13050129 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20296 PINNTAGE PKWY CONTRACTOR:ATLAS-TRILLO HVAC PERMIT NO: 13050129
OWNER'S NAME: JITEN VAGHELA 1965 KYLE PARK CT DATE ISSUED:05/17/2013
OWNER'S PHONE: 4085054751 SAN JOSE,CA 95125 PHONE NO:(408)286-8931
❑ LICENSED CONTRACTOR'S DECLLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE]
License Class C W Lic.# (0—.U ( / REMOVE AND REPLACE FURNACE,ADD A/C IN REAR OF
SFDWL-HOA APPROVAL
Contractor f CC L2 j Ty- t I!t 1 Date S
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. Sq.Ft Floor Area: Valuation:$4600
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 APN Number:36947019.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 0 YS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY F M LAST CALLED INSPECTION.
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 Issued by: Date:
with all non-points ice ulations.per the Cupertino Municipal Code,Section
9.18:
RE-ROOFS:
Signature Date 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.
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License.Law for one of Signature of Applicant: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with t e Cu ertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sec' s 25 05,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized agent: Dat
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 CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
GENERAL PERMIT APPLICATION
MEP
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISIONrr``�
Jia 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 /*V
(408)777-3228•FAX(408)777-3333•building(cicupertino.orcl misc
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PLUMBING,' ; MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS
PROJECT ADDRESS jr APN#
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OWNERNAME 1 PHO C,® MAIL
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CONTACT NAME1'i 1 PHONE E-MAIL
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STREET ADDRESS CITY,STATE,ZIP FAX
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CONTRACTOR NAME LICENSE LICENL BUS.LIC#
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ARCHTTECT/ENGINEER;NAME LICENSE NUMBER �J BUS. #
COMPANY NAM$t 1 EMAIL FAX
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USE OF i'❑SFD of DUPLEX Ell MULTI-FAMQ Y PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑.YES
BUJLA !{ [3COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO
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By!my signature bolo „I certify to{each of the following: I am the property owner or authorized agent to act o property owner's behalf. I have read flus
application and t{le information I.have vide ect I have read the Description of Work and verify itis accurate. I agree to complylwith all applicable loca_t`
ordinances and.state laws Felatmg;to b nstruct n. I authorize representatives of Cupertino to enter the above- eitified roperty for inspection purposes..
Signature of Ap�li�ant/Agent,, t!t' Date:
, I 1 I,I!� I,'SUPPLEMENTAL INFORMATI D
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MEPMiscApp_2011.doc revised 06/21/11
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COMMUNITY MANAGEMENT SERVICES
May 9, 2013
Jiten Vaghela
20296 Pinntage Parkway
Cupertino,CA.95014
Re: Town Center Village Homeowners Association
Dear Mr.Vaghela:
Please be advised that your architectural request to install an air conditioner condenser unit on the
pre-wired&plumbed patio area has been approved by the Association subject to:
L The installation being performed by a licensed contractor.
2. Any necessary City of Cupertino permits being obtained.
3. Any damage or maintenance resulting from the air conditioner installation being your
responsibility to repair and that of future owners at 20296 Pinntage.
4. The noise from the unit being reasonably quiet and within industry standards,since
neighbors live in close proximity.
Thank you for submitting your architectural request to the Association. It is suggested that you keep
this architectural approval letter with your other important real estate documents.
Sincerely,
Community Management Services,Inc.
Bob Soares, Senior Association Manager
Town Center Village Homeowners Association
BS/NM
cc: Board of Directors
1935 Dry Creek Road, Suite 203•Campbell,CA•95008-3631 ■voice (408) 559-1977•fax (408) 559-1970
Simplified Prescriptive Certificate of Compliance:20118 Residential HVACAIterations CF-IR-ALT-Y VAG
Climate Zones 1 and 3-7
Site AdZ Enforcement Agency: Date: Permit#:
Conditioned Duct insulation
EquipmentTyp'l I Whinhim,'Effici Floor Area rewirement Thermostat,
Packaged Unit Over 40 8 of ducts
Furnace �.AFUE_ COP Setback
Indoor Coil sEER ®HSPF Served by system added or replaced innot alr
�. /' sf unconditioned space
E3Otber � early presprt,must be
Condensing Unit EER t- - ®Assistance R 6 (CZ I,3-S) urstalledJ
1.Equipment Type:Choose the equipment being installed,if more than one_system,use another CF-IR-ALT-HVAC for each system.
