Loading...
10100169CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 864 KIM ST CONTRACTOR: VALLEY HEATING & PERMIT NO: 10100169 COOLING f'"INER'S NAME: SEEJO PYLAPPAN 1171 N 4 TH ST DATE ISSUED: 10/22/2010 -, .aNER'S PHONE: 4087250776 ❑ LICENSED CONTRACTOR'S DECLARATION License Class_ 2 y Lic. # L57 OyS,q 0 Contractor Vq �� f,r . L i00%a Date G(2 Qo 2c) 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 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. Si -nature St ❑ 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 pen -nit 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 the above mentioned property for inspection purposes. (We) agree to save amify 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. Signature Date SAN JOSE, CA 95112 PHONE NO: (408)294-6290 BUILDING PERMIT INFO: BLDG r ELECT f— PLUMB MECH r— RESIDENTIAL r COMMERCIAL K 1B DESCRIPTION: FURNACE REPLACEMENT (SAME LOCATION) Sq. Ft Floor Area: Valuation: $3847 APN Number: 35919036.00 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Iss ted by. Date: Z�v RE -ROOFS: All -oofs shall be inspected prior to any roofing material being installed. If a roof is inst tiled without first obtaining an inspection, I agree to remove all new materials for insl ection. Sigi iature 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 & Safi ty 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 mail stain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Hea th & Safety Code, Sections 25505, 25533, and 25534. Owner orauthor' d agent: --I - o-Y�Date: 1012 2/2o (•e CONSTRUCTION LENDING AGENCY I herby affirm that there is a construction lending agency for the performance of work's for v hich this permit is issued (Sec. 3097, Civ C.) Lender's Name Len ler's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional IM-7, CITY OF CIJPERTINO FEE ESTIMATOR -BUILDING DIVISION AADDRESS: FEE ID DATE: REVIEWED BY: UNITS l APN: BP#: *VALUATION: 1$3,847 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: `' r �r�,� ; �.t. PENTAMATION FURN/AC PERMIT TYPE: WORK / I'C'f-IJ1I! 1�'f'd:'� SCOPE Sup/4' 1T7s17 APPLIANCE / EQUIP TYPE FEE ID QTY/FEE QTY UNITS BP FEES Furnace, Forced -Air 1MFR=<100 1 # $126 / I'C'f-IJ1I! 1�'f'd:'� Sup/4' 1T7s17 - _T PME Unit Fee: $126.00 PME Permit Fee: $42.00 (.'C'd7Iswllcii) 7 Tax 'Ic ousli( al 1?cl.ici /"ec, Work Without Permit? Q Yes E) No $0.00 TOTALS: i 1 $126.00 Strom Motion Fee: IBSEISMICR NOTE. These fees are based on the nreliminary information avail,Yhlo and aro nnhy an oc/isnnfo EE ITEMS (Fee Resolution 09-05I Eff-li'101 Mech. Plan Check 0.0 hrs $0.00 QTY/FEE 1 ,�"=_ 1-.r; c'r.�<�r Mech. Permit Fee: IMPERMIT _77 . Other Mech. Insp. Fo.o hrs $42.00 PME Pllran Check: $0.00 NOTE. These fees are based on the nreliminary information avail,Yhlo and aro nnhy an oc/isnnfo EE ITEMS (Fee Resolution 09-05I Eff-li'101 FEE QTY/FEE MISC ITEMS pF{ toi s21pp . I'(1 Fcc' PME Pllran Check: $0.00 / I'C'f-IJ1I! 1�'f'd:'� Sup/4' 1T7s17 - _T PME Unit Fee: $126.00 PME Permit Fee: $42.00 (.'C'd7Iswllcii) 7 Tax 'Ic ousli( al 1?cl.ici /"ec, Work Without Permit? Q Yes E) No $0.00 i Travel Documentation Fee: ITRA VDOC $42.00 Strom Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldp- Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $211.50 $0.00 TOTALFEE: $211.50 Revised: 10/17/2010 CITY OF CLrPERTINO 5 ITEMS OF 5 PERMIT F.ECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 3591S036.00 DATE ISSUED.......: 10/2/2010 RECEIPT #.........: BS000011824 REFERENCE ID # ...: 101OC169 SITE ADDRESS .....: 864 k.IM ST SUBDIVISION ....... CITY .............. CUPERTINO IMPACT AREA ....... OWNER SEEJC PYLAPPAN ADDRESS ..........: 864 F.IM ST CITY/STATE/ZIP ...: CUPEFTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM ....: VALLEY HEATING & CO CONTRACTOR .......: ATKIISSON, THOMAS LIC # 141 COMPANY ..........: VALLEY HEATING & COOLING ADDRESS ..........: 1171 N 4 TH ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)294-6290 FEE ID ---------- UNIT ------------- QUANTITY AMCUNT PD -TO -DT THIS REC NEW BAL 1BCBSC VALUATION ---------- 3,847.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 3,847.00 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 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 211.50 --------------- 211.50 VOICE ID DESCRIPTION -------- ---------------------------- 505 FINAL ELECTRICAL 508 FINAL MECHANICAL REFERENCE NUMBER -------------------- #21226 VOICE ID DESCRIPTION -------- ---------------------------- 507 FINAL PLUMBING Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Lal D U P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR / SUB(;ONTRACTOR LIST /1-) JOB ADDRESS: f PERMIT # OWNER'S NAME:ee ` �Q PHONE # GENERAL CONTRACT (% (Q �� �p�(�; BUSINESS LICENSE # !" ADDRESS: U -4 ( N'qmlCITY/ZIPCODE: 54r o 5e, qG112 *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. 