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12010133CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20388 CLAY ST CONTRACTOR: VALLEY HEATING & PERMIT NO: 12010133 COOLING OWNER'S NAME: MCKAY KENNETH A AND PATRICIA J 1171 N 4 TH ST DATE ISSUED: 0 1 120/20 1 2 OWNER'S PHONE: 4082574987 SAN JOSE, CA 95112 PHONE NO: (408)294-6290 JOB DESCRIPTION: RESIDENTIAL ® COMMERCIAL® LICENSED CONTRACTOR'S DECLARATION License Class — Lic. # 2' 5 F';�'q b REPLACE FURNACE IN SAME LOCATION Contractor ✓n ll�y, �P�t t.;�l; Date I hereby affirm that I am licensed tinder the provisions of Chapter 9 (commencing with Section 7000) 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 certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $4120 performance of the work foi• whichthis 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 hick APN Number: 36938026.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state (fiat 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 DAY F OM 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 Issued by: Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature Date /! �2 installed without first obtaining an inspection, I agree to remove all new materials for inspection. 0 OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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 for sale (Sec.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). I 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.t2 and the declarations: Health & 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 Area Air Quality Management District I pertomtance of the work fur whichthis 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 Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of die work for which this is issued. /. Owner or authorized agent � t j�� r.W Dater ��� ! Z permit i 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 of California. If, after making this certificate of exemption, I CONSTRUCTION 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.) Leader'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 cornply 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 ARCHITECT'S DECLARATION indemnity 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 of this 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 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations �' Pae 1 of 5 Climate Zone # # of Stories Project Name: KEN M C KAY '� 4 Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. General Information Site Address:20388 CLAY ST ` ce gency: Date: C Naw 13uilding Type] Single Family ❑ Multi Family A � irc W, or he Front Orientation: N, E, S, degrees _— 2200l`rTjest'Iype: LjAlterations Fnveiop-e-M Fenestration Roof x HVAC Conditioned Floor Area (CPA): A; Replacement or Chan e Out Duct Replacement © Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Final As U -factor`' Assembly Alteration ❑ Opening of framed cavity alone- Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per $150 for the altered assembly. Fill in Columns A —('and enter mandatory insulation value in Column 11. ❑Replacement of entire assembly-- Replacement of an entire waH, ceiling, of _/lour assembly requires the installation of Contponeni Packn e- D itisttlation values in Table 151-C Fill in Columns A --J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A g C D E F Proposed s" Note Standard Values From JA4 Table PIDFraming ' Name or or T e Thickness, Framed Continuous Material Spacing, U- JA4 Table Cavity Insulation and Size2 or Other3 factor° Numbers R-valueb R -Value JA4 Proposed Assembly Assembly Row/Cola U -factor Final As U -factor`' Comment -- Mass Thickness' Assembly Name or .IA4 Table T eZ A „ H O 7 A ¢ > g V d G F � o V ...� � � � .,� o b v b c_ —'� ro _ ;, v E ° �' Y 4 -¢ > e c w --------------- --Number Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and Furring Constniction table below. 1. For Tug/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate in column G the Fx n� material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type as'�s. 3. Enter the thickness or mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other c l9b b yl description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....j 4. Based on the Climate Zone; enter the equivalent 11 factor.found in JA4 Table based on the R-Valuefrom Table l5 , or D, = ^% 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 7. Enter the Continuous Insulation R -value for the proposed assembly, otherwise, enter "0". 8. Enter the row and column of the U- actor value based on Column F Table Number and enter the Assembly Ufactor in t,,tu n J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to com�. L— Furring Strips Construction Table for Mass Walls Onl Registration A I 13 I C I D I E F G FI I 1 K L M Proposed Properties .loint A of Masonry and Concrete Walls From Reference pendix Table 4.3.5, 4.3.6, 4.3.7 Added Interior or Exterior Insulation in Furring Space from Reference loin t Appendix Table 4.3.13 Final As U -factor`' Comment -- Mass Thickness' Assembly Name or .IA4 Table T eZ A „ H O 7 A ¢ > g V d G F � o V ...