S 0451 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPF,RTINO Bull ING-ELECTRICAL PERMIT NO.
BUILDING DIVISION APPLICATIONAPERMIT rING PROJECT
CT MECHANICAL
S 0451
BUILDING 1'ROIF.LT IDP:N1'IF'ICATroN
BUILDING ADDRESS. SANIITRY NO. APPLICATION SUBMI'1'1'AL VATI:
OwNER:S NAME: PHONE: MRACIUR'S NAME: 1 LIC N
a rE1N I c— E z NIC COM OI.
ARCIIITECI'IENGINRER: LIC NO: ADDRESS: ❑
!�t) urs 1 r`s gff : I
CONTACT. PBONE: ', BUILDING PERMIT INFO
C(a N ,7 7R,qq ❑ Consultant Fees Paid by Applicant(initial) BLDG Cl' .PLUMB MECH
LICENSED CONI KACTOR'S DECLARATION QTY ELECTRIC PERMIT FEE JOB DESCRIPTION
1 herchy^(firm tha 1 ant Iketued under pmw Hinn,of Chapter 9(utm..cramp
Q NsZ wnh S,,I is 01110),f Division 3nf theB.Iinesx and Prufesainm Code.lmd my license is RFSIUPNTIAI'
PERMIT ISSUANCH
��� in full farccamccI �' ❑SI'DWI. I'ICIIIiN REMODEL
QUU Date
C ].I,.It _ APPLIANCES-RESIDENTIAL ❑ADDITION PLUMBING RE-PIPIT
!-Z W Dam Cumractor
`�a a' ARCHITECTS DECIA A' ON ❑h1UCT1-UNIT ❑STkUCTURAL
~ Z 1 unJcnunJ my plans shall he used a,public rcavJs PANELS MODIFICATION
OZ�� UPT02g1AMPS ❑IN'TERIOR El CHIMNEY REPAIR
F14t:lal Licence Pmtcsi..nal 201-10Y)AMPS IMI'ROVEMIiN'1' DSWIMMING POOLS
C C Q 1 hereby affirm that II amlLDR esemp Efrom the CHnlmc]ON
tor's License Law for the OVER IM)AMPS C]RAI 11 REMODIiI/RBI'AIR C1UIiM01.1'TION
x6�iU Lillowing mason.(Section ID?1.5.Ratio css and Prnfcs,Tort Cttde:Any city or ttamYSIGNS ELECTRICAL ❑OTlilift
1+13 c,y which squirts a North a mmvueL alter,anno ve,demolish,or repair any bactue
[-�Og Priort t.issuance.also h ppli< tf Or )t fl 'g I:t mmenMIRIRCULUMISC.
Cithat. licensedpursuantt th p inion fth C I I ; L L' ICnaper9COMMERCIAL:
LLL.�O (colnmcmm�g wnh Schon 9fXX))nlUvl,inn3of the l{us'm end Pmfusnn,❑de)mIER OR POLE INS'T.
a 6 C that he is exempt therefrom and the hasis for the alleged exemption.Any vinlmialt of ❑NEW BhDGIADDITIUN ❑DIiM01.1'I ION
moa- Section 7031.5 by licanlfor ape man subject,thea,licard Ina civil persalt fVICIiSy any app P Y° ❑TENANT FOOD S17RVICE
not mom than five hundred dollars($51XB. IMPROVEMENT
Las owner of tnc property.or mY cmPluYces wish wvgcs as their tele w+mpcnsmian, POOL ELECTRICwill do the work.and the%tracture is not intended or offered for sale(See.]Oa4,Business ❑Ol'I{LR
S W U CI{IS-FE TURESand P,,y litm Gae:The CnnvacuKs Lanese law—o,sat apply m un owner orproperly who build,or impntvoa thereon,and whoJoea such work himself or through
M1is own enspinytts,pmvideJ thin techimpnrvement,xrt not intended nr otlJrcd forDENTIAI.IiLECTR SV 14.sale.IL however.the buildingor intpmvement issold within one yeaorcomplaon.the ®ser Wilder will have the burden ofproving that he did nm WtM or improve for put- �8- 3 •`�I�
owner R[4
poo fwle)
FI I cr of the Propertylure lcontracting w th Incomsed contract.i-
construct thproject a 7044,Business and 11 T.:i CtJ.)Fire Contractor s h1-
.I7 ur UrtH ilNO
—111
come Law J napply
otit tfp pny who InIdN or art
ore QTY. PLUMBING PERMIT f"
whtmct'ft)rwchprojcct4Witi )Dlract (')]iCCnedPuate,othC(,,ilmloes
License law. PERMIT ISSUANCE
❑I am enetnpt ander Sec. .B&1'C for this rtav+n
ALTER-DRAIN&VENT-WATER ORA) VALUATION
OwnerDate
• WORKER'S COMPENSATION UECLA RATION BACK FLOW PROTECT.DEVICE ISI Al
I bcrchy uffnu made,a,an ty al'paU.,ur ul the tidlowmg dcdmar a,.
