The URL can be used to link to this page

12050184 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDREss: 22423 ST ANDREWS AVE CON I'RAC'IOR:TIFF HEATING AND PERMIT NO: 13050184 AIR CONDITIONING OWNER'S NAME: YUJING ZENG 299 CORNING AVE DA'Z'E ISSUED:05/24/2012 OWNER'S PRONE: 4083682158 MILPITAS, CA 95035 PI ION F,NO:(408)786-8120 LY LICENSED CONTRACTOR'S DECLARA f10N r r r Bt,11,DIN'G PFRAII'I INFO: BlAU; ELECI1'1,0?111 License Class G — ZO Lic.N S0 r r I— T _ ,�,/A� ?IECII RF.SIDF..C'1'IAL COMMERCIAL Contractor / 7 /r Y/I(f_ [)at' 1 hereby affirm that I am licensed under the provisions of Chapter 9 306 DESCRIPTION'_ RI2PLACIi FIIRNACP:AND A/C (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penally 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. Sq.FI Flair Area: Valuation:$61,10 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the labor Code,for the performance of the work for which this APN Number:75604017,00 Occupancy'I'ype: permit is issued I ceriif) that I have read this application and state that the above information is PERM 17 EXPIRES IF WORK IS NOTSTARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERM IT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY$ 'I;:eM LAST CALLED INSP ,CTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting nl'Ihis permit. Additionally,the applicant understands and will comply Issued by: A Z 7 G Uate: with all non-point source regulations per the Cupertino Municipal Code.Section 9.18. Lam_ RE-ROOFS: 7 Signature Dale Z_ -V(L All roofs shall be inspected prior to an)'roofing material being installed Ifa ruin'is �— - - - installed within first oblaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant Date 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: \1.1.ROOF COVERINGS TO BE CLASS"A"Olt BE ITER L 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) I,as owner of the property,am exclusively contracting with licensed contractors to IIAZ:\RDOUS MATERIALS DISCLOSURE: conduct the project(Sec.7D74,Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safely Code,Sections 25505,25533,and 25534. 1 will hereby affirm under penally of perjury one or the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: I Iealth&Safely Code,Section 25532(;)should I store or handle hazardous I have and will maintain a Cenillcale 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:u defined by the Bar Area Air Quality Management District 1 performance of the work lir which this permit is issued. will maintain compliance with the Cupertino Municipal(:ode.Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Ilealth&Safely Cndc,Sections 25505,25533,and 25534. Section 3700 of the Labor Code, for the performance ollhe work for which this Z Owner or authorized agent: Dale: permit is issued 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. 11',after making this certificate of exemption,I CON'STRtiC flON LENDING A(;FN'CY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a cons ruction lending agency for the perlimnunce o1' forthwith comply with such provisions or this permit shall be deemed revoked w'ork's Ibr which this permit is issued(Sec.3097,Civ C'.) Lender'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 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 ,U(CI I1'I'F.C'I"S DF.CL:\R:\'1lON indemnify and keep harmless the City of Cupertino against liabilities,judgments. costs,and expenses which may accrue against said City in consequence ofthe I understand my plans shall be used as public records, granting ollhis 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 Dale CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 22433 Saint Andrews Ave DATE: 05/24/2012 TREVIEWED BY: Sean APN: BP#: -VALUATION: $6,140 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD or Duplex PENTAMATION FURN/AC USE: PERMIT TYPE: WORK Remove and Replace furnace and add A/C. SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=1 OK cfm) 1BREMAIR 1 # $65 Furnace, Forced-Air 1MFR=<100 1 # $130 TOTALS: F $195.00 Mech.Plan Check 0.0 hrs $0.00 Phmrb. Plan Cheek (Jeri. PI.. Chrck Mech. Permit Fee: IMPERM/T Plumh. Ponta F,,v lilac. Permit I'i•c: Other Meeh. Insp. 1 0.0 hrs $44.00 011ier Plumb Imp. Uchvr/i/cr, br,cp. .Ilrrh. Imp. Fire: Plumb. hr.rp. Fra: Eler.hup.Pian: NOTE:This estimate does not include fees due to other Departments(Le.Planning, Public Works, Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the preflatina information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resohnion 11-053 Eft 7/1/11) FEE QTY/FEE MISC ITEMS Plan Chuck Pec: Suppl. PC Pee PME Plan Check: $0.00 Permit Fee: Supp/. /l?.sp Fee PME Unit Fee: $195.00 PME Permit Fee: $44.00 Consn-eclion Tax. Administrative Fee: IADMIN $41.00 Work Without Permit? 