� � � � .,� o b v b c_ —'� ro _ ;, v E ° �' Y 4 -¢ > e c w --------------- --Number Registration Number: Registration Date/Time: _ HERS Provider: March 20 2008 Residential Compliance Forms 10 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: KEN M C KAY Climate Zone #`t ^ 1 # of Stories ass and Furring Strips Construction(footnotes) Indicate the 111re of assembly to include: Hol/ow Unit Masonry Walls, Solid Unit Masonrl', .Solid Concrete Walls, Etc. Additional assemblies cern found Reference Joirmt Appendix.lA4. This is the 11 -Factor based on the thickness of the assembly in inches. The R -value of the insulation to be added on the interior or exterior of the assembly. The Calculated R- Value is the R -value of the furred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix,144. The equation is the inverse of Colrun added to Column f Column K is the inverse from column J. Insert the calculated U -factor volae our to the Opaque Surface Details in Column 1 FENESTRATION PROPOSED AREAS © Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. M Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of.Component Package D in Table 151-C. Complete the Altered Fenestration Allotived Area Table on Page 2 of the CF- IR-Al,T Orientation Fenestration Type and Frame (North, East, PropsedArea Maximum Maximum NFRC or Default Window, Glass Door or Skylight)South, West) (fig) U-factor2' � SHGC-' }'; Value' 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the Cr—IR ALT Form. 4. Submit a completed WS -3R Form if a reduced S11GC is calculated with exterior shading. 5.1f applicable at this stage enter "NERC" for NFRC Certified windows or are CEC '•De ault " values found in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50 offenestration is added) A B C D E F G CFA of Allowed Existing Allowed Entire % of Fenestration Area Fenestration Area Proposed Area Dwelling CFA'-' Area Removed' Area Added' A x B) (E -D) + C Total Fenestration > Area2,(ftZ) West Fenestration Area" (Required In CZ's 2,4&7-15) L The Proposed West Fenestration Area include.c West -sloping skylight area and any other skylight area iyitlr a pitch less than /: 12. 2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G mast be equal to or less than Column F. 3. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing. 4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Column G. The Proposed Area must be less than or equal to Column F. 5. Enter the fenestration removed as part of the alteration if arm)° in column D. 6. Enter the Fenestration area that is being added as part Of the alteration. Registration Number: _ Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 3 of_5) Pro ect Name• Climate Zone # 1# of Stories KE �1 MCKAY 4 ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000 f , whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)1 Hi, 152(6)1 Hii, or 152(b)1 Hiik Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof 'requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §l I8(i) are not applicable. Do nol fill table below. LJ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 51b/ft`. Alternatives to §1.52(b)1Hi and §152(b)Hii, Steep -slope roof (pitch >2:12) ❑ insulation with a thermal resistance of at least 0.85 hr- ftZ•'F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and scaled according to § 151(f)10; or ❑ in climate zones 10, 12 and 13, with 1 ti of free ventilation area of attic ventilation for every 150 ft Z of attic Floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof .ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of § 151(f)2; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §1.52(b)l Hiii, Low -slope roof (pitch <_ 2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. El Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft- is exempt from the below Cool Roof criteria. Note: If no CRRC-i label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise. Check tile applicable box below if Exeii t from the Roofing Products "Cool RoofRequirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product iD Number' < 2:12 > 2:12 < 51b/ft' > 5lb/ft' Type' Reflectance3'4 Emittance SRIS ❑ ❑ ❑ ❑ Er ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑' ❑ ❑ ❑ ❑ ❑a ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can he obtained fi•oin the Cool Roof Rating Council's Rated Product Directon, cu vvittir coolroofs ore/nrodtictslsearclu.php 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same director, and use the equation (0. 2+0.7(p;,,;u,i 0.2) to obtain a calculated aged value. 