Loading...
06030142TY OF-CUPERTINO,k O ITR�I& R INF<)RMATIQIY -- 5uaDlnc prvlsroN PERNIIT 1 ING ADDRESS: F22189 KELLY GORDON DEVELOPMENT "0'06030142 HAMMOND WAY R'S NAME: A PERMITLSUEDATE KELLY GORDON DEVELOPMENT C RP12241 SARATOGA - 06 Eo SANITARY NO. CONTROL NO. (408)87.3-8774 ARCHIIECUEI9GINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB O LICENSED CONTRACTOR'S DECLARATION Job Description p Ined muter povismus of Chapter 9 Mommaming thereby aal i amka 1 hf(Irm N wI.Secdon70110)of Dlvidon3o(dk Buaneaand PmfeaiomC�e andinyliceweis nrallrmceanderc 310i�i"( SFDWL-ONE STORY 4,237'/GARAGE 700' Ueeac s LIC DalenConlrmMf ARCHITECT'S DECLARATION I understand my plane mail he wed as public accord, Licaued Professional OWNER -BUILDER DECLARATION 1 derehy SIR. that 1 am exempt from the Contraao', Lieen a Law for Ade rollowinp moon, (section IM 1.5, Business and Profession Cade: Any City car CWnly n $947751 which requires a permit m conslntaL alfa, impat demWleh, or repair my structure prior m its issuance, also requires the applicant for Such permit to file a signed 3utamem Coruscate, laamo iaw(Chspta 9 Sq. Ft. Floor Area Valuation Nal he Is licensed pursuant M the provision of the Mcartmeneing WIN Section 7008) of Division 3 of the Busimest and Professions Code) or that M is tempt Ummfmm an the but, fm the alleged , pdan. Any violation of r Occupancy Type Seutlan 7071.5 by any applicant far a permit subjects the applicants M a av11 Penury of not mom dun 0w hundred dollars ($700). ❑ I,uowneraf me pmpary, car my employou with mllnu Heir akcmmpertadon, Required Inspections W Id duwares. and the an Boehm ls mol Mtandnd e, a@rtd Cut he Cmc and Profnssiom Code: The Conu3cmr, License, law does tut apply m an awns o1 Pr apply S property, who builds wimpove3lde k andwhodoessued warthMuelfmlhrougd his own employees, provided dw Sued ImPmvemants art notinunded oroRe ed far ale. IS however, Us building or improvement i,mld whhin ane year ofcamldmim. Ne owner - builder MO have the burden of proving dist he did Iml dtim Or improve far Purpose of ale.), ❑ 1. as Owner of Uta pmperty, am eaclwivelY Contributing with [!Caused anuamn m wnmuat the Cade:) The (Sec. 7044. Business and Pmfcseproperty coreon, and, who Wi es ft . red tewt law don not apply m an owner of pmpertY who bulla, w not b an W the who far sued Projects, with aeanuautmp) IicatadPrnnm M IW Unaranors rs, Lacer 0 14m law. ❑lam uempt under Sec cc Gale T f0 WORKERS COMPENSATIONOECI ATION �.g] I burtby atfirm underpevalty o(pajuryane of dta fallwing declaalianl i ry Ihaveand will mainuina Certilicata ofConemmtal(-Insert fa WartdsComPen- gJ [[f��j sedan• as provided fm by Section 7700 of the labor Coda• for dta performance Of the wad for which this permit is ivun. ❑ 1 haw and will maintain Waders Compensation Insurgence, an regWacd by Section . 77Mof dta LaWr Cattle, for dta performance of the Come for which this permit is issued. ' My Worker, a nZIden lna amnia and Polity, tµutu,.beerrrsac: 4 C Caller. g, tN.s.r Policy Na.:17 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (ndes he. neednotW completed Edo Permit 1,(mane hundred dollars(5100) or leu) I cud(y Out M the pafwo-SC Of dm vat for which this Permit IS issued, I wall wt employ any person in my manners an m became subject to da: Workers' Compensation I.. of Califamll Data Applicant NOTICE TO APPLICANT: If. after m,king oils Cenikam of E creption. you should or, Compensation provisions the labor C0,1%you Cow became Subject he doesWorttiwW fowid comply with Such prevision or Nu Permit shill W damCd rerotrd. M i CONSTRUCTION LENDINGAGENCY 1 hereby due Iden