13020014I CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10334 ALPINE DR I COOLING A-1 HEATING AND I PERMIT NO: 13020014
OWNER'S NAME: JTV INC 1 476 W TAYLOR ST I DATE ISSUED: 02/05/2013 I
OWNER'S PHONE: 4082887668 I SAN JOSE, CA 95110 I PHONE NO: (408) 283 -9915
❑ LICENSED CONTRACTOR'S DrE^L ON
License Clas w Lie. y# (✓
Contractor ` . % to
I hereby affirm that I am licensed under 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
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
permit is issued.
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
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep Lce ss the City of Cupertino against liabilities, judgments,
costs, and expenses may accme against said City in consequence of the
granting of Q is perm ditional y, the applicant understands and will comply
with all nolointt sg ali �pe,theCopenmo Municipal Code, Section
9.18. t1 \19 `IA ,s 2 S -f3
M
❑ OWNER - BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, 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
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm 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
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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
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. If, after making this certificate of exemption, I
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.
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
upon the above mentioned property for inspection purposes. (We) agree to save
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 of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Date
JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL
REPLACE (E) FURNACE, SAME LOCATION
UNIT t3
Sq. Ft Floor Area: I Valuation: $1850
APN Number: 32615073.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYSW PERMIT ISSUANCE OR
180 DAY ST CALLED INSPECTION.
Y: Date:
RE- ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(x) should I store or handle hazardous
material. Additionally, should I use equr ment or devices which emit hazardous
air contaminants as defined by ttt�l(e Bay ea Air ality Management District I
will maintain compliance with thlt Cupeno Mu rc ppl Code, Chapter 9.12 and
the Health & Safety Code, Se�tio 2I�0 2f553 ,; 534.
Owner or authorized agent:
1 hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
ARCHITECT'S DECLARATION
1 understand my plans shall be used as public records.
Licensed
GENERAL PERMIT APPLICATION c) MEP
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION el/
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 " M'
CUPERTINO (408)777- 3228• FAX (408) 777 -3333• buildina(CDCUDertino.oro \
PLUMBING MECHANICAL FJELECTRICAL ❑MISCELLANEOUS
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❑ OWNER ❑ OWNER- BUDDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHHBCT ❑ ENGINEER ❑ DEVELOPE,RF ❑ Tmz T
CONTRACTOR NAMES
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CITY, STATE, ZIP
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USE OF SFD Or DUPLEX ❑ MULTI- FAMB.Y
BUI 1G: ❑COMMERCIAL
PROJECT IN WILDLAND ❑ YES
URBAN INTERFACE ❑NO
PROJECT IN ❑ YES
FLOOD ZONE ❑NO
ISTI♦EBLDGAN ❑YES
EICHLER HOME? 0 N
DESCRIPTION OF WORK I r. OIL CD
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TOTAL VALUATION:
By my signature below, I certify to ea of the allowing: I the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information Ihave vid is rtec . 1 ave read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local
ordinances and state laws relating bu cti n o - representatives of Cupertino to enter the above- identi spection purposes.
G� 5Signature of ApplicanUAgent Date: t
SUPPLE
AL INFORMATION REQUIRED
OFFICE USE ONLY
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OVER - THE - COUNTER
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❑ EXPRESS
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❑ STANDARD
❑ LARGE
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❑ MAJOR
MEPMscApp_201I.doc revised 06/11/11
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR- ALT -IIVAC
Climate Zones 1 and 3 - 7
SiteAddress:��
�he %`'��
It �J
EnjorcententAgency:
Date:
Permit #:
Conditioned
Duct insulation
i ment Type'
List Minimum Efficien
Floor Area
requirement
Thermostat
Packaged Unit
Furnace -
,�,,,[[ qq��
1] AFUEP!
COP_
Over 40 ft of ducts
Setback
®Indoor Coil
Condensing Unit
®SEER
[3 EER_
® HSPF _
® Resistance
Served by system
sf
added or replaced in
unconditioned space
(1 not already present, must be
instilled)
® Other
®R 6 (CZ 1, 3 -5)
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, - 78 %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. .
• Into 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 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 mf rmation documented on other applicable
compliance forms, worksheets, calculations, plans and specifications submitted to the enf cement gency for approval with-the permit
a 'cation.