-1 I hoc and villuminlam a CenilwancofConw.cosel-invare for Wnrkor'sCi Olson- DRAINS-FLOOR.ROOK AREA,CON U. STORIES 'I'Y PH CONSI OCI'I ON
satins,as provided for by Section 9710 of the laMn Code.for the porbmnam a of the
work for which this permil is issued T I FI%TURES-E'ER TRAP
❑ I have and will maintain Workers Compensation I^aumnce.as mquirtd by Section
37M of the Lather Cade,for the prchadiance°f the work for which this pemtil is issue. GAS-EA.Sys'IBM-I INC.4 OUTLETS OCC.GROUP PN
My Worker'.Cormlicsation Insurance carrier and Policy number are: GAS-EA.SVS'1'IiM-OVF,R4(IiA)
Carrier: Policy No,:
CIiRLIFICATFOF[KEMFTIONFROM WORKERS' CREASOINDUSI'RI,WASTIi IN'I'IiRCIiPI'
COMPENSATION INSURANCE BUILDING DIVISION FOR I�lit!'
IThis section need not hecomplcted ifine permit is for one hundred dollars($100) GREASETRAP
FLANGE{ECK FEE
or less.)
Ioyany,mr, he anyonncer nfthe wo . cwobjectch to heWoksorm,is er,'C.lshall SIiWER-SANITARY-STORM ITA,2lX1 FT.
not employ unY Pen9{i^any mmnncrs a- Men esubjecunthe Worken'Cnmpem ENERGY PEE
Z onion lawso (f in k WATERHEATIIRW/VENTELECfR GRADINGFEE
zQ Applicant
N NOTICE T IT l': or 1 a i is Cvc iR,.m cf Exemption,you should WATER SYS'IEMOT BEATING SOILS FEE
F-' ? become subject m We .cls Compcnsarnn pmv.inns of the Labor Calc,you must
WfnMwith camp ith tech pmvi,ions or this permit shall he deemed revoked. WATER SERVICE
Z' CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL FLAIR. SQ.FI'.
PAID
`UZ Ihereh rrrnt that is.......motion lending r,oacy bar the performance of Dae RecciPtx
U O
Q me wmk for wnielt his remnl is i,xnal(See?nn,Co,.G)
TOTAL
F Lender',Nano TOTAL:
( } L IsnJcr'1 AJJsss BUILDING FEG
1 eenify that 1 have rtaJ mire application and stem that the above information n
Fr IA correct,l agree w comply wish all city and county ordinances and state laws reading to QTY. MECHANICAL PERMIT FEE SEISMIC FEE
U Z building connvualon.wdhuchy umWrize mpm,etnadvesofthis city locator upon the
aWvc-mcminncd pmputy for impctinn putpascs. PERMIT ISSUANCE I:LI?GTKIG FY:E
(We)agree ut save,ind,norly uad keep horndc,.the Gty nl'Cnpeninn ngain,t
liabilities,judgnems,costs and cxNnscs which may in any way amme against said City ALTER OR ADD TO MECH. I-CUMBING FEE
in cnnscquence of the granting of this actual.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON.POINT AIR HANDLING UNIT(TO 10.(XX)CFM) MECHANICAL FEE
SOURCE REGULATIONS.
