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12040036 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 888 BLAZINGWOOD AVE CONTRACTOR:VALLEY HEATING& PERMIT NO: 12040036 COOLING OWNER'S NAIVE: BARCZI KENNETH A AND JOANNE B 1171 N 4TH ST DATE ISSUED:04/062012 OWNER'S PHONE: 4082575543 SAN JOSE,CA 95112 PHONE NO:(408)294-6290 ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class - �V Lic.N (l/ r r r /�/ Lam_ a — �`�/�`� � MECH RESIDENTIAL COMMERCIAL Contractor�1(1�/ /�/ / Dte k ( I hereby affirm That I em licensed under the provisions of Chapter 9 JOB DESCRIPTION:REMOVE AND REPLACE TWO(2)FURNACES AT EXISTING SINGLE FAMILY DWELLING (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 or 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 Sq.FI Floor Area: Valuation:$5062 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. -i/ - w, — APN Number:36917018.00 Occupancy Type: APPLICANT CERTIFICATION 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 to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments. WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source r alai its per the Cupertino Municipal Code,Section �// t' 2 9.18. Issued by: �/ Date: 7 V Signature 411 Dale-c —i ❑ OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one or installed without first obtaining an inspection,1 agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BF.CLASS".1"OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE. declarations: 1 have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(x)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation lawsof Califomia. If,after making this certificate of exemption,I Owner ' y ent: 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18- Licensed Professional Signature Date CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . ... . . . : 36917018 .00 DATE ISSUED. . . . . . . : 04/06/2012 RECEIPT #. . . . . . . . . : BS000016472 REFERENCE ID # . . . 12040036 SITE ADDRESS . . . . . : 888 BLAZINGWOOD AVE SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BARCZI KENNETH A AND JOANNE B ADDRESS . . . . . . . . . . : 888 BLAZINGWOOD AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4619 RECEIVED FROM . . . . : VALLEY HEATING & CO CONTRACTOR . . . . . . . : JEFF AND CINDY FAULKNER LIC # 141 COMPANY . . . . . . . . . . : VALLEY HEATING & COOLING ADDRESS . . . . . . . . . . : 1171 N 4TH 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 5, 062 . 00 1. 00 0 .00 1. 00 0 . 00 1BSEISMICR VALUATION 5, 062.00 0.51 0 . 00 0.51 0 . 00 1MFR=<100 UNITS 2.00 260.00 0.00 260.00 0. 00 1MPERMITFE FLAT RATE 2.00 44 .00 0. 00 44 .00 0. 00 1TRAVDOC FLAT RATE 1 .00 44 . 00 0. 00 44 .00 0.00 --------- --- ---------- -- TOTAL PERMIT .390. 51 0.00 390 .51 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 39.0.51 #23455 --------------- TOTAL RECEIPT 390 .51 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 888 Blazingwood Ave DATE: 04/06/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: 1$5,062 PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex PENTAMATION FURN/A USE: pPERMIT TYPE: i WORK' Remove and replace 2 furnaces at existing SFDWL. SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Furnace, Forced-Air 1MFR=<100 2 # $260 TOTALS: $260.00 Mech. Plan Check 0.0 1 hrs $0.00 I4mnb. Plan Cho A Eh". P/r.. c:h;:clr Mech. Permit Fee: IMPERMIT I'lnn+h. Po nrir lS r: !C/" A'nnu Other Mech. Insp. 0.0 hrs $44.00 Other Plumb Insp. Urhrr Fkr. I,a.l. hnp. /-'rr. Phunh. 