Loading...
14020143 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10610 S FOOTHILL BLVD CONTRACTOR:A&H HEATING PERMIT NO: 14020143 OWNER'S NAME: QIN WANG 770 CHESTNUT ST DATE ISSUED:02/24/2014 OWNER'S PHONE: 4157131265 SAN JOSE,CA 95110 PHONE NO:(408)279-0722 A LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ "1 REPLACE(E)FURNACE,SAME LOCATION.ADD(N)AIR License Class 2-0Lic.# © Z CONDITIONING UNIT IN YEAR PATIO(HOA LETTER Contractor Date 2 REC'VD) I hereby affirm that I am licensed under the provisions f 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 erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$7400 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:35705052.00 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 T 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 LED 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 granting of this permit. Additionally,the applicant understands and will comply a Date: with all non-point source regulations per the Cupertino Municipal Code,Secti 9 18. RE-ROOFS: Signature ate Z 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) 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 the Health&Safety Code,Sections 25505,255 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 2 Z l permit is issued. Owner or authorized agent: 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 v\� GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 950143255 v`4 CUPERTINO (408)777-3228•FAX(408)777-3333•building0cupertino.oro MISC PLUMBING MECHANICAL LLWMCALEIMISCELLANEOUS OWNER NAME 'r ,,/�/ l PHONEEka- 1 rG l•((�( e� STREET ADDRESS , &Vb CITY TE ap FAX CONTACT NAME ! L•.`•- PHONE 277- 77STRSTREET EET ADDRESS -7 Wd iff!�7.Tif c . f I ' 4FAa` ❑OWNER ❑ OWNER-BUILDER ❑owNERAGENT CONTRAcrOR ❑CONTRAc=AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME # A l,. LICENSE NUMBER a 7 � CENSE TYPE BUS.LIC# ` of Q COMPANY NAME 14&�� -�( E MAII �(/ �`Q� l j/may �G.� FAX g002� I STREET ADDRESS ,,?7 PC�..��rA Ge ` CITY.STA PHONE S��` ARCHITECT/ENGINEER NAME ,l LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX t STREET ADDRESS f CITY.STATE,ZIP PHONE I USE OF ❑SFD or DUPLEX "TT-FAMILY PROTECT INWILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN O YES SUBBING: ❑comm cm URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑No DESCRIPTION OF WORKZeCAT...-. TOTAL VALUATION: A _ BY 11' __ By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the riy 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. ee to comply with all applicable local ordinances and state laws relatin to building construction. I authorize r ntatives of pertino to enter the above-' ntifred prgpertyq_7ectiZ S. Signature of Applicant/Agent: Dam;SUPPLEMENTAL INFORMATION REQUIRED FIRoi�Ia�;usEOlu u Gita MEPMI=App 2011.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10610 S FOOTHILL BLVD DATE: 02/24/2014 REVIEWED BY: MELISSA APN: 375 05 052 BP#: "VALUATION: 1$7,400 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex PENTAMATION FURN/A USE: pPERMIT TYPE: A WORK REPLACE E FURNACE SAME LOCATION. ADD N AIR CONDITIONING UNIT IN YEAR PATIO SCOPE (HOA LETTER REC'VD) APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=10K cfm) 1BREMAIR 1 # $70 Furnace, Forced-Air 1MFR=<100 1 # $139 TOTALS: $209.00 Mech.Plan Check 0.0 hrs $0.00 Phwib. Plao(bec' f5ie'c:. Pil"In C'h xk Mech.PermitFee: IMPERMIT Plmmb. Permit F"ee�. faE-�c. Ptrt,;z;j"."' Other Mech.Insp. F6.61hrs $47.00 C)thcrPh,,,rt7lrts1.=. C�tfi t'Fiec Insp. Lj 1'k-c �. i ee: 1'itrra,h. t„sp. f�:e: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Theseees are based on the prelimina information available and are only an estimate. Contact the Dept/or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS PME Plan Check: $0.00 PME Unit Fee: $209.00 PME Permit Fee: $47.00 ("'o,lSwuction Tax: F-1 Administrative Fee: IADMIN $44.00 Work Without Permit? 0 Yes 0 No $0.00 /'Jrjv(ntve</Pion1ling,Fees: Travel Documentation Fee: 1TRAVDOC $47.00 Strong Motion Fee: 1BSEIS1vffCR $0.74 Select an Administrative Item Bldy-Stds Commission Fee: IBCBSC $1.00 a SII t, $348.741 $0.00 ; TOTAL FEE: 1 $348.74 Revised: 01/15/2014 Simplified Prescriptive Certificate of Compliance:2008 Residential RVACAIterardons CF-iR-ALT-HVAC Climate Zones 1 and 3-7 St k7&(adress- �W Enforcements cy C, Date- Permit#: Conditioned Duct insulation P Equipment T e' List Minimum Efficiewy2Floor Area requirement Thermostat Packaged Unit Furnace �AFUE 81 COP Over 40 ft of ducts Served by system added or replaced in �Setback Indoor in EER= HSPF— i Epp sf unconditioned space (flnot already present,must be Condensing Unit 13 EER Q Resistance insra!!ed} Other 0 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,7.7HSPF for typical residential systems. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) + 1 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 avolication. Name: DA LT'- ��`�r� Signature: Compaay: n + „� � n Dater rT [ C, e Address: License: "770 �, CI�+CI` vc� t '72— City/State/Zip: Phone: L g a2 '7/22 r 2008 Residential Compliance Forms March 2010 Air conditioner for Qin Iris Wang Page 1 of i From: Ken Brown<river boy@comcast.net> To: Dale Phelps<aandhheating@aol.com> Cc: Qin(Iris)Wang<giniriswang@gmail.com> Subject:Air conditioner for Qin tris-Wang Date:Thu, Feb 20,2014 9:21 am Hello Dale, My name is Ken Brown, I am the president of the Foothill Corners Homeowners Association. My understanding is that you are installing an air conditioning unit in one of our units at 10610 S Foothill Blvd in Cupertino for its owner, Qin Iris Wang. She has requested that I send you an email stating that the HOA has no issues with the installation of AC in her unit. This email is to satisfy her request. The HOA indeed has no objections to the installation of AC in her unit. I hope this email satisfies your concerns in the matter. Regards, Ken Brown http://mai l.aol.com/38394-114/aol-6/en-us/mail/PrintMessage.aspx 2/24/2014 NA-mc- : -sr;-/;, Wars Scvon Kef le-,c4- RurnozL,Ewe c�,�►- �! ELOPMENT DEPARTMENT E�UILDING DIVISION- CCi M1^rR DEV cUPERTWO LDI APP OVE.D tions MUST be kept.at the Jiffiw �1 Tr �� ,f plans and spe It is unlaw a `e -�+ �"��� ) t` -i ,g construct' n• game,or to dev!,'e ! uNdina C7 i` , Li r official. LW- and _ e @!tMent t s or aiteratio son r b r val from the Building th E.runz,wi�hout app ecifications SHALL NJT n,oin�of this pla sp Thi r �� .proval of the vic�t�.��to�i REV1E4/1/EU FOR CODE i; !�I'�o permit utL Law. CONK 1ANCE e or SY tstons of a _ Reviewed By. _ E�•C. Z Z �.� � ° F-ml-c N0. N 1� cmc�� rif�tlt9- Ln CA 10 01 o� 3"PP _ O - � UZI PT. 0 Alk, BL"G. DEPT.