12030035CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7323 FALLENLEAF LN CONTRACTOR: DUNRITE HEATING & AIR PERMIT NO: 12030035
INC
OWNER'S NAME: WANG YUN Y AND CIIEN H 267110 SOOUEL SAN.IOSE RD DATE ISSUED: 03/072012
OWNER'S PHONE: 4082552380 LOS GATOS. CA 95033 PHONE NO: (409) 353-49041
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT I— PLUMB r
License Class C 2 / 6 Lic. p 3 cl 3 Z--
^ �� p1ECH r RESIDENTIAL r COMMERCIAL
Coistmetor��A� &-f—� 3
e a- Date 7 —
hereby affirm Him[ am licensed under the provisions of Chaplet,9
(commencing with Section 700[1) 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 certiR.ste of consent to self-imure 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.
I have and will maintain Writer's Compensation Insurance, as provided for by
Section 3700 of the Lahor Codc, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application mid state that the above infomaation is
correct. I agree to comply with all city and county ordinances mad state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property fur inspection purposes. (We) agree to save
indemnify and keep hornless the City of Cupertino against liabilities, judgments,
costs. and expenses which may acme against said City in consequence of the
granting ofthis pet 11m..Ad atonally, the applicant understands mid will comply
with all non -point source egul ins per the
Cupertino Municipal Code, Section
9.18.
Date 5— 7-/ L
❑ OWNER-RUILDER DECLARATION
1 hereby affirm that 1 am exempt front the Contractor's License Law for one of
the following two reasons:
I, 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 Rat sale (.Sec.7034,
Business & Professions Code)
I, as owner of the property, mi exclusively contracting with licensed contractus to
construct the project (Sec.7034, Business & Professions Code).
1 hereby affirm under penalty of perjury one of the following three
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, aur the
performance of the Work for which this Permit is issued.
1 have and Will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for tine perfonnmce of the wore: for which this
Permit is issued.
I certify that in the performance of the work for Which this permit is issued. I shape
not employ my person in any manner so as to become subject to the Worker's
Compensation tars of Cali forma. I f, after nnaking this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this Perini( shall be deemed revoked.
APPLICANT CERTIFICATION
I certifc that I have read [his application and state that the alcove information is
correct. 1 agree to comply with all city and county ordinances and state paws relating
to building construction, and hereby authorize representatives of this city m inner
upon the above me dinned property for inspection purposes. (We) agree to save
indemnify and keep hamdess the City of Cupertino against Iiabiliues,judgmenLq
costs, and expenses which may accrue against said City in consequence of the
grinning of this ligroin. Additionally, the applicant understands and will comply
with all non -point source regulations ler the Cupertino Municipal Code, Section
9.13.
Date
JOB DESCRIPTION: REPLACE FURNACE AT SAME LOCATION
Sq. Ft Floor Area: I Valuation: $1350
APN Number: 35928027.00 • I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: ��.9r� AA a Date: 3 ' i- la
RE -ROOFS:
All roofs shall be inspected prior to my roofing material beiig installed. If a roof is
installed without first obtaining an inspection. I agree to remove all new materials far
inspection.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIAI S DISCLOSURE
1 have read the hazArdous materials requirements under Chapter 6.95 of the
California Health & Safety Code. Sections 25505. 25533. and 25533. 1 will maintain
compliance with the Cupertino Municipal Code. Chapter 9.12 and the Health &
Safety Code. Section 25532(a) should 1 store or handle hazardous material.
Additionally, should I use equivalent or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District 1 will
naainmin con pliance with he Cupertino Dl(lure al Code. Chapter 9.12 and the
Health C Safet • ode, c ions'_5505. _15533. and 25533.
O r r hot' d ;` C
Dae: i
CONSTRUCTION LENDING AGF.NCI'
I hereby atrrat that thele is n construction lending agency for the performance of wwxk's
for which this permit is issued (Sec. 3097. Civ C.)
Lender's Nome
Lender's
I understand any plans shall be used as public records.
Licensed
CITY OF CUPERTINO
6 ITEMS OF 6 PERMIT RECEIPT
Sec: Twp: Rng: Sub: B1k: Lot:
APN ........: 35928027.00
DATE ISSUED.......: 03/07/2012
RECEIPT #.........: BS000016216
REFERENCE ID # ...: 12030035
SITE ADDRESS .....: 7423 FALLENLEAF LN
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
OWNER ............:
WANG YUN Y AND CHEN H
ADDRESS ..........:
7423 FALLENLEAF LN
CITY/STATE/ZIP ...:
CUPERTINO, CA 95014-5804
RECEIVED FROM ....:
DUNRITE HEATING&AIR
CONTRACTOR .......:
MICHAEL WOOD LIC 4
33033
COMPANY ..........:
DUNRITE HEATING & AIR
INC
ADDRESS ..........:
26700 SOQUEL SAN JOSE
RD
CITY/STATE/ZIP ...:
LOS GATOS, CA 95033
TELEPHONE ........:
(408) 353-4900
FEE ID UNIT
IADMIN HOURS
1BCBSC VALUATION
1BSEISMICR VALUATION
1MFR=<100 UNITS
1MPERMITFE FLAT RATE
1TRAVDOC FLAT RATE
TOTAL PERMIT
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
�fl�►��YUYY9
1.00
4,350.00
4,350.00
1.00
1.00
1.00
AMOUNT
---------------
260.50
---------------
260.50
VOICE ID DESCRIPTION
-------- -----------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
AMOUNT
41.00
1.00
0.50
130.00
44.00
44.00
260.50
PD -TO -DT
0.00
0.00
0.00
0.00
0.00
0.00
REFERENCE NUMBER
--------------------
#1240
THIS REC
41.00
1.00
0.50
130.00
44.00
44.00
260.50
NEW BAL
0.00
0.00
0.00
0.00
0.00
0.00
l li
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
CiTY OF CUPERTINO
ISI FEE ESTIMATOR — BUILDING DIVISION
Ig
ADDRESS: 7423 fallenleaf In.