1n.p. Fea: NOTE: This estimate does not include fees due to other Departments(i.e. Planning,Public Works, Fire,Sanitary Sewer District,School District,etc). Thesefees are based on the prelimina information available and are only an estimate. Contact rite Dept for addn7 info. FEE ITEMS (FeeResahnion 11-053 EFI: 711,11/) FEE QTY/FEE MISC ITEMS Ph Irl C'lyd<k Ice: SnppL PC Pcc PME Plan Check: $0.00 Pcrrnil F"C' Sup/,l. heels h" PME Unit Fee: $260.00 PME Permit Fee: $44.00 Crne�/nrrviun T'11: 1 1 Administrative Fee: IADMIN $41.00 Work Without Permit? O Yes 0 No $0.00 ,I Arum cd Phumin� I'rm.i Travel Documentation Fee: ITRAVDOC $44.00 A Strong Motion Fce: IBSEISMICR $0.51 Select an Administrative Item 131dg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $390.51 $0.00 TOTAL FEE: $390.51 Revised: 04/01/2012 ` (ENFORCEMENTAGENCY CAN CUSTOMIZE'WITH LETTERHEAD/SEAL) 2008 Building Energy Efficiency Standards Residential HVAC Alterations Climate Zones 1 and 3 through 7 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 PERM IT REOU[RED? 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 I,Section 112.2 of the 2007 California Mechanical Code. Projects requiring perm its include,but are not limited to: • New HVAC installation • HVAC Changeout • Replacement of furnace,coil. FA U.or condenser • Relocation of an existing HVAC unit • Adding or replacing more than 40ft ducting in unconditioned space 2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REOUIREMF.NTS INCLUDE: I. Heating equipment must have a minimum 78% AFUE (Exception: Wall & Floor furnaces: room heaters). 2. Central air conditioners d 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 in the HVAC system must be sealed. • Only UL 181. UL I81A.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 4ft. max for horizontal runs with no more than 2" of sag between supports and 6 ft. max for vertical runs. 6. The CF-61R-MECH-04 must be completed and signed by the installing contractor. The Inspector will collect this form and verify that the model numbers are the same as the installed equipment. Simplified Pre scrip tiveCertificate ofCompliance: 2008Residential HVACAlterations CF-IR-ALT-HVAC Climate Zones I and 3-7 Site Address:8 8 000 8 B la Z i n g W o o d Ave v e Enforcement Agency: Date: Permit q: D U Conditioned Duct insulation E ui mensT List Minimum EfficientFloor Area requirement Thermostat Packaged Unit Over40 ft of ducts x Furnace ❑x AFUE80% COP QSetback Served by system added or replaced in PI Indoor Coil []SEER HSPF 2400 sr unconditioned space "or alreadp present,mast be Condensing Unit EER _ ❑x Resistance — ❑R 6 (CZ 1,3-3) installed) Other 1. Equipment Type:Choose the equipment being installed:if more than one system,use another CF-I R-ALT-11VAC for each system. 2.1l inim um F.quipm ent Efficiencies: 13 SEER.780%AFUE,7.7HSPF for typical residential systems. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on[his Certificate of Compliance conform to the requirements of Title 24,Parts I and 6 of the California Code of Regulations.. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Signature: Company: }'Valley Heating and Cooling Date: Address1171 N4Th Street License:258540 city/state/zipsan Jose,CA 95112258540 Phone:408-294-6290 2008 Residential Compliance Forms ,larch 2010 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations Pae I of 5 Project Name:Joanne Barczi Climate ZoneN4 2B of Stories General Information Site Address:888 Blazingwood Ave Enforcement Agency: Date: Building Typc❑Single Family ❑Multi Family Circle the Front Orientation:N,F:,S.W,or degrees Conditioned Floor Area(CFA): 2400 Project Type: LJ AlterationsEnvelope Fenestration Roof IIVAC Replacement or Change Out PDuct Replacement❑Water Il cater NOTE: This form is novo be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces(for Furring use the Alass and Furring Strips Construction