1Vhere p i.s rhe lisitial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. Calculate the SRi value by using the SRI- Worksheet at hitp:i viviv.energvxa.eov1title24/and enter the resulting value in the SRI Column above and attach acopr of the SRI- Worksheet to the CF -I R. o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 1 18(i)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating Other Registration Number: J Registration Date/Tune: _ HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 4 of 5 Project Name: KEN M C KAY Climate Zone 4 4 # of Stories HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hvdronic space heating. Individual dwelling DHPV heaters must be Heating Equipment Type and Capacity 1.2.3 Minimum Efficiency Distribution AFUE or HSPF Type and Location Duct or Piping insulation R -Value Thermostat i Configuration (Central, Split, Space, Package or H dronic) LENNOX/90,000 95% FORCED AIR/CLOSET ,PROGRAMABEL Water Heater Type/Fuel CENTRAUSPLIT Number In Tank Energy Factor or Insulation Typel 1. Indicate Heating Type (Central Furnace, Wall /Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is a1/owed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btulhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See ,¢151(6)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) Capacity (gal) HVAC SYSTEMS - COOLING Minimum Efficiency Duct or Piping Cooling Equipment (SEER/EER or Distribution Insulation Type and Ca aci i,2 COP) Type and Location` R -Value Configuration Thermostat (Central, Split, Type e or H dronic) 1. Indicate Cooling Type (A1C, Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 3. Indicate Type or Location (Ducts, Hvdronic in Floor, Radiators, etc.) WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hvdronic space heating. Individual dwelling DHPV heaters must be gas or propane fired. Hol water pipe insulation from the DHW heater to the kitchens) and on all underground hot ivater pipes is required in all component packaes in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Typel (Standard, Recirculatin )Z System Capacity (gal) Thermal Efficiency R-Value3 1. Indicate Tvpe (Storage Gas, Heat Primp, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §I50(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 pi pes shall be insulated to meet the requirements o . b 150 "). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items mov require written justification and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 15I(f)2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation LIYES LJNO YES: In Climate Zone M in Component Packages D, R-7 insulation is required. Heated Slab insulation DYES NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 1 18-A of the standards. Raised Slab Insulation LJYES NO YES: In Climate Zones 1, 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. Registration Number: — _ Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: March 2010 age Prescriptive Certificate of Com liance: Residential (Page P5 ALT Pa e5of5 Residential Alterations # of Stories Project Name: KEN M C KAY Climate Zone # ^ 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -41? Form Jor all the measures specified shall be submitted to the building inspector before final Duct Sealing & Testing HEIRS verification is required for this measure. ❑ YES ❑Q NO YES In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per § 152(b) l Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑YES ONO YES: in Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per § 152(6)11) i. ❑YES EINO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler. outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b) I E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. M EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required for this measure. YES ❑ NO YES: In Climate "Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per §t 52(b)I F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of §150(o) do not apply to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ❑ YES ❑ NO YES in Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per §152(b)1Ci to meet the requirements of §151(07B. Documentation Author's Declaration Statement • 1 certifv that this Certificate of Compliance documentation is accurate and com Iete. Name: ISignature: Company: Address: City/State/Zip: Date: If ApplicableLlCEA or (Certification #): Phone: Responsible Building Designer's Declaration Statement • i am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the inflarrption provided to document this building design on the other applicable compliance forms, worksheets, calculationsI 6d s -cations submitted to the enforcement a¢encv for approval with this building permit application —, Name: RAY LINDEN Signature: Company: VALLEY HEATING & COOLING i Date:1/18/12 Address: 1171 nth 4th st 1_icense.258540 City/State/Zip:SAN JOSE CA 95112 Phone: SAN ____ __-,--.1:-- 41.- K, --.m, cm"I/"r.IV rantact the Eneriry Hotline at: 1-800-772-3300. Registration Number: _ _ _____.