: Enforcement Agency: Permit Number:
I U ZZ9 ce "L."C. 161C.1i „.,
DECLARATION STATEMENT
• 1 certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct,
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative
of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)conforms
to all applicable codes and regulations,and the installation is consistent with the plans end specifications approved by the enforcement
agency.
• l reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
• 1 will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. 1 understand that a
signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Companame: (installing Subcontractor or General Contractor or Builder/Owner)
Li!)r 1 '
RcsponPerson's me: Responsible erso 'e S' ndt
sib
CSLB License; Date Signed: Position Will t e : 7 .
Company t_
2008 Residential Compliance Forms August 2009
l t
Me"i�wcy: Permit Nuvaber-.
17*olTcl ketiic 81v(4,
If morr dhaar one ops last idstldr - or injudiation ca the bew on this_.
' t to the ierur a a:rattSttarctrtrrt,ear wdritr-h they are rr tble,.trite t�F•ate, each person steal!prepare and sign a c°ertfuate
f � yf l s c�rrt- t
part f �" est' rnattvwty. the person with chief responsibilikyl6r coxitrur4on shg dl
prepare and sign this c eraiftcaie for the entire con ruction. All applicable MandatvrY Meamres with check 1xxtes are required to be checked to
e tetar the taaaatur&ttetr measum haw been met.
MUNG INSUIAMN
Rigid: .� ._.� _�.�. _ Brand Name:
Batt or Blanket Type: Bnmd Namc:
Loose Fill Type: Thennal Resistancc (R-Valuc):
Spray Edam 7pe Brand Nasik:
Installed Actual Thickness(incites): Ca auc is min installed weight/W__^___ib
Manufactumr's installed weight per square foot to achieve Thernietl R,esista a (R-Value):
d 150(a): M' " R-19 insulation in wt►od-fratttae coling or equivalent U-fwtor.
U 118(a): Inw1ation installed mesas Standards for In adating Material.
0 §lAg): Mandistory Vapor bar er instal'led m C`listtm Zotte* 14 or 16,
ROOMG PROMC M(COOL ROOFS)jrsion
Q Cbeck this box if the newly installod maf i:;exempted from the roofing product `Cool Moroi"require:mcnts as indicated on the CF-I R-Alt-
Reroof form for this project.(dierwiw fill in the table below,
Rod Supe Product Weight Aged Soler TbermW S�
CRRC�sut ID Number' 0 2:12 >2:12 < S1bM2 £1 SW ProProduct,'1`ype't ltasllwietauueyc'''s Baothtausee T...
i.CR 1 Wad rs avaPhOe is on the pwkW at the roaflog pr"" aasd attach the CRRC low to two rano.
2-Indkoe the type of prradua it being aced fear the roof tap, i.e. single-ptv roof, asphalt roof, metal rrwf, etc.
. if the Aged Refteckosce is not av ailcabie its the Cool Roof Rating Council's Rated Nroefrtct Directory then uu the Initial Resflectance wslae from the
saute dlrecomy and at ohne equation(112+0,7(t 0.2)to obtain a c akalatesd aged value_ Where :,is the Initial SSvtar Reflectance.
e Check bat if the Aged fielleciance it a cakwilated w&e asing the tfatt
o apply I.qWd Fhtid AppOW CewdW the coating must be applied across the entire roof surface and meet ttre dry argil thickness or coverage
by the coatings manufacturer and aim minimum perfornum a reguiren"is listed in I I tg(i)t„ %cicct the upplwable a:im"sig.-
Ampbadt lkttaf�ng
cement-Based Roof Coating
MC MT"STATEAWNT
• 1 certify under penalty of perjury,under the laws of the State of C:.aliferttia,the information provided on this forma is tnte and Wit.
• 1 assn eligsbuc under Division 3 of dw I3ucinaus and 3'rofessions Code to accept responsibitity for constntction,or ars authorised reprcientative
of nide person responxibit for construction(rear ponable person).
• t certifythat the instatlWd feature,,,materials,components,or manufactured devises identified on oris certificate(the installation)conforttat,
to all applicab4c codon and regulations,and the installation is consistent with the plans,and specifications approved by dw enforcement
Remy.
V I reviewed a copy of the Certificate of Compliarsce(CF-IR)foam approved by the enforcement agency that identifies ft specific
rssquui for the itsstallation. t certify the the requirements detailed an the(37-1 R than apply to the instaIlation have been met,
• 1 Bei ll arauttat+t+flat a campkiod,Aped cry of this latstatllaation C.etrt4nidal"be posted,or as m&aarallable with dac
pernigs)houell for the baalh Mn&add anside atvailatlAe to the enforcement.Verney for doll Opp"citbtiae h uttpectiom 1 tsnd"Itmd that a
cM of this hoWltation Ceetificate h required to be inclutted rehh the doctam t ea the blander pirovida to the bWMWg
awnasr at Occupancy.
Cornpany_N arnec (lnsm1 ing Subcom or General Contractor or Ouilde:rtOwner)
iOw
Respoosi `s Name- Resportsibl
C I.I34l DateMal-
4 Position Witt 4mpatny(Title):
2010 CALGREEN RESIDENTIAL CHECKLIST —
MANDATORY ITEMS
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
(408)777-3228-FAX(408)777-3333•building(cDcupertino.or4
PURPOSE:
The 2010 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings,
dormitories, condominiums, shelters, congregate residences, employee housing, factory-built housing and
other types of swellings with sleeping accommodations and new accessory buildings associated with such
uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the
requirements of CALGreen.
Project Name:
Project Address: 10 C V,Lrlj/ 17 t/r�. LA4(2,t-)`n o
Project Description: a -21 t OVA
Instructions:
1. The Owner or the Owner's agent shall employ a licensed professional experienced with the 2010 California
Green Building Standards Codes to verify and assure that all required work described herein is properly
planned and implemented in the project.
2. The licensed professional, in collaboration with the owner and the design professional shall initial Column
2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the
checklist printed on the approved plans for the project.
3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3
and sign and date Section 2 -Implementation Verification at the end of this checklist and submit the
completed form to the Building Inspector.
Column 2 Column 3
MANDATORY FEATURE OR MEASURE Project Verification
Re uirements
A4.1 PLANNING AND DESIGN
a
777
PMeirtd �rr� rtSIteFr ervetiani
r.
4.104.1 A site plan and inventory of the site is developed and used to minimize
site disturbance in order preserve desirable existing natural resources and QX
minimize future adverse effects on the proposed structure.
