14090047 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10009 OAKLEAF PL CONTRACTOR:AAA FURNACE& PERMIT NO: 14090047
AIR CONDITIONING
OWNER'S NAME: CHANG SI EN&HWANG RACHEL* 1712 STONE AVE DATE ISSUED:09/09/2014
OWNER'S PHONE: 4088067768 SAN JOSE,CA 95125 PHONE;NO:(408)293-4717
LICENSED CONTRACTOR'S DECLARATION
/ BUILDING PERMIT INFO- BLDG ELECT PLUMB
License Class G(,``t Lic.# (, 6<8-3- F I
d A E MECH RESIDENTIAL COMMERCIAL
Contractor l��'F A /'�fN'a Ce Date t43 �l � JOB DESCRIPTION FURNACE A/&FURNACE REPLACEMENT IN SAME
LOCATION
I hereby affirm that I am licensed under the provisions of kaptir 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
hereby affirm under penalty of perjury one of the following two declarations:
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:$9704
1 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:32618058.00 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 FROM LAST 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 LR C� r
granting of this permit. Additionally,the applicant understands and will comply Issued by: J� Date: , 41
with all non-priii t source regulations per the Cupertino Municipal Code ection
9
RE-ROOFS:
Signature Date 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. 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 1 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 compl' a with the pertino Municipal Code,Chapter 9. 2-nd
I have and will maintain Worker's Compensation Insurance,as provided for by the Health& ety Code,Sections 2 'S 3,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this �j
permit is issued. Owner o authorized agent: 2.505 Date: 1
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
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
GS-RAL PERMIT APPLICATION
w. M_ 't:
COMMUNITY DEVELOPMENT OEPARTMENT"'I'tJ DING DIVISION
f• 10300 TORRE AVENUE -CUPERTINO; CA 95014-3255
(408)777-3228 FAX(408)777.3333 building(Mcupertino.org MIS C
CUf°g.. TTfy`O
'� ..:.... .. ' ;. PLUMBING Q/� fY(ECHAMCAL >tLECfRICAL MI9CEL1 AN$0
PROJECT ADDREov1 SS t '�(LV' ace APNP 3C � /( O's S
�1 P E-KAJ,
OWME NANM (��y r atJll/1 Knn 1 ��n
91REsr uDDaF -l /� G f (G(-0 .Chr �5b1 FAX
CONTACT NAIL PHONE 3-RAIL
STREET ADDRPSS c. CTTY,STATE, ZIP FA.'(
.� y
CI6Y(NER ' C1 OWNER-80698 C] OWNER AOENT �t+ CONTRACTOR ❑COMMACTOR Acacr ❑ AACHrreCT ❑eNt7tN UE ❑ DEvgLOPE1t ❑TW4ANT
LICENSENUNMER A,/�(��I\ US BUS.UC 1
COWATIY ME NAF r
S FIM ADDRESS 0 12SION `/rA
LICENSBVNUN®ER 810.UC 1
E-MAIL FAX
Srir•.- -�.-..,:- MTY,STATE,ZIP - PHONE
USE OF 'p-1917D or Duplex ❑ Multi-Family PROJECT INWE,DLAND � PROJECT N
STRUCTilRP--: ❑ COmmerclal tlRBAN N�TIERFACE AREA C3 Yes J6 "O FLoo::ZONE O Yes ,moo
nooCe iMolc�, -� G Vi d1 G��i L
TOTAL VALUATION:
ew,i certify o e h of the roilo nKc -1
m the property OvmcT or authorized agent to act on the propettq owner be�al t �d this�^cP
on gr information have rovlded la C avo read the Description of Work and vc,^ iC ? :.:e lawn relatin o bui e0 cdauthorize representatives of Cupertino to r cr t e =n if 'd P .
;c Ji:;ar•VAgcntc Date:
z ;rNMNTAIL INFORMA'T`ION REQUED
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 10009 oakleaf place DATE: 09/09/2014 REVIEWED BY: larrys
APN: BP#: 212L,'2 `VALUATION: 1$9,704
*PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration/Addition/ Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: FURN/A
WORK furnace a/c replacement at existing location
SCOPE
APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES
Furnace, Forced-Air 1MFR=<100 1 # $143
TOTALS: $143.00
711Mech.Plan Check0.0 hrs $0.00 1'/zwlh Alan C'hech IJ(:e'P/ay=0-eck
Mech.Permit Fee: IMPERMIT f'durnh. P rrnir Pee Ell'c Perm;[t<<
Other Mech.Insp. 0.0 hrs $48.00 Other 1'',unih 7rrsp, Of,1?Cr<tata IruF>.