table below) Assembly Alteration [10 pening of framed cavity alone-Alterations that involve the opening of rhe framed cavity of wall,ceiling,or floor must install the mandatary minimum insulation value per§150 Jar the altered assembly.Fill in Columns A -C and enter mandatory insulation value in Column 11. ❑Replacem ent or entire assem bly-Replacement of an entire wall,ceiling,or floor assembly requires the installation of Component Package.D insulation values in Table 151-C. Fill in Columns A -J. 0 ag u Surface Details For the furred portioned of Mass W ails see Furring Strips Construction Table below. ,\ B C I DMfactor' Numbcr' G II 1 J Pro osed 'e °" Values From JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tagl Assembly Name Material Spacing, Cavity Insulation Assembly Assembly ID' or Tv e' and Size or Other' R-value' R-Value' Row/Cols U-factor' ,YateForfnrred assemblies.accounting for Continuous Insulation R-value.see Page JA4-3 and Equation 4-1. For calndaung furred walls use the A/ass and Furring Construction table Fetor. I.For Tog11D indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof Ceiling, (Valls, Floors,Slabs, Crawl Space, Doors and etc...Indicate in column G the Frame material and Si--e:For IVood,Afetal,Afetal Buildings, plass,enter 2x4,2.x6,or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter: 16"or 24"OC:or Other for all other assembly description such as Concrete.Sandwich Panel,Spandrel Panel.Logs..Strait,Bale Panel and em.... 4. Based on the Climate Zone:enter the equivalent U-factor found in JA4 Table based on the R-I'alre from Table 151-B, C, 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". i. Enter the Continuous Insulation R-value for the proposed assembly:orhenrise.enter "0". 8.Enter the row and column of the U factor value based on Column F Table Number and enter the Assemblv y U-faor in Column J 9.The Proposed Assembly U-foclor, Column J,must be equal to or less don the Standard U factor in Column E to comply. Furrin Stri s Construction Table for Mass Walls Onl A I I C I D I F. F G 1 II 1 .1 1 6 1- YI Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint A ppendix Table 4.3.5.4.3.6,4.3.7 Joint Appendix Table 4.3.13 V U Assembly �- j `o `o ' F ` c m-v -„ %"� Final 11 ass Name or JA4 Table < u E E Assembly Thickness' T' a Number' <> = r c e ok � > U-factor Comment F-- (Registration Number: Regisrralion Daie.nTi=e:_ _1/ERS Prodder: 2008 Residential Compliance Forms Alarch 2010 Prescri tireCertificate ofCompliance: Residential CF-IR-ALT Residential Alterations (Page 2 of 5) Project Name:Joanne Barczi Climate Zone but`'F 2k or Stories (lass and Furring Strips Construction(footnotes) I. Indicate dee(rpe of assemble to include:Hollow Unit,Masonry II'alls,.Solid Unit Alasonri,Solid Concrete Walls, Etc Additional assemblies can befound Reference Joint Appendix JAq. 2. This is dee U-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. J. The Calculated R-I'alue is the R-value of the furred out section of the assembly. -.-6.The Final Assembly is calculated using Equation 4-2 or Equation J-Jof the Reference Joint Appendix JA J, The equation is the inverse of Column added to Column L Column A'is the inverse from column J. 7. Insert the calculated U-lactorvalue on to the Opaque Surface Details in Coluna J FENESTRATION PROPOSED AREAS ❑Replacing window alone— Replacement windows shall meet the II-Factor and.SIIGC I'alue requirements of Component Package D in Table 151-C. The Total Fenestration and 11'est facing Area requirements are nor applicable. ❑ Adding 50ftr or less ofw'indow area —A'en•/) installed windows shall meet the U-Faciorand SIIGC Value requirements of Component Package D in 