, - n
1 {h
I��anning aid Dsrgn:4 Srte,Development;
4.106.2 A plan is developed and implemented to manage storm water
drainage during construction.
4.106.3 The site shall be planned and developed to keep surface water away
from buildings. Construction plans shall indicate how site grading or a drainage OX
system will manage all surface water flows.
Page 1 of 5 CalGreen_2010.doc revised 08/27/11
A4.2
4.201.1 Low-rise residential buildings shall meet or exceed the minimum
standard design required by the California Energy Standards.
A4.3 WATERAND CONSERVATION
t`
.fl"k
�17dQQrulf�tet�tse I3� A 5tlE � 5&LN
4.303.1 Indoor water use shall be reduced by at least 20 percent using one of
the follow methods.
❑ Water saving fixtures or flow restrictors shall be used per Table 4.303.2.
D
❑ A 20 percent reduction in baseline water use shall be demonstrated per As of 7/01/2011
Table 4.303.1.
4.303.2 When using the calculation method specified in Section 4.303.1,
multiple showerheads shall not exceed maximum flow rates.
As of 7/01/2011
4.303.3 Plumbing fixtures(water closets and urinals) and fittings(faucets and
showerheads)shall comply with specified performance requirements.
As of 7/01/2011
¢ firy
5 ry
4.304.1 Automatic irrigation systems installed at the time of final inspection
shall be weather-based.
A4.4 MATERIAL CONSERVATION AND RESOURCE EFFICIENCY
im
l~�ii(h C��rrhiiity anc� ed Maine�n
art
4.406.1 Joints and openings.Annular spaces around pipes, electric cables,
conduits, or other openings in plates at exterior walls shall be protected
against the passage of rodents by closing such openings with cement mortar,
concrete masonry or similar method acceptable to the enforcing agency.
D�ihtctan 1A�aste Reduction, Dsd Re ► liing
4.408.2 Where a local jurisdiction does not have a construction and demolition
waste management ordinance, a construction waste management plan shall X❑
be submitted for approval to the enforcing agency.
�u'i ing;Maintelariice aria Operation
4.410.1 An operation and maintenance manual shall be provided to the
building occupant or owner.
Page 2 of 5 CalGreen 2010.doc revised 08/27/11
ENVIRONMENTAL QUALITY
h we
« & a
psj�'
4I
4.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-
burning fireplace, or a sealed woodstove. SCJ
lbl �>!1t r�rr trbl K r
r,
e
to
4.504.1 Duct openings and other related air distribution component openings r-�f
shall be covered during construction. NJ
4.504.2.1 Adhesives, sealants and caulks shall be compliant with VOC and ref
other toxic compound limits. NJ
4.504.2.2 Paints, stains and other coatings shall be compliant with VOC limits. 0
4.504.2.3 Aerosol paints and other coatings shall be compliant with product 0
weighted MIR Limits for ROC and other toxic compounds.
4.504.2.4 Documentation shall be provided to verify that compliant VOC limit ref
finish materials have been used. LTJ
4.504.3 Carpet and carpet systems shall be compliant with VOC limits. 0
4.504.4 Fifty (50) percent of floor area receiving resilient flooring shall comply
with the VOC-emission limits defined in the Collaborative for High Performance
Schools(CHPS) Low-emitting Materials List or be certified under the Resilient
Floor Covering Institute(RCFI) FloorScore program.
4.504.5 Particleboard, medium density fiberboard (MDF), and hardwood
plywood used in interior finish systems shall comply with low formaldehyde ❑X
emission standards.
1>iteT car I st 4T Cohtir01
4.505.2 Vapor retarder and capillary break is installed at slab on grade
foundations. ❑X
4.505.3 Moisture content of building materials used in wall and floor framing is
checked before enclosure.
Page 3 of 5 CalGreen 2010.doc revised 08/27/11
� >t111 $EX �ts�ta s r
4.506.1 Exhaust fans which terminate outside the building are provided in
every bathroom.
1 h 4
4.507.1 Whole house exhaust fans shall have insulated louvers or covers
which close when the fan is off. Covers or louvers shall have a minimum ❑X
insulation value of R-4.2.
4.507.2. Duct systems are sized and designed and equipment is selected
using the following methods:
1. Establish heat loss and heat gain values according to ACCA Manual J orj
equivalent. uu
2. Size duct systems according to ACCA 29-D(Manual D) or equivalent.
3. Select heating and cooling equipment according to ACCA 36-S (Manual S)
or equivalent.
INSTALLER AND SPECIAL INSPECTOR QUALIFICATIONS
ilk"'tWe"'-"C'
qz'" x. -.: 2 p'"� ^a.0 t �`a :"
QU���C �115i h, a u w
y
702.1 HVAC system installers are trained and certified in the proper installation
of HVAC systems.
702.2 The Licensed Professional responsible to verify CALGreen compliance
is qualified and able to demonstrate competence in the discipline they inspect ❑X
and verify.
,�3 tim r `�Q�
X
1�efaitils, .z ,;
"`.xaL
703.1 Verification of compliance with CALGreen may include construction
documents, plans, specifications, builder or installer certification, inspection /
reports, or other methods acceptable to the enforcing agency which show
substantial conformance. Implementation verification shall be submitted to the
Building Department after implementation of all required measures and prior to
final inspection approval.
Page 4 of 5 CalGreen 2010.doc revised 08/27/11
CALGRE 1P1�EN SIGNATURE DECLARATIONS
VQ
Project Name: u 1 d a\ Q 1
Project Address: k O `L2 9 'S C Z>n i C AVO\
Project Description: NAW Y r 112
SECTION 1 — DESIGN VERIFICATION
Complete all lines of Section 1 —"Design Verification"and submit the completed checklist(Columns 1 and 2)with the
plans and building permit application to the Building Department.
The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and
certify that the items checked above are hereby incorporated into the project plans and will be implemented into the
project in accordance with the requirements set forth in the 2010 California Green Building Standards Code as
adopted by the City of Cupertino.
Owner's Signature Date
Owner's Name (Please Print)
_Z--)L r
Design Profession�al_'s Signature Date
io
v�Q
Design Professional's Name (Please Print)
Signat re of License Professional responsible for CalGreen compliance Date
. o blikp
Name of License Professional responsible for CalGreen compliance(Please Print) Phone
-PA1M l�-� t2{. i i I » LCTM,
Email Address for License Professional responsible for CalGreen compliance
SECTION 2 — IMPLEMENTATION VERIFICATION
Complete, sign and submit the competed checklist, including column 3,together with all original signatures on Section
2 to the Building Department prior to Building Department final inspection.
