14050139 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7818 LUNAR CT CONTRACTOR:AAA FURNACE&AIR PERMIT NO: 14050139
CONDITIONING
OWNER'S NAME: TONY WANG 1712 STONE AVE DATE ISSUED:05/23/2014
OWNER'S PHONE: 4087778168 SAN JOSE,CA 95125 PHONE NO:(408)293-4717
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑
Q REPLACE(E)A/C UNIT,SAME LOCATION
kH
License Class Lie.#
Contractor x �� /� yfN�W'�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
ompensation,as provided for by Section 3700 of the Labor Code,for the
tIerfonnance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$5400
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:36220023.00 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 9EYEWgY 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 AS ED 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 Z�
granting of this permit. Additionally,the applicant understands and will comp) a by: Date:
with all non:-int source regulations per the Cupertino Municip Code,Section
9 18. C
RE-ROOFS:
S' nature ate �'/ 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
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
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. 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 ertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safe ode,Sections 25 ,25 1125534.
Section 3700 of the Labor Code,for the,performance of the work for which this Owner or a orized 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
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
GENERAL PERMIT APPLICATION
( r COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
10300 TORRE AVENUE -CUPERTINO, C= 9_014-3255
--� (408)777-3228 - FAX(408)777-3333 buildinolaDcupertino.org
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LICENSE NUMEE'. .
uSE of SFD or Duplex O Multi-Family PROJECT IN VIT DLANM "•i!_7 N
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Al.VAIUATWN:
By my sigr a:m below,I certify to each of the following: I am the property owner or-u er;zed agent to act on the m -
ov. v ow^"!
n`ornarion I have pro ' di correct. [have read the Dezm e � .nc - '
'c laws relating[o b ding c nstructi
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STJY F NTAL 1NFORMA TION R
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 7818 LUNAR CT DATE: 05/23/2014 REVIEWED BY: MELISSA
APN: 362 20 023 BP#: *VALUATION: 1$5,400
*PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair
PRIMARY SFD or Duplex PENTAMATION FURN/AC
USE: p PERMIT TYPE:
WORK REPLACE E A/C UNIT SAME LOCATION
SCOPE
APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES
A/C Units (<=1 OK cfm) 1BREMAIR 1 # $70
TOTALS: $70.00
Mech.Plan Check 0.0 hrs $0.00 Plutnh. Platt Cheei, sr'ee, Plan Check
Mech.Permit Fee: IMPERMIT )'iatr�b. I'Eamarl`c<r,: 7I,c< i'a:rrrraFT'.a
rther Mech.Insp. 0.0 hrs $47.00 other Plumh 7r�s�. El
(3tf:,>,�.4_it:�c Lis;
`a.iaa3ta t�><:: Tittnth. heap. Iee
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 relimina information available and are onlyan estimate. Contact the De t or addn'l in o.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS
Pleft :'lr c:l: f'e..
suppl. PC Fee
PME Plan Check: $0.00
PME Unit Fee: $70.00
PME Permit Fee: $47.00
T-F
Administrative Fee: IADMIN $44.00
Work Without Permit? 0 Yes (E) No $0.00
CiL'f;PF1<"e' l l tritYIJZFYI Fees.
Travel Documentation Fee: ITR,4VDOC $47.00
Stromz Motion Fee: IBSEISMICR $0.54 Select an Administrative Item
Bldp-Stds Commission Fee: IBCBSC $1.00
, TOriFEE
ti
Revised: 04/01/2014
i
x
tmgli; ed Preserlp'.
,E Certificate of COmpliaaee Zptl$Residentai11VAAl�erationc CF 1R-ALT-FNG
Crmste Zones i and 3-7
P� Enjorce»rettt Age>scyt �'erirtit 1l:;
Site Address L(3 l MA CAI(
�V/ ConkiVned Daot uz alahon Ihe`s
entl
/�••��I /gy:p ofdit,•,t {f
U Y S'I f VYw40tl
Paces; COR. A16r bed m ` Sett'ack
FUm8Ce HSpP Seri cd?by's75tt>r unconditioned ({ ot rr�ready presort curse,be
Coilsfce ,,. bcitirlledJ
Condensing Unit 1 13M- Resistance ®R 6 (CZ 7 i )
O&a ed;if more than one.rystein,use anotbcr CF-IR-AL I,HVAC for eacb'system-
1.Egaip>neat Type;Choose the egmpment being ipstall
2 R3mimum Eguip.meut #ficleacies 13 SEER;78%'AFUF,7.7HSPF for typioal residcatial;*stens•
Contractor(3?iicnrtieutatioa Author's/Respoiisibk Designer's Declaration Statement)
• I certify that this Certificate,of Compliance docmneutation is accurate and'ctiii} iete:' `
for,the design identified.on this
• I am eligible under Division 3 of the Califon a Susincss and Professions Code to accept respQnsi bilitY
Certificate of Compliance.
• I certify that the energy features and perform ,cr spccsficalions for the design ideatffi on this Certif cote of Compliance conform to the
requirements of Title 24,Parts I sad 6 of the California Code of Rcgnlatioas.
• The desiga.feahr es identified on flus Certificate of Compliance are•consistent with info on documented on other applicable
ca4ms.subm40 to t 8 :cy far eppmval.:nth the Permit
compliance forms,worksheets,calculations,plans and sped on.
