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13100157CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18631 STARRETT CT CONTRACTOR: AAA FURNACE & AIR PERMIT NO: 13100157 CONDITIONING OWNER'S NAME: CINDY YUEN 1712 STONE AVE DATE ISSUED: 10/24/2013 OWNER'S PHONE: 6502833799 SAN JOSE, CA 95125 PHONE NO: (408)293-4717 CONTRACTOR'S/DECLARATION ❑ LICENSED CONTRACTOR'S JOB DESCRIPTION: RESIDENTIAL COMMERCIAL II ZZr 41 0 c REPLACE (E) WALL FURNACE, SAME LOCATION License Cl Lic. #(� contractor Date 0 ' O t 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: $1640 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37526019.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 LAS ALLED 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-Zv edate: /o granting of this permit. Additionally, the applicant understands and will comply - with all non -point source regulatio s per the Cupertino Municipal Code, Section 9.18. .-' - p� Z� I Signature Date G RE -ROOFS: 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) 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. 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. I have and will maintain Worker's Compensation Insurance, as provided for by will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code; SectionsV5 ,and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: �^— Date: 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 I GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 � MISC (408) 777-3228 • FAX (408) 777-3333 • buildingna cupertino.org UMBINGMECHANICAL FJELECTRICAL FJMISCELLANEOUS PROJECT ADDRESS 10,( nom% � Cr�OK-t C � � W1�1: AcP�N # � � � '7 6 -0[ri OWNERNAME .� �d / �� Z� PH9n1D_2U3' -l� 6 �/� E-MAIL STREET ADDRESS 3� S f -rot � „ �\ V 1 FAX CONTACT NAME ` V (� r 9AHOhIE EMAIL STREET ADDRESS CITY, STATE, ZIP FAX p/ AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT ❑ OWNER ❑ OWNER-BUILDER��,///�� ❑ OWNER AGENT _,ECONTRACTOR ❑ CONTRACTOR CO CTOR NAME Q /� �� LICENSE NUMBER f A l�t�j 1 LICEpiS Fy.^; BUS. LIC # COMPANY NAME E MAII FAX % q 3l STREET ADDRESS tj (^ !"/ ' I \v CITY, STAT Z ,, (y✓ ") �1 ` J P N _j ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF -M_SFD or DUPLEX ❑ MULTIFAMILY BUILDING: [3 COMMERCIAL PROJECT IN WILDLAND ❑ YESP URBAN INTERFACE AREA --EJ'-NOFLOOD ROECT IN ❑ YES ZONE a -Q NO IS THE BLDG AN ❑ YES EICHLER HOME? -5 -NO DESCRIPTION OF WORK \ ffJ CAnd(aCe (% i 1 D � �e !e w �1 llJl V�V JI I W \VI 1. 1 vr✓1 �' TOTAL VALUATION: (�OD 4 By my signature below, I certify to each f the following: I am the property owner uthorize agent to act on property owner' e I have read this application and the information I hav rove d is corre I have read the Description of Work and verify it is accurate. I agree to ply with all applicable local ordinances and state laws relating to uilding onstructi I authorize representatives of Cupertino to enter the abov ide tified property for inspection purposes. Signature of Applicant/Agent: Date: �od II � 3 SUPPLEMPTAL tFORMATION REQUIRED y � ; Iw MEPMiscApp_2011.doc revised 06/21/11 (_ L (P i) $�-1 I i Q Li Prescriptive Certificate of Com Residential Alterations Project Name: RU31 STC -1 Residential rIT C HVAC SYSTEMS - HEATING Minimum Heating Equipment Efficiency Tvoe and CaoacityI'7'3 ( ),FUE or HS Distribution e and Location CF -IR -ALT (Page -4 of 5) Climate Zone # I # of Stories Duct or Piping Configuration insulation Thermostat (Central, Split, R -Value Type Space, Packa a or FI 1nkt11 llvl l"r 1. indicate Heating Type (Cent -al Furnace, .Wall Furnace. Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C. or except where electric heating is supplemental (i.e., if total capacity < 2 KW or %.000 Btu/hr electric heating is controlled by a time -limiting device nor exceeding 30 minutes). See §151(6)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF- I R -ALT Form for additional requirements and check applicable boxes. 