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15070214 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7545 RAINBOW DR CONTRACTOR:VALLEY HEATING& PERMIT NO: 15070214 COOLING OWNER'S NAME: SELVARAJ SATHIYA K AND KRISHNAVENI 1171 N 4TH ST DATE ISSUED:07/29/2015 OWNER'S PHONE: 4085001515 SAN JOSE,CA 95112 PHONE NO:(408)294-6290 LICENSED CONTRACTOR'S DE7A0- CLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL [-]�b�/ REPLACE(E)FURNACE,REPLACE ALL DUCTWORK AND License Class Lic.# ADD Contractor (N)A/C UNIT IN REAR YARD AREA Date 2 7 r 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 Serformance of the work for which this permit is issued. Sq.Ft Floor Area: Vahiation:$21940 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:36230019.00 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 E SUANCE 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 18 OM 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 1,002 granting of this permit. Additionally,the applicant understands and will comply Issue with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 2 l // 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) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). 1 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. 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 25505,25533,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 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 PEPfvllT\\ APPLICATIONMEF ayfl-4 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPER�rINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333-buildina( cuoertino.org CUPERTINO 0'-D�-021 ❑PLUMBING ElMECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS �G /! (� J� r = 3 6 2— OVJNtR NAMES It` `- rnj PHONE STREET ADDRESS �(/� c-o I_au CITY, STATE,ZIP`6r �1 (� V FAX CONTACT NAME PHONE�e Y• l' 7�0 E MAM V G STREET ADDRESS11-71 I�/ IV L14" S� I O CITY,STATE,ZIP L �n FAX SC ❑ OWI.'ER ❑ OWNITER-BUILDER ❑ OWNERAGENT ❑ COA*IRkCTOR ❑C01,7FACTORAGEn'r ❑ ARCHITECT ❑ENGDMER ❑ DEVELAPER ❑ TENANT CONTRACTOR T?4J 5E t/ u hw t /gulf LICENSE N SER 1 f( (/D LICENSE TYPE j _ BUS.LIC COMPANY NAME Ccl 1 E-MAIL �O(1 p, ,qD FAX STREET ADDRESS CIT ,STATE,ZIP J� PHONE u2l 62 lo 1J1 1 S//n ARCI-MCUENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 13 SFD or DUPLEX ❑ MULTI-FAMILY . .PROJECT IN WILDLAND El YES PROJECT IS THE BLDG AN YES IN ❑ YES ❑ BUILDING: ❑COMMERCIAL I URBAN R%rrERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK � y r (J TOTAL VALUATION: fi -� IIYD By y fy _ property owner or authorized agent to on the prope vner's . I have read this B m signature below,I certi to each of the following: I am the application and the information I have provided is correct I have read the Description of Work and verify it is ac . I a mply with all applicable local ordinances and state laws relating to buil o constructio I authorize representatives of Cupertino to enter the Ienti ed prropjerty$ir spectioa purposes. Signature of Applicant/Agent: t/� Dater SUPPLEMENTAL D\'FORMATION REQUIRED oFT?cE USE ONLY ��J , TPP" MEFA7tscApp_2011.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 7545 RAINBOW DR DATE: 07/29/2015 REVIEWED BY: MELISSA APN: 362 30 019 BP#: *VALUATION: 1$21,940 "PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex PENTAMATION FURN/AC USE: PERMIT TYPE: WORK REPLACE E FURNACE REPLACE ALL DUCTWORK AND ADD N A/C UNIT IN REAR YARD SCOPE AREA APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=10K cfm) 1BREMAIR 1 # $72 Furnace, Forced-Air 1MFR=<100 1 # $143 T_ I TOTALS: $215.00 Mech.Plan Check 0.0 1 hrs $0.00 'Iumh. Plan C14. i�c. Plan Check Mech. Permit Fee: I MPERMIT Plumb,Permit Fee: Faec.Permit Fee: Other Mech. Insp. 0.0 hrs $48.00 =�rrrcz I'liltia.l�a..ti]>, 7therElec. lnsp. Li I I tj). Vct' ' 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 preliminar information available and are only an estimate. Contact the Dept/or addh7 info. FEE ITEMS (Fee Resolution 11-053 h 7/1/13) FEE QTY/FEE MISC ITEMS I'lun C'hcwk Fee: slipp/. PC /'(�C PME Plan Check: $0.00 Permit Fee: SuPpl. Insli Fee PME Unit Fee: $215.00 PME Permit Fee: $48.00 (_'onstruc cion Tax_ Administrative Fee: ]ADMIN $45.00 Work Without Permit? Yes (F) No $0.00 Advarteed Planning Fees: Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $2.85 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $359.85 $0.00 TOTAL FEE: $359.85 Revised: 07/02/2015 PLOT LANS CHEC ATE PLAN Fz I CU ERTINO COMMUNITY QEVELOPMiEN T:DEPARTMENT BUILDING DIVI$10N-CUPERTINO f pp Th' set of plans and.specifications MUST be ke#t at the J site during construction. ;It is unlawful to m<,ke any ! ctiangcjs or alterations on same,4r to tie`.