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10050056 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10451 FINCH AVE CONTRACTOR:VALLEY HEATING& PERMIT NO: 10050056 COOLING V`NER'S NAME: LORETTA Z ALLEN 1171 N 4 TH ST DATE ISSUED:05/05/2010 u_NER'S PHONE: 4082525035 SAN JOSE,CA 95112 PHONE NO:(408)294-6290 ❑ LICENSED CONTRACTOR'S DECLARATIONF_ BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class -Z O Lie.# VI(q- 0 0 � MECH RESIDENTIAL COMMERCIAL Contractor LAY ate I hereby affirm that I am hylensed under the provisions of Chapter 9 JOB DESCRIPTION:REPLC FURNACE,ADD A/C UNIT (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:$5865 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:37505024.00 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. Ad itionally,the applicant understands and will comply with all not sour gula' s per the C o Municipal Code,Section Issu:d by: Date: 9.18. Signature Date e/ RE-ROOFS: ElNER-BUILDER DECLARATION All roofs shall be inspected prior to any roofing material being installed.If a roof is insta led 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: I,as owner of the property,or my employees with wages as their sole compensation, Sign;tture of Applicant: Date: 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 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 have 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 Calilbrnia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Compensation,as provided for by Section 3700 of the Labor Code,for the compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. Safe y Code,Section 25532(a)should I store or handle hazardous material. I have and will maintain Worker's Compensation Insurance,as provided for by Add tionally,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 cont iminants as defined by the Bay Area Air Quality Management District I will permit is issued. mair tain compliance 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&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Owne o ' a ent: Compensation laws of California. If,after making this certificate of exemption,I t Date: become subject to the Worker's Compensation provisions of the Labor Code,I mTz, forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY y affirm that there is a construction lending agency for the performance of work's APPLICANT CERTIFICATION for v hich this permit is issued(Sec.3097,Civ C.) I certify that I have read this application and state that the above information is Lenfler'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 Lenfler's Address ur 'he above mentioned property for inspection purposes.(We)agree to save i iify and keep harmless the City of Cupertino against liabilities,judgments, costo,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 I unc erstand my plans shall be used as public records. with all non-point source regulatio s per the Cupertino Municipal Code,Section 9.18. Lice ised Professional 4�cl Signature Da t CITY OF CUPERTINO 7 ITEMS OF 22 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: ]got: APN . . . . . . . . : 37505024 . 00 DATE ISSUED. . . . . . . : 05/05,'2010 RECEIPT #. . . . . . . . . BS000010330 REFERENCE ID # . . . : 10050056 SITE ADDRESS . . . . . : 10451 FINCH AVE SUBDIVISION . . . . . . CITY CUPER"INO IMPACT AREA . . . . . . OWNER LORET'CA Z ALLEN ADDRESS 10451 FINCH AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : VALLE'( HEATING & CO CONTRACTOR ATKINSON, THOMAS LIC # 141 COMPANY VALLE't HEATING & COOLING ADDRESS 1171 ]J 4 TH ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE (408) 294-6290 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---- ------ ---------- ---------- ---------- 1BCBSC VALUATION 5, 865 . 00 1. 00 0 . 00 1 . 00 0. 00 1BREMAIRHA NO.UNITS 1 . 00 63 . 00 0 . 00 63 . 00 0 . 00 1BSEISMICR VALUATION 5, 865 . 00 0 . 60 0 . 00 0 . 60 0 . 00 1EPERMITFE FLAT RATE 1 . 00 42 . 00 0 . 00 42 . 