The URL can be used to link to this page

12100159 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10300 BYRNC AVE CON IRACI'OR:A PLUS HEATING K A/C PERMIT NO: 12100159 OWNER'S NAME: CLAPPER DAVID CAND BARBARA B 244 CREAT MALL PK\VY DATE ISSUED: IOP_22012 OWNER'S PHONE: 4082538729 MILPITAS.CA 92683 PRONE ND:(408)934-0730 0 LICENSED CONTRACT'OR'S DECLARA'T'ION BUILDING PERMIT INFO: BLDG r ELECT❑ PLUMB License Class l 7 (7 Lie.N '763 I SyClr //�� NIECFI RESIDENTIAL COMMERCIAL Contractor A — Q 1 V S Date hereby affirm that I am licensed tinder the provisions of Chapter 9 JOB DESCRIPTION: REMOVE AND REPLACE FURNACE IN SAME LOCATION (commencing with Section 7000)of Division 3 of the Business& Professions AND Code and that my.license is in full force and effect. INSTALL NEW DUC'T'S hereby affirm under penalty of perjury one of the following own 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 this Sq.Ft Fluor Arca: Valuation:$4500 permit is issued. API'LICAN'1'CER'1'IpICA'I'ION AI-N Number:35714072.00 Occupancy T)pe: I certify that I have read this application and state that the above information is correct.1 agree to comply with all city and county ordinances and state Imus relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property ror inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupenino against liabilities,judgments, costs,and expenses which may accre against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR graming of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Cod,{Section Signature Date �f'N yr `� Issued by:�E�� rG Date:/G •as•/07- Y ❑ ON'NER-BUILDER DECLARA'T'ION Rb;ROOFS: hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior lo:ny roofing material being installed.If a roof is the following two reasons: installed without first obtainin_e an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection, will do the work,and the structure is not intended or o0eredfor sale(Sec.7044, Business R Professions Code) Signature of AppliamC Date: I,as owner of property,am exclusively contracting with licensed contractors to construct the project(See.7044,Business g Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I.hereby affirm under penalty of perjury onc'of the follmving three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's IIAZARDOIIS MATERIALS DISCI.OSIIRE1 Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Ilcalth S Safety Code,Sections 255115,25533,and 2553.1. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code.Chapter 9.12 and the Ilcalth& 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. Additionally,should I use equipment or devices which emit hwardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of die work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in tiny manner so as to become subject to the Worker's Ilenith S Safety Code.Sections 25505,25533,and 25534. Compensation lases of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,1 must Owner for oulhor'.ed agent: forthwith comply with such provisions or this permit shall be deemed revoked. Irate: 1`10 'L2 101 Z APPLICANT CERTIFICATION Gf)NSTRI1CI'ION LENDING AGIiNC\' I certify that I have read this application and state that the above information is I hereby affirm that there is a constmetion lending agency for the performance of uork's correct.I agree to comply with all city arca county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupenino against liabilities, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCI I ITEC.-f'S DECLARATION 9.18. 1 understood my plans shall be used a public records. Signature Date Licensed Professional Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 1, 3-7 Site Address: Enforcement Agency: Date: Permit Jt: 10400 Byrne Ave Cupertino, CA 95014 City of Cupertino Oct 19, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat 0 Package Unit ®Furnace 0 AFUE 78% [COP I R 6(CZ 1, 3-5) Served by system 19 Setback 0 Indoor Coil 0 SEER_ 0 Condensing Unit [EER 0 Resistance 0 R 4'2 (CZ 6, 7) 2159 sf be installed) ®Other > 40' Ducts 1. Equipment Type:Choose the equipment being installed;if more than one system, use another CF-IR-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies: 13 SEER, 76%AFUE, 7.7HSPF for typical residential systems. Contractor(Documentation Author's /Responsible Designer's Declaration Statement) . 1 certify that this Certificate of Compliance documentation is accurate and complete. . 