The URL can be used to link to this page

11080215 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8109 PARK VILLA CL CONTRACTOR:AAA FURNACE&AIR PERMIT NO: 11080215 CONDITIONING OWNER'S NAME: SCHERRER JOANN W TRUSTEE 1712 STONE AVE DATE ISSUED:08/30/2011 _7R'S PHONE: 4083868555 SAN JOSE,CA 95125 PHONE NO:(408)293-4717 LICENSED CONTRACTOR'S DECLARATION T` /�, �`I BUILDING PERMIT INFO: BLDG ELECT PLUMB c License Class C 2.� Lic.# Z(0 7 r r MECH RESIDENTIAL COMMERCIAL Contractor_A'!-i�T �✓n/4j ee— Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REMOVE&REPLACE EXISTING FURNACE IN SAME (commencing with Section 7000)of Division 3 of the Business&Professions LOCATION 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 Sq.Ft Floor Area: Valuation:$3187 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:35610064.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which �Xrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this p it. A it' nally,the applicant understands and will comply with all non-po' t so c r ulations per the Cupertino Municipal Code,Section 9.18. Issued by: ' ...� .. —�,_. -__... Date:14 Z'11:>"—ft Signature Dated C� OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as deli by the Bay Area Air Quality Management District I will permit is issued. maintain complian with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Sa e,Sections 25505,25533,and 25534. 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,Int: orized agent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: 9 forthwith comply with such provisions or this permit shall be deemed revoked. NSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address unify and keep harmless the City of Cupertino against liabilities,judgments, ,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35610064 . 00 DATE ISSUED. . . . . . . : 08/30/2011 RECEIPT #. . . . . . . . . : BS000014609 REFERENCE ID # . . . : 11080215 SITE ADDRESS . . . . . : 8109 PARK VILLA CL SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : SCHERRER JOANN W TRUSTEE ADDRESS 8109 PARK VILLA CL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : AAA FURNACE & AIR CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050 COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING ADDRESS 1712 STONE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE . . . . . . . . : (408) 293-4717 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 3, 187. 00 1. 00 0. 00 1. 00 0 . 00 1BSEISMICR VALUATION 3, 187. 00 0.50 0. 00 0 .50 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 1TRAVDOC FLAT RATE 1 .00 44 . 00 0 . 00 44 .00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 260 . 50 0 . 00 260 .50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 260. 50 #39023 --------------- TOTAL RECEIPT 260.50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL 1 t GENERAL PERMIT APPLICATIONMEP COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 • FAX(408)777-3333 •building(d).cupertino.oro misc ❑PLUMBING [j<ECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS �/ '/�.� Ct r , APN k OWNER NAMEa V E-MAIL PHO STREET ADDRESSCy�d Yr,,ST TE,ZIP !''� r�l L 1� 1� C 1 Y 1.l.0 ��iVo C � q soi FAx CONTACT NAMEMA Qua F- U rnx�C� Co►,n STREET ADDRESS �� I�� __ �^•Tp � �� I ZS - ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT l2 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �y rN LICENSE NUMBER BUS.ENSE BUS.LIC M 7 R& -7 / C' CZU COMPANY NAME r C4 Q_Q ��t.tr e.cr�»� FAX -&)7.7 0 STREET ADDRESS CrTY,STATE,ZT PHONE 2 e ! oseI CA 9D 25- 46Q - - 4 �l ARMITECr/ENGINEER NAME LICENSE NUMBER BUS.LIC it COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 2 SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ NO DESCRII'' ON OF WORK 41&2^ __ - _ - TOTAL VALUATION: �-` — � By my signature below,I certify to each of the following: a roperty owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correc. I ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws re uiIding constructio thorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant(A Date: PLENIE INFORMATION RE ,., MEPMucApp_2011.doc revised 03/16/11 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 4 of 5) Project Name: Climate Zone# #of Stories CLQ YlC,1 C lT e T 11` HVAC SYSTEMS-HEATING Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central,Split, Type and Capacity'-2,3 (AFUE or HSPF) Type and Location R-Value Type Space,Package or H dronic) u ab(o6A93b1 95"NO gra rVe 60, T(A I.Indicate Heating Type(Central Furnace, Wall Furnace. Heat pump, Boiler, Electric Resistance, etc.) ?.Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental(i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See§151(b)3 exception. 3.Refer-to the HERS Verification section on Page 4 of the CF-IR-ALT Form for additional requirernents and check applicable boxes. 4. Indicate Type or Location(Ducts, Hvdronic in Floor, Radiators,etc.) HVAC SYSTEMS-COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central,Split, Type and Capacity 1.2 COP) Type and Location R-Value Tye Space,Package or H dronic) 1.Indicate Cooling Type(A/C, Heat pump, Evap. Cooling, etc) 2.Refer to the HERS Verification section on Page 4 of the CF-IR-,4L T Form for additional requirements and check applicable boxes. 3. Indicate Type or Location(Ducts, Hydronic in Floor,Radiators, etc.) WATER HEATING List water heaters and boilers for both domestic hot water(DHW)heaters and hydropic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s)and on all underground hot water pipes is required in all com onent packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' (Standard,Recirculating)' System Capacity(gal) Thermal Efficiency R-Value3 1. Indicate Type(Storage Gas, Heat Pump,Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system jbr single dwelling units. 3. The external water heating tank and i es shall be insulated to meet the requirements o 150 ). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation andspecial verification. NEW-ROOF ASSEMBLY-Radiant Barrier The radiant barrier requirement of§15l(f)2 does not apply to roof alterations. Slab Edge(Perimeter)Insulation ❑YES ❑NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation ❑.YES ❑NO YES:Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation ❑YES ❑NO YES: In Climate Zones 1,2, 11, 13, 14& 16,R-8 insulation is required; in Climate Zones 12& 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 V VV 1101 / Vo"II11"%\tV1