I have inspected the work and have received sufficient documentation to verify and certify that the project identified
above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of
the 2010 C lifornia Green Building Standards Code as adopted by the City of Cupertino.
Signat a of License Professional responsible for CalGreen compliance Date
Name of License Professional responsible for CalGreen compliance(Please Print) Phone
i( '' c7+\
Email Address for License Professi I responsible for CalGreen compliance
Page 5 of 5 CalGreen 20i0.doc revised 08127111
May 01 2014 1:51PM 1408-774-9888 page 1
UTILITY RELEASE REQUEST FORM
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR,P.E.,C.B.O., BUILDING OFFICIAL
CUPERTINO 10300TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228•FAX(408)777-3333•buildina(&cupertino.era
PURPOSE
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 format: htq�:/hN-xw.cupertino,org/index.aspx'?pale=297.
2. Complete the form and obtain signatures from both the owner of the property and the primary contractor.
3. Fax,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 bu:i_lding(d)cupertino.org
4. Schedule a Gas Meter Release inspection(#403)and/or Electric Meter Release inspection(9404). 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 BLDGERhMIT 0: DATE: S 0
O f by IV
. OZZSITE SGQ ) ( , nADDRESS: 1- �4r
OWNER'S NAME: /1 IIQYA FPHON
AX#E#
MAILING ADDRESS(if different from site address):
CONTRACTOR: PHONE#:
FAX#:
CONTACT: �II PHONE M
c l n
C p S tk 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
occupancyfor the building.
Owner: ...........Print: ./..-T.d.Q/�. H:��u .Date: S v� 20 r.�
Contractor.. .Print: .Date:
UrilioAeleaseForni_2011.doc revised 08/09/11
OWNER-BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228-FAX(408)777-3333•building(c)_cupertino.org
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITE ADDRESSAPN BP#
o (3os�oi o�
OWNER NAME �. OWNER ADDRESS
DESCRIPTION OF WORK: '.(}L) l C 17,715 G
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.)
(A+1. I.understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner
Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material
personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
�'C,`H-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.
C-A3. 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.
C;&-L,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.
CA 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
total 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.
C.1 _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.
i 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.
8. 1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for
any financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction
defects in the workmanship or materials.
OwnerBuilderForm 2010.doc revised 04/14/10
I 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.
G`U90. I 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.
CA-11. 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.
C N92. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If
you contract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or
employee of that individual or firm is injured while working on your property, you may be held liable for damages. If
you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS:Please complete the following construction lending agency information.)
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 verification acceptable to the ' may be required to be presented when the permit is issued
to verifythe property owner's si na re 1
Property Owner's Signature: Date: / -7 ( _
-- -- --- --- - - - =---------------------------------------------------------------------------------------
(NOTE: The following Autho-ri-zation-iiaForm-- 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: Tel No
Address of Authorized Agent:
1 declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's
signature.
Property Owner's Signature: Date:
OwnerBuilderForm 2010.doc revised 04/14/10
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Hsu Residence
10229 Scenic Blvd
Cupertino, CA 95014
Project Designer:
H.M.C. Associates, LLP
12280 Saratoga -Sunnyvale Rd #209
Saratoga, CA 95070
408-446-8418
Report Prepared by:
H.M.C. Associates, LLP
SUB` F I I TAS.
1
Job Number:
13-006
Date:
5/11/2013
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report.This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft,LLC—www.energysoft.com.
EnergyPro5.1 by Ener Soft User Number:6518 RunCode:2013-05-11T17:25:05 ID:13-006
TABLE OF CONTENTS
I
Cover Page 1
Table of Contents 2
Form CF-1 R Certificate of Compliance 3
Form MF-1 R Mandatory Measures Summary 8
HVAC System Heating and Cooling Loads Summary 11
Room Load Summary 13
Room Heating Peak Loads 15
Room Cooling Peak Loads 17
Form ECON-1 Energy Use and Cost Summary 19
Form UTIL-1 R Utility Incentive Worksheet 20
i
I
i
I
I
I
i
EnergyPro 5.1 by EnergySoft Job Number: ID:13-006 User Number:6518
PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R
Project Name Building Type m Single Family ❑Addition Alone Date
Hsu Residence ❑ Multi Family ❑ Existing+Addition/Alteration 5/11/2013
Project Address California Energy Climate Zone Total Cond.Floor Area Addition #of Stories
10229 Scenic Blvd Cupertino CA Climate Zone 04 3,689 n/a 2
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures -- If Yes, A CF-413 must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special
Construction Type Cavity (ft) Features see Part 2 of 5) Status
Roof Wood Framed Attic R-38 2,447 Radiant Barrier Venting New
Wall Wood Framed R-21 2,963 New
Door Opaque Door None 88 New
Floor Wood Framed w/Crawl Space R-19 2,462 New
FENESTRATION U- Exterior
Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status
Skylight 10.0 0.340 0.33 none none None New
Front(S) 58.3 0.390 0.37 2.0 2.0/0.0 Bug Screen New
Rear(NE) 93.0 0.390 0.37 2.0 2.010.0 Bug Screen New
Right(E) 156.0 0.390 0.37 2.0 2.010.0 Bug Screen New
Rear(N) 240.0 0.390 0.37 2.0 2.010.0 Bug Screen New
Front(S) 56.8 0.390 0.37 2.0 2.010.0 Roll-down Blind or Slats New
Left(W) 60.0 0.390 0.37 none none Roll-down Blind or Slats New
Rear(N) 41.0 0.390 0.37 2.0 2.0/0.0 Roll-down Blind or Slats New
Right(E) 96.3 0.390 0.37 2.0 2.0/0.0 Roll-down Blind or Slats New
Skylight 5.3 0.390 0.37 none none None New
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
1 Central Furnace 90%AFUE Split Air Conditioner 13.0 SEER Setback New
1 Central Furnace 90%AFUE Split Air Conditioner 13.0 SEER Setback New
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R-Value Status
HVAC 1 Ducted Ducted Crawlspace 6.0 New
HVAC 2 Ducted Ducted Attic,Ceiling Ins, vented 6.0 New
WATER HEATING
Ot . Type Gallons Min, Eff Distribution Status
1 Small Gas 75 0.52 Kitchen Pipe Ins New
Ener Pro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11 T17:25:05 ID:13-006 Page 3 of 20
PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF-1 R
Project Name Building Type ® Single Family ❑Addition Alone Date
Hsu Residence ❑ Multi Family ❑ Existing+Addition/Alteration 5/11/2013
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist.These items require special written
justification and documentation,and special verification to be used with the performance approach.The enforcement agency
determines the adequacy of the justification,and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential
Appendix RA4.2.2.