'a`c'(:rt lat ;, / I'htr0. J,rsp. I e". 0. '.c I t.>.Pee.
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS
PME Plan Check: $0.00
PME Unit Fee: $143.00
PME Permit Fee: $48.00
T-T
Administrative Fee: 1ADMIN $45.00
Work Without Permit? ® Yes (D No $0.00
!'i(.i`FL'CIf 2<('t{ r-t;.rifiCttl z. IrLe:S.
Travel Documentation Fee: 1TR4VD0C $48.00
Strang Motion.Fee: IBSEISMICR $1.26 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
$286.26 $0.00 TOTAL FEE: $286.26
Revised: 08/20/2014
Report Page 1 of I
City of Cupertino
Parcel-Detail Report
APN 326 18 058 Percent Improved 65%
Secondary APN Home Owners NaN
Owner CHANG SI EN AND HWANG RACHEL P TRUSTEE Exemption Type HOMEOWNERS
In Care Of CHANG,SI EN Tax Rate Area 13009
Situs Address 10009 OAKLEAF PL CUPERTINO,CA 95014-1127 Tax Amount $17,321
Mail Address 10009 OAKLEAF PL CUPERTINO CA 95014-1127 Mapgrid 67
Transfer Date Dec 22 2009 Subplat OAKDALE RANCH 03
Document Number 20553400 Zoning P(R1-7.5)
Price $ Land Use Low Density(1-5 DU/Gr.Ac.)
Price Transfer Date 12/22/2009 Li ht Air
Prior Price $ Front
Sale Price-Full/Partial Street Side
Use Code 1 Address
Tract And Lot 6943 10 Phone
Census Tract 5077.01 Owner Phone
Assessed Total Value $1,408,600 Tenant Phone 0
Land Value $492,924
Improvement Value $922,065
Structure Value $
District Data Title Company
School District Recorders Map Number
Elementary School CUPERTINO UNION Recorders Page
High School FREMONT UNION Number Of Buildings 1
Assessor Map 326-1 df
Assessor Map Index-Il 326-I1.odf
Assessor Map Index-I2 326-I2.Ddf
Assessor Map Index-I3 326-I3.Ddf
Total Rooms 11 Lease SgFt Year Built 1984 Fire
Bedrooms 5 Office Sq Ft Effective 1984 1st Floor 2,291
Bathrooms 4 Rental SgFt NaN Dishwasher 0 2nd Floor 1,318
No.Of 2 Lot Sq Ft 10,019 Tennis Ct 0 3rd Floor NaN
Dining 1 Lot Acres .23 Frame Type WOOD Elevator
Family 2 Lot 75X131 Total Units Wall Height 0
Rec Room 0 Cntrl HEAT PUMP Patio UNCOVRD Utilities
Utility Room 1 Bldg Class 8.5 Porch YES Water
Fireplace Bldg Shape H-SHAPE Garage Type GARAGE Electric
Pool N Bldg AVG Garage Gas Service
Sauna Bldg Sq Ft 3,609 Garage Sq Ft 491
Useable 10,019
Addition NaN
Planning Proiects
File Number U-1980-11 I Z-1979-24 I TM-1979-11(R) TM-1979-27 TR-2013-38 I
Show All
http://gissvr/cupertinointranet/home/XSLTransformer.aspx 9/9/2014
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tst on Author's/gesponslble beAp
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artifY that this Con Stat.,of Couzp' and Professions Code to accept r�POnsrbilitY for;ib4 dcsigii ideriti5esl...
• I=eligible under Division 3 of the Califortrde$usims C�fioate_d Compliance conform to the
CertiScaie of compliance. dicatioas for the desigr'ida�ifitd on this
I amity that tha ctiergy featu>as and performanca spi c nous, applicable
meats of 15t1a 24,Parts l sod 6 of the California Cl�x are coasisunt with the info�lation documeatcd on othar
ed on this CertiBoate of Game cations.subm d to the cuforca�nenI 88�.�rY for approval" t}ye pessuit
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Iieatian.
