Loading...
11010032I CITY OF CUPERTINO BUILDING PERMIT J BUILDING ADDRESS: 10832 WILKINSON AVE I CONTRACTOR: BLUE MOUNTAIN AIR PERMIT NO: 11010032 OWNER'S NAME: SARANG, SRINATH 1707 ALDRIDGE RD STE B I DATE ISSUED: 01/05/2011 I O"x'NER'S PHONE: 4088739870 LICENSED CONTRACTOR'S DECLARATION License Class L 2C+7 L ,6 Lic. # Contractor 3r WI �n� /art 1Z Date Z / 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 perfomiance of the work for which this pemrit 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 peen it is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the aboveformation 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 and ds and will comply with all non -point source ions per the Cu no Municipal Code, Section 9.18. Signature Date 5 I 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) I, 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. 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. 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, l 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, r -, and expenses which may accrue against said City in consequence of the ng of this permit. Additionally, the applicant understands and will comply wiLn all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date VACAVILLE, CA 95688 PHONE NO: (707) 451-8111 BUILDING PERMIT INFO: BLDG F ELECT r— PLUMB r MECH I— RESIDENTIAL r– COMMERCIAL r JOB DESCRIPTION: INSTALL NEW FURNACE, SAME LOCATION. 80K BTU, 95% AFUE(FURNACE EFFICIENCY) --IN HALL CLOSET Sq. Ft Floor Area: I Valuation: $4400 APN Number: 35613036.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: 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 Applicant: 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(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &Safety Code, Sect�25505,,and 25534. �Own�eror�orj ager Date: CONSTRUCTION LENDING AGENCY I 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.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF -IR -ALT -HVAC Climate Zones 1 and 3 - 7 Site Address: I Enforcement Agency: Date: Permit #: I Z. l k ►,�So a Gci�rQ-7,,Jo I 11 Conditioned Duct insulation Equipment T e' List Minimum EfficiencY2Floor Area requirement Thermostat Packaged Unit Furnace AFUE?5 8SEER BCOP Served by system Over 40 ft of ducts added or replaced in Setback Indoor Coil HSPF sf unconditioned space (If not alreadypresent, must be Condensing Unit ❑ EER 13 Resistance ❑ R 6 (CZ 1, 3-5) installed) Other 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. • I am 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 information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: 7� 2 l t Signature: Company: t/� ccJ.J �,2 Date: I / Address: 7o t in, - Tz) 3 License: 3 6 6 g City/State/Zip: ^moi t� C 9S (o Phone: [. f. 5/. )l 2008 Residential Compliance Forms March 2010 5 ITEMS OF 9 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35613036.00 DATE ISSUED.......: 01/05/2011 RECEIPT #.........: BS000012404 REFERENCE ID # ...: 11010032 SITE ADDRESS .....: 10832 WILKINSON AVE SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER ............: SARANG, SRINATH ADDRESS ..........: 10832 WILKINSON AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014-4732 RECEIVED FROM ....: JEFF RAINEY CONTRACTOR .......: GREGORY S. OWEN LIC # 29600 COMPANY ..........: BLUE MOUNTAIN AIR ADDRESS ..........: 707 ALDRIDGE RD STE B CITY/STATE/ZIP ...: VACAVILLE, CA 95688 TELEPHONE ........: (707) 451-8111 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BCBSC ------------- VALUATION ---------- 4,400.