____. Registration Date/Time: HERS Provider: _ March 2010 2008 Residential Compliance Forms 6 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36938026.00 DATE ISSUED.......; 01/20/2012 RECEIPT #.........: BS000015804 REFERENCE ID # ...: 12010133 SITE ADDRESS .....: 20388 CLAY ST SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OPERATOR: SylviaM COPY # : 1 OWNER ............: MCKAY KENNETH A AND PATRICIA J ADDRESS ..........: 20388 CLAY ST CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4403 RECEIVED FROM ....: VALLEY CONTRACTOR .......: ATKINSON, THOMAS LIC # 141 COMPANY ..........: VALLEY HEATING & COOLING ADDRESS ..........: 1171 N 4 TH ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)294-6290 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 4,120.00 1.00 0.00 1.00 0.00 1BSEISMICR VALUATION 4,120.00 0.50 0.00 0.50 0.00 1MFR=<100 UNITS 1.00 130.00 0.00 130.00 0.00 1MPERMITFE FLAT RATE 1.00 44.00 0.00 44.00 0.00 1TRAVDOC FLAT RATE 1.00 44.00 0.00 44.00 0.00 TOTAL PERMIT ---------- 260.50 ---------- 0.00 ---------- 260.50 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 260.50 --------------- 260.50 VOICE ID DESCRIPTION -------- ---------------------------- 505 FINAL ELECTRICAL 508 FINAL MECHANICAL REFERENCE NUMBER -------------------- 23179 VOICE ID DESCRIPTION -------- ---------------------------- 507 FINAL PLUMBING Q (ENFORCEMENT AGENCY CAN CUSTOMIZE WITHLETTERHEAD/SEAL) 2008 Building Energy Efficiency Standards Residential HVAC Alterations Climate Zone 16 BUSINESS AND PROFESSIONS CODE, SECTION 7110 Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license. WHEN IS A PERMIT REQUIRED? A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include, but are not limited to: • New HVAC installation Relocation of an existing HVAC unit • HVAC Changeout Adding or replacing more than 40ft • Replacement of furnace, coil, FAU, or ducting in unconditioned space condenser 2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REQUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters). 2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. 4. A setback type thermostat (24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirements of Section 150(m): • All joints and openings in the HVAC system must be sealed. • Only UL 181, UL 181 A, or UL 181 B approved tapes or mastic shall be used to seal duct openings. • Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 4 ft. max for horizontal runs with no more than 2" of sag between supports and 6 ft. max for vertical runs. WHEN IS HERS VERIFICATION REQUIRED AND WHAT FORMS ARE REQUIRED? A HERS rater is a special inspector for the building department. The building inspector may also request to be on site to witness testing by the contractor and/or HERS rater. The installer picks one of the four options on the CF -1 R -ALT -HVAC Form that describe the work being conducted. Each option lists the forms required to be at the job site for final inspection. • CF -6R Forms shall be completed and submitted by the installing contractor for final inspection." • CF -4R Forms shall be completed, registered with an approved HERS Provider (cannot be completed by hand), and submitted by the HERS Rater for final inspection effective January 1, 2010. DESCRHMON OF HERS TESTS BELOW (Full descriptions found in Residential Appendix RA3 and Residential Manual) Duct sealing — The installer is to insure leakage of the HVAC system is less than 61/o for new air conditioning system (new equipment and all new ducts) or 15%, 60% reduction, etc. for alterations to existing HVAC systems. When the contractor uses the option to seal all accessible leaks, all easily movable objects must be moved to seal existing ducting. New ducting installed by the contractor is not allowed to have any leaks even if it is no longer accessible. In example 3 of the CF -1 R "all new ducts" means that all the ducting was changed. The original boots, plenums, etc. do not need to be changed. Cooling Coil Airflow (CCA) — When a refrigerant charge test is required, the system must first be tested to move a minimum 300 CFM per ton of cooling. An accurate charge cannot be conducted with air flows lower than 300 CFM per ton of cooling. Air flows can usually be increased by adding a larger return duct and grill or a second return duct and grill. Temperature Measurement Access Holes (TMAH) — Installer must drill and mark holes to measure temperature split. NOTE: The CF-6R-MECH-04 is required for all HVAC alterations. * For final inspection ALL compliance forms (CF-1Rs, CF-6Rs, and CF4Rs) shall be registered with an approved HERS Provider for building permit applications submitted on or after October 1, 2010. CUPERTINO GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildingacupertino.org I I DI I INA QIXTI- (`r-EANiI('QJ MEP MISC n F.I .F.CTRICAI . I 1-1 I MISCELLAN IoZd l v 133 u• - - --- PROJECT ADDRESS Z p /1 - APN # r ^ 0eLP OWNER NAME - K0/ t C l PHONE ��'ss - z -�I E-MAIL STREET ADDRESS /} CITY, STATE, ZIP / J - FAX CONTACT NAME - PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEa + V 1� FSE -t„ t C���( LICENSE NUMBER —s�fo LICENSE TYPE c -za BUS. LIC # 1�( COMPANY NAMEE-MAIL Ile, FAX STREET ADDRESS Il _r ( 9 . q He- 5�_. CITY, STATE, ZIP S PHONE 4i6?__2 14-620 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF FD or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑ COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK 7 ti S e' -Z e io e-4 TOTAL VALUATION: 71 L 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 1 have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. C •-z Signature of Applicant/Agent: ,Sh��� i w Date: 2�- 1 SUPPLEMENTAL INFORMATION REQUIRED OMCEUSE ONLY �� xx U a: 0 OVER -THE COUNTER ❑ EXPRESS ❑ STANDARD D LARGE ❑ MAJOR MEPMiscApp_201 Ldoc revised 06/21/11