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13050215
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS:.743 STENDHAL IN CONTRACTOR:SILICON VALLEY PERMIT NO:13050215 SHEETMETAL OWNER'S NAME: JULIAN MORLEY 3640 WARNER DR DATE ISSUED:05/31/2013 OWNER'S PHONE: 6502136546 SAN JOSE,CA 95127 PHONE NO:(408)971-7246 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE] License Class Lic.# "S2 oS2�$ � �(/XISTING HEAT&AIR CONDITION,INSTALL '�d 1 NEW Contractor c`T Date MULTI-PORT,MINI SPLIT HVAC SYSTEM I hereby affirm that I am licens 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:$25000 1 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:37542035.00 Occupancy Type: permit is issued. APPLICANTCERTIFICATION 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 W DAYS 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 DT40M LAST CALLED INSPE TION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued by: Date: 13 6 granting of this permit. Additionally,the applicant understands and will comply with all non-point source re ations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date S 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 Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of 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(See.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 r Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino unicipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2 05,2 33,and 534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: 3f` 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 CONSTRUCTION LENDING AGENCY 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 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 �j MEP Is COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION //,,n�✓ 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 v CUPERTINO (408)777-3228-FAX(408)777-3333-building a�cuaertino.org `52MISC \5 ❑PLUMBING MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS r� 3 APN# OWNER NAME / i ('aye PHONE J ( !!E-MAIL ��-�i Q•v�. �a� � Co Sd-21�-foSY STREET ADDRESS3 C CITY,II�IIScTATE,Zi � -DI FAX CONTACT NAME Pr -ao� r E M �n STREET ADDRESS CIQaS�TE �t3$t ►� /ZIP 112- -lit Yu8 -?Z-I a 11 �� c7yy X77 �J ❑OWNER OWNER-BUILDER ❑ OWNER AGENT i, CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRA OR E LICENSE NUMBER-as -7 LICENSE TYPE BUS.LIC# COMPANY ,r ,I II tt r EMAIL _ FAX /l L)000 -1-11 --77 -To v�"6` �w« Ov. �. t/�ta.�•Lavl-� 0$ -1Z1 ?2 '-fO STREET ADDRESS CITY,STATE,ZIP PHONE �1 OI te_i T. CA 41S ll 2 Ll ce ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 05SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK (� e,il,��Jd e.IC�S'�i✓� �/1.�w.� A 12 TOTAL VALUATION: f>2SI[, RECEIVED BY: By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is orrect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin o ction. I autho' e repr ntafives of Cupertino to enter the above-id tiff property for inspection purposes. Signature of Applicant/Agent: Date: , 3J40- 1 SUPPL MENTAL INFORMATION REQUIRED OFFICE USE ONLY W ❑ OVER-THE-COUNTER a ❑ EXPRESS x U W ❑ STANDARD a ❑LARGE a ❑ MAJOR MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 743 Stendhal In. DATE: 05/31/2013 REVIEWED BY: gs APN: BP#: *VALUATION: 1$25,000 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration/Addition/Repair PRIMARY PENTAMATION FURN/AC USE: SFD or Duplex PERMIT TYPE: WORK SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Heat Pump (<=10K cfm) 1BREMAIR 1 # $67 TOTALS: $67.00 T°. IN SIR . _ Mech.Plan Check 0.0 hrs $0.00 .Plumb.Pleat Check Elec.Plan(,A—k Mech.Permit Fee:.IMPERMIT Plumb.Permit Fee: Elec.Permit Fee: Other Mech.Insp. 0.0 hrs $45.00 Other Plumb Insp. Lj Other Elec.Insp, Mech.Insp..Ftee: Plumb. Insp.Fee: Elee.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District etc.). These fees are based on the relimina information available and are onl an estimate Contact the De t or addn'1 in o. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check lee: Suppl. PC Fee PME Plan Check: $0.00 Permit Fee: Suppl. Insp I4ee PME Unit Fee: $67.00 PME Permit Fee: $45.00 C'onstrztction Tax: AdministrativeTee: 1ADMIN $42.00 Work Without Permit? 0 Yes C) No $0.00 Advunced Plartnang Fees: Travel Documentation Fee: ITRAVDOC $45.00 Strong Motion Fee: IBSEISMICR $2.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $202.50 $0.00 M, $202.50 Revised: 04/29/2013 Simplified Prescriptive Certificate of Compliaace:2008 Residential BVACAlterations CF-M-ALT-HVAC Clunate Zones 1 and 3-7 _r Site Addrers: Enf rce»tetrt ertcy: Dal Permit#:.- oned Duct insulation ET*Ment I i estiat Fflicien floor Area requirement Thermostat ; Packaged Unit Over 44 ft of duds Furnace ®AFtJE. COP � Served by system added or replaced mi Setback Indoor Coit SEER�� IiSPF {Ifnot already present must be Indoor Unit 0 EER �Resistance sf unconditioned space ®R 6 (CZ 1,3-5) 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,7.71WF 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 ofthe 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 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 p compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit licatiM _ Name: ( \e- Signature: Company: S i 1(CA��><Luk Date -&I I Address: `-7©� rc—i✓t R D� �itit 1" s O"C- license: ZC�� c� City/State/Zip. S -^ L etQ `�S )t Z Phone: Lf 08�qZ( 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 CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•building aecupertino.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 k 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 18113 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