_
AIR HANDLING UNIT(OVER WXNI CFM) CON S'IBITCI'ION TA
Sign^tumnl'APPIIcar/Canbach" Dam 17.KHAUST HOOD(W/DUC'1) HOUSING MITIGATION FEE,
HAZARIX)US MATERIALS DISCLOSURE
Will the applicant or future Wilding occupant Blore or handle haomdoun material I]EATING UNIT 11'0 1BLOW)BTU)
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety HEATING UNIT(OVER 1 W.LXMI BTU)
Code.Section 255?'-(a)? r
C3 Yes E]No VENTILATION PAN(SINGLE RESID) PAID
Date Hcmfit x
Will theaPPlicam or future huilding tweapant me ayuipment or device,w hich BOILER-COME'(911P OR 1(X1,1 (0I{'TU)
emit hamdous air contamrs inanus donned by the Bay Area Air Quality Management 'I(TAI.:
Dlnvicl? BOILER-COMP(OVER 100,000 BTU)
❑Yc, -1 No
I have madtheh aI material'req moms Cha6.95 Cali-
AIR CONDITIONER ISSUANCE DATE
h Health&SufayCd Sodium,ns 15505 255T 25 to and 255?41 nJ :t dttrt if he NEW RESIDENT IAL Mh:CH. SQ.FT
M1 the
bJ ons chs t tans th tt) y tit aC r fi (lythe 'upas
of the tryuircmcnte which must W amt poor ht issuanca nl'a Crnihcam nl rkcupanry.
Owner or aaWnred ages
Dam TOTAL: ISSUED BY:
OFFICE
Mandatory Measures Checklist: Residential MF-1R
,NOTE'* •Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk(') may be superseded by more stringent compliance requirements
• listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
*§I50(a): Minimum R-19 ceiling insulation.
§I50(b): Loose fill insulation manufacturer's labeled R-Value.
*§150(c): Minimum R-13 wall insulation in famed walls(does not apply to exterior mass walls).
* §I50(d): Minimum R-13 raised floor insulation in framed floors;minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation-water absorption rate no greater than 0.3%,water vapor transmission rate no
greater than 2.0 perMnch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products,Exterior Doors and Infiltration/Exfltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U-value,and infiltration certification.
c. Exterior doors and windows weatherstripped;all joints and penetrations caulked and sealed.
§I50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(): Special infiltration barrier installed to comply with§151 meals Commission quality standards.
§150(e): Installation of R(eplaoes,Decorative Gas Appliances and Gas Logs
1. Masonry and factory-built fireplaces have:
a.Closeable metal or glass door
b.Outside air intake with damper and control
• c.Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment,water heaters,showerheads and faucets certified by the Commission.
§150(): Setback thermostat on all applicable healing systems.
§1500): Pipe and Tank Insulation
1. Indirect hot water tanks(e.g.,unfired storage tanks or backup solar hot water tanks)have insulation
blanket(R-12 or greater)or combined interior/exterior insulation(R-16 or greater).
2. First 5 feet of pipes closest to water healer tank,non-recirculating systems,insulated(R-4 or greater).
3' All buried or exposed piping insulated in redreulating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between healing source and indirect hot water tank.
*§150(m): Ducts and Fans
1. Ducts constructed,installed and sealed to comply with UMC Sections 1002 and 1004;ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems have backdrat or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78%thermal efficiency,on-off switch,weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36'pipe between filler and heater for future solar healing.
b. Cover for outdoor pools or outdoor spa
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace,pool heater,spa heater or household cooking appliance have no
• continuously buring pilot light. (Exception: Nan-electrical cooking appliance with pilot< 150 BL/.hr.)
Lighting Measures
§150(k): 40 lumenstwat or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC(insulation cover)approved.
Revised January 1992
7.2 COMPLIANCE ANALYSIS OF the existing structure,except when calculating the
ITI N ALONE water heating energy use for any addition in which
AN ADD O the total number of water heaters in the building
• Any addition—that is,the sum of all new increases. The analysis may be performed using
conditioned spaces and associated new exterior either a special prescriptive package according to
walls,ceilings,and floors within the building— the size of the addition or with the point system or
may be shown to meet the energy budget as a any approved computer performance method. .
separate entity. This procedure does not involve
Table 7-1: Prescriptive Compliance of Additions-
Summary of Section 152(a)1 Requirements or the Standards {�'
COMPONENT S 100 It 100-499 1`0 500-999 ft2 >_ 1000 ft2 ..