4. indicate Type or Location (Duets. Hvdronic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING Minimum Configuration Efficiency Duct or Piping g Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Tvae and Capacity ' COP) T e and Location R -Value T e —Space, Package or H dr 1. indicate Cooling Tvpe (A/C. Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF- I R-,4LT Form for• additional requirements and check applicable bores. 3. Indicate Type or Location (Ducts, H dronic in Floor, Radiators, etc.) WATER HEATING HW) heaters and hydropic space heating. Individual dwelling !)HW heaters must b List water heaters and boilers for both domestic hot water (D gas or• propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW hearer to the kitchen(s) and on all underground hot warer pipes is required in all component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number in Tank Energy Factor or Insulation Tvnr' (Standard, Recirettlating)' S stem Capacity (gal) Thermal Efficient R -Value} 1. indicate Tvpe (Storage Cas, Heat Pump, instantaneous, etc ) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requiredrents do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of §l 50 0). SPECIAL FEATURES The enforcement agencv should pay special attention to the Special Features specified in this cnecmui ucly These items may re uire written lustification and documentation ands ecial verification. NEW -ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151(02 does not ap2I to roof alterations. Slab Edge (Perimeter) Insulation O YES ONO vrc• r� r'hmate 7nne 16 in Comoonent Packages D, R-7 insulation is required. Heated Slab Insulation YES: Slab edge insulation r Raised Slab Insulation C VF..,;- In Climate Zones 1, O YES Cl NO —I F• ail heated slabs in all Climate Zones. See details in Table 118-A of the standards. YES O NO 1 I, 13, 14 & 16, R-8 insulation is Thermal Mass To obtain Compliance Credit for the installation of thermal mass in Climate Zones 12 & 15 R 4 is recLuired under the Performance Approach. Registration Number: Registration Dare/Time: 2008 Residential Compliance Forms D HERS Provider: August 20 �� CITY OF CUPERTINO 11�YTJ�I FFF, F,STIMATOR — BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 18631 STARRETT CT DATE: 10/24/2013 REVIEWED BY: MELISSA UNITS APN: 375 26 019 BP#: *VALUATION: 1$1,640 PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex p $70 PENTAMATION FURN/AC USE: PERMIT TYPE: WORK REPLACE E WALL FURNACE SAME LOCATION SCOPE $70.00 APPLIANCE / EQUIP TYPE FEE ID ! tirtxj>. Plan thctr, QTY UNITS BP FEES Heater, Recessed Wall 1MRSUSHTR C)rh<�,� t;lE�c tr�sp.Lj 1 # $70 Pcnnil Fco. Slpp/. hltl) Fee PME Unit Fee: $70.00 PME Permit Fee: $47.00 Cnustrrrctirltz lira: Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: Travel Documentation Fee: 1TRAVDOC $70.00 Strong, Motion Fee: IBSEISMICR NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public works, fere, Sanuary newer ueserecy acnuue r.:._: . Tr. f Rnoed „» Aa n—Hminany i»fnr"na/inn availahle and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS Lee Resolution 11-053 Eff. 711113) Mech. Plan Check 0.0 hrs $0.00 ! tirtxj>. Plan thctr, Stec. Pl<;;� Ctr:ct, Mech. Permit Fee: I MPERMIT Other Mech. Insp. 0.0 hrs $47.00 Otjwr Plumb I is C)rh<�,� t;lE�c tr�sp.Lj Pc� is - ba.+p. i"V Thlmbh T1zVp. Fe", I iec Insp. I��zeLl NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public works, fere, Sanuary newer ueserecy acnuue r.:._: . Tr. f Rnoed „» Aa n—Hminany i»fnr"na/inn availahle and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS Lee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan C'hcrc% FCC: Soppl. PC. Fee PME Plan Check: $0.00 Pcnnil Fco. Slpp/. hltl) Fee PME Unit Fee: $70.00 PME Permit Fee: $47.00 Cnustrrrctirltz lira: Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 ,1(Awnced Plaimin,s,, 1"ces: Travel Documentation Fee: 1TRAVDOC $47.00 Strong, Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $209.501 $0.00 TOTAL FEE: $209.50 Revised: 10/01/2013