0 Yes 0 No $0.00 Advanced Phinnin", Peas: Travel Documentation Fee: ITRAVDOC $44.00 Stron¢ Motion Fee: IBSEISMICR $0.61 Select an Administrative Item Blda Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $325.61 $0.00 TOTAL FEE: $325.61 Revised: 05/01/2012 CITY OF CUPERTINO 7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35604017 . 00 DATE ISSUED. . . . . . . : 05/24/2012 RECEIPT # : ... . . . . . . : BS000016902 REFERENCE ID # 12050184 SITE ADDRESS 22423 ST ANDREWS AVE SUBDIVISION. . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . OWNER YUJING ZENG ADDRESS . . . . : . . . . . : 22423 ST ANDREWS AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED .FROM . . . . : TONY FERREIRA CONTRACTOR . . . . . . . : TONY FERREIRA LIC # 31778 COMPANY TFF HEATING AND AIR CONDITIONI ADDRESS 299 CORNING AVE CITY/STATE/ZIP . .'. : MILPITAS, CA 95035 TELEPHONE (408) 786-8120 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 6, 140 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 6, 140 . 00 0 . 61 0 . 00 0 . 61 .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 1MRRAA UNITS 1 . 00 65. 00 0 . 00 65 . 00 0 . 00 1TRAVDOC FLAT RATE 1 . 00 44 . 00 0 . 00 44 . 00 0 . 00 TOTAL PERMIT 325 . 61 0 . 00 325 . 61 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ---- ------------ --------------- -- - ----------------- CREDIT CARD 325 . 61 me --------------- TOTAL RECEIPT 325 . 61 VOICE ID DESCRIPTION VOICE ID DESCRIPTION --- ----- --------------------------- - --- ------------------ - -- - --- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL Simplified Prescriptive Certificate of.Compliauce:2008 Residential EIVACAlterations CF-IR-ALT-HVAC Climate Zona 1 and 3-7 SiteAddrawF Enforcameuu A��T�hp Dafe`Ly Pkrm&q: Z Z S+✓7- /Eon/ `s 4✓ G 7 Conditioned Pact insdatim Equipment Type' fist Minimum EfficieacY2 Floor Am t Thermostat LI igod= Unit ��orty� Over 40 it of ducts P Serv�system added or rep m L il L Rf� . - �sf unconditioned spas fYwaeQd'AeSO4 mat be ng Unit 13 EER_ Resiitanm R 6 (CZ 1,3-SJ �`4 1.Equipment Type:Choose the equipment being Installed;if more than one system,use another CF-1 R-ALT-HVAC fm each system 2.Alinimum Equipment Ef cleoeies: 13 SEER,78%AEUE,7.7HSPF for typical residential systems. Contractor(Documentation Amtbor'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 Pmtasions Code to accept responsibility for the design identified on this Certificate of Comrpliance. • I certify that the energy features;and performmce specifications fm the 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 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 caformoeat agency for approval with the perrmit application. Name: -r0,�Y Signature: ' Company: Data: Address: c7 co/t-+%a X&/G !�''�� License: 9>f3.5-0 City/StatelLip: Phone: z/ds 2008 Residential Compliance Forms.doc revised 04110/11 GENERAL PERMIT.APPLICATION M E P COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 MIS CUPERTINO (408)777-3228•FAX(408)777-3333•buildinG(5cuoertino.orDIC 2 C 1 ❑PLUMBING MECHANICAL EIFLECMCAL MISCELLANEOUS PROJECT ADDRESS C-L(yZ3 ArAJ 1 rV^'�^'--r'-VVs FI V� �R W 04- D I-1 OWNER NAME T� I {J } .f� J�� PHONE�Ir'. Z-1Sv E-MAIL N-�Lyb EaM STREET ADDRESS (�/ CITY, STATE,L� (JJPFAX G Oft -rr.-�o CONTACT NAME i PHONE -7( EMAIL STREETADDRESS S� G CITY,STATE,ZIP 7 p FAX ❑OWNER ❑ OWNER-BUDDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ T ANT CONTRACTOR NAME �r! LICENSE 1 F�3�O LICENSE TYPE O BUS.LIC a COMPANY NAME r r E MAIL,/ u.V� FAX Tom- v�- ,m 9?5--90 q STREET ADDRESS �/ p CO>�'PI�.T��✓ CITY,STATE ZIP PHONE (/19 A-✓� Lt_ LT/t�S �(o"WILD ARCHRECTIENGINEER NAME LICENSE NUMBER BUS.LIC 4 COMPANY NAME FAX STREET ADDRESS ITY,STATE,ZIP PHONE USE OF FD at DUPr Dt ❑ MULTI-FAMILY PROJECT IN WRDLAND ❑ YES PROTECT DT ❑YES IS THE BLDG AN ❑ YES BURDDIG: ❑COMMERCIN. URBAN INTERFACE AREA NO FLOOD ZONE O EICTO.ER HOME? O DESCRIPTION OF WORK TOTAL VALUATION: 0 O RECEIVED BY: tgrw By my signature below,I certify w each of the following: I am the property owner cr authorimd agent to act on the property owner's behalf. 1 have read this application and the information I have provided is correct. 1 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 bu' onstmction. I autho srnratives of Cupertino to enter the aboveid ified pmry for inspection pu(poses. Signature of AppliwndAgrnL Date: / Z "PLEMENTAL INFO TION REQUIRED OFFICE USE ONLY d OVER-THE-COUNTER ❑ EXPRESS Y u m ❑ STANDARD U ❑ LARGE a ❑ MAJOR AL EpMueApp_2011.doc revised 0612111