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 ---------- ---------- ---------- ---------- TOTAL PERMIT 253 . 60 0 . 00 253 .60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 844 . 60 #20630 --------------- TOTAL RECEIPT 844 . 60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL 7// CITY OF CUPERTINO FURNACE/AC CITY OF CUPEkTINO PERMIT APPLICATION FORM APN# _ _ _ Date: 7 Building Address: Owner's Nanie: Phone#: A0 n Contractor: Phone#: IRP _6;::L V 6 MA we-af i��j Fax#: -r7V�7-- Contractor 4ense#: Cupertino Business License#: Contac : Phone#: r Fax#: Building Permit Info: Elect Plumb Mech Residential Commercial ❑ Job Description: For Residential Installations: Attic ❑ 1St floor D/ 2nd floor ❑ Adhere to minimum setback requirement ©� For Commercial Installations: Replacemcnt sarne weight F-1Additional weight(structural calcs) 17 Structural Calculations required for new installation New installation Planning Approval Required ❑ Cost of Project: Type of Cons ruction(Usage Class): S, z�,s L",3 Str pped ❑ On Platform ❑ Bonded [] New Location ❑ Replacement Valuation: Green Building: Must attach Green Building Check list to this application ` X CITE' OF C UPERTINO FURNACE/AC CITY OF CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCAIRHAN Conunercial A/C Units <= lOk CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for e3 gas piping System P 1-4 outlets 1PGASRES Residential for ea gas piping system P of 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. C'omm/Resid IBRENLkIRHAN Residential A/C units <= IOk CFM B 1MIUL A Residential Mech Repair/alt/add M 1BSEISMICR Seismic Resident:al B 1EPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M / 1PPERMITFEE Plumbing Permit P 1 T RAVDUC Travel Documentation B 1BUSLIC Business License B - CITY OF CUPERTINO uI` FURNACE/AC CM OF CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC -- --1PGASRES -Residential for ea gas piping system of- P— — -- 1-4 Outlets 1BPGAS For each gas piI ing system of 5 or P more per outlet. 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan ;heck M 1MFR=<100 Furnace Syst <=1)Ok BTU install or M relocate ea forced-air/gravity type /I/�� furnace/burner, incl ducts/vents attached to such appliance up to and include 100,000 F;tu/h 1 MFRN>100 Furnace Syst> 1 C 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 Fcz E 1MPERMITFEE Mechanical Perm_t Fee M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B CITE' OF CUPERTINO FURNACE/AC CITY OF CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Descriptio:i Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Ref air/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,abscrption unit,or ea heatulg,cooling,Ebsorption or evaporative cooling system,incl installation of co atrols regulated by this code. 1MCREPALT Commercial for'he repair of alt/add to M ea heating appliance,refrigeration umt,cooling unit,VAV boxes, absorption unit or ea heathing, cooling absorption,or ev-porative cooling sys, incl install of controls regulated by this code. 1MCSUSHTR Commercial Instnll/Relocate ea M suspended heatei,recessed wall htr, or floor mounted urdt heater. 1PGASCOM Commerical for im gas piping System P 1-4 outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1MCAPPVNT Commercial for�he install/relocate/ or M replacement of e 3 appliance vent installed &not incl in an appliance permit. IBSEISPdIiCO Commercial Seismic B 1MR.RAA Residential Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,abscrption unit,or ea /! ' heating,cooling,ebsorption or v evaporative cooling system,incl installation of controls regulated by this code. 1MRSUSHTR Residential Insta-l/Relocate ea M suspended heatei,recessed wall htr, or floor mounted unit heater. 