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11060197
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8157 HYANNISPORT DR CONTRACTOR:COOPER BROTHERS,INC. PERMIT NO: 11060197 OWNER'S NAME: JACK WONG 6017 SNELL AVE STE 331 DATE ISSUED:06/23/2011 0111NER'S PHONE: 4083525677 SAN JOSE,CA 95123 PHONE NO:(408)437-2442 L LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# LlI MECH F RESIDENTIAL� COMMERCIAL Contractor ;G'��c�/<_(712of1{�>� Date „iib I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RELOCATE EXISTING FURNACE TO ATTIC&DUCT (commencing with Section 7000)of Division 3 of the Business&Professions SYSTEM; CF-6RALT AVAILABLE AT TIME OF INSPECTION 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. 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 permit is issued. Sq.Ft Floor Area: Valuation:$6700 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:35611020.00 Occupancy Type: 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regul,; ns-pe–rtfie Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature �. �- Date C S Issued by:_ Date: OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain [have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(x)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Ow ized agent: `mss l( �— Date:lv L APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the Lender's Address ng of this permit.Additionally,the applicant understands and will comply wun all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. ignature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION MAPN: DDRESS: 8157 hyannisport dr. DATE: 06/23/2011 REVIEWED BY: bobs. BP#: 'VALUATION: 1$6,700 -� Y PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY SFD or Du lex7 PENTAMATION FURN/AC USE: p PERMIT TYPE: wORK replace exisiting furnace at attic location and exiting duct work SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Furnace, Forced-Air 1MFR=<100 1 # $126 Heating System 1MRRAA 1 # $63 TOTALS: 1 $189.00 Mech.Plan Check07ohrs $0.00 Mech.Permit Fee: 1 MPERMIT Other Mech.Insp. 0.0 hrs $42.00 NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addh 7 info. FEE ITEMS flee Resolution 09-05.1 I ff. 1.%10) FEE QTY/FEE MISC ITEMS PME Plan Check: $0.00 PME Unit Fee: $189.00 PME Permit Fee: $42.00 Work Without Permit? 0 Yes (D No $0.00 Travel Documentation Fee: ITRA VDOC $42.00 Strong Motion Fee: 1BSEISMICR $0.67 Select an Administrative Iter �+ Bld= S"tds Commission Fee: IBCBSC $1.00 ��j SUBTOTALS: $274.67 $0.00 TOTAL FEE: 4.67 Revised: 04/29/2011 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 4)f7 f7 4-f y,,, PERMIT# 0 OWNER'S NAME: PHONE# GENERAL CONTRACTOR: j3P_o—r- 1 i__e BUSINESS LICENSE# ADDRESS: 46G(7 51—ft CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. % 5 1 am not using any subcontractors: ' Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum/Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date //0-00ic/ -7 GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333• building(a_)cupertino.org MISIC CUPERTINO PLUMBING MECHANICAL FlELECTFICAL ❑MISCELLANEOUS PROJECT ADDRESS j APN# �j r/�I / OWNERNAME PHONE _ E-MAIL ( 3. 2 6 -7 STREET ADDRESST/ CITY, STATE;ZIP FAX l 5 r'/ Ce,H.rt 1 S 420✓/ V iL .z✓� - G�- CONTACT NAME ,( 1 PHONE E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX ❑MANTER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME// LICENSE NUMBER _ LICENSE TYPE BUS.LIC# ` v (/ l�G .% Jir Y2 y D 7 1 6_�-I � �.� 2.CU COMPANY NAMEE-MAIL �- �7 FAX � ✓u ��$ NC / 'rJJ� �Z %C. vcSC13 yC g meq%- 20/U STREY ADDRESS CITY,STAB ZIP PHONE 4-e s, f� 531 S� 517 C« zvc,<�' 6 S--ZL ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESSSS CITY,STATE,ZIP PHONE USE OF lt7 AFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ANO FLOOD ZONE 0-40 EICHLER HOME? E rMo DESCRIPTION OF WORK /U C c:. G t /'' �t .�v.t `-G 74, Z)L c 7'- C-f-6'12—Al T— ez�,::z-�AAG - cs-- of TOTAL VALUATION: RECEIVED BY:- By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Descri n of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons c6e�-amu oiize re tJves of Cupertino to enter the above-identified property for inspection pu+poses. Signature of Applicant/Agent: '—� �— Date: SUPPL NTAL INFORMATION REQUIRED OFFICE USE ONLY 01��VER-THE-COUNTER c F' ❑ EXPRESS Y U w ❑ STANDARD U ❑ LARGE ❑ MAJOR MEPMiscApp_2011.doc revised 06/21/11 Installation Certificate Prescriptive Method - HVAC-only Alteration CF-6R-ALT Project Title: Date: ©2005 CaICERTS do&-tlt y t; —.23 Enforcement Ageng Useo Project Address: Climate Zone: Buk"Permits b`7 '.h r 110 60117 Installing Contractor: Telephone: Plan Check Date Company Name: Field Check Date �OYOF,P- 4UT)VC9-S IMPORTANT: This CF-6R form is only for use when an HVAC-only alteration is made to an existing home Use one form for each system being altered. This is system# of systems altered in this house. Copies to:Homeowner,HERS Rater,and Building Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match typellocation and meet or exceed efficiencies/R-values from CF-1 R. Equipment T Manufacturer Model Number Efficiency Load*` Ca aci *** Furnace AFUE Wzi 24,70 Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AF SEElk Package heatpump r HSPF /* ( SEER EER* A/C Condenser SEER Heatpump Condenser HSPF SEER Indoor DX coil EER* Hydronic coil Provide EER if needed for compliance(line 2 f CF-1 R-AL ). Installer st provide adequate documentation to verify EER. In some cases the specific furnace ma �to order to achieve a specific EER. In some cases a time delay relay and/ored to ve verified in o er to achieve a specific EER. *Loads are sensible for cooling. "* Capacities are sensible at design conditions for cooling and a ' d(al' e,downflow,etc.)output for heating. XV: ❑ If TXV is required by the CF-1 R form(line 23 on CF-1 R-ALT form),it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF-1 R ALT) ❑ For Entirely new duct systems,the required leakage is 6%rather than 15%for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new duct systems. I,the undersigned,verify that the equipment listed above is: 1)the actual equipment installed in the home;2)equal to or more efficient than required by the Certificate of Compliance(CF-1 R-ALT Form);and 3)equipment that meets or exceeds the appropriate requirements for manufactured devices(Appliance Efficiency Standards),where applicable. I,the undersigned,verify that diagnostic test results listed on this form were performed in conformance with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 150(m)of the 2005 Building Energy Efficiency Standards. Signed(installer): Date: Notes: Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com