The Roof R-38 Roof Attic 1/150 Vent Area requires verification.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF-4R form for each of the measures listed below for final to be given.
Ener Pro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11T17:25:05 ID: 13-006 Pae 4 of 20
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R
Project Name Building Type m Single Family ❑Addition Alone Date
Hsu Residence ❑ Multi Family ❑ Existing+Addition/Alteration 5/11/2013
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2 r
Space Heating 17.00 16.60 0.40
Space Cooling 9.61 3.17 6.44
Fans 4.90 3.43 1.47
Domestic Hot Water 10.71 11.85 -1.14
Pumps 0.00 0.00 0.00
Totals 42.21 35.04 7.17
Percent Better Than Standard: 17.0%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (S) 180 deg Ext.Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (S) 953 115
Fuel Available at Site: Natural Gas (w) 234 60
Raised Floor Area: 2,462 (N) 1,659 374
Slab on Grade Area: 0 (E) 1,007 252
Average Ceiling Height: 9.0 Roof 2,462 15
Fenestration Average U-Factor: 0.39 TOTAL: 817
Average SHGC: 0.37 Fenestration/CFA Ratio: 22,1 %
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company H.M.C.Associates,LLP f
i ! �, 5/11/2013
Address Name
City/State/ZipCity/State/Zip Phone Signed Date
"rhe individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing,verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company H.M.C.Associates,LLP I
Address 12280 Saratoga-Sunnyvale Rd#209 Name Mike Chen
City/StateiZip Saratoga, CA 95070 Phone 408-446-8418 Signed License# Date
Ener Pro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11 T17:25:05 ID:13-006 Page 5 of 20
CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R
Project Name Building Type m Single Family ❑Addition Alone Date
Hsu Residence ❑ Multi Family ❑ Existing+Addition/Alteration 5/11/2013
OPAQUE SURFACE DETAILS
Surface Ll- Insulation Joint Appendix
Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Roof 1,133 0.025 R-38 180 30 New 4.2.1-A21 Zone 1
Wall 295 0.069 R-21 180 90 New 4.3.1-A6 Zone 1
Door 45 0.500 None 180 90 New 4.5.1-A4 Zone 1
Wall 632 0.069 R-21 45 90 New 4.3.1-A6 Zone 1
Wall 574 0.069 R-21 90 90 New 4.3.1-A6 Zone 1
Door 43 0.500 None 901 90 1 New 4.5.1-A4 Zone 1
Floor 2,370 0.037 R-19 0 180 New 4.4.1-A4 Zone 1
Wall 141 0.069 R-21 0 90 New 4.3.1-A6 Zone 1
Wall 497 0.069 R-21 180 90 New 4.3.1-A6 Zone 2
Wall 174 0.069 R-21 270 90 New 4.3.1-A6 Zone 2
Wall 513 0.069 R-21 0 90 New 4.3.1-A6 Zone 2
Wall 138 0.069 R-21 90 90 New 4.3.1-A6 Zone 2
Floor 92 0.037 R-19 0 180 New 4.4.1-A4 Zone 2
Roof 1,314 0.025 R-38 01 30 1 New 4.2.1-A21 Zone 2
FENESTRATION SURFACE DETAILS
ID Type Area LI-Factor SHGC2 Azm Status Glazing Type Location/Comments
1 Skylight 10.0 0.340 NFRC 0.33 NFRC 180 New Andersen Permashield Zone 1
2 Window 58.3 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low-E Vinyl Zone 1
3 Window 93.0 0.390 NFRC 0.37 NFRC 45 New Milgard Classic Low-E Vinyl Zone 1
4 Window 156.0 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low-E Vinyl Zone 1
5 Window 240.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low-E Vinyl Zone 1
6 Window 56.8 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low-E Vinyl Zone 2
7 Window 60.0 0.390 NFRC 0.37 NFRC 270 New Milgard Classic Low-E Vinyl Zone 2
8 Window 41.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low-E Vinyl Zone 2
9 Window 96.3 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low-E Vinyl Zone 2
10 Skylight 5.3 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low-E Vinyl Zone 2
(1) U-Factor Type: 116-A=Default Table from Standards, NFRC=Labeled Value
2 SHGC Type: 116-B=Default Table from Standards, NFRC=Labeled Value
EXTERIOR SHADING DETAILS
Window Ove hang Left Fin Right Fin
ID Exterior Shade Type SHGC H t Wd Len H t LExt REA Dist Len H t Dist Len H t
1 None 1.00
2 Bug Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
3 Bug Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
4 Bu Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
5 Bug Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
6 Roll-down Blind or Slats 0.13 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
7 Roll-down Blind or Slats 0.13
8 Roll-down Blind or Slats 0.13 4.5 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
9 Roll-down Blind or Slats 0.13 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0
10 None 1.00
Ener Pro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11 T17:25:05 ID: 13-006 Pae 6 of 20
CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF-1 R
Project Name Building Type 0 Single Family ❑Addition Alone Date
Hsu Residence ❑ Multi Family ❑Existing+Addition/Alteration 5/11/2013
BUILDING ZONE INFORMATION
Floor Area ft
System Name Zone Name New Existing_ Altered Removed Volume Year Built
HVAC 1 Zone 1 2,370 21,330
HVAC 2 Zone 2 1,319 11,871
Totals 1 3,689 0 01 0
HVAC SYSTEMS
System Name Qty. I Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
HVAC 1 1 Central Furnace 90%AFUE Split Air Conditioner 13.0 SEER Setback New
HVAC 2 1 Central Furnace 90%AFUE Split Air Conditioner 13.0 SEER Setback New
HVAC DISTRIBUTION
Duct Ducts
System Name Heating Cooling Duct Location R-Value Tested? Status
HVAC 1 Ducted Ducted Crawlspace 6.0 ❑ New
HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 6.0 ❑ New
WATER HEATING SYSTEMS
Ext.
Rated Tank Energy Standby Tank
Input Cap. Factor Loss or Insul. R-
S stem Name Qty. Type Distribution (Btu h) al or RE Pilot Value Status
A.0. SMITH FPS-75-230 1 Small Gas Kitchen Pipe Ins 75,000 75 0.52 n/a n/a New
MULTI-FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING
Hot Water Piping Length
E ff o
E
T c Pipe Pipe Insul.