Piwnb. Plan Chark
DATE: 03/0712012
REVIEWED BY: bob s.
BP FEES
APN:
BP#:
"VALUATION:
$4,350
•PERMIT TYPE: Mechanical Permit
#
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY SFD or Duplex
USE:
Pt7•ntft Ft•e
PENTAMATION FURN/AC
PERMIT TYPE:
WORK
replace furnace at same location.
SCOPE
PME Unit Fee:
APPLIANCE/ EQUIP TYPE
FEE ID
Piwnb. Plan Chark
QTY
UNITS
BP FEES
Ek.. Perm;! Fru.
Furnace, Forced -Air
IMFR=<100
Othro• Flm hap.
1
#
$130
Pt7•ntft Ft•e
,Snppl, hcsp Fee
PME Unit Fee:
$130.00
PME Permit Fee:
$44.00
C-oustnmclie n
Administrative Fee: (ADMIN
$41.00
Work Without Permit? O Yes G No
$0.00
TOTALS:
Travel Docwnentation Fee: ITRA vDOC
$130.00
'
NOTE: This estimate doer not include fees due to other Depantnents (i.e. Planning, Public II arks. Fire, Sanitary Sewer District. School
Disirici. etc 1. These fees are haled on the nrelininary inforawdon available and are onlc an estimate. Contact die Dent for addh7 info.
FEE ITEMS (Fee Resolution 11-053E71 7!1/l!)
Meth. Plan Check 0.0 [its $0.00
Piwnb. Plan Chark
Eler. Plan C'hreR
Klech. Pemti[ Fee: 1 dlPERh11T
Pion,. Permit Fee:
Ek.. Perm;! Fru.
Other Mech. Insp. 1 0.0 hrs $44.00
Other Pbnnh bap.El
Othro• Flm hap.
if •ch in%]L Fee-
Plmnb. Insp. Flee:
Flee. Ings. Fee.
NOTE: This estimate doer not include fees due to other Depantnents (i.e. Planning, Public II arks. Fire, Sanitary Sewer District. School
Disirici. etc 1. These fees are haled on the nrelininary inforawdon available and are onlc an estimate. Contact die Dent for addh7 info.
FEE ITEMS (Fee Resolution 11-053E71 7!1/l!)
FEE
QTY/FEE
MISC ITEMS
Plan Check For:
Sttppl, PC Fee
PME Plan Check:
$0.00
Pt7•ntft Ft•e
,Snppl, hcsp Fee
PME Unit Fee:
$130.00
PME Permit Fee:
$44.00
C-oustnmclie n
Administrative Fee: (ADMIN
$41.00
Work Without Permit? O Yes G No
$0.00
,lthmt,ed Planning pees:
Travel Docwnentation Fee: ITRA vDOC
$44.00
Strong Motion Fee: IBSEIS,111CR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$260.50
$0.00
TOTAL FEE:
$260.50
Revised: 1/19/2012
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature Date
Prescriptive Certificate of Compliance Residential pj„� _ CF -IR -ALT
Residential Alterations
Irrgea y13 Aez- kn, �.fF L MAR 07?OtZ ezanet� I #a&cries
HVAC SYSTEMS -HEATING 'I
List water heaters and bolters for both domestic hot water (DHIV) heaters and hydronic space healing" Individual dwelling DHIV heaters must be
Min �� 1.6'
Duct or R pi ng
Configuration
Heating Equipment Efficiency ri o�
T and '.23 AFUE a H rTy aid Lo�c)ation"
I Insulation TherrnosU
R -Value T
(Central, Split,
Packagew H dronic
a/; cl-C 4. iL
External Tank
Water Heater Type'Fud
Di stri buti on Type
Numbeln
Tank
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
1. Electric resistance heating is allowed only in Component Package C. or except where electric heating is supplemental (i.e., if total capaciry
< 2 KIV or 7,000 Rwhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS Verification section ori Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Ilvdronic in Floor. Radiators. etc.)