�i�'e ' * t erofrom,without a "©' l Irn the uihlir g Cr dal. NOT Li Th stamping of this' h2lci + cr Su.e In Law. D E p RMfr NO. REQ '1 I 1( �A I � � i< C e�VGf�OFF ���� � , 5 tnril+.CALlacv``'� F J CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 1 of 3) Project Name: 2015-0062 Sathiya Selvaraj Date Prepared: 2015-07-23 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 MR-ALT-02 document for each dwelling unit. 01 Project Name 2015-0062 Sathiya Selvaraj 02 Date Prepared 2015-07-23 03 Project Location 7545 Rainbow Drive 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name 2015-0062 Sathiya Selvaraj 07 Zip Code 95014 08 Dwelling Unit Conditioned 1400 Floor Area(ft2) Number of space conditioning 09 Climate Zone 4 10 (SC)systems in this dwelling 1 unit. B. Space Conditioning(SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System(ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Furnace Altered space replacement add whole house 1400 Yes Yes No No No No conditioning system A/C C. Extension of Existing Duct System, Greater Than 40 Feet(Section150.2(b)iDiib) This section does not apply to this project. Registration Number:215-A0203907A-000000000-0000 Registration Date/Time: 2015-07-23 14:32:01 HERS Provider:CalCERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2015-07-23 14:31:41 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 2 of 3) 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 Furnace All new All new This field or This field or AC replacement Central gas heating AFUE 0.98 Central split cooling SEER 25 Setback section is not section is not add A/C furnace components components applicable applicable Reouired Documentation: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums:RE. 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 2 300 CFM/ton required when MCH-25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23 or Refrigerant Charge MECH-25. -Existing duct systems constructed,insulated or sealed with asbestosare exempt from MGH-20Duet Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)10iia and'150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number:215-A0203907A-000000000-0000 Registration Date/Time: 2015-07-23 14:32:01 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2015-07-23 14:31:41 Schema Version:0.555SDD • CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. �� /�� Documentation Author Name: Documentation Author Signature: an, , 6za-AMA Faulkner,Cindy l��G O� Company: Signature Date: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING&ELECTRICAL 2015-07-23 14:32:01 Address: CEA/HERS Certification Identification(if applicable): 1171 NORTH 4TH STREET City/State/Zip: Phone: SAN JOSE CA 95112 (408)294-6290 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. 1 am 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 performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets, calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the buftng permit(s)issued for the building,and made available 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. r , GGCI�/�/I Responsible Designer Name: Responsible Designer Signature: ai�LP Faulkner,Cindy �1 Company: Date Signed: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING&ELECTRICAL 2015-07-23 14:32:01 Address: License: 1171 NORTH 4TH STREET 258540 City/State/Zip: Phone: SAN JOSE CA 95112 (408)294-6290 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document,and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number:215-A0203907A-000000000-0000 Registration Date/Time: 2015-07-23 14:32:01 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2015-07-23 14:31:41 Scbema•Version:0.555SDD