The URL can be used to link to this page

12110114CITY OF CUPERTINO BUILDING PERMIT RUILDING ADDRESS: 10220 STONYDALE DR CO\ I'RACPOR: DG HEATING d AIR PERMIT NO: 12110114 CONDITIONING OWNER'S NAME: JU DONG-HYUK AND YOUNG H 2288 CIIF.RRY AVE. DATE ISSUED: 11/19/2012 OWNER'S PHONE: 4082053993 SAN JOSE, C\ 95125 PHONE NO: (408) 978-1411 ❑ LICENSED CONTRACTOR'S DECLARATION ' r F_ r BUILDING PERMIT INFO: BLDG - ELECT PLUMB I W QQs License Class Lic. q r r C. C r- NIECH RESIDENTIAL COMMERCIAL Contmet !� Dale ; I hereby affirm that I ani licArIed under the provisions of Chapter 9 JOB DESCRIPTION: REMOVEAND REPLACE FURNACE WITH BRYANT 100,000 (commencing with Section 7000) of I)i%ision 3 of the Business S Professsion BTU 5 TON FURNACE Code and that my license is in full force and effect. hereby affirm under penally of perjury one of the following two declarations: I have and will maintain a certificate of consent to selGinsure 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. Ft Floor Area: Valuation: $3788 Section 3700 of thgLabor Code, for the performance of the work for which this permit is issued - APN Number: 32637025.00 Occupancy Type: .AI'1'1-IC\\1'CER'1'IFICA'1'ION' I certify that 1 lime read this application and stale that the above information is correct. I agree to comply with all city and county ordinances and slate 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting 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 Code, Section 9.18. i / �O Snaa �� Date Issued by: <RN / A7'�,</ Dale: g £ ❑ OWNER-RUILDER DECLARATION RF: ROOFS: hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any routine material being installed. If a roof is the following iwa reasons:.; installed without fust obtaining 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 offered for sale (Sec.7044, Business S Professions Code) Signature of Applicant: Dale: I, as owner ofahe property, am exclusively contracting With licensed contractors to - construct the project (Sec.7044, Business d Professions Code). ALL ROOF COVE:RINf.S TORE CLASS ".\" OR QF,TTF.R '. herebyvaffirm under penalty of perjury one of the following three declarations: ' I have and will maintain a Certificate of Consent to self -insure for Worker's HAZARDOUS MATERIALS ERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the 1 have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued California Ilcallh S Safely Code, Sections 25505, 25533. and 25534. 1 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 Health d Section 3700*of the Labor Code, for due performance of the work for which this Safely Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air permit is issued.. contaminants as defined by the Bay Area Air Quality Management District 1 will I certify that in the performance of the work (onvhich this permit is issued, I shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health d Safely Code, Sections 25505, 25533, and 25534. Compensation laws of Califomia. If, after making this certificate of exemption, I ' become subject to the Worker's Compensation provisions of the Labor Code, I must thorize forthwith comply with such provisions or this pemtil shall be deemed revoked. APPI.IC,\N'1' Cl,'R'I'IFICA,I,ION CONSI'RUCIION LENDING AGENCY 1 certify that I have read this application mid slate that the above information is I hereby affirm that there is a construction lending agency for the performance of swrk's correct. 