2.W mirnutn Equipment Ef iiciencies: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 an 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 I and b 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: Signature
Company: , Date:
Address: � t rl License: �y
City/StatelZip: �1 / Pho (fie �f �L
2008 Residential Compliance Forms.doc revised 04110/12
HVAC ALTERATIONS ENERGY COMPLIANCE FORM
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERT[NO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333•building(cDcupertino.org
WHEN IS A PERMIT REQUIRED
A construction permit shall be obtained from the enforcement agency prior to the erection,
construction,reconstruction, installation, relocation, or alteration of any mechanical system, except as
permitted in Chapter 1, Section 112.2 of the 2010 California Mechanical Code. Projects requiring
permits include, but are not limited to:
• New HVAC installation
• HVAC Changeout
• Replacement of furnace, coil, FAU or condenser
• Relocation of an existing HVAC unit
• Adding or replacing more than 40ft ducting in unconditioned space
BUSINESS AND PROFESSIONS CODE, SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building
Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors.
State License Board working in conjunction with the local building department. This action may
consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license.
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24,Part 6)REQUIREMENTS
INCLUDE:
1. Heating equipment must have a minimum 78%AFUE(Exception: Wall &floor furnaces; room
heaters).
2. Central air conditioners &heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2.
4. A setback type thermostat(24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirement of Section 150(m).
• All joints and openings in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct
openings.
• Connections of metal ducts and the inner core of flex ducts shall.be mechanically fastened.
Flex ducts must be connected using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4 ft. max for horizontal runs with no
more than 2" of sag between supports and 6 ft. max for vertical runs.
6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector
will collect this form and verify that the model numbers are the same as the installed equipment.
2008 Residential Compliance Forms.doc revised 04/10/12
Simplified Prescriptive Certificate of Compliance:2008 Residential HVACAlterations CF-IR-ALT-RVAC ,
Climate Zones l and 3-7
Site Address.- Enforcement Agency: Date: Permit#!:
Conditioned Duct insulation
Equipment Typel1111a iniinim'Efficien ' Floor Arta requirement Thermostat,
Packaged Unit Over 4{T 8 of duds
13 Furnace COP �,�by system added or replaced in Setback
door Coil Stbt� �HSPF (lfnot alreadypresau.mua be
Condensing Unit ®EER ®Resistance sf unconditioned space vuta/led)
R 6 (CZ 1,3-5) ,
Mother
1.Equipment Type:Choose the equipment being installed;ifmore than one systems,use another CF-IR-ALT-HVAC for each system
2.Minimum Equipment Efficiencies;13 SEER,73%AFUE,VHSPF for typical residential systems.
Contractor(Documentation Author's/Responsible Designees Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division.3 of the CalikTnia Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• I certify that the energy features and perfonmance 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 subn the ent agency for approval with the permit
application. _
Name: f' t Signatwe:
Company: u V D
'57 aM
Address: (( f, �JG_ ,t, n License: 1� ^�
City/Stateow. (,£ Mn
2008 Residential Compliance Forms.doc revised 04/10/12
HVAC ALTERATIONS ENERGY COMPLIANCE FORM
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTtNQ 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•building ED-cupertino.org
WHEN IS A PERMIT REQUIRED
A construction permit shall be obtained from the enforcement agency prior to the erection,
construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as
permitted in Chapter 1, Section 112.2 of the 2010 California Mechanical Code. Projects requiring
permits include, but are not limited to:
• New HVAC installation
• HVAC Changeout
• Replacement of furnace, coil,FAU or condenser
• Relocation of an existing HVAC unit
• Adding or replacing more than 40ft ducting in unconditioned space
BUSINESS AND PROFESSIONS CODE, SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building
Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors
State License Board working in conjunction with the local building department. This action may
consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license.
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24,Part 6)REQUIREMENTS
INCLUDE:
1. Heating equipment must have a minimum 78%AFUE (Exception: Wall & floor furnaces; room
heaters).
2. Central air conditioners&heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2.
4. A setback type thermostat(24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirement of Section 150(m).
• All joints and openings in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct
openings.
• Connections of metal ducts and the inner core of flex ducts shall.be mechanically fastened.
Flex ducts must be connected using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4 ft. max for horizontal runs with no
more than 2"of sag between supports and 6 ft. max for vertical runs.
6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector
will collect this form and verify that the model numbers are the same as the installed equipment.
2008 Residential Compliance Forms.doc revised 04/10/12
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V ��.y�� Reviewed By: '
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Basemap Labels
Abc Street Names
Secondary Address Labels
Primary Address Labels
Freeway <
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SCALE 1 : 295
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FEET
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