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Forms, revised 04/10/12
2008 Residential Complfariee
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT HVAC) (Page 1 of 4)
Project Name: Rachel Hwang Date Prepared: 2014-08-11
A.General Information
CF1R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be
documented,use one CF1R-ALT 02 document for each dwelling unit.:
01 Project Name: Rachel Hwang 02 Date Prepared: 2014-08-11
03 Project Location: 10009 Oakleaf Place 04 Building Type: Single family
05 CA City: Cupertino 06 Dwelling Unit Name: Rachel Hwang
Dwelling Unit Conditioned
07 Zip Code: 95014 08 Floor Area(ft2): 3609
Number of space conditioning
09 Climate Zone: 3 10 (SC)systems being altered in 1
this dwelling unit.:
B.Space Conditioning(SC)System,,Information
01 02 0304' Ob 07 _ 08- 09 10
,: .
Instalii ig,new` ` is the entire
components? duct system
(packaged unit,or accessible Are all of the
condensing unit, Installing for sealing, system's
Is the altered Altering or or more than 40 and is more components
or installed installing a cooling/heating linear feet of than 75%of and ducts new
SC System SC System CFA served system a refrigerant coil,or new or the duct or replaced?
Identification or Location or Area by this SC ducted containing air-handling unit, replacement system new (entirely new
Name Served System(ft2) system? component? etc) ducts? or replaced? system) Alteration Type
Trane whole house 3609 Yes Yes Yes No No No Altered space.
conditioning system
C. Extension of Existing Duct System,Greater Than 40 Feet(Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number:214-A0072615A-000000000-0000 Registration Date/Time: 2014-08-11 14:57:03 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-08-11 14:57:27
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 2 of 4)
D.Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
Central gas Gas furnace Central split Outdoor Less than or
Trane furnace AHU AFUE 0.78 AC condensing SEER 13 Setback equal to 40 R-6
unit feet
Required Documentation:
CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums:R6.
CF2R-MCH-20-H&CF3R-MCH-20-H—Duct Leakage testing required when heating or cooling components are installed in ducted systems,or when more than 40 ft of duct length is replaced.
-Leakage rate compliance:<_15%,or<_10%leakage to outside,or seal all accessible leaks.
CF2R-MCH-25-H&CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15).
CF2RCF3R-MCH-23&CF3R-MCH-23 Air Flow>_300 CFM/tonxequired when MGH 25 is,required.
Exceptions: Al
-Duct systems registered with HERS provider as previously sealed are exemo 4rotiiaVlCH-20 Duct Leakage Testing.require nests.
-Heating-only systems and Air Handler/Furnace cE adges do not req uire'ven icatioit of Air Flow MC�K-23;or Refrigerantc,harge MECH 25.
-Existing duct systems constructed,insulated orsebled withiasbestos are exempt,ftom MCH 20 NUOLeakage Test] r, uirements'}
nS �Y ,
E. Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)1Diia and 150.2(b)1E,F)
This section does not apply to this project.
Registration Number:214-A0072615A-000000000-0000 Registration Date/Time: 2014-08-11 14:57:03 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-08-11 14:57:27
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 3 of 4)
F. Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)1C)
This section does not apply to this project.
i,.,
3
lk
Registration Number:214-A0072615A-000000000-0000 Registration Date/Time: 2014-08-11 14:57:03 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-08-11 14:57:27
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT HVAC) (Page 4 of 4)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Rando,Eric
Company: Signature Date:
RANDO AAA HVAC INC 2014-08-11 14:57:03
Address: CEA/HERS Certification Identification(if applicable):
1712 STONE AVENUE n/a
City/State/Zip: Phone:
SAN JOSE CA 95125 (408)293-4717
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. lam eligible under Division 3 of the Business and Professions Code to accept-responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performartce specifications,materials,components,'and manufactured d6ice0or the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24,Part 1 andf,4-4 b of the Californ a Code ofRegulations.
4. The building design features or systeri design features identified on thisCertificate of Compliance ale consistent with the information provided on other applicable compliance documents,worksheets,
calculations,plans and specificationsslubmitted to the eri orcenient`agencyfor approyal,with this buiidmg pgrmit app sat�on.
e r% E€ s
5. I will ensure that a registered copy of Ehis Certificate of (5rnpiiance shalt be rr[ade-aveilahle.witkt =6uildingpemnitC, slued f6irthe,building,and mbderava((able to the enforcement agency for all applicable
inspections.I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Rando,Eric
Company: Date Signed:
RANDO AAA HVAC INC 2014-08-11 14:57:03
Address: License:
1712 STONE AVENUE 768871
City/State/Zip: Phone:
SAN JOSE CA 95125 (408)293-4717
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document,and in noway implies Registration Provider responsibility for the accuracy of the
information.
Registration Number:214-A0072615A-000000000-0000 Registration Date/Time: 2014-08-11 14:57:03 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-08-11 14:57:27