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11120106 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 850 CANDLEWOOD DR CONTRACTOR:AAA FURNACE& PERMIT NO: 11120106 AIR CONDITIONING OWNER'S NAME: 1CANNAN DEVARAJAN 1712 STONE AVE DATE ISSUED: 12/20/2011 OWNER'S PHONE: 4087251821 SAN JOSE, CA 95125 PHONE NO:(408)2934717 ❑ LICENSED CONTRACTOR'S DECLARATION ARATION r r r G BUILDING PERMIT'INFO: BLDG ELECT PLUMB License Class _1() C' Li,.H 7/GD D?I /� r r r Contractor NM�u tt Dale 0--10" V MF-CII RESIDENTIAL. COMMERCIAL 1 hereby affirm that 1 nm licensed under the provisions of Chapter 9 JOB DESCRIPTION: REPLACE DUCT WORK FOR SFDWL (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 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:$4917 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:36919028.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and stale that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST 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 comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. N'-" RE-ROOFS: Signature Date- All roofs shall be inspected prior to any roofing material being installed. If a roof is T o installed without fust obtaining an inspection,I agree to remove all new materials for inspection. 130WNER•BUII,DFR DECLARATION 1 hereby affirm that 1 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 I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and die structure is not intended or offered f'or sale(Sce.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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 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: l Icalth&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Arco Air Quality Management District 1 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 Heulth&Safety Code,Serif 25505,255 ,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date• Z permit is issued. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws ofCalifomia. If,after making this certificate of exemption,I CONSTRUC'T'ION 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 t0 Save ARCIII'1'ECT'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 ofthis permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18, Signature Date Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: ',SD CA4kI r PERMIT# I1 jJ OWNER'S NAME: 4 AA AV PHONE# GENERAL CONTRACTOR: A BUSINESS LICENSE# 6%7/ ADDRESS: M-4 CITY/ZIPCODE: s /Z *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 SUBCONTRAC ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. ---- 1 am not using any subcontractors: Signator Date Please check applicable subcontr tors 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 Owner/Contractor Signature Date GENERAL PERMIT APPLICATION ��j COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION �� CCl/ �� EP 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408)777-3228FAX(408) 777-3333 •6uilding(Etcupeino oraCUPERTINO n ❑PLUMBING E-NIECHANICAL ELECTRICAL C-1 MISCELLANEOUS111 2 v I p PROIEC7 ADDRESS(J.JO Cah 1Iewood n APNa ��• OWNER NAME `[( 'V'1 u`PHOD E-MAIL n � aY• � -I a STREET ADDRESS SO COYNdlewoovi CU T'TE,ZIP - G. �4 9s'asi - 93--G-7 -7i CONTACT NAME- 0 P 0 E-MA.L r Zc'� ii 3 ':2 STREET ADDRESS ` ❑ OWNER ❑ OWNCR-n VILDER ❑ OWNERACENT na' OD RACTOR ❑CONTRACTOR AGENT Cl ARCHTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACT()?,NAME LICENSE NUMBER U SE TYP BUS.UC A �f} rn/a 76P 20 .eau STREETADDREES 1 -7 �L S c ' /�(J_ Y CK�TATE.ZIP CA ARCt'BTECT/ENGN'EER NAME- /LICENSE N(IIiOER •'( BUS.LIC q COINPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE.ZIP PHONE USE OF SFD Or Duplex ❑ Nlulti-FalIIily PROIECL IN WE-DLAND PROM=IN STRUcrURE: ❑ Co=erclal URBAN BvrERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ No DRSCRBMON DF wORX 1 Z lofta TOTAL VALUATION: (4 q ' /•a y AECEP(FytSBY�,,,yt°' .,( tt,,��ec'.P 'Zrtrt'rs f V ti} JF '9`b' .>d-r ztb F 'a�rri:r By my:F :7.',0l w,I certify to each of a follow' am the property owner or authorized agent to act on the property owner's behalf. I have read this applicaformation T ha e rovi d is rr L have read the Description ofWorkand verify it is accurate. Iagreeto complywithall applicablelocal ordinanaws rola' g to bu ing n. I authorize representatives of Cupertino m enter the above-id dfed propertyfar inspection purposes. SignatuVAgenC Date: i NTALIN TION REQUIRED �r -';;sc— -.ra.