Insulation
CeilTg R-19 Packager Package Package
Wall R-13 R-13 R-13 Package
Floor R-13 Package Package Package
Fenestrati n
U-Value 0.75 0.75 Package Package
% of CFA <_50 ft2 Pkg+Removed 4 Pkg+Removed Package
Shading Na Package Package Package
Thermal Mass n/a Package Package Package
Space Heating Mandatory5 Package Package Package
• &Cooling (No electric)6 (No electric) (No electric) (No electric)
Water Heating-
No Increase&
No Change n/a n/a Ma Na
Replacement:
No Increase Standard? Standard Standard Standard
Increase Allowed Allowed Allowed Allowed
w/Calcufatid w/Calculation w/Calculation w/Calculation
1. Meet the component prescriptive requirement for Package D for slab-on-grade construction or
Package E for raised floor construction(see Chapter 3).
2. "Heavy"and"Light Mass"mass walls may meet the Package D or E requirements for mass wall
insulation instead of R-13(see Chapter 3).
3. For compliance of additions and alterations only,dual glazed"greenhouse"windows and skylights
may be assumed to meet this requirement.
4. The Package D or E fenestration area plus the area of any glazing removed because of the addition.
5. All mandatory measures for HVAC systems must be met(see Chapter 2).
6. No electric resistance space heating may be installed.
7. A standard water heating system is explained in Section 6.6.
8. If the total number of water heaters increases in the residence,then the entire existing plus addition
system must meet the water heating energy budget(see Chapter 6). Table 3-4 fists water heating
system combinations which have been pre-calculated to comply with the water heating budget.
7-4 Revised January 1992 Residential Manual
TOM AND FRAN SMITH = -
19862 Peartme Lara _ -
Cupertino,CA = r -
- - Job Site Address: Same
`PIERE BUII DERS ,
Contractor Uc. 663706
331 Wright Ave. _
Morgan Hill,CA.95037
Office : - • - {408)779-7994
Page -, = (408)552-3855
46 Sli a����`� 1 1 R o�sc�IC�t
i - -- _---
- -- - - - - —} - - - cher
APN Number
t Date: 9AN7 _ SSP = 4
Prv�ec a�OCi. pF 1991 =--
ji
J Al Floor plan and Building Sections �QFC�p EP r
CI D
I a0 i ER71NO rM NI
Glazing CalculatiortsNo Change =_
W f j Energy Calculations. Not Required -
Nous =
1. Outlets within 6'of Kitchen sink to be GF1
+ 2. Kitchens twd-baft-are m have their title 24 florescent fixtures
Z i operated by the fust switch at all entrances to the rooms.
3. All work to conform to the UBC 1995
3 {, 4. Stroke detoctors are to be located within each bedroom and at halt
c�'`'a it — ---- i locations. �
S�Ecia CVluu^Gfiifs Och
i
A = CN K,}r(te�u i' CE7 VNi.tc�l�tt ` I N 14"
(6r Tf, j�at(�F(�r- �`t(-1
z -- - _ -- --- _---
I Pa�allAr,�� �Q ccf� t�tern(d
f. QQ
-
26 J1,131 3ily Xq%y w et l
L 14,E
r QNB
It
�o Rrh-}:su UiQ, CLL
Q
UJD
APPROVE
k IN ACCORDANCE WITH THE ny OF.
ti I'
CYPERTIhO CODES AND n
DAT DFTC7 _
SIGNED ;l�
I: ,
This set of -
ps,+s and apec,, caudns AIDS - `y v
be kept on ke job a; a; hr*,es a, i �E� rj/F R�f9C fr 1r�r +`E7 S of(_ �!4
` lawful to make a^ bit isur
y r m, s or Iteration- �� 14N -
on same wdhrut w, °"`n F? ^[ss on fror
the building DeN., City of Cupert[ o. -
yboS� - ri PCC A ka*�
The stamomg of It; - ! ff
p;en ani spec ,cation= +4 .v-
SHALL NOT r, --- -- - - [ Co4t"{i7+11 Gj4�bOY l t ��� �+ —
be .i_d tc permit ort be or Y — f, r i
approval of th, vidat[vn of any G +sinn• L
If any-Gtv 0 d Panna or State Caw ------ --------- — -- - - - t; �. OS t 1
fi EA CTCkDE� +4 Mt:
Zi-� 4f - f'T�li`EioNk'� r7u��a� f,•l _
Off
ICE COPY
/4 = i r 402
�,