1 agree to comply with all city and 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 Cupertino against liabilities, judgments, Leader'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 ,\RCIII'1'IiCI"S DECLARATION with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Dale Licensed Professional CUPERTINO GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building0cuoertino.orD M Pi J IMRIN(: IJCIMFf'HANH-AI. MEi.Fr.TRICAI. MMIS('FI.LANFCIlS !ZI\'o►ly MEP M TSC PROJECTADDRFS$SL2 r, APNM �Z �� -- —7,l Z lJ OWNERNAME FHON -3 21 E-MAIL STREET ADDRESS 'Zo CRY. STATE ZIP FAX CONTACT NAME —v PHONE E-MAIL STREET ADDRESS CRY.STATE, ZIP FAX [I OWNER ❑ OWNER -BUILDER [I OWNERAGEM CONTRACTOR [ICONOtACTORAGENT [I ARCHITECT ❑ ENGINEER [I DEVELOPER ❑ TENANT CONTRACTOR NAME I I LICENSE NUMEER LICENSE TYPE BUS, LICM COMPANY NA I E-MAIL FAX STREET ADDRESS CRY, STATE, Z PHONE ARCNRECTJEN'GLNEER NAME LICENSE NUMBER BUS. LIC M COMPANY NAME E-MAIL FAX STREET ADDRESS CRY, STATE- ZIP PHONE USE OF FDw DUPLE% ❑ MULTI -FAMILY BUILDING: ❑COMMERCIAL PROJECT IN WILDIAND [I YES URBAN INTERFACE AREA ZrNO PROJECT IN [AYES FLOOD ZONE Iy NO ISTHEBLDGAN [I YES EICHLER HOME! ❑ NO DESCRIPRON OF WORK 0 TOTAL VALUATIO ;RECEIVEDBY: F" ^ By my signature below, l certify to each of the following: I am the property owner or authorized agent tout on the property owner's behalf. 1 have read this t. 1 have of Work and verify it is accurate. 1 to comply with all applicable local application and the information 1 �'=Mion ordinances and state laws relating uthoriu represenmtives. rtino to enter the abov idem for inspection purposes. Signature of ApplicantlAgent: Date: SUPPLEMENTAL INFORMATION REQUIRED - . ' OFFICEi1SEONLY.: OVER-THE-COUNTER. 0. ❑ F%PRESS U U 'W V ❑ STANDARD..-r� - 5. ❑. IARCE--. d ❑ MAJOR' MEPAfiscApp_2011.dx revised 06Q1/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION igADDRESS: 10220 Stonydale Drive Plumb. Plan Check DATE: 11/1912012 REVIEWED BY: Sean "s APN: BP#: 1MFR=<100 'VALUATION: $3,788 *PERMITTYPE: Mechanical Permit PLAN CIIECK TYPE: Alteration / Addition / Repair PRIMARY' USE: SFD or Duplex Permit Fee: PENTAMATION PERMIT TYPE: FURN/AC WORK Remove and replace furnace with Bryant 100,000 BTU 5 ton furnace. SCOPE APPLIANCE/ EQUIP TYPE FEE ID Plumb. Plan Check QTY' UNI'T'S BP FEES I;Yet:. /'emit Glc: Furnace, Forced -Air 1MFR=<100 Other Elec. /asp. 1 # $133 Permit Fee: SvppL Insp Fee PML-' Unit Fee: $133.00 PMB Permit Fee: $45.00 Construction Tar: Administrative Fee: MWIIN $42.00 Work Without Pennit? O Yes (] No $0.00 TOTALS: Travel Documentation Fee: 17'R,4t'DOC $133.00 Strong Motion Fee: /RSF/SMICR NOTE: This estimate sloes not includejees slue to other Departments (i.e. Planning. Public Works, Fire. Sanitary Server District, School District. etc.). These fees are baser/ on the arelintinarc information available and are orth, an estimate. Contact the Dent for athin'I info. FEE ITEMS (Fee Resolution I1-053 Eff 7/1/12) Mech. Plan Check 0.0 1 hrs $0.00 Plumb. Plan Check Elec. PLrn Check Mech. Permit Fee: IMPFR,IJ/T Plumb. Pe; mil Fee: I;Yet:. /'emit Glc: Other Mech. Insp. 0.0 hrs t $45.00 Other Phu+rb /m/y.ET Other Elec. /asp. :Lterh. Insp. /•?.: Plumb, Imp. Fee: h7ec. hr<p. /..... NOTE: This estimate sloes not includejees slue to other Departments (i.e. Planning. Public Works, Fire. Sanitary Server District, School District. etc.). These fees are baser/ on the arelintinarc information available and are orth, an estimate. Contact the Dent for athin'I