Control Qt . HP w a- Plenum Outside Buried ¢ — System Name Length Diameter Thick.
❑ ❑
Ener Pro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11 T17:25:05 ID. 13-006 Pae 7 of 20
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF-'I R
Project Name Date
Hsu Residence 5/11/2013
NOTE:Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance(CF-1 R,CF-1 R-ADD,or CF-
1 R-ALT Form)shall supersede the items marked with an asterisk(*)below.This Mandatory Measures Summary shall be incorporated
into the permit documents,and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary.Submit all applicable sections of the MF-1 R
Form with plans.
Building Envelope Measures:
116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products(except field-fabricated windows) have a label listing the certified U-Factor,certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111(a).
117: Exterior doors and windows are weather-stripped;all joints and penetrations are caulked and sealed.
118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF-6R Form.
§118(1):The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of§118(1)when the
installation of a Cool Roof is specified on the CF-1 R Form.
*§1 50 a :Minimum R-19 insulation in wood-frame ceiling orequivalent 1-1-factor.
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R-Value.
*§1 50 c : Minimum R-13 insulation in wood-frame wall orequivalent 1-1-factor.
*§1 50 d :Minimum R-13 insulation in raised wood-frame floor orequivalent U-factor.
150(f):Air retarding wrap is tested, labeled,and installed according to ASTM E1677-95 2000 when specified on the CF-1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1):Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%;water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1A:Masonry or factory-built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1 B: Masonry or factory-built fireplaces have a combustion outside air intake,which is at least six square inches in area and is
equipped with a with a readily accessible,operable,and tight-fitting damper and or a combustion-air control device.
§150(e)2:Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket,when that indoor air is vented to the
outside of the building,are prohibited.
Space Conditioning,Water Heating and Plumbing System Measures:
§110-§113:HVAC equipment,water heaters,showerheads,faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5:Water heating recirculation loops serving multiple dwelling units and High-Rise residential occupancies meet the air release
valve,backflow prevention, pump isolation valve,and recirculation loop connection requirements of§113(c)5.
§115:Continuously burning pilot lights are prohibited for natural gas:fan-type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt),and pool and
spa heaters.
§150(h):Heating and/or cooling loads are calculated in accordance with ASHRAE,SMACNA or ACCA.
§150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§150(j)1 A:Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§150(j)1 B:Unfired storage tanks,such as storage tanks or backup tanks for solar water-heating system,or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R-value is indicated on the exterior of the
tank.
§150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non-recirculating systems,and entire length of
recirculating sections of hot water pipes are insulated per Standards Table 150-13.
§150(j)2:Cooling system piping(suction,chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems>15 psi, meets the requirements of Standards Table
123-A.
§150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture,equipment maintenance,and wind.
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
150(j)4:Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
EnergyPro 5.1 by EnergySoft User Number:6518 RunCode:2013-05-11 T17:25:05 ID:13-006 Page 8 of 20
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF-'I R
Project Name Date
Hsu Residence 5/11/2013
§150(m)1:All air-distribution system ducts and plenums installed,are sealed and insulated to meet the requirements of CMC Sections
601,602,603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space.Openings shall be sealed with mastic,tape or other duct-closure system that meets the
applicable requirements of UL 181, UL 181 A,or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch,the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed
sheet metal,duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D:Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7:Exhaust fans stems have back draft or automatic dampers.
§150(m)8:Gravity ventilating systems serving conditioned space have either automatic or readily accessible,manually operated
dampers.
§150(m)9: Insulation shall be protected from damage,including that due to sunlight, moisture,equipment maintenance,and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
§150(m)10:Flexible ducts cannot have porous inner cores.
§150(o):All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low-Rise Residential Buildings.Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a):Any pool or spa heating system shall be certified to have:a thermal efficiency that complies with the Appliance Efficiency
Regulations;an on-off switch mounted outside of the heater;a permanent weatherproof plate or card with operating instructions;and
shall not use electric resistance heating ora pilot light.
§114(b)1:Any pool or spa heating equipment shall be installed with at least 36"of pipe between filter and heater,or dedicated suction
and return lines,or built-up connections for future solar heating.
114(b)2:Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water,and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 :Residential pool systems orequipment meet the pump sizing,flow rate,piping,filters,and valve requirements of§150
Residential Lighting Measures:
§150(k)1:High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by§150(k)2.
150(k)3:The wattage of permanently installed luminaires shall be determined asspecified by§130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5:Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line-voltage socket or line-
voltage lamp holder;OR shall be rated to consume no more than five watts of power as determined by§130(d),and shall not contain a
medium screw-base socket.
150(k)6:Lighting integral to exhaust fans, in rooms other than kitchens,shall meet the applicable requirements of§150(k).
150(k)7:All switching devices and controls shall meet the requirements of§150(k)7.
§150(k)8:A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION:Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50%high efficacy requirement when:all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor,dimmer,energy management system(EMCS),or a multi-scene programmable control system;and all permanently installed
luminaries in garages,laundry rooms,closets greater than 70 square feet,and utility rooms are high efficacy and controlled by a
manual-on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.1 by EnergySoft User Number 6518 RunCode:2013-05-11T17:25:05 ID:13-006 Page 9 of 20
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF-1 R
Project Name Date
Hsu Residence 5/11/2013
§150(k)l0: Permanently installed luminaires in bathrooms,attached and detached garages,laundry rooms,closets and utility rooms
shall be high efficacy.
EXCEPTION 1:Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual-on
occupant sensor certified to comply with the applicable requirements of§119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual-on occupancy sensor.
§150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens,bathrooms,garages,laundry rooms,
closets,and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of§119,or by a manual-
on occupant sensor that complies with the applicable requirements of§119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with§150 k 11.
§150(k)l2:Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact(IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory;and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283;and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)l3:Luminaires providing outdoor lighting,including lighting for private patios in low-rise residential buildings with four or more
dwelling units,entrances,balconies,and porches,which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch,a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls:a photocontrol not having an override or bypass switch that disables the photocontrol;OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock;OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2:Outdoor
luminaires used to comply with Exceptionl to§150(k)l3 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3:Permanently installed
luminaires in or around swimming pool,water features,or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)l4:Internally illuminated address signs shall comply with Section 148;OR not contain a screw-base socket,and consume no
more than five watts of power as determined according to§130(d).
§150(k)l5:Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134,and 147.Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134,and 146.