Name: A tYOJn
I Signature:
Company: ,(
l� `
Date:
Address 4% ' `
�J,�
License:
Ciry /State2ip: L
Phone:
2008 Residential Compliance Forms March 2010
= M E T R O S C A N P R O P E R T Y P R O F I L E=
Santa Clara (CA)
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*
+
< < < OWNERSHIP
INFORMATION > >
>
+
* Owner
:Jtv Inc
Parcel Number
:326 15
073
* CoOwner
Bldg Id
No :1
* Site Address
:10334 Alpine Dr #B Cupertino
95014
* Mail Address
:10334 Alpine Dr Cupertino
Ca 95014
* Phone
:Owner:
*
< < < SALES AND
LOAN INFORMATION >
> >
+
*
* Transferred
:08/30/2012
Loan Amount
* Document #
:21829262
Lender
* Sale Price
:$1,500,000 Full
Loan Type
* Deed Type
:Grant Deed
Interest Type
* % Owned
+
:100
Vesting Type
:Corporation
+
*
+
< < < ASSESSMENT
AND TAX INFORMATION
> > >
+
* Land
:$589,800
Exempt Type
* Structure
:$570,200
Exempt Amount
* Other
Tax Rate Area
:13009
* Total
:$1,160,000
11 -12 Taxes
:$17,495.94
* % Improved
:49
+
+
+
*
< < < PROPERTY
DESCRIPTION > >
>
*
* Census :Tract:5077.03
Block:2
* Map Grid :832
A7
* Zoning :Cu
* Land Use :02
Res,Duplex
* Sub /Plat :La
Crests
Legal :TRACT
2769 LA CRESTA BOOK 149
PAGE1
* :23
LOT 49
* MLS Area :18
*
< < < PROPERTY CHARACTERISTICS
> >
>
+
+
* Total Rms
Bldg SF :3,870
Units :2
YearBuilt :1968
* Bedrooms
Lot SF :9,500
Patio :Yes
EffYearBlt :1968
* Bathrooms
UseableSF:9,500
Porch
Garage Sp
* Stories :2
Lot Acres:.22
Elevator :No
Garage SF
* Dining Rm
Lot Dimen:76xl25
Lease SF :3,870
Bldg Cond :Avg
* Family Rm
Pool :No
Office SF:
Bldg Class :7.0
* Rec Room :Yes
Fireplace:No
Sprinkler:
Bldg Shape
* UtilityRm
Sauna
1stFlr SF:
GarageTyp
* Water Src
Dishwsher:Yes
2ndFlr SF:
WallHgt
* Elect Svc
Tennis Ct:
3rdFlr SF:
AddtionSF
* Gas Svc
FrameType:Wood
Rental SF:3,870
* Cnt1Ht /Ac:Heat
+
Only
Information compiled from various sources.
Real &uve Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this
report.
r���� �� CITY OF CUPERTINO
w- l FF.F. F,STIMATOR — BUILDING DIVISION
jar
ADDRESS: 10334 ALPINE DR UNIT B
DATE: 02105 /2073
REVIEWED BY: MELISSA
UNITS
APN: 326 15 073
BP #:
`VALUATION:
$1,850
*PERMIT TYPE: Mechanical Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY SFD or Duplex
USE:
$133
PENTAMATION FURN /AC
PERMIT TYPE:
WORK
REPLACE E FURNACE SAME LOCATION
SCOPE
APPLIANCE / EQUIP TYPE
FEE ID
QTY/FEE
QTY
UNITS
BP FEES
Furnace, Forced -Air
1MFR = <100
1
#
$133
Permit Fee:
Suppl. Insp Fee
PME Unit Fee:
$133.00
PME Permit Fee:
$45.00
Construction Tax:
Administrative Fee: IADMIN
$42.00
Work Without Permit? O Yes Q No
$0.00
TOTALS:
; ?„ y .-
$133.00
j,,
Mech. Plan Check 1 0.0 1 hrs $0.001 Plumb. Plan Check
Mech. Permit Fee: 1.LIPERAffT I I Plumb. Permit Fee:
Other Mech. Insp. 10.0 1 his Lj451 Other Plumb Insp. u L
,Mech Insp. Fee: Plumb. Insp. Fee:
NOTE: This estimate does not inchide fees due to other Departments (1. e. Planning,
Bloc. Plan Check
Bloc. Permit Fee'
Other Elec. Insp.
Eke. Insp. Fe. e.-
District ,etc.). These tees are based on the prellmina in ormation avai[abte and are onty an estimate. contact the tie t or aaan-i to o.
FEE ITEMS (Fee Resolution 11 -053 Eff 7111121
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: IADMIN
$42.00
Work Without Permit? O Yes Q No
$0.00
Advanced Planning Fees:
Travel Documentation Fee: ITRAVDOC
$45.00
Strong Motion Fee: 1BSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
t
$266.50
$0.00
j,�TwOTALFEE
:
$266.50
Revised: 01/01/2013
W