info. FEE ITEMS (Fee Resolution I1-053 Eff 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: SnppL PC rev PME Plan Check: $0.00 Permit Fee: SvppL Insp Fee PML-' Unit Fee: $133.00 PMB Permit Fee: $45.00 Construction Tar: Administrative Fee: MWIIN $42.00 Work Without Pennit? O Yes (] No $0.00 Advanced Planning Fees: Travel Documentation Fee: 17'R,4t'DOC $45.00 Strong Motion Fee: /RSF/SMICR $0.50 Select an Administrative Item Bldg, Stds Commission Fee: IBCRSC $1.00 SUBTOTALS: $266.50 $0.00 TOTAL FEE: $266.50 Revised: 10/01/2012 DG Heating and Air 2288 Cherry Ave. San Jose, CA. 95125 License #928315 Customer Name/ Address Alex Ju 10220 Stonydale Drive Cupertino, CA 408-205-3993 Estimate Date Estimate # 1027/2012 2010-1026 P.O. No. Terms Due Date Rep Project Due on receipt 10272012 JGO ' - Description Qty Rate Total BRYANT- 1 3,788.00 3,788.00 I. Bryant 95%2 -Stage 100,000 BTU Ston Model# 925TA60I OOE21: $3,288.00 2. Change Out Supply To KD In Garage 5275:00 3. Permit Cost For Changing Out Furnace In Cupertino Ca. $225.00 4. While installing the furnace, could you check A/C, such as cleaning the A/C drain, , checking the refrigerant (R22) level and fill it up if necessary, free of charge? If your current a/c is 2 pounds or less I will fill it for free, R22 Charge is about $24.00 per pound, so that's 2 pounds free from DG - Total Job Cost $3788.00 Payement 90% Due Upon Completion 10% Upon Final Inspection All famaces include digital programmable multi stage easy to read thermostat, sheet metal transitions, filter slider plus filter ' Alex, You Should Have A little Rebate From PG&E For This Unit MANUFACTURERS WARRANTY INFORMATION: Lifetime on heat exchangers, 10 years on internal pars DG HEATING AND AIR WARRANTY INFORMATION: 3 years on installation Sales Tax 0.00% 0.00 Thank You John DG Heating and Air Total $3,788.00 J Sim plified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zona I and 3 - 7 Sile Address/ fj Enforcement Agency: DaJ�:�j / Perma q: Cvr(lfhh'n , 6'� Conditioned Duct insulation Equipment T t List Minimum Efficicticy Floor Area requirement Thermostat kaged Unit _/y�,r �J AFUL) OP Aver 40 ft of ductsce replaced in Setback oor Coil f ❑SEER HSPF rystem v(ljnor sf added or unconditioned space afreadvpresenC mm be densing Unit ❑EER _ ❑Resistance ❑ R 6 (CZ 1, 3-5) /walled) EI other /. Equipment Type: Choose the equipment being installed; if more than one_rystem, use another CF -I R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%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. • 1 certify that the energy feattmes and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Tide 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 fortes, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. _ Name Signat e_ ��- Comp c � Address' LicenseQ Q?/15 City/StatelLip p �' a S Phone: 307_5ny/ 2008 Residential Compliance Forms.doc revised 04110112 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building, Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 468-777-3333 JOB ADDRESS: NO PERMIT # OWNER'S NAME: PFIONE # O'? GENERAL CONTRACTO - / BUSINESS LICENSE # ADDRESS; CITY/ZIPCODE: *Our municipal code requires all toinesses 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 SU TRACTORS H 'E "GAINED A CITY OF CUPERTINO BUSINESS LICENSE. ai�� 1 am not using any subrn�ntractors� -- Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature Date 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