Loading...
13020040 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1018 CRANBERRY DR CONTRACTOR:PELLE HEATING&AC PERMIT NO: 13020040 INC OWNER'S NAME: EMILY CHANG 3728 C CHARTER PARK DR DATE ISSUED:02/08/2013 OWNER'S PHONE: 4083482448 SAN JOSE,CA 95136 PHONE NO:(408)978-7060 ❑ ACENSEDCOTRA O DSC �TIONJOB DESCRIPTION: RESIDENTIAL COMMERCIALLicense Clk REMOVE AND REPLACE FURNACE&7 AIR DUCTS IN SAME ContractorDate LOCATION I hereby aensed under the provision of hapter 9 (commencing with Section 7000)of Divisiou3 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. Sq.Ft Floor Area: Valuation:$5445 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 APN Number:36204056.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WIT 180 DAYS OF PERMIT 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 D S OM LAST CALLED INSP TION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, INS costs,and expenses which may accrue against said City in consequence of the Issued by: Date. o granting of this permit. Additionally,the applicant understands and will comply with all non-point source r gulotions per the Cupertino Municipal Code,Section L== 9.18. RE-ROOFS: Signature r Date 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. ❑ OWNER-BUILDER DECLARATION Date: Signature of Applicant: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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, Business&Professions Code) I,as owner of the roe y g HAZARDOUS MATERIALS DISCLOSURE property,rty,.am exclusive) contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous 1 have and will maintain a Certificate 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 as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9. 2 and I have and will maintain Worker's Compensation Insurance,az provided for by the Health&Safety Code,Secu ns 25505 55 3,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age Date: V 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 became subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If atter making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this 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 Date Simplified Prescriptive Certificate of Compliance;2009 Residendal HV4CAlterations CF-IR-ALT-HVAC Climate Tones 1 and 3.7 Enforcement Agency: Date: Permit R: Conditioned Duct insulation Ecat ant ' List Minimum Efficiency, Floor Area requirement Thermostat Packaged Unit L Furnace over 40 fl of ducts ladoor Coil ®APUH� COP_ Served by system added or replaced in afmt©Setback Condensing Unit ® E�_ ®R pstance sf unconditioned space tt alreadyPresent,,aar:6e Mm ®R 6 (CZ 1,3-5) 1.Equipment Type:Choose the equipment being installed;ifmore than one system,use another CF-IR-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies:13 SEER,78%AFUB,7.7HSPF for typical residential systems. ' Contractor(Documentation AWhor'siReisponsible Desigder's Dec rittidn Statement) . a I certify that this Certificate of Compliance documentation is accurate and complete. a I am eligible under Division of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. a I certify that the energy features and performance specifications for the design identified on this Certifibate of Compliance conform to the requirements of Title 24,Parts 7 and 6 of the California Code of Regulations. a The design features identified on this Certificate of Compliance ars consistent with the information documented on other applicable compliance fomes,worksheets,calculations,plana and specifications submitted to the enforcement agency for approval with-the permit application. Name: t Signature: , Compa // / �, Date: Rk r1 ^, [a License: f, �7 City/Sta i . (J(J Phone L/ . 2008 Residential Compliance Forms March 2010 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: /Qr / DATE: REVIEWED BY: APN: BP#: `VALUATION: $5,445 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARYSFD or Duplex PENTAMATION FURN/AC [USE: PERMIT TYPE: WORKREMOVE AND REPLACE FURNACE AND 7 AIR DUCTS SCOPE _ 5 Meeh.Plan Check 0.0 hrs $0.00 Mech.Penni Fee: IMPERMIT P(uri+b. Prnmr 6( 17n. A ,,rzl F,. Other Mech.Insp. 0.0 hrs $45.00 011ma 1'Lau+h hr.cp. �»hrrlihr. I'h,h. b�sp, Fre: Phor,L. lnyz NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District etc). These fees are based on the Prelimina in ormadon available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E,(j 711/12! FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # Mechanical Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 x$133.00 IMFR=<100 I Furnace,Forced-Air PME Plan Check: $0.00 1 # Mechanical Permit Fee: $0.00 �$67.00 IBAPPLOT Other Appliance/Equip Suppl. Insp.Fee.e Reg. © OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 Cous(ruclion Yo. Administrative Fee: IADMIN $42.00 Work Without Permit? © Yes to No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure Strong Motion Fee: IESEISMICR $0.54 Select an Administrative Item Bldp Stds Commission Fee: IBCBSC $1.00 YSiJB/TOTALS $133.54 $200.001 TOTAL FEE: $333.54 Revised: 01/01/2013 GENERAL PERMIT APPLICATION o M E P COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 U y � ' CUPERTINO (408)777-3228• FAX(408)777-3333• buildingOCUDertino.org \� SC PLUMBING 42=CAL ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS vii)OQ// A/AP"N /y, OWNER NAME /, /� [. 4C.i �/P�FI��, V ! V �l//U EMAR. STREETADDRESS /��jy AWL ZIP /I r FAX CONTACT NAME C./ (� PHONE E-MAIL STREETADDRESS CITY,STATE, ZIP FAX ❑OWNER ❑ ON -BUILDER ❑OWNERAGENT 13 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHTECf ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAM ,p (1 r LICENSENUMBER LICENSETYPE BUS.LIC# COMPANY NAME 1. CJ E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME' ... E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMm:Y PROJECT IN WIIDLAND ❑ YES PROJECT IN ❑YES 1S TRE BLDG AN ❑YES BUILDING: 13 COMMERCIAL URBANWTERFACEAREA NO FLOOD ZONE 0N EICHLER HOME? El NO DESCRIPTION OF WORK �i�lr4 21 TOTALVALUATION: RECEIVED BY: By my signature below,I certify touch of the following; I am the property owner or authorized agent to act on e p eny owner's behalf. I have read this application and the information I have provided is correct. 1 have the Description of Work and verify it is ace . I agree to comply with all applicable local ordinances and state laws relatito 'ng construction. I a representatives of Cupertino to enter the above-i tified prope6 for inspection pu{poses. SignatureofApplicanVAgrnC Date: SUPPLEFvMNTAL INFORMATION REQUIRED OFFICE USE ONLY m ❑ OVER-THE-COUNTER ❑ EXPRESS Y U W ❑ STANDARD 'u 3 ❑ LARGE ❑ MAJOR MEPAdiscApp_2011.doc revised 06/21/11