HVAC SYSTEMS -COOLING
Thermal Efficiency
Minimum
Efficiency
Duct or Rping
Configuration
Cooling Equipment
Type and Capm tyl,2
(SEERIEERcur Distribution
CO TypeandLocation3
Insulation
R -Value
Thermostat
Type
(Central, Split,
Space Package orH dronic
2. Recirculating systems serving multiple dwelling units shalt meet the recirculation requirements of§I50(n). 77ne Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and i es shall be insulated to meet the requirements o $150(').
I.Indicate Cooling Type (A/C Heat pump, Evap. Cooling, etc)
1. Refer to the HERS Verification section on Page 4 of tire CF- IR -ALT Form for additional requirements and check applicable boxes.
3. Indicate Tye or Location (Ducts, Hvdronic in Floor, Radiators, etc.)
WATER HEATING
List water heaters and bolters for both domestic hot water (DHIV) heaters and hydronic space healing" Individual dwelling DHIV heaters must be
gas or propane fired Hot water pipe insulation from tire DHIV heater to the kitchen(s) and on all underground hot water pipes is required in all
component packages in all climate zones.
External Tank
Water Heater Type'Fud
Di stri buti on Type
Numbeln
Tank
Energy Factor or
Insulation
Type'
(Standard, Recirculating)'
system
Capacity (9d)
Thermal Efficiency
R -Value'
1. Indicate Type (Storage Gas, Hear Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shalt meet the recirculation requirements of§I50(n). 77ne Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and i es shall be insulated to meet the requirements o $150(').
SPECIAL FEATURES The enforcement agency should poly special attention to the Special Features specified in this checklist below.
These items may require written 'usti ucation and documentation and special verification.
NEW ROOF ASSEMBLY -Radiant Barrier
The rad art baric r ui renent of 151 2 dogs not to roof alterations
Slab Edge( YES NO
YES. I n a imate Zone 16 i n Compor)em Packages D, R-7 insulab oni s recta red.
Heated Slab Insulation []YES NO
YES Sabel eirsultionr 'r ed for ail haYedslabs inail ClimateZores See dcialsinTable ll&A of the standards
Raised Slab I nsulation YES ❑ NO
YES. In Climate Zones 1,2,11,13,14&16,R-8 i nsulation is regia red; i n Cli mate Zones l2&15, R-4 isrequired under component Package D.
Thermal Mass
ToobtanCom i anoe Cro for the i 241 ail onofthernialmass, use the Performance A pproacii
hz/___�/ X zl__�
Registration Number: t Registration Datefl-ime: HERS Provider:
2008 Residential Compliance Forms March 2010
CUPERTINO
GENERAL PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 950143255
(408) 777-3228 • FAX (408) 777-3333 • buildinq(llcuoertino.oro
I (PLUMBING�ai MCAL nFT.F=CAL nurc=rnucnrtc
MEP
MISC
PROJECT ADDRESS 7 2,. —, L / ,✓ APN a•� -2a 0,2-
C
�1—E /
C� L
MADOc
OWNER NAME G /L ti iI� /✓< ti %OvG
CONTACT NAME PHONE E-MAII.
STREET ADDRESS
I CITY, STATE, IIP
FAX
❑ OWNER ❑ OW,NER-BUIDER ❑ OWNERAGENT U CDNTRAcTOR ❑CONTRACTORACETT ❑ ARCRRECT ❑SNMD IIl ❑ DEVES.OPER ❑TENANT
CONT'MCTORNAt _L` �OO �f
L'C&YSEIIPf3L,132-
� 3Z
uCE CTY-L
I BUS L[Ca /
�4�/r. /6• �!�/i. f/F�1sr �., c
E-MAMAJI.
FAX t/
STREET ADDRESS
2C7oa Jogc ,rC S.T. �� Zoe
CCT. STATE,�p
Les bLT.r l' C.f `ifo33
PHONE
YoS -3 S3-S'9a�
ARCHITECT(ENGINEE'R NAME _ ,t
/�—
LICEV SE NUN03ER
HUs. uC a
COMPANY NAME'
E-MAIL
FAX
STRhFT ADDRESS
CITY. STATE, DP
PHONE
USE OF SIV wDUPLEX ❑ MULTI -FAMILY PROJECT IN WIIDLAND ❑ YES PROJECT IN ❑YES
BUILDING: ❑COWA RCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO
I IS THE BIDG AN ❑YES
E(}IIE4 HOME! ❑ NO
DESCRIPTION OF WORK
TOTAL VALUATION: S G _ O �%
RECEIVED BY:
By my signature below, I certify W each of the fall y I am'- pery owner or anthorimd agent to act an the property owner's behalf I have read this
application and the i'ormadov I have provided' r. ccL, read therms Oescotiga of Work and verify it is accurate. I ag•ce to corsmly with all applicable local
ordinances and sate laws relating m ']din smrcdo . thor= yes of Cupertino m == the above-idend5ed pmpm7 far inspccdon pu@mcs.
Sipanne of ApplicanHAgenn Dare: 7 Z
S PLEA ALOR,ILATION REQUIRED
OFFICE USE ONLY
r_
Y
V
V
c
❑ ovER-THE-Cou`frm
❑ EXPRESS
❑ STANDARD
❑ LARGE
❑ MAJOR
A1EPMac4ppj011.doc revised 06/71/11