1 am not using any subcontractors: Signature Date Please check applicable subcontractors and complete 1 he 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 4. Use Solid Wall Systems (Includes SIPS, ICFs, & Any Non -Stick Frame Assembly) a. Floors b. Walls c. Roofs 5. Reduce Pollution Entering the Home from the Garage�� a. Tightly Seal the Air Barrier between Garage and Living Area b. Install Garage Exhaust Fan OR Build a Detached Garage—µµ 6. Design Energy Heels on Trusses (75% of Attic Insulation Height at Outside Edge of Exterior Wall) 7. Des tin Roof Trusses to Accommodate Ductwork .._ e .. 8 Use Recycled Content Steel Studs for 90% of Interior Wall Framing 9. Thermal Mass Walls 5/8 Inch Drywall on All Interior Walls or Walls Weighing more than 40 lb/cu ft 10. Install Overhangs and Gutters i ■ a. Minimum 16 -Inch Overhangs and Gutters ■ b. Minimum 24 -Inch Overhangs and Gutters L.._..,......_._..__.�......__.... .."._..._......... Total Points A-ailable in Structural Building Frame and Envelope = 36 IE EXTERIOR FINISH 1 Use Recycled -Content (No Virgin Plastic) or FSC -Certified Wood Decking 2..m_Screen ."_,___yste 2. Install a Rain Screen Wall System 3. Use Durable and Noncombustible Siding Materials _"______V_____mM,"___.____. 4. Select Durable and Noncombustible Roofing Materials Elm""""`'""'""'"""""""""""'""`"����" Total Points Available in Exterior Finish =� F. INSULATION 1. Install Insulation with 75% Recycled Content ■ a. Walls and/or Floors b Ceilings v .. _.� ...... -�2. Install Insulation that is Low -Emitting (Certified Section 01350) ■ a. Walls and/or Floors ■ b Ceilings 3. Inspect Quality of Insulation Installation before Applying Drywall G. PLUMBING 1. Distribute Domestic Hot Water Efficiently (Maximum 7 Points) ■ a. Insulate Hot Water Pipes from Water Healer to Kitchen ■ b. Insulate All Hot Water Pipes ■ c. Use Engineered Parallel Piping d. Use Engineered Parallel Piping with Demand Controlled Circulation Loop e. Use Structured Plumbing with Demand Controlled Circulation Loop I. Use Central Core Plumbing 2. Install Only High Efficiency Toilets (Dual -Flush or51.28 gpi) HEATING, VENTILATION & AIR CONDITIONING 1. Design and Install HVAC System to ACCA Manual J D and S Recommendations 2. Install Sealed Combustion Units . a. Furnaces b. Water Healers 3. Install Zoned, Hydronic Radiant Heating with Slab Edge Insulation 4 Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 5. Design and Install Effective Ductwork ■ a. Install HVAC Unit and Ductwork within Conditioned Space ■ b. Use Duct Mastic on All Duct Joints and Seams . c. Install Ductwork under Attic Insulation (Buried Ducts) ■ d. Pressure Balance the Ductwork System ■ e. Protect Ducts during Construction and Clean All Ducts before Occupancy 6. Install High Efficiency HVAC Filter (MERV 6+) 7. Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60% ■ using CSA Standards 8. Install Effective Exhaust Systems in Bathrooms and Kitchens ■ a. Install ENERGY STAR Bathroom Fans Vented to the Outside ■ b. All Bathroom Fans Are on Timer or Humidistal c. Install Kitchen Range Hood Vented to the Outside L( 1 N o I i w [ ji O m 0 0 0 _'. 0 (! 0 0 0 0 i -'^O—" ' Points Available Per Measure Points Available Per Measure 0 0 Points Available Per Measure 0 0 0_ 0 0 0 0 0� 9. Install Mechanical Ventilation System for Cooling (Maximum 4 Points) ■ a. Install ENERGY STAR Ceiling Fans & Light Kits in Living Areas & Bedrooms ■ b. Install Whole House Fan with Variable Speeds © 2007 Build It Green Single Family GreenPoin Checklist 2007 Version Per 0 0 ` 0 0 0 Page 3 of 7 lv / v (-)/ Co9 CITY OF CUPERTINO I" FURNACE/AC CUP RTINO PERMIT APPLICATION FORM APN #� � l n � ,V Date: C� Building Address: Owner's Name:Phone See j 6 T l aPf 4� #: -72 5 - 76 Contractor: Phone #: 24q -%244 V4 A{ye�� Fax #: Contractor License #: Cupertino Business License #: 2585 /Lf c Contact: Phone #: 14o8-24 `f -G, 2 qO J on es Fax #: Building Permit Info: Elect Plumb Mech Residential Commercial ❑ Job Description: lctrrrzacE' �eP��Ce.•��.. f r5a,4te (G 0�{62� For Residential Installations: Attic ❑ 1St floor 2nd floor ❑ Adhere to minimum setback requirement ❑ For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation E New installation Planning Approval Required ❑ Cost of Project: Type of Constniction (Usage Class): ��,f3 Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement El— Project Size: ExpressStandard ❑ Large ❑ Major ❑ Valuation: -$ 39#7 — Green Building: Please complete relevant portion of tLe Green Building Checklist & attach it to the application or if applicable, include iti plan set & the sheet index. Revised 01/07/09