1MRAPPVNT Residential for the install/relocate,/or M replacement of e i appliance vent install &not incl in an appl permit. C a 4.Lee Solid Wail Systems(Includes SIPS,1CFs,&Any NorrSbck Frame Assembly) I i ❑ F.Floors [l h.Walls ❑ c.Ron 5.Reduces-Pollution Entering the Home from the Garage ❑ a.Tmhtly Seal the Air Carrier between Garage and Living Area ❑ b.Instal!Garai Exhaust Fan OR Build a Detached Garai D I Z ❑ E.Design Energy Heals on Trusses(75 of Attic Insulation Height at Outside Edge of Exte-ior Wall) I D I Z I ❑ 7.Design Roof Trusses to Accommodate Ductwork I D B.Use Recycled-Content Steel Studs for 9D°!.of Interior Wall Framing 9.Thermal Mass Walls:51B-Inch Drywall on All Interior Walls or Wells Weighing more than 4D Iblcu.tt I 0 I Z 10.install Overhangs and Gutters --— — ❑ --a.Minimum 16-Inch Overhangs and Gutters -- ❑ b.Minimum 24-Inch Overhangs and Gutters D Z Total Pd ik Available in Structural Buildm_o Frame and Envelop==361 D j E.EXTERIOR MISH Pnini Available P r ih==_sur5 1.Use Recycled-Content(No Virgin Plastic)or FSC-Certified Wood Decking D ❑ 2.Install a Rain Screen Wall System I D ! 2 ❑ 3.Use Durable and Noncombustible Siding Materials I D I 1 LJ 4.Select Durable and Noncombustible Roofing Materials I D 2 Total Points Available in Erlerior Finish=7j D F.IINSULATION I I Pdinis Available P=r MsaSurE 1.Install Insulator,with 75,E Recycled Content I n II ❑ a.Walls andior Floor 0 Z —❑ b.-Ceilings D -— i—' -— 2 Install Insulation that is Low-Emitting(Certified Section 0135D) ! ❑ a.Walls and/or Floor ❑ b.Ceilings 0 ❑ 3.Inspect Quality of Insulation installation before Applying Drywall Total Points Available in Insulation=51 D I G.PLUMBING I I Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points) I ❑ a.Insulate Hot Water Pipes from Water Heater to Kitchen ❑ b.Insulate All Hot Water Pipes ❑ c.Use Engineered Parallel Piping D ❑ d.Use Enoinaered Parallel Piping with Demand Controlled Circulation Loop D ❑ a.Use Structured Plumbing with Demand Controlled Circulation Loop D Z 2 ❑ I.Use Central Coms Plumbing D Z Z 2 ❑ 2.Install Drily High Efficiency Toilets(Dual-Flush or 5128 gpf) I D I ! Total Points Available in Plumbing=Total 12I D I H..HEATING,VENTILATION&9IR CONDITIONING I I Points Available Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,D,and S Recommendations I D 4 2 Install Sealed Combustion Units a.Fumaces 0 2 I ❑ b.Water Heater D I 2 3.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation I D I 1 1 4.install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants D 1 5.Design and Install Efiectfve Ductwork. I ❑ a.Install HVAC Unit and Ductwork within Conditioned Space ❑ b.Use Duct Mastic on All Duct Joints and Seams ❑ c.Install Ductwork under Attio 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+) I D ! 1 ❑ 7.Don9lnstall Fireplace or install Sealed Gas Fireplaces with Efficiency Rating Not Less ban 60% I D I Z using CSA Standards B,Install Effective Exhaust Systems in Bathrooms and Kitchens ❑ E.Install ENERGY STAR Bathroom Fans Ventedio the Outside 0 ❑ b.All Bathroom Fans Are on Mimsr or Humidistat D Z _-- ❑ c.Install Kitchen Ranoe Hood Vented to the Outside D Z ! 9,Install Mechanical Ventilation System for Cooling(Maximum 4 Points) I ❑ a.Install ENERGY STAR Ceiling Fans 8 Light Kitt in Living Areas E Bedrooms D ❑ b,Install Whole House Fan with Variable Speeds D ❑ c.Automatically Controlled Integrated System2 i _ ❑ d.Automatically Controlled Integrated System with Variable Speed Control 3 10,Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ P.Any Whole House Ventilation System That Meais ASHRAE 622 !_2 _ ❑ b.install Air-to-Air Heat Exchanoar that meet ASHRAE 62.2 D Z 2 11,install Carbon Monoxide Alarm(s) I D Total Pc nts Available in Heating,Ventilation and Air Conditioning=30I D I �,nnn-r n...i�,.n__..^ Cinnl_Farnihi(�rcnr Gnin1('.h�r•t•lic Pr)l17 Pan=2 n`d Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUB(:ONTRACTOR LIST JOB ADDRESS: PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: BUSINESS ICENSE# ADDRESS: A) CITY/ZIPCODE: *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: z Signature Date Please check applicable subcoact s nd complete i he following information: V 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