7"uble 151-C. ❑ Adding more than 50fttorwindow area — Newiv instilled windows.shall meetihe U-Factor and SHGC I slue and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF-IR-111.7- Orientation Fenestration Type and Frame (North.East, PropsedAreal Maximum Maximum NERC or Default IW indoo.Glass Door or Skylight) South,West) Ift') U-factor'' SIIGC"''' Value` I. Fenestration area is the area of total glazed product(i.e.glass plus frame). Exception: when a door is less than 5O% glass,the fenestration area ma) be the glass area plus a "2 inch frame"around the glass. 1. Eater 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 lover SHGC iahne than that specified on the CF-IR ALT Form. 4..Submii a completed IVS-3R Form if a reduced SIIGC is calculated wiih exterior shading. i3l'applicable at this stat a enter "A'FRC" or A'FRC Certified windows or are CF-C "Default"ra/ues found in Table 1/6-A or R. A LT E RE D FENESTRATION ALLOW ED AREAS (Complete if more than 50fr of fenestration is added) A B C D E F G CFA of Allowed Existing Allowed Entire 90 of Fenestration Arca Fenestralion Area Proposed Arca' ' Dwelling CFA''' Area' Removed' Arca Added' (AxB) (E-D)+ C "Fetal Fenestration A rea i'(fl') West Fenestration Area (Required In CZ's 2.A.@7-15) 1 1 1 1 1 14 1. The Proposed West Feneslrarion Area includes West-sloping skylighl arra and an).other skvlighi area with a pitch less than 1:12. 2. Etter 20% when no (Vest orienlarion restriction or/j% when lVesi fenestration is being installed in Climate Zones 2, J, & 7-15. Note dot rhe maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must he equal to or less than Column F. 3. In climate cones 2, J, 7-15,no more than 5% of the CFA is allowed for crest facing glaring. J. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Column G. The Proposed Areu must he less than ar equal to Column F. 5. Fuer dee fenesiralion removed as part of the alteration if any in column D. 6. Enter the Fenestration area that is being added as part of the alteration. IRegtsrration.Aumber: _ _ Registration Dale.!Time -_ 2008 Residential Compliance Forms /larch 2010 y o D GENERAL PERMIT APPLICATION M E P COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 I A CUPERTINO (408)T77-3228•FAX(408)77Cd), 7-3333• buildinGcuoertno.orO /v— ❑PLUMBING fAM ECHANICAL CIELFcrRicAL ❑MISCErrANEOU5 R PROPEADDRESS ///�� '�✓ /� APNa I J —1 --7— vl OWNER NAME ' PHONE S� E-MAIL STREET ADDRESS GZ1� / CITY,STATE Z? �✓ �� d` FAX CONTACT NAME �d PHONE T i E-MAD- SPAEETADORESS CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BLnLom ❑ OWNER AGQ+r ❑ OJNTmcm ❑CONTRACTOR AGENT ❑ ARfAf= ❑FNODJEEtt ❑ DEVELOPER ❑TFJlAfIT CONTRACTOR NAMEIJCFNSE NUMBER [JCIIJSE TYPE HUS LIC a COMPANY NAME /r� E'MAD. FAX SSAEETADDRESS / ^ ' L CITY.STATE-ZIP PHONE ARcHmmENGINEER NAME /✓ LICENSE NUMBER BUS.LIC p U COMPANY NAMEE-MAIL FAX STREET ADDRESS CITY.STATE.ZIP PHONE USE OF .DUPLEX ❑ O. MULTIFAMILY PROJECT IN WDLANh ❑ YES PROJFDT Ht ❑YES JSTHEEDGAN [I YES BU W(L CDMMERCL L MEAN UnIRFACEAREA ❑ NO FLOOD ZONE ❑NO EOOIR HO.MET ❑NO DESCRIPTION OF WORK TOTAL VALUATION: RECEIVED BY: By my sigmatime below,I cetify to each of the Coll I am th FmpcM owner wauthorized agent to act on the propety ownces behalf I have read this application and the iofomnazim I have provided' toad the Desviptiom of Work and verify it is accmate. I ag=to comply with all applicable local mdmmacra and state laws relat'mg to buil ' rize medves of Cllpetino to enter the above-identified perry fur inspecdom pu@oses. Signore ofApphcauNAgeum - Dare: Slip AL INFORMATION REQUaM OFFICE USE ONLY u ❑ OVER-THRCOUNTER 6 ❑ CRESS Y V S ❑ STANDARD V 3 ❑ LARGE c ❑ MAJOR MBPMiuApp 2011.doc revised 0621111