§150(k)l6:Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoR User Number:6518 RunCode:2013-05-11T17:25:05 ID:13-006 Page 10 of 20
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name Date
Hsu Residence 5/11/2013
System Name Floor Area
HVAC 1 2,370
ENGINEERING CHECKS SYSTEM LOAD
Number of Systems 1 COIL COOLING PEAK COIL HTG.PEAK
Heating System CFM Sensible Latent CFM Sensible
Output per System 73,000 Total Room Loads 995 24,231 182 787 28,991
Total Output Btuh) 73,000 Return Vented Lighting 0
Output Btuh/ ft 30.8 Return Air Ducts 579 1,211
Cooling System Return Fan 0 0
Output per System 40,500 Ventilation 0 0 0 0 0
Total Output Btuh 40,500 Supply Fan 0 0
Total Output(Tons) 3.4 Supply Air Ducts 579 1,211
Total Output Btuh/s ft) 17.1
Total Output s ft/Ton 702.2 TOTAL SYSTEM LOAD 25,388 182 31,412
Air System
CFM per System 1,385 HVAC EQUIPMENT SELECTION
Airflow cfm 1,385 Sears N9MP1080F16'• 33,367 5,799 73,000
Airflow cfm/s ft 0.58
Airflow cfm/Ton) 410.4
Outside Air %) 0.0% Total Adjusted System Output 33,367 5,799 73,000
Outside Air cfm/s ft 0.00 (Adjusted for Peak Design conditions)
Note:values above given at ARI conditions TIME OF SYSTEM PEAK Aug 3 PM Jan 1 AM
HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak
28 OF 69 OF 69 OF 105 OF
j
Outside AirAr
—
0 cfm Supply Fan Heating Coil 104 OF
1,385 cfm -
t�
ROOD %,1"
69°F70 IF
.....
a
COOLING SYSTEM PSYCHROMETICS(Airstream Temperatures at Time of Cooling Peak)
86/67 IF 78/62 IF 78/62 OF 55/53 IF
i
Outside Air Ar
AL Supply Fan
0 cfm p y Cooling Coil 55/54 OF
1,385 cfm
40.5% ROOM
78/62 OF 78/62 OF
EnergyPro 5.1 by EnergySoft User Number:6518 RunCode:2013-05-11T17:25:05 ID:13-006 Page 11 of 20
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name Date
Hsu Residence 5/11/2013
System Name Floor Area
HVAC 2 1,319
ENGINEERING CHECKS SYSTEM LOAD
Number of Systems 1 COIL COOLING PEAK COIL HTG. PEAK
Heating System CFM Sensible Latent CFM Sensible
Output per System 44,000 Total Room Loads 284 7,010 679 382 14,275
Total Output(Btuh) 44,000 Return Vented Lighting 0
Output Btuh/s ft 33.4 Return Air Ducts 230 607
Cooling System Return Fan 0 0
Output per System 46,500 Ventilation 0 0 0 0 0
Total Output Btuh 46,500 Supply Fan 0 0
Total Output(Tons) 3.9 Supply Air Ducts 230 607
Total Output(Btuh/s ft) 35.3
Total Output s ft/Ton 340.4 TOTAL SYSTEM LOAD 1 7,4691 6791 15,490
Air System
CFM per System 1,720 HVAC EQUIPMENT SELECTION
Airflow cfm 1,720 Sears N9MP10501312** 37,638 7,345 44,000
Airflow cfm/s ft 1.30
Airflow cfm/Ton) 443.9
Outside Air(%) 0.0% Total Adjusted System Output 37,638 7,345 44,000
Outside Air cfm/s ft 0.00 (Adjusted for Peak Design conditions)
Note:values above given at ARI conditions TIME OF SYSTEM PEAK Aug 3 PM Jan 1 AM
HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak)
28 OF 70 IF 105 IF 105 IF
OMEN1
Outside Air
0 cfm Heating Coil Supply Fan o
105 F
1,720 cfm
ROOM >
70°F70°F
..r_.. _-.
E �
s
COOLING SYSTEM PSYCHROMETICS(Airstream Temperatures at Time of Cooling Peak)
86/67°F 78/62°F 55/54°F 55/54°F
0.Outside Air '— -
0 cfm Cooling Coil Supply Fan 55/54 OF
1,720 cfm l
40.9% _.._ROOM 3
78/62°F 78/62°F
4 ;,v . 4 —F-1--, d .4
EnergyPro 5.1 by EnergySoft User Number:6518 RunCode:2013-05-11 T17:25:05 /D:13-006 Page 12 of 20
ROOM LOAD SUMMARY
Project Name Date
Hsu Residence 5/11/2013
System Name Floor Area
HVAC 1 2,370
ROOM LOAD SUMMARY
ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK
Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible
Zone 1 Zone 1 1 995 24,231 182 995 24,231 182 787 28,991
PAGE TOTAL 995 24,231 182 787 28,991
TOTAL995 24,231 182 787 28,991
Total includes ventilation load for zonal systems.
Ener Pro 5.1 by EnerqySoft User Number:6518 RunCode:2013-05-11 T17:25:05 ID: 13-006 Pae 13 of 20
ROOM LOAD SUMMARY
Project Name Date
Hsu Residence 5/11/2013
System Name Floor Area
HVAC 2 1,319
ROOM LOAD SUMMARY
ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK
Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible
Zone 2 Zone 2 1 284 7,010 679 284 7,010 679 382 14,275
PAGE TOTAL 1 284 7,010 679 382 14,275
TOTAL 1 284 7,010 679 382 14,275
'Total includes ventilation load for zonal systems.