•�_ _- AN 7 NfFPiV!scApp_2011.doc revised 03/16/11 C;"Ir)21'—t 1 00 Lr Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations age 4 of 5) Proj c Name: Climate Zone# #of Stories e 0 Lr C) ,HVAC SYSTEMS- HEATING \ Minimum B Duct or Piping Configuration J Heating Equipment Efficiency Distrl uuon Insulation Thermostat (Central,Split, \ Type and Ca aci "' (AFUE or HSPF) Type and Location' R-Value Type Space,Package or H dronic) (L. (� n Indicate Heating Tvpe(Central Furnace. Wall Furnace, Heat pump, Boiler. Electric Resistance. etc.) Electric resistance heating is allowed only in Component Package C, or except where electric heating is.supplemental(i.e., if total capacity =;3 < ?KW or 7,000 Budhr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See§151(b)3 exception. r 3.Refer to the HERS Ver f cation section on Page 4 of the CF-IR-ALT Form Jbr additional requirements and check applicable boxes. Indicate Type or Location(Ducts, Hvdronic in Floor, Radiators,etc.) :HVAC SYSTEMS-COOLING Minimum "•"" =�? Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central,Split, T e and Capacity a :cit 1' COP) Type and Location R-Value Type Spa e,Packa a or H dronic) 9 I. Indicate Cooling Type(A/C..Heat pump. Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF-1 R-.4LT Form far additional requirements and check applicable boxes. 3. indicate Tvpe or Location (Ducts, H dronic in Floor. Radiators, etc.) WATER HEATING List water heaters and boilers for both domestic hot water(DHW)heaters and hydropic space heating. Individual chvelling DHW heaters must be gas or propane fired and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s)and on a1/underground hot water pipes is required in all component packages in all climate:ones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' (Standard,Recirculating)'- System Capacity(gal) Thermal Efficient R-Value I. Indicate Tvpe(Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the re uirements of 150 ). SPECIAL FEATURES The enforcement agency should pav special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. NEW-ROOF ASSEMBLY-Radiant Barrier The radiant barrier re uirementof I51(f)2 does nota I to roof alterations. Slab Edge(Perimeter)Insulation ❑ YES ❑ NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation ❑ YES ❑ NO YES:Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Cl YES ❑ NO YES: In Climate Zones I,2, 11, 13, 14& 16,R-8 insulation is required; in Climate Zones 12& 15,R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach. CANJk wood Ur Cu jyn� G4 9(alY Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 200f CITY OF CUPERTINO 7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36919028 . 00 DATE ISSUED. . . . . . . : 12/20/2011 RECEIPT #. . . . . . . . . : BS000015595 REFERENCE ID # . . . : 11120106 SITE ADDRESS . . . . . : 850 CANDLEWOOD DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : KANNAN DEVARAJAN ADDRESS . . . . . . . . . . : 850 CANDLEWOOD DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4653 RECEIVED FROM . . . . : AAA FURNACE CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050 COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING ADDRESS . . . . . . . . . . : 1712 STONE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE . . . . . . . . : (408) 293-4717 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- -ADMIN HOURS 1 . 00 41 . 00 0 . 00 41 . 00 0 . 00 1BCBSC VALUATION 4, 917 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICO VALUATION 4 , 917 . 00 1 . 03 0 . 00 1 . 03 0 . 00 1BSEISMICR VALUATION 4 , 917 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1MPERMITFE FLAT RATE 1 . 00 44 . 00 0 . 00 44 . 00 0 . 00 1MRRAA UNITS 1 . 00 65 . 00 0 . 00 65 . 00. 0 . 00 1TRAVDOC FLAT RATE 1 . 00 44 . 00 0 . 00 44 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 196 .53 0 . 00 196 .53 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 196 . 53 39549 --------------- TOTAL RECEIPT 196 . 53 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 850 candlewood dr. DATE: 12/20/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: $4,917 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD Or Duplex PENTAMATION FURN/AC USE: PERMIT TYPE: WORK remove and replace duct work for sfd. SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Heating System 1MRRAA 1 # $65 TOTALS: j $65.00 i Mech.Plan Check 0.0 Ins $0.00 Phuub.Plan Cheek 1SIea.I'hne Check° Mech.Permit Fee: I MPERMIT Plundr. Pemat Fee: Flee. Perna!Fec: Other Mech.Insp. 0.0 Ins $44.00 Orho Phon"",bi..,p. Ej (Vier[Jer.. hlep, Mach.Imp. Fee: Plumb. lnxp,her: Elec.InV,. Feer NOTE: This estimate does not include fees due to other Departments(Le. Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on the prefindna Information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711,11) FEE QTY/FEE MISC ITEMS fk'rn Check f''<:e: Supp/.1C Fee PME Plan Check: $0.00 Permit Fere: Snpp/. hap F'ee PME Unit Fee: $65.00 PME Permit Fee: $44.00 Consirnrrtion Tax: Administrative Fee: IADMIN $41.00 Work Without Permit? Yes O No $0.00 . AJrclnced Y/rtnnin, Fres: �y, Q� Travel Documentation Fee: 1TRAVDOC $44.00 / Shone Motion Fee: IBSEISMICR $0.50 Select an AdministrativeItem Bld Sg 'tds Commission Fee: IBCBSC SUBTOTALS: $195.50 $0.00 TOTAL FEE: $195.50 Revised: 12/04/2011