ls counteraction lending for the pa(armance W corm .) wad fm Which INa permit U wad (Sec. 7077. CIV. CJ sed(S Lender, Nona Le lenders Address i i aatily Nat I have read this applic d. W sou due dre aWw kfomudun Is ' correct I agree m comply with all city and county ordinances and auk laws relating M building Construction, and hereby authorim aprtxn[20w or Nis city to enter upon the ' a WYC mentioned Property far inspection purpaes. (We) agree 10 ave, indemnify and keep hamlt. the City of GuKniOo,gaol i IiabilitW,)ndgmenu.caau and e3 which may In my way 1CCUC against said City nequcrce of the ran go ta_K-.,. LICANT N AND WILL COMPLY WITH ALL O POINT Issued by: Date CE)Re-roofsmureafA Type of Roof canS MATERIALS DISCLOSURE Will applicant Or future building aaupanlaare moodic da —mawialnted ;e.it by the Cpnim Munkipa Cade. Chapter 9.11, and the Health and Safely e Sector, 15572(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yue oWill If a roof is installed without first obtaining an inspection, I agree to remove the applicantor run= building Occupant use equipment ordevias which harardnus air Contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. Diwicl7 ❑Yes No T have read the heraNannweria Jjeequimtnems under Chaptard95of the Cali(a- nkHnith&Safcp•CaM. SeNa 15507 T331 and1T531. l uodcmm�d thaif de, building does ma Currently hpw erne that Ilii i my rc,po fiM1iliry M rMYfy the eCo pent of me requirtmcnu t fro bu ,pia nano acadgakaroa any. Signature of Applicant Date ( D All roof coverings to be Class "B" or better Owoer or apham "rib 'Data* CERTIFICATE OF Telephone Compliance Method (Package or Computer) Climate Zone I of 3) CF -IR Building Permit n Plan Check / Dam Field Chwk / Dam GENERAL INFORMATION Total Conditioned Floor Area ft' Average Ceiling Height: --,I— It Conditioned Slab Floor Area �ft Building Type: tgingle Family _ Addition (check one or more) _ Multi -Family . _ Existing -Plus -Addition Front Orientation: \J North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one) Number of Stories % . Number of Dwelling /Raised Units: Floor Construction Type: Sl Floor (circle ane 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 Type wd=wood Insulation Insulation stl=steel R -Value R -Value Total R- Assembly Location/Comments Value' � U -Factor' (attic, garage, typical, etc.) Wall 1 Wall FENESTRATION Roof 1 ✓ • 3 Roof Floor Srior Floor \\ Fenestration Onen Slab Ed e Exterior 'For prescrintive compliance . Total R -Value and Assembly U -Factor are not required for a wood -framed wall that meets cavity R -value insulation requirements for the Prescriptive Package—., . SHGC Shading Art. Fins FENESTRATION 'i • 3 Front Srior Devices Fenestration Onen Area Fenestration Fenestration Exterior Overhangs/ t� _ #/T e/Pos. tation ft' U -Factor SHGC Shading Art. Fins Front 'i • 3 Front Left L✓ t� _ �t Left Rear `t Rear W Pi t Ri ht �t \t 5 li ht S li ht Compliance Forms August 2001 A-2 TIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 3) CF -1R n LJ HVAC SYSTEMS Mira m Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Heat Pump Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration _._ _.