Ener Pro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11T17:25:05 ID: 13-006 Pae 14 of 20
ROOM HEATING PEAK LOADS
Project Name Date
Hsu Residence 5/11/2013
ROOM INFORMATION DESIGN CONDITIONS
Room Name Zone 1 Time of Peak Jan 1 AM
Floor Area 2,370.0 ft' Outdoor Dry Bulb Temperature 28 OF
Indoor Dry Bulb Temperature 70 OF
Conduction Area U-Value AT OF Btu/hr
R-38 Roof Attic 1,133.0 X 0.0250 X 42 = 1,190
Andersen Permashield 10.0 X 0.3400 X 42 = 143
R-21 Wall 1,641.8 X 0.0690 X 42 = 4,758
Wood Door 88.1 X 0.5000 X 42 = 1,850
Milgard Classic Low-E Vinyl 547.3 X 0.3900 X 42 = 8,965
R-19 Floor Crawlspace 2,370.0 X 0.0370 X 42 = 3,683
X X =
X X =
X X =
X X
X X
X X =
X X =
X X =
X X
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
Items shown with an asterisk(')denote conduction through an interior surface to another room Page Total 20.588
Infiltration:[ 1.00 X 1.077 X 2,370 X 9.00 X 0.522 /60] X 42 = 8,402
Schedule Air Sensible Area Ceiling Height ACH AT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM 28,991
EnergyPro 5.1 by EnergySoft User Number:6518 Run Code:2013-05-11T17:25:05 ID:13-006 Page 15 of 20
ROOM HEATING PEAK LOADS
Project Name Date
Hsu Residence 5/11/2013
ROOM INFORMATION DESIGN CONDITIONS
Room Name Zone 2 Time of Peak Jan 1 AM
Floor Area 1,319.0 f 2 Outdoor Dry Bulb Temperature 28 OF
Indoor Dry Bulb Temperature 70 OF
Conduction Area U-Value AT OF Btu/hr
R-21 Wall 1,320.9 X 0.0690 X 42 = 3,828
Milgard Classic Low-E Vinyl 259.4 X 0.3900 X 42 = 4,249
R-19 Floor Crawlspace 92.0 X 0.0370 X 42 = 143
R-38 Roof Attic 1,313.7 X 0.0250 X 42 = 1,379
X X =
X X
X X =
X X =
X X =
X X
X X =
X X
X X
X X
X X
X X
X X
X X
X X
X X =
X X
X X =
X X
X X =
X X
X X
X X
X X =
X X
X X =
X X
Items shown with an asterisk(')denote conduction through an interior surface to another room Page Total 9,599
Infiltration:[ 1.00 X 1.077 X 1,319 X 9.00 X 0.522 /60] X 42 = 4,676
Schedule Air Sensible Area Ceiling Height ACH AT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM 14,275
EnergyPro 5.1 by EnergySoft User Number:6518 RunCode:2013-05-11 T17:25:05 ID:13-006 Page 16 of.
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name Date
Hsu Residence 5/11/2013
ROOM INFORMATION DESIGN CONDITIONS
Room Name Zone 1 Outdoor Dry Bulb Temperature 86 OF
Floor Area 2,370.0 ft2 Outdoor Wet Bulb Temperature 67 OF
Indoor Dry Bulb Temperature 78 OF I Outdoor Daily Range: 30 OF
Opaque Surfaces Orientation Area U-Factor CLTD' Btu/hr
R-38 Roof Attic (S) 1,133.0 X 0.0250 X 55.0 = 1,558
R-21 Wall (S) 295.3 X 0.0690 X 18.0 = 367
Wood Door (S) 45.4 X 0.5000 X 22.0 = 499
R-21 Wall (NE) 631.5 X 0.0690 X 16.0 = 697
R-21 Wall (E) 574.0 X 0.0690 X 24.0 = 951
Wood Door (E) 42.7 X 0.5000 X 27.0 = 576
R-19 FloorCrawlspace 2,370.0 X 0.0370 X 4.0 = 351
R-21 Wall (N) 141.0 X 0.0690 X 11.0 = 107
X X =
Page Total 5,106
Items shown with an asterisk(')denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference(CLTD)
Shaded Unshaded
Fenestration Orientation Area GLF Area GLF Btu/hr
Skylight (S) 0.0 X 16.2 + 10.0 X 96.1 = 961
Front Windows (S) 58.3 X 17.5 + 0.0 X 33.7 = 1,019
Left Windows (NE) 0.0 X 17.5 + 93.0 X 36.3 = 3,379
Right Windows (E) 46.8 X 17.5 + 109.2 X 56.5 = 6,985
Window (N) 0.0 X 17.5 + 240.0 X 17.5 = 4,195
X + X -
X + X -
X + X -
X + X -
Page Total 1x,538
Internal Gain Btu/hr
Occupants 2.0 Occupants X 230 Btuh/occ. = L460
Equipment 1.0 Dwelling Unit X 1,200 Btu = 1,200
Infiltration: 1.077 X 0.73 X 146.75 X = 927
Air Sensible CFM ELA 4T
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 24,231
Latent Gain Btu/hr
2.0 Occupants X 200 Btuh/occ. 400
Occupants =
Infiltration: 4,830 X 0.73 X 146.75 X 0.00042 = -218
Air Sensible CFM ELA AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 182
Ener Pro 5.1 by EnerqvSoft User Number. 6518 RunCode:2013-05-11T17:25:05 ID:13-006 Pae 17 of 20
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name Date
Hsu Residence 1 5/11/2013
ROOM INFORMATION DESIGN CONDITIONS
Room Name Zone 2 Outdoor Dry Bulb Temperature 86 OF
Floor Area 1,319.0 ft2 Outdoor Wet Bulb Temperature 67 OF
Indoor Dry Bulb Temperature 78 OF I Outdoor Daily Range: 30 OF
Opaque Surfaces Orientation Area U-Factor CLTD' Btu/hr
R-21 Wall (S) 496.7 X 0.0690 X 6.0 = 206
R-21 Wall (M 174.0 X 0.0690 X 13.0 = 156
R-21 Wall (N) 512.5 X 0.0690 X 3.0 = 106
R-21 Wall (E) 137.7 X 0.0690 X 13.0 = 124
R-19 Floor Crawlspace 92.0 X 0.0370 X 4.0 = 14
R-38 Roof Attic (N) 1,313.7 X 0.0250 X 37.0 = 1,215
X X
X X =
X X
Page Total 1,820
Items shown with an asterisk(`)denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference(CLTD)
Shaded Unshaded
Fenestration Orientation Area GLF Area GLF Btu/hr
Window (S) 56.8 X 3.6 + 0.0 X 5.3 = 205
