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13100058*10 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10345 MORETTI DR CONTRACTOR: ALLIED AIRE SERVICE PERMIT NO: 13100058 INC OWNER'S NAME: MAE MINATO 887 AMES AVE DATE ISSUED: 10/08/2013 OWNER'S PHONE: 4082528314 MILPITAS, CA 95035 PHONE NO: (408)934-8844 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL LICENSED CONTRACTOR'S DECLARATION License Clasgle e-ra �� Lic. # P02$3, REPLACE (E) WALL HEATER, SAME LOCATION ///"Contractor,, �//. c (�;,-iGQ Date 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 Sq. Ft Floor Area: Valuation: $900 ;performance of the work for which this permit is issued. 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: 37514009.00 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 180 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 DAYS FRO T 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 l0 granting of this permit. Additionally, the applicant understands and will comply I ate: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. r r� RE -ROOFS: Signature "ate �l/ � 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 1, 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. 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(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 an I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sober 5505, 25533, and 2553-4. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent - Date 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 CUPERTINO GENERAL PERMIT APPLICATION o0 MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION Q 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �o (408) 777-3228 • FAX (408) 777-3333 • building(-cupertino.org \� MISC [:1 PLUMBING `ERidECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS IP3 AL -S— e APN # 3 7 S — t ( f — 6 �( OWNER NAME l r .a PH NFA,, �� / E-MAIL STREET ADDRESS CITY TATE, ZIP mit i0 LC FAX CONTACT NAME 04e6, PHO /g `/ C� / E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUMDER ❑ OWNER AGENT %4ONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRA $NAME ` LICENSE NUMBER LICENSE TYPE -26, c= BUS. LIC # COMPANY NAME E-MAIL FAX ST T ADDRESS Vxeu /% ,e_ CITY, ST r 1 / .r-� 3.� _TLk J i� P ON ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF or DUPLEX ❑ MULTI -FAMILY BUILDING.❑ COMMERCIAL PROJECT IN WI DLAND ❑ YESPROJECT URBAN U47ERFACE AREA ❑ NO IN ❑ YES TFLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK TOTAL VALUATION: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the prope s behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. agree to comply with all applicable local ordinances and state laws relati m onstru2=5;gresentatives of Cupertino to enter the above-' entifie property for inspection purposes. Signature of Applicant/Agent:�i►r2Date: SUPPLEMENTAL INFORMATION REQUIRED Q �y�� ; OF$lCEI3SE!0�'L] SRINE O CCUUNTER EXP$ESS �,ea tTD MEPMiscApp_2011.doc revised 06/21/11 i CITY OF CUPERTINO FEES ESTIMATOR — BUILDING DIVISION x ADDRESS: 10345 MORETTI DR DATE: 10/08/2013 REVIEWED BY: MELISSA UNITS APN: 37514 009 BP#: *VALUATION: $900 *PERMIT TYPE: Mechanical F ermit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex $70 PENTAMATION PERMIT TYPE: FURN/AC WORK REPLACE E WALL HEATER SAME LOCATION SCOPE I I APPLIANCE / EQUIP TYPE FEE ID QTY/FEE QTY UNITS BP FEES Heater, Recessed Wall 1MRSUSHTR 1 # $70 $0.00 I .Suppl. Insp Fee i i PME Unit Fee: $70.00 PME Permit Fee: $47.00 Construction Tax: Administrative Fee: IADMIN $44.00 1 TOTALS: $0.00 Adv,,..inced Planning Fees: $70.00 i Travel Documentation Fee: I 1TRAVDOC Mech. Plan Check 1 0.0 1 hrs Mech. Permit Fee: 1 Other Mech. Insp. 1 0.0 1 hrs Phimb. Plan Check Plumb. Permit Pee: .00 I Other Plumb Insp. Elec, Plan Check Elec. Permit Fee: Other Elec. Insp. I*,,eh. Insp. I�e:e: I I Plumb. Insp. Fee: I Elec. Insp, Fee: I NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School TIJcf>inf ofn 1 Th.— f... aro haaoA an 11,a availnhlo and aro nnhf not oQfimato Cantart tho Dont far addn'l infra FEE ITEMS (Fee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl..PCTee I PME Plan Check: $0.00 Pertnit Fee: .Suppl. Insp Fee i PME Unit Fee: $70.00 PME Permit Fee: $47.00 Construction Tax: Administrative Fee: IADMIN $44.00 Work Without Permit? ®.,Yes (E) No $0.00 Adv,,..inced Planning Fees: i Travel Documentation Fee: I 1TRAVDOC $47.00 Strom; Motion .Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 4 a $209.50 $0.00 $209.50 Revised: 10/01/2013 CUPERTINO 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 a5cupertino.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 than40ft 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 Forins.doc revised 04110112 Srte Addrers EnJorcerrrerrt Agency: I?aie , Perirst #:,.-' Conditioned Duct insulation entT "hili 2vfmii5ai Efi3cienCYPloor.Area" re " i3Pmosfat ; Packaged Unit urhace �-/i OF 'COP �HSPF g ' r Serve&bysystem Cher 44 8 of duc ts'' gildedormph d in ` E Setback Indoor Cot? ' �SEE1t 13 sf ummnditioped-1, space ..bjQ {iJiror readypreseru mins!be . Condensing Unit ® EER Resistance 4 Odw 1. Equipment Type: Choose the equipment being installed; if more than one -system, use another CF -JR -ALT -HVAC for each system 2. Afn►imum Equipment Efficiencies: 13 SEER, 78% AFUF, VHSPF for typical residential systems. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and comi)lete. ; • I am eligible under Division 3 of the CalMrma Business and Professions Code to accept responsibility for the design identified_. on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Tifile 24, Parts l and 6 of the California Code of Regulations. • The design featturs identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, pians and specifications submitted to the enfareement agency for apprnval,with the permit application. _ Name: Signature: Company Date Address: � fit•' LtceneoZ! City/Stale JZip: 5'f��j :.. Phone: 93� �j?� ��' ' f r 2008 Residential Compliance Forms.doc revised 04110112