10050055 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10149 BRET AVE CONTRACTOR:VALLEY HEATING& PERMIT NO: 10050055
COOLING
"NER'S NAME: ERNEST AMARAL 1171 N 4 TH ST DATE ISSUED:05/05/2010
OvvNER'S PHONE: 4082572398 SAN JOSE,CA 95112 PHONE NO:(408)294-6290
❑ LICENSED CONTRACTOR'S DECLARATIONr—
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.#2<75 Z o
MECH RESIDENTIAL COMMERCIAL
Contractor �CL Date
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REPLACE FURNACE
(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. Sq.I't Floor Area: Valuation:$2646
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. APN Number:37511027.00 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 PERMIT EXPIRES IF WORK IS NOT STARTED
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR
indemnify and keep harmless the City of Cupertino against liabilities,judgments, 180 DAYS FROM LAST CALLED INSPECTION.
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 Issued by: f/ Date:—��"--
9.18.
c:^iatur Dat
RE-ROOFS:
❑ WNER-BUILDER DECLARATION All r)ofs 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
I hereby affirm that I am exempt from the Contractor's License Law for one of inspection.
the following two reasons:
1,as owner of the property,or my employees with wages as their sole compensation, Sign iture of Applicant: Date:
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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE
declarations: I ha ie read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain a Certificate of Consent to self-insure for Worker's Cali Pornia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
Compensation,as provided for by Section 3700 of the Labor Code,for the com Aiance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
performance of the work for which this permit is issued. Safety Code,Section 25532(x)should I store or handle hazardous material.
I have and will maintain Worker's Compensation Insurance,as provided for by Additionally,should I use equipment or devices which emit hazardous air
Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. mabitain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Hea th&Safety Code,Sections 25505,25533,and 25534.
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 Owl e t ent:
Compensation laws of California. If,after making this certificate of exemption,I _Z Date:
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. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
APPLICANT CERTIFICATION for which this permit is issued(Sec.3097,Civ C.)
I certify that I have read this application and state that the above information is Len Ier's Name
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 Len ler's Address
-i the above mentioned property for inspection purposes.(We)agree to save
.unify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply I understand my plans shall be used as public records.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18• Lice used Professional
Signature Date L
L'
CITY OF CU:?ERTINO
8 ITEMS OF 22 PERMIT R:3CEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: allot:
APN . . . . . . . . : 37511 )27. 00
DATE ISSUED. . . . . . . : 05/05 /2010
RECEIPT # . . . . . . . . . : BS000 )10330
REFERENCE ID # . . . : 10050 )55
SITE ADDRESS . . . . . : 10149 BRET AVE
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ERNEST AMARAL
ADDRESS 10149 BRET AVE
CITY/STATE/ZIP . . . : CUPERPINO, CA 95014
RECEIVED FROM . . . . : VALLEf HEATING & CO
CONTRACTOR . . . . . . . : ATKIN3ON, THOMAS LIC # 141
COMPANY . . . . . . . . . . : VALLEY HEATING & COOLING
ADDRESS . . . . . . . . . . : 1171 N 4 TH ST
CITY/STATE/ZIP . . . : SAN JDSE, CA 95112
TELEPHONE . . . . . . . . : (408) 294-6290
FEE ID UNIT QUANTITY AMOJNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 2, 646 . 00 1. 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 2, 646 . 00 0 .50 0 . 00 0 . 50 0 . 00
1EPERMITFE FLAT RATE 1 . 00 42 . 00 0 .00 42 . 00 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
1MRRAA UNITS 1 .00 63 . 00 0 . 00 63 . 00 0. 00
1PPERMITFE 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 358 .50 0 . 00 358 . 50 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
r - C)
CITY OF CUPERTINO b
` FURNACE/AC
CITY OF
CUPEkTINO PERMIT APPLICATION FORM
Date:
Building Address:
Owner's Name: Phone#:
Contractor: Phone#:
01 �-G� o �\ Fax#: 9-q </-7
Contractoi License U Cupertino Business License#:
-1 J`f C) I
Contact: Phonjje#:
�- (�+► C h Fax#:
Building Permit Info:
Elect DPlumb Mech
Residential Commercial ❑.
Job Description:
For Resi ential Installations:
Attic ❑ 1St floor fff— 2nd floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ElA dditional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction(Usage Class):
(.00. 1'3;�:) �,- 0
Strapped ❑ On Platform ❑ Bonded [] New Location ❑ Replacement
Valuation:
Green Building: Must attach Green Building Check list to this application
CITE' OF CUPERTINO
FURNACE/AC
CITY OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
_ CONDITIONING
1BCAIRHAN Commercial A/C Units <= 10k CFM B
1MCRAA Commercial Mee a Repair/alt/add M
1BSEISMICO Seismic Conuner,,ial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piling system of 5 or P
more per outlet. Comm/Resid
IBREMAUUiAN Residential A/C tnits <= 10k CFM B
r 1MIU A Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
IEPERMITFEE Electric Permit E
/ 1MPERMITFEE Mechanical Permit M
IPPERMITFEE Plumbing Permit P
I i T RA VDOC Travel Document ation B
1BUSLIC Business License B
CITE' OF CUPERTINO
t FURNACE/AC
CM OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1FGASRES -Residential for ea gas piping systeili of- ----P-
1-4 Outlets
1BPGAS For each gas piling system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst<=1)Ok BTU install or M
relocate ea forced-air/gravity type
1 furnace/burner, in cl ducts/vents
attached to such appliance up to and
include 100,000 F,tu/h
1MFRN>100 Furnace Syst> 1C,Ok BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
1EPERMITFEE Electric Permit F(.e E
1MPERMITFEE Mechanical Permit Fee M
1PPER2vffTFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
WINti itft' ,.{ y_ .._k �rKt; 'n. 's -'.�ia1''S�._ ':�si".s:4. .ce•t _..._. `: _ f U
4.Use Solid Wall Systems(Includes Sips,1CFs,&Any Non-Stick Frame Assembly) I !
