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14020083CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8085 HYANNISPORT DR CONTRACTOR: ABC COOLING & PERMIT NO: 14020083 HEATING OWNER'S NAME: OLIVER KAO 3266 INVESTMENT BLVD DATE ISSUED: 02/13/2014 OWNER'S PHONE: 4087617748 HAYWARD, CA 94545 PHONE NO: (510)471-8181 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION (E) FURNACE, SAME LOCATION ��2 e-_ REPLACE License Class Oi Lie. # c� tt Contractor DateA-- 3— 12-1 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 p ormance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $3000 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 3 5611011 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 WITII N 180 DAYS IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 D Y LLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the ed b ate: 2 3 MO granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: being installed. If a roof is 9 18. �LI Signatur Date All roofs shall be inspected prior to any roofing material 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. 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 and I have and will maintain Worker's Compensation Insurance, as provided for by Labor Code, for the of the work for which this the Health & Safety Code, Sections 25505, 25533, andel 25534. -� Section 3700 of the performance Owner or authorized 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 CUPERTINO "b GENERAL PERMIT APPLICATION 1 o MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 O� (408) 777-3228 • FAX (408) 777-3333 • building@cupertino.org MISC I ( PLUMBING I x I MECHANICAL n m.F.(TRiCAI . n &Hs rFl l AWFnl Tc PROJECTADDR"8085 HYANNISPORT 12 APN# 3�b OWNER NAMEKAO, OLIVER PHONE408 761 7748 E-MAIL STREETADDRESSs811085 HYANNISPORT CITY, STATE, ZIP CUPERTINO CA 95014 FA" CONTACT NAME MAGGIE MEN.DOZA PHONE510 471 8181 E-MAII-MAGGIEM@ABCCOOLING.COM STREET s3266 INVESTMENT BLVD CITY, STATE, �`PHAYWARD CA 94545 FA"510 471 8368 ❑ OWNER ❑ OWNER -BUILDER ❑ OV44MAGENT N CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SCOTT LUN DAY LICENSE NUMBER 382383 I 1 LICENSE TYPE C20 BUS. LIC # COMPANY NAME ABC COOLING & HEATING E-MALMAGGIEM@ABCCOOLING.COM FAX 510 471 8368 STREETADDRESS3266 INVESTMENT BLVD CrrY,STATFZIP HAYWARD CA 94545 PHONE 510 471 8181 ARCHrrECT/ENGINEER NAME LICENSE NUMBER 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 ❑ YESPROJECT URBAN INTERFACE AREA [3 NO IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK REPLACE FURNACE WITH 90KBTU TOTAL VALUATION: 3000.00AM By my signature below, I certify to each of the following: I am the property owner or authorized agen act on the pro half. 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. l3iwerocomply with all applicable local ordinances and state laws relating to buildin constru L I autho resentatives of Cupertino to enter the above -identified prop rty for inspection purposes. Signature of Applicant/Agent: Date: 7_11S 11' SUPPLEMENTA 11-0ORMA ON REQUIRED oxi 1'14941'11'1"W�1*0 'a�` f `" {.� �T D�0`E�ETtLTHE-COY1Nt2'ER '� �SSTANllAR1�,n4c- d ��`4 MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FF.F. F.CTTMATnR — RITILDING DIVISION APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Furnace, Forced -Air 1MFR=<100 1 # $139 TOTALS: $139.00 Mech. Plan Check 10.0 1 hrs $0.00 Phiwb. P/art Cheek Z_'iuc. Purr Check Mech. Permit Fee: 1MPERMIT Plumb. Permit Fee. El�c Permit F- e Other Mech. Insp.7- 0.0 hrs $47.00 Ower Plumb 1r,.> ,.El /'?zr��rh Ii;.��. I'a�'?t>i<�c. trzir, Ir°: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Pubic worKs, rrre, ,3amrary ,3ewer ursrrrrx, .knout _ L_-1 ,, sL.... -I-,-----,-.--#- .. ...7..61v n..,d n a ntihr nn oca-"to CnntaM tho Aont fnr addn'l.info. FEE ITEMS (Fee Resolution 11-053 Ef. 7111132 ADDRESS: 8085 hyannisport dr DATE: 02/13/2014 REVIEWED BY: melissa 1116117 Chdc'C'r" APN: 356 11 011 BP#: *VALUATION: 1$3,000 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex $0.00 PENTAMATION PERMIT TYPE: FURN/A WORK REPLACE Q FURNACE SAME LOCATION SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Furnace, Forced -Air 1MFR=<100 1 # $139 TOTALS: $139.00 Mech. Plan Check 10.0 1 hrs $0.00 Phiwb. P/art Cheek Z_'iuc. Purr Check Mech. Permit Fee: 1MPERMIT Plumb. Permit Fee. El�c Permit F- e Other Mech. Insp.7- 0.0 hrs $47.00 Ower Plumb 1r,.> ,.El /'?zr��rh Ii;.��. I'a�'?t>i<�c. trzir, Ir°: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Pubic worKs, rrre, ,3amrary ,3ewer ursrrrrx, .knout _ L_-1 ,, sL.... -I-,-----,-.--#- .. ...7..61v n..,d n a ntihr nn oca-"to CnntaM tho Aont fnr addn'l.info. FEE ITEMS (Fee Resolution 11-053 Ef. 7111132 FEE QTY/FEE MISC ITEMS 1116117 Chdc'C'r" PME Plan Check: $0.00 1 �1;rat tyce. Slfp;l' Ittp1-ee PME Unit Fee: $139.00 PME Permit Fee: $47.00 1_onS?Ydtc7ion !11S.` Administrative Fee: 1ADMIN $44.00 Work Without Permit? ® Yes Q) No $0.00 'AL' 1�tEvi / f'larr� ing Fe< _s: Travel Documentation Fee: ITRAVDOC $47.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item 131dy- Stds Commission Fee: IBCBSC $1.00 _• $278.50 $0.00 TOTAL FEE: $278.50 Revised: 01/15/2014 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 1, 3-7 Site Address: Enforcement Agency: Date: Permit #: 8085 HYANNISPORT Cupertino, CA 95014 City of Cupertino Feb 11, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace Indoor Coil ® AFUE o/ ❑ SEERS ❑ COP —[3E3 ❑ HSPF R 6 (CZ 1 3-5) Served by system ®Setback If not already present, must be [3 Condensing Unit ❑ EER [3 Resistance ❑ R 4,2 (CZ 6 ) 7 253 sf 35 _ installed) ❑ Other 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, 7.7HSPF 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 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 submitted to the enforcement agency for approval with the permit application. Name: Scott Lundy Signature: Scott Lundy Company: ABC COOLING & HEATING SERVICES INC Date: Feb 11, 2014 Address: 3266 INVESTMENT BLVD License: 382383 City/State/Zip: HAYWARD / CA / 94545 Phone: (510) 471-8181 Reg: 214-A0010062A-000000000-0000 Registration Date/Time: 2014/02/11 14:00:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010