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Identified on this Certificate of Compliance. . t certify that the energy features and performance specifications for the design identified on this 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 Certincate of Compliance are consistent with the information documented on other applicable compliance fors,worksheets,cal culatlons,plans and specifications submitted to the enforcement agency for approval with the permit application. Name: lane Alo Signature: Jane Alo Company: A PLUS GENERAL CONTRACTORS INC Dale: Oct 19, 2012 Address: 11330 KNOTT STREET License: 763154 City/State/Zip: GARDEN GROVE/CA/92841 Phone: (714) 901-0500 40 Reg: 212-A0058709A-000000000-0000 Registration Date/Time: 2012/10/19 19:57:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 IZI `> � I � � GENERAL PERMIT APPLICATION - COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildina(r0cuoertino.am misc ❑PLUMBING 4ECIIANICAL ELECTRICAL. /I❑MiSCELLANEOUS PROJECT ADDRESS 10.x{-0 o r r)-/J k f t " �7-/ o 7 OWNER NAME Dave J n 1 1�j PHONE (��C3� e� vr STREET ADDRESS I pl [0 p(� v✓� A' Cm.STATE my LJ v� N v FAX CONTACT NAME Tom' 1 1 CI PHONE / `E-MAD. A Ph IQ STREET ADDRESS 244 Great Mall arkway CTTY,STArE. 2nP FAX Mil itas.CA 95035 :408-934-0730 Fax:408-934-0734 ❑OWNER ❑ OWNERatmDER Cl OWNERAGENT ❑ colrrnnCTOR ❑CONTRACTOR AGENT ❑ ARCFCTECT ❑F t;a+Eot ❑ DEVELOPEa ❑TENANT CONT RACTOR NAME UCENSE NUMBER 2 I LICENSE TYPE( � Cl BUS.LIC i 3j 2 C a nA J \///� �J L COMEANY NAME 244 Great Mall Parkway E-MAJL FAX STREETADDRESS Ph:408-934-0730 leax:406-934-0734 crTM•STATE,z1P PHONE ARCIRTECTIENG1NEER NAME IJCENSE NUMBER BUS.LIc R COMPANY NAMEE-MAB; FAX STREET ADDRESS CITY.STATE,ZIP PHONE USE OF orDUPIFX ❑ MU FAMILY PROSECT Or WaZIAND YES PROIECTN ❑YES 15 TIvT aL00 AN YES Rt/tDelG: [—COMMERCIAL URBAN OTfESFAC AREA NO FTl]OD ZONE D flCHt�R HOMES DESCRIPTION OF WORK P— P..n '1 came,yyt e l/1A r s C/ Ul1/l H OLU TOTAL VALUAT70N wo RECEIVED BY: r By my sign ature below,I certify m mch of the following. I am the property owner or authoriad agent to act on the pmperey owner's behalf I have ted this' application and the mfmmation I have pmvided is tomsLa read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinance and state laws rtI¢tin a ed I¢uthorize reprtseotative of Cupertino to enter the abave-id cited pro for inspection pu(poses. Siguartte of ApplicanVAg-t: 71 Date: SU7FLEAENTAL INFORMATION REQUIRED OmCE USE ONLY OVER-THE.COUNTER r J3PREE$ a u ❑ STANDARD V ❑ IAROE L ❑ MAJOR MBPMuclpp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION ADDRESS: 10400 Byrne Ave DATE: 10/22/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $4,500 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY SFD or Duplex PF.NTAMATION FURN/AC USE: PERMIT TYPE: WORK Remove and replace furnace in same location and install new ducts. SCOPE APPLIANCE/EQUIP TYPE FEE ID QTl' UNITS BP FEES Furnace, Forced-Air 1MFR=<100 1 # $133 TOTALS: $133.00 Mech.Plan Check 0.0 1 hrs $0.00 P/umb. Plan Check F•lec. P/an Check Mech. Permit Fee: IMPERAfIT Plnmb. Permit Fee: Elec. Permit Fee: Other Mech. Insp. 0.0 hrs $45.00 Otter Plumb Insp. Other Flee.pup. .14cch.pup.Fee: Phonb. btsp.Fee: Elec.Insp.Fee: NOTE: This estimate does not include jeer due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Server District,School District.etc. . These feav are based on the prelitninan information available and are only an estinmte. Contact the Dept for arhin'I in a. FEE ITEMS (Fee Resolution 11-053 f_f1 7/1112) FEE QTY/FEE MISC ITEMS Plan Check Fee.: Suppl.PC Fee PME Plan Check: $0.00 Permit Fee.: Suppl. Insp Fee PME Unit Fee: $133.00 PME Permit Fee: $45.00 Construction Tax: Administrative Fee: (ADMIN $42.00 Work Without Permit? Yes Q No $0.00 Advanced Planting Fees: Travel Documentation Fee: ITRA VDOC $45.00 A Strong btotion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $266.50 $0.00 TOTAL FEE: $266.50 Revised: 10/01/2012 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: ( PERMIT# OWNER'S NAME: \ PHONE# ) - '57-2 - •GENERAL CONTRACTOR: — U BUSINESS LICENSE # E3 ADDRESS: VJ4 Cr-C.Ci•�-� 1, CITY/ZIPCODE: W ct�0 S *Our municipal code requires all businesses 4 orking M the city to have a Cit' 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 CUPEWHNO BUSINESS LICENSE. 1 am not using any subcontractors: 10 Z a O l z . Signa e I Da c Please check applicable subcontractors and comp a 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