Name: Sigaattrre:
Name s
Date:
Companyl r`v1�
` � Llcc•rise;�
Address kill,
11
rPhone: 23 -i t
city/statc/Zip:
2008 Residential Compliance Forms.doc revised 04/10/12
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems,Ducts and Fans (Page 1 of 2
Site Address: Enforcement Agency: Permit Number:
Space Conditioning Systems
Heating Equipment
Duct
Efficiency Location
Equip (AFUE, (attic,
Type ARI #of etc.)1,3 crawl- Heating Heating
(package- CEC Certified Mfr.Name Reference Identical (ZCF-1R space, Duct Load Capacity
heat um and Model Number Number 2 Systems value° etc.) R-value wAir) (Btu/hr
Cooling Equipment
Efficiency Duct
Equip (SEER Location
Type and EER) (attic,
(package #of 1'3 crawl- Cooling Cooling
heat CEC Certified Mfr.Name ARI Reference Identical (zCF-1R space, Duct Load Capacity
PUMP) and ModelNumberNumber 2 Systems value)' etc. R-value (Btu/hr (Btu/hr
N V Lffva ✓"`
I J-
1.If project is neiv construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative \
compliance.
2.ARI Reference Number can be found by entering the equipment model number at http:1Avw19.aridirectory.org/arilac.php#
3.Listed efficiency on this page must be greater than or equal(>_)to the value shown on the CF-1R form.
4. When CF-IR is reference it is also applicable to the CF-IR,CF-IR-AA or CF-IR-ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
❑ §110-§113:HVAC equipment is certified by the California Energy Commission.
❑ §150(h):Heating and/or cooling loads calculated in accordance with ASHRAE,SMACNA,or ACCA.
❑ §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of§112(c).
❑ §1500)2:Pipe insulation for cooling system refrigerant suction,chilled water and brine lines meets minimum
requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
CP-1R-ALT
Prescri five Certificate of-C.om liance: Residential �OAot
e 4 of 5)
Residential Alterations U))mste Tone 14 Stories
Project lame:
r
HVAC 9MVVIS-HEATING Configuration
Minimum Ducea insulation
�r g Thermostat (Central,Split,
Efficiency Distribution Insulation S ace,Packa a or H dronic)
HeatinCE-quipment y + R-Value T e
T e and Ca .aci �'j'� ( �FVE or HSPF T e and Location
1.Indicate Hearing Type(Cent,at Furnace,,Wall Furnace,one, Package Cso/lexceprI where electric heating is supplemental(i.e.,if total capacity
2.Electric resistance heating is allowed only in Comp
< 2 KW or 7,000 Srulhr electric heating is controlled by a rime-limiting device not exceeding 30 minutes). See§151(b)3 exception.
3.Refer'(o the HERS Yerfftcation section on Page 4 of the CF-1 R-ALT Formfor additional regeriremenls and check applicable boxes.
4. Indicate Type or Location (Duets. Hydronic in Floor, Radiators,etc.)
HVAC SYSTEMS-COOLING
Minimum Configuration
Efficiency Duct or Piping Central,Split,
Insulation Thermostat ( p
Cooling Equipment (SEER/EER or Distribution R-Value T e S ace,Packa a or H dronic
T e and Ca acit l''- COP) T e and Location
---------------
1, Indicate Cooling Type(A/C. Heat pump;•'Evap: Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF IR-ALT Form Jor additional requirements and check applicable boxes.
3. Indicate Type or Location (Ducts, H dronic in Floor, Radiators, etc.)
WATER HEATINGce heating. Ind, iduol
List water heaters and boiler's for both"dome.s.t' hot water(DW)h ainsularion frters and dom the DHW hearer to the kitchen(s)larnd a underground b
gas or•propane fired, and may not exceed 50 gallons• Hot ware pipe
hot water pipes is re aired in all com,onent nackakey in all climate zones. External Tank
Number(n Tank Energy Factor or Insulation
Water Heater Type/Fuel Distribution Type g stem
Ca aciry, ( al) Thermal Efficienc R-Value3
T el (Standard, Recircuiatin )'
1. Indicate Tvpe(Storage Gas, Hear Pump, Instantaneous, etc.)
2. Recirculating sBstems serving multiple dwellinheating Jor single dwelling unt�sments of§150(n). The Prescriptive requitenets dv
not allow the installation of a recirculating waterg
3. The external water heating rank andpipes shall be insulated to meet the re uirements o 1 SO ' .
cified in This checklist below-
S
PECIAL FEATURES The enforcement agenev should pay special atte�tion to otthe Special Features spe
These items,may re ttit'e written.'usti tcation and documentation ands ecial ve
NE1�Y-f WWF ASS>an'I1 UY-R"adient Barrier
The radiant barrier re. uiremenr of I S l( 2 does not a-1 to.roof alterations.
Slab Edge(Perimeter) Insulation 0 YES 0 NO
YES: in Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation O YES O NO
YES:Slab edge insulation re uire.d for all.heated.slabs in ali Climate Zones. See details in Tattle 118--A of the standards.
Raised Slab Insulation 0 YES NO
In Climate Zones I,2; 1 I, 13, insulation is required; in Climate Zones C2,& 15,:R>4 is required.:underc
YES: om onentP
0
' Thermal Mass
To obtain Compliance Credit.for the installation of therrlral mass;:u'se the.?erformance A roach.
Registration Dare/Time:
HERS Provider: August ZO
Registration Number.'
2008 Residential Compliance Forms