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13080043
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7403 STANFORD PL CONTRACTOR: AIR AND PLUMBING PERMIT NO: 13080043 SYSTEMS OWNER'S NAME: SUNNYVALE, CA 94086 PHONE NO: (408) 733-2000 IQ/ JOB DESCRIPTION: RESIDENTIAL COMMERCIAL[] LICENSED CONTRACTOR'S DECLARATION License Class If- Ld/ Lic. # go / 2 er b ADD A/C UNIT 2.5 TON TO REAR OF SFDWL Contractor / r C ate o I hereby affirm that I am licensed an"the ovisions 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 Sq. Ft Floor Area: Valuation: $3500 erformance 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 APN Number: 35932029.00 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 WI0 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 181)=,0M LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City inconsequence of the Issued by: Date: • granting of this permit. Additionally, the applicant understands and will comply u It with all non -point source regulatio upertmo Municipal Code, Section RE -ROOFS: 9.18. Signature Date 3 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 (Sec.7044, Business & Professions Code) 1, 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. 1 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(a) 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 the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectio 1�505"Z 533, a r125534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent: Dater 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 Cal ifomia. 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 CUPERTINO GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(akupertino.oro misc M PLUMBING MECHANICAL n ELECTRICAL n MISCELLANEOUS PROJECT ADDRESS APN # 5� 32. ()2 q OWNER NAME / ` ( FAX CONTACT NAME lr PHONE E-MAIcL. STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME A I ehz�/C1 /,- s ,� LICENSE NUMBERi4r % LICENSE TYPE C./ /I � BUS. LIC # COMPANY NAME 01 E-MAIL FAX STREET ADDRESS 2XS �p o CITY, STATE, ZIP t vC PC a/ ✓ / PHON �6� -/ �22 ARCHITECT/ENGINEERNAME LICENSENUMBER BUS. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑ COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK A 2 .0 Tv/1 17 L O' OTALVALUATION: ©� �� 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 pro owner's half. I ha a tts �- application and the information I have provided is correct. I have tion of Work and verify it is accurate agree to co pl ith a licable local ordinances and state laws relating to building construe tio authoriz representah es of Cupertino to e* he above e--idenntifi d prope for ' tion purposes. ignature of Applicant/Agent: Date: POP Z SUPPL O- MATION REQUIRED OFFICE USE ONLY W� ❑ OVER-THE-COUNTER F ❑ EXPRESS V ❑ STANDARD UU a ❑ LARGE a ❑ MAJOR MEPMiscApp_2011.doe revised 06/21/11 CITY OF CUPERTINO EMU FF.F. F.CTIMATOR — RITII,IIING DIVISION APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=10K cfm) 1BREMAIR 1 # $70 TOTALS: j p $70.00 Mech. Plan Check 0.0 1 hrs $0.00 Phuub. Plan Check Elec-Plan (;heck Mech. Permit Fee: IMPERMIT Plumb. Pelmil Fee: Elec. Permit Fee: Other Mech. Insp. 0.0 hrs $47.00 Other Plumb Insp. Other Elec. 1mp, Aiech. Insp. Fee: Plumb. lnsp. Fee: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, ruoltc worKs, rtre, aanuary sewer'jis—cr, acnooc rl:otrJnt ntn 1 Theco foo. aro haaod An tho nrolisninary infarmatinn availahlo and or,, only an P_.Ciimate- Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) 7403 Stanford PI DATE: 08/06/2013 REVIEWED BY: Mendez JimADDRESS: APN: BP#: *VALUATION: 1$3,500 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: $0.00 PENTAMATION FURN/AC PERMIT TYPE: WORK install a/c unit in rear of sfdwl SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=10K cfm) 1BREMAIR 1 # $70 TOTALS: j p $70.00 Mech. Plan Check 0.0 1 hrs $0.00 Phuub. Plan Check Elec-Plan (;heck Mech. Permit Fee: IMPERMIT Plumb. Pelmil Fee: Elec. Permit Fee: Other Mech. Insp. 0.0 hrs $47.00 Other Plumb Insp. Other Elec. 1mp, Aiech. Insp. Fee: Plumb. lnsp. Fee: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, ruoltc worKs, rtre, aanuary sewer'jis—cr, acnooc rl:otrJnt ntn 1 Theco foo. aro haaod An tho nrolisninary infarmatinn availahlo and or,, only an P_.Ciimate- Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Sulrpl. PC.Fee PME Plan Check: $0.00 Permit Fee: Suppl. Insp Fee PME Unit Fee: $70.00 PME Permit Fee: $47.00 Conso7iction Tax: Administrative Fee: IADMIN $44.00 Work Without Permit? ® Yes (j) No $0.00 advanced Planning Fees: Travel Documentation Fee: 1TRAYDOC $47.00 Strong Motion .Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $209.50 $0.0Ll 0 E $209.50 Revised: 07/01/2013 �cs'E.89`ta • HVAC ALTERATIONS ENERGY COMPLIANCE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • building(a cupertino.or4 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 40 ft 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 $5,000 per�violation or suspension/revocation of a contractor's license. 2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REQUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters). 2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. 4. A setback type thermostat (24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirement of Section 150(m). • All joints and openings in the HVAC system must be sealed. • Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings. • Connections of metal ducts and the inner core of flex ducts shall. be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 4 ft. max for horizontal runs with no more than 2" of sag between supports and 6 ft. max for vertical runs. 6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector will collect this form and verify that the model numbers are the same as the installed equipment. 2008 Residential Compliance Forms.doc revised 04/10112 McAddresx Enforcement Agency: Dead ,', Permit Conditioned Duct insulation EquipanantType' Li i Mmimumr Efficien 2 --Flloor Area-- Ij Packaged Unit Pomace AFUE COP } Over 40$ cif ducts' Setback Indoor Coil (Slit HSPF _ Served'by system sf added or regiaced in unconditioned space (1f aot�ulready presem, mon be Condensing Unit DEER Mesistance E3R 6 (CZ 1, 3-5) iarea� • Other I I 1. Equipment Type: Choose the equipment being installed; if more than one_system, use another CF-I R-ALT-HVAC for each system. 2. Afinimum Equipment Efficiencies: 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 am 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 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance areconsistent 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 l t- �� Signaatture: / Company G !./ Q'+2. /IL 7�� ate p Address 2 r' .:. 5'C� Gere VQ e ties License: 9°('' 2 C4 city/state/Zip: t� p� p� 4--e C ._4 g� ` 'T3 , 2 OC? 2008 Residential Compliance Forms.doc revised 04110112 CUPERTINO Building Department AUG 0 6 2013 REVIEWED FOR COD0E COMPLIANCE 0. Reviewed By: BlUarc ,Cl i C'1141 — ("UPE�iYiNO T!n —A r .,f -ns ud S IvII-11ST be k,�,pt at the o '.."aany rlln or to -A l"i-orn ihe Building Official. f Tthis t ificaitions SLIALL NOT or t".-o�.al of o cic; Lhv, v:o'at on 0` pi -CM, icny� w of a��[y "iwi-O� rdinance or Stae Law. BY le D PR'WAT N,) /WV 2 S- 7,V11�� - I -IPA, ✓Li 9--