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B-2016-1200 SMOKE/WATERCITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION JAF;DDRESS; 10827 LINDA VISTA DATE: REVIEWED BY: APN: 356 07 034 BP#: "VALUATION: $10,000 "PERMIT TYPE: Mechanical Permit PLAN CHECKTYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex PENTAMATION PERMIT TYPE: FURN/A e WORK INSTALL N A/C IN SIDE YARD AREA SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=1 OK cfm) 1 BREMAIR 1 # $72 TOTALS: $72.00 Mech. Plan Check 0.0 hrs $0.00 I <0. Nfw { hek P cPlan Uzeul, Mech. Permit Fee: IMPERMIT I'drrnii kfre: by Other Mech. Insp. Lo.0 hrs L$48.00 Othor Pl p+rb /ny. flhher t;;:: c. Insp. :itech. Inset_ I Plumb_ Insc_ Fzt: I',ec_ ln�p, Fee. NOT'F.- This estimate does not include fees due to other Departments (i.e. PlanninQ, Puhlic Works, Fire, Sanitary Server District, School DhIA,t aIo ) Thaeo tone nra hneod nn tha nreliminmv iofn,,natinn nmilahla and tma nnhr at, aetin:nte. Cantort Ilse Dent for adrhe'I infn. FEE ITEMS (Fee_ Resolution 11-053 K.— 7711,13) FEE QTY/FEE MISC ITEMS Plan (.,'heck Fee: sujt >l..P( , I `ee PME Plan Check: $0.00 Permit fiec:: Suly)1. fnrh Fee PME Unit Fee: $72,00 PME Permit Fee: $48.00 C'Onsirrrctirrn "Tac Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes (@No $0.00 Adbancecl Planning Fees: r Travel Documentation Fee: ITRAVDOC $48.00 SUxuig-Motion Tee: IBSEISMICR $1.30 Select an Administrative Item Biis d 1 Stds Commission Fee: IBCBSC $1.00 STJB- OTALSF1 $215.301 $0.001 TOTALIWfK- $215.30 Revised: 01/01/2016 01"MOKE f CARBON MONOXIDE ALARMS OWNED' CERTIFICATE OF COMPLIANCE FILE COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION fPJP $QQ 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408)777-3228 FAX(408) 777-3333 o building(a)cupertino.ora 'aum 6 ` 2_o/ty 12 co 0 � C191 a 7 �.�� V`s d� �r �,�� F " tSr iTke: k l � PERMIT CANNOT BE FINALElD AND COMPLETED UNTIL TMS CERTIFICATE FUS DI : IN�IC�1� � �Af��J �l'Q'f,�i��`l�T�'�X��.I"�7�,D�I��I�r�SION PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: --_ AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X )C bedroom(s) On every level of a dwelling unit including basements ?C X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,I hereby certify that the alarm(s) referenced above has/have been installed in.accordance with the manufacturers instructions and in compliance with the California Building and California,Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and a g Tee to comply l with the terms and conditions of this statement Cr or QvanerRgE €'s), Farre: 60LO -- Si nature. .. .... ... ...... .................... : - .'Date': ................... i 6--" cfof Name: re - ...... ......... ..... . ........................Lid.#: ..Dat�:� /qlhn S172oke and:CO forni.dbc revised 03/1'8/1.'4= WATER-CONSERVING PLUMBING FIXTURESf7z. IL 2 OWNER CERTIFICATE OF COMPLIANCE � i� 71 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPER.r,'N® 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408)777- 228-FAX(408)777-3333 o building(@cupertino.org OwnerName, g Rr�,y-_sLAff 1'ermitNo,� AddressA ( 0 Fs 2 7 c� i s v� L yJ v` dn1,,�d 9S d f 57 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Q1 No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. E�f-No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Lig 51 No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. LA Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: ® My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building. On or before January 1,2017, all non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). I,as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8,the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature.sem_ '. Datf Upon completing and signing this C rtificate,please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26/15 GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014.3255 CUP�ERT�INO (408) 777.3228 + FAX (408) 777-3333 + buildino(aDcuoertino.org Zoo ❑PmeN..0 KMECHArTICAL ®nLECTRICA.L ❑hhISCELLA.NEOliS PROF -CT ADDP.ESS ( L-. AAA, VlS \L J/li 5-6— V 7-j' o 3 f ct�bO/��i 0\kT'zA 1:EdJ,E 1 'a'& � `1�J l,1 �R.rc /7/ I PH01v� �`� SJ l.f�b ZQj C E.!JigIL7G6lQf/y,Vl'tLt.US `C®�y✓CI^` �lA7w STRUTADDP.=.SS S +` U _ CITY, STATE, ZTPIP I FAX p� CONTACT NAME VAy„ M � � • r. � 1 JAM ` STREET ADDRESS SnOd- �`�� CITY, STATE, ZIP FAX ❑ O',sEx