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 4,400.00 0.50 0.00 0.50 0.00 1MFR=<100 UNITS 1.00 126.00 0.00 126.00 0.00 1MPERMITFE FLAT RATE 1.00 42.00 0.00 42.00 0.00 1TRAVDOC FLAT RATE 1.00 42.00 0.00 42.00 0.00 TOTAL PERMIT ---------- 211.50 ---------- 0.00 ---------- 211.50 ---------- 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 505 FINAL ELECTRICAL 508 FINAL MECHANICAL VOICE ID DESCRIPTION -------- ---------------------------- 507 FINAL PLUMBING FM-7, CITY OF CUPERTINO FEE ESTIMATOR —BUILDING DNISION APPLIANCE / EQUIP TYPE ADDRESS: 10832 wilkinson ave. DATE: 01/05/2011 REVIEWED BY: bobs. UNITS APN: BP#: *VALUATION: 1$4,400 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: $126 PENTAMATION FURN/AC PERMIT TYPE: 19 WORK SCOPE APPLIANCE / EQUIP TYPE FEE ID P1w;, !,!(Io ('h� <„ QTY UNITS BP FEES 1-"/� f Yanxir 1-A , Furnace, Forced -Air 1MFR=<100 1 # $126 Perinit Fee: slipp/. 111sp 1' 'e> PME Unit Fee: $126.00 PME Permit Fee: $42.00 (,'OIZSllYfctnln Iter <'1<'ou:�licctl li'f't°It>ti1•'t'r>: Work Without Permit? Q Yes (E) No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC 1 $126.00 Strona, Motion Fee: 1BSEISMICR NOTE: These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 Ef 7/1/10) Mech. Plan Check 0.0 hrs $0.00 P1w;, !,!(Io ('h� <„ , 1 on t'6z <1; Mech. Permit Fee: 1MPERMIT Ph n"b, P"'wO 1,"c: 1-"/� f Yanxir 1-A , L01,her Mech. Insp. 0.0 hrs L$42.00 0) irc r 1,; mil)11� .,Li Insp.Fcc 1����f,,,,. rdi,1�, VC,", 1,7s7,, kc(, NOTE: These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 Ef 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check ck Fee: Str��xrl. 1'C:' free PME Plan Check: $0.00 Perinit Fee: slipp/. 111sp 1' 'e> PME Unit Fee: $126.00 PME Permit Fee: $42.00 (,'OIZSllYfctnln Iter <'1<'ou:�licctl li'f't°It>ti1•'t'r>: Work Without Permit? Q Yes (E) No $0.00 Planning- /Fees: Travel Documentation Fee: ITRA VDOC $42.00 Strona, Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item 131dy, Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $211.50 $0.00 TOTAL FEE: » $211.50 Revised: 12/07/2010 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 10 J PERMIT # d OWNER'S NAME: 5Z LeJ A'7rfPHONE # • 4?7 3- .7 D GENERAL CONTRACTOR: L.&)r WIJ-7 -W .,tl BUSINESS LICENSE # ADDRESS: -7p 4-f j C 1 7 CITY/ZIPCODE: JAr A -A "-,6-(o *Our municipal code requires all businesses 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 SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: / s� ature Date Please check applicable subcontractors and complete the following information: / Color Signature I/S//i 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 / Color Signature I/S//i Date I oI oc:)52- CITY Of CITY OF CUPERTINO FURNACE/AC CUPERTINO PERMIT APPLICATION FORM APN # r D �5 ` Date: 11511, /S/11 Building Ad ress: log 3 Z G✓ C k 1"J -50"i /40 C Owner's Name: � 2 i Phone #: Contractor: Phone M 707-451-8111 BLUE MOUNTAIN AIR, INC. Fax #: 707-446-7026 Contractor License #: 398668 Cupertino Business License #: Contact: REBECCA COSTILLA Phone #: 707-451-8111 Fax #: 707-446-7026 Building Permit Info: Elect Plumb ©/ Mech ❑ Residential x Commercial Job Description: /.J 5 -i4 -t -L- A)r:tiJ 430 K 8 -TL), 9.5 `% 1+ f J1- H -W C lbse-/ For Residential Installations: Attic ❑ 1" floor ® 2"d floor ❑ Adhere to minimum setback requirement ❑ For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: Type of Construction (Usage Class): Strapped On Platform Bonded New Location F1 Replacement El Project Size: Express ❑ Standard ❑ Large ❑ Major ❑ Valuation: # 67z:� t Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, include in plan set & the sheet index. lxevisea uiiuiiuy