❑ a.Floors
❑ b.Walls ---—--—
El
B.Reduc=_Pollution Entering the Home from the Garage
❑ a.'Tightly Seal the Air gamer baiwasn Garage and Livino.Ara., 0 —
❑ b.Instal!Garage Exhaust Fan OR Build.,Detached Gamos 0 -'
❑ E.Desion Energy Heels on Trusses(75%of Attic insulation Hei_aht at Outside Edge of Exte-ior Wall) I 0 I I
❑ 7.Design Roof Trusses tg Accommodate Ductwork I 0 I -'
B.Use Recycled-Content SL-91 Studs for 9D%of Interior Wall Framing I D I I
9.Thermal Mass Walls:51B-Inoh Drywall on All Interior Walls or Walls Weighing more than 40 Ibicu.tt. 0
10.Install Dverhangs and Gutters
--— — ❑ --a.Minimum 16-Inch Overhangs and Gutter p —
❑ b.Minimum 24-Inch Overhano_s and Gutters D
Tota!Fd is Avallabie in Structural Building_Frame and Envalope=351 0 I
'E.EXTERIOR FV-ISH ! I PD'Iflt.,Availani_-
LJ
P r 1:4aeaui
1,use Recycled-Content(No Virgin Plastic)or FSC-Certified Wood Decking I 0
❑ 2.Install a Rain Screen Wall System D I
3.Use Durable and Noncombustible_Sidino Materials 0 I I
( J 4.Select Durable and Noncombustible Roofing Materials I D I Z
Total Poins Available in Exterior Finish=7i D I
F.INSULAXION I I RDinis Availably Per Measure
1.install Insulation with 75%Recycled Content
❑
P.Walls and;or Floor.-
2.
loor2 Install Insulation that is Low-Emitting(Certinad Section 01350) I i
❑ .a.Walls and/or Floor I 0
❑ b.Callings 0 I 1
❑ 3.Inspect Quality of Insulation Installation before Applying Drywall I 0
Total Points Available in Insulation=51 D I
G PLUMBING i I Points Available Per 1ABsure j
1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points) I
❑ a.Insulate Hot Water Pipes from Water Heater to Kftchen 0 I I
❑ b.Insulate All Hot Water Pipes 0 I 1
❑ c.Use Enoinaered Para1L=I Piping 0
❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0
❑ e.Use Structured Plumbino with Demand Controlled Circulation Loop 0 Z _
❑
I.Use Central Go,-.Plumbing 0 7 1 2
❑ 2.install Only High Efficiency Toilets(Dual-Flush or 5128 gpf) i 0 I 4
Total Points Available in Plumbing=Total 121 D I
a..FiEATING,VENTILATION&_AIR CONDITIONING I I Points Available Per Measure �
❑ 1.Design and Install HVAC System to ACCA Manual J,D,and 5 Recommendations I D 1 ! 4
2,Install Sealed Combustion Units 1
a.Fumacas 0 2 ! I
❑
b.VJatar Heaters 0 �
3.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation 0 I 1 1
4.install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 I i
S.Design and Install Efiective Ductwork —
❑ a.Install HVAC Unit and Ductwork within Conditioned Space I D I_ 3
❑ �---
h.Use Duct Mastic on All Duct Joins and Seams I
❑ c.Install Ductwork under At,Insulation(Buried Ducts)
❑ d.Pressure Balance the Ductwork System D I
❑ e.Protect Ducts durino Construction and Clean All Ducts before Occupancy 0 i I
S.install High Efficiency HVAC Filter(MERV 6+) I 0
❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less r hen 50% I
0
using CSA Standards
B.Install Effective Exhaust Systems in Bathrooms and Kitchens
❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 1_ I
❑ b.All Bahroom Fans Are on'imer or Humidistat D
El c. I
c.Install Kitchen Range Hood Vented to the Outside
S.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) I
❑ a.Install ENERGY STAR Ceiling Fans&LigIY Kis in Livino Areas&Bedrooms 0 I _
❑ b..Install Whole House Fan with Variable Speeds 0
❑ c.Automatically Controlled Integrated System _ 0
❑ d.Automatically Controlled Integrated System with Variable Speed Control 0
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) I I
❑ P.Any Whole House_Ventilation System That Meets ASHRAE 622 0 _ _ i_2
El b.install Air-to-Air Heat Exchanger that meets ASHRAE 62.2 0 I
11.Install Carbon Monoxide Alarm(s) I 0 I I
Total Pr ins Available in Heating,Ventilation and Air Conditioning=3D D j
ire=,cam�f rh—Hip!PY17 v=.Minn Fan=2 of
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: 408-777-3228
CU PERTI NO Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: /� PERMIT# S
OWNER'S NAME: PHONE# Z
GENERAL CONTRACTOR: l/& BUSINESS LICENSE#
ADDRESS: /IJ CITY/ZIPCODE:
*Our municipal code requires all busines es 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:
Signat ire Date
Please check applicable sub ntr tors and complete the following information:
6/ 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