-, 1A to~ucnct rdnote ntfie nrc) R -Value Tvne (snlit or mcknacl Cooling Equipment Mira m Duct Heat Pump Type (air conditioner, Efficiency Location Duct Thermostat Configuration hat pump a ap cooling) (SEER) (attic, etc.) R -Value Tyne (split or package) t \\ SEALED DUCTS and TXVs (or Alternative Measures)( A v -C. ❑ Sealed Ducts (all climate zones) TAT y<C Z (Installer testing and certification and HERS tater field verification required) ❑ TXVs, readily accessible (climate zones 2 and g-15 only) (Installer testing and certification and HERS 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) MW ❑ 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 TyRe Type ins stem orBtu/hr allana Efficient Loss % R -Value 1. For small gas storage water heaters (rated inputs of las than or equal to 75,000 Btuft), electric resistance, and heat pump water heaters, list Encrgy Factor. For large gas storage wow beaters (rated input of greater than 75,000 Btu/hr), 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 200IResidential Manual). Package C: thermal mass (thermal mass type, covering, thickness,' and description). • Compliance Forms August 2001 A-3 E 0 • CLRTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF -1R 1\. AAA % t.A, A .. -,,-e,.L.4, I \2\ 1,1 0 (o COMPLLANCE 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 Names C \7n\J't \ \ Name: Title/Finin: — &tIe? � tle/Firm: Address: –i.NN LA� s: ,�, Telephone: i4ob — Wo —i7l rl Telephone: Lie. M 3 (signature) (date) Enforcement Agency flame: title: Agency: Telephone: (signature / stamp) (date) Compliance Forms August 2001 A-4 INSTALLATION CERTIFICATE (Page 1 of 13) CF -GR 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: Heating Equipment Equip 4 o Efficiency Duct Duct or Heating Hcmmp Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Load Capacity Cooling Equipment Equip, CEC Certified Compressor p of Efficiency Duct Cooling Cooling Type (pkg. Unit Mfr Name and Identical (SEER etc.)' Location Duct Load Capacity heat pump) Model Nmb systems 2CF IR I el (ani etc.) R• 1 e (Bwfhr) (Bm/hr) _ 1. > reads greater than or equal to. 1, 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 -I R) submitted for compliance with the Enert<v Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution If Recir- p of Rated' Tank EM External Heater CEC Certified Mfr Type (Std, culation, Identical input (kW Volume ciency' Standby' Insulation __. . - .... n. -_ __ -, d ,-..11--d /C or ,nee to/\ P--1—, 2 Portman gas storage (rated input of less than or equal to 75,000 Bet/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency. Standby Loss and Rnted 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 O.S8. 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 specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulalions or Part 6), where applicable. 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 L n U E Dec 19 06 10:36a Select Wind o ws Y 6509410747 p.2 9 we Fj un :o CC CCCC��� �zzz r CCCCaC MAMZZ21§; =_r0'� F � CjjC n' AA AP CO112-1 -�n0 rr AA A©Co u.� �nC'C)rrr (finmr ,/�yyN C z CCO�C'7n -Zz o 0o111 7c�00 RI N� iTl �� A NNNpp C z C z CCS z� OCA 0 m C'. 7. T 00 00 fil i1DDD O frjnT1 A Rr1'f77 A erjni1 A �nj y J� M 0 Z S omr Qwomr gAA z'z IO z z AA Dg fn rig A 0 0 o r O r 2 7C�1{ tt' o rqq o r x .i �-'. m �A m m A A S n N i I n = 7 m A m A m A S t7 O 5 c) arc G) D = '�- O• NO =g 4�» � xy � i a oc r $ Dn `� � 0 o n 0 to �. o O N :01 NDN N'N'N IN N N N N N N annnnaaaaaaaaaa A A A A A A A A A A A A A A _ m I ED � C A WCt�,1 C W OW W OW W Ot,J i 0 0 0W 0 I 0 0 0 y py1 O O O { OW� ((O�� O ( O(JJ O ot�1 0000c, U J04: m C d A A A twit -0W. d W tWT I� W OWI 0) N VI N W N lWT fT T Of W Ga0 OAO O O t8 N r d wiw m M A N 1 0 N V . t: 00000000000000000000000ojo N t0 s m .0 IV O+ iJ O YJ �1 Cn IJ N N A N 0I 70 N N I.� NIS N .L �o A T t A V. N tD + Oo O N+ I W v M I I 0 00 0 0 0 0 0 0 0 0 0 0 IOI�tt 0 0 C 0 0 0N tN0 N W N W O V N ONI tp W0W N 1A1�� O W0W N W0W Of t0� N t0� Of n N N tA.l I D O z z Y '� 0 d � i. IP g 2 D tmn e N g� 4 g o o (n o N G gg 00 o & t t 9 we Fj un :o