Window (M 0.0 X 3.6 + 60.0 X 10.5 = 630
Window (N) 0.0 X 3.6 + 41.0 X 3.6 = 148
Window (E) 28.9 X 3.6 + 67.4 X 10.5 = 812
Skylight (N) 0.0 X 15.6 + 5.3 X 67.6 = 358
X + X -
X + X =
X + X =
X + X -
Page Total 2,154
Internal Gain Btu/hr
Occupants 4.0 Occupants X 230 Btuh/occ. = 920
Equipment 1.0 Dwelling Unit X 1,600 Btu = 1,600
Infiltration: 1.077 X 0.73 X 81.67 X = 516
Air Sensible CFM ELA AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 7,010
Latent Gain Btu/hr
Occupants 4.0 Occupants X 20o Btuh/occ. = 800
Infiltration: 4,830 X 0.73 X 81.67 X 0.00042 = -121
Air Sensible CFM ELA AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 679
EnercyvPro 5.1 by Ener Soft User Number:6518 RunCode:2013-05-11 T17:25:05 ID: 13-006 Pae 18 of 20
ENERGY USE AND COST SUMMARY ECON-1
Project Name Date
Hsu Residence 5/11/2013
Rate: Electric Alameda H Fuel Type: Electricity
STANDARD PROPOSED MARGIN
Energy Peak Energy Peak Energy Peak
Use Demand Cost Use Demand Cost Use Demand Cost
(kWh) (kW) ($) (kWh) (kW) ($ (kWh) (kW) ($)
Jan 1 153 1 21 168 1 22 -15 0 -2-
Feb 108 5 16 107 1 16 1 4 0
Mar 83 5 14 78 1 13 4 3 0
Apr 142 6 20 92 4 14 50 2 5
May 92 9 14 35 4 9 56 5 6
Jun 298 11 36 95 6 15 203 5 21
Jul 346 9 41 120 6 17 226 3 24
Aug416 11 50 165 7 22 251 4 28
Sep 237 12 29 69 7 12 167 6 17
Oct 114 8 17 40 3 9 74 5 8
Nov 96 3 15 101 1 15 -5 1 -1
Dec 153 1 21 164 2 22 -11 0 -1
Year 2,237 12 292 1,234 7 187 1,003 5 105
CO2 1,801 lbs/yr 994 lbs/yr 807 Ibsl r
Rate: Gas PG&E P Fuel T e: Natural Gas
STANDARD PROPOSED MARGIN
Energy Peak Energy Peak Energy Peak
Use Demand Cost Use Demand Cost Use Demand Cost
(therms) kBtu/hr) ($ (therms) (kBtu/hr) ($) (therms) (kBtu/hr) $
Jan 126 105 171 124 97 168 2 8 3
Feb 80 90 103 84 84 109 -4 6 -6
Mar 62 86 78 66 81 83 -3 5 -5
Apr 51 76 64 54 71 68 -3 4 -4
May 25 63 34 28 58 37 -2 4 -3
Jun 22 27 29 24 38 32 -2 -11 -4
Jul 22 6 29 24 6 32 -2 0 -4
Aua 22 6 28 24 6 32 -2 0 -3
Sep 21 6 27 23 9 31 -2 -3 -3
Oct 29 67 40 31 62 43 -2 5 -3
Nov 79 92 103 80 86 103 -1 6 -1-
Dec 125 107 170 121 99 164 4 8 6
Year 664 107 875 683 99 902 -19 8 -27-
0O2 7,771 lbs/yr 7,993 lbs/yr -222 lbs/yr
Annual Totals Energy Demand Cost Cost/s ft Virtual Rate
Electricity 1,234 kWh 7 kW $ 187 $ 0.05/S f3 $ 0.15 /kWh
Natural Gas 683 therms 99 kBtu/hr $ 902 $ 0.24/s ft $ 1.32 /therm
Total $ 1,089 $ 0.30/sgft
Avoided CO2 Emissions: 586 lbs/yr
EnergyPro 5.1 by EnergySoft User Number:6518 RunCode:2013-05-11T17:25:0 ID: 13-006 Page 19 of 20
s {
UTILITY INCENTIVE WORKSHEET UTIL-1 R
Project Name Date
Hsu Residence 5/11/2013
•. ANNUAL TDV ENERGY USE(kBtu/s ft- r) PERCENT BELOW TITLE 24
ENERGY COMPONENT Standard ProDosed Mar in %Better than
Space Heating 17.00 16.60 0.40 Mar in Standard Title 24'
Space Cooling 9.61 3.17 6.44 7.17 / 42.21 = 17.0%
Heat Rejection 0.00 0.00 0.00 Cool'n Standard
Indoor Fans 4.90 3.43 1.47 7.91 / 14.51 = 54.5
Domestic Hot Water 10.71 11.85 -1.14 Incentive Eligibility Yes No
Pumps 0.00 0.00 0.00 Owner Incentive (>=15%) m ❑
NSHP Incentive (>=30%) ❑ m
TOTALS: 42.21 35.04 7.17 Conditioned Floor Area= 3,689.0 ft2
Number of Bedrooms = 4
• 72pm
ANNUAL SITE ENERGY USE
Avera -5pm Standard Pro osed Mar in Single Orientation
Peak d kW 7.63.s 3.7
EStandard Proposed Margin
ENERGY COMPONENT
Electricity Natural Gas Electricity Natural Gas Electricity Natural Gas
kWh therms kWh therms kWh therms
Space Heating 0.00 397.96 0.00 388.60 0.00 9.36
Space Cooling 1,200.01 0.00 355.96 0.00 844.05 0.00
Heat Rejection 0.00 0.00 0.00 0.00 0.00 0.00
Indoor Fans 1,037.05 0.00 878.39 0.00 158.66 0.00
Domestic Hot Water 0.00 266.27 0.00 294.56 0.00 -28.29
Pumps 0.00 0.00 0.00 0.00 0.00 0.00
TOTALS: 2,237.06 664.23 1,234.35 683.16 1,002.71 -18.93
POTENTIAL OWNER INCENTIVE CALCULATION
Potential incentives indicated %Better than Title-24' Incentive Savings
on this report are available from sten 2) Rate
� from Ste 3 Subtotal
�only through the California Electricity (kWh) 17.0/ o.4s X1 1,002.71 = $491
Advanced Homes Program for $/kWh kWh
new construction and are Electricity (kW) 17.0% 85 x
NOT GUARANTEED. Projects
$/kW kW
must meet all other program
requirements to qualify. Natural Gas 17.0/ 1.s5 x
Potential incentives are $/therm therm
subject to program limitations Base Incentive = $805
Pacific Gas and Energy Star Incentive n/a x 10%
1; Electric Company
Green Home Incentive n/a x 10%
SOUiHMN'CALIFORNIA
EI SN Compact Home Incentive n/a x 15%
Photovoltaic Incentive $85 x
C DC Rating kW
A SernpraEnergy ututy NSHP
Alf
ThacaliforniaTotal = $s75
advanced humes
A sempra F:nerpy mnity_ '%Better than in this equation is limited to 45
Ener Pro 5.1.3.by EnergySoft User Number:6518 RunCode:2013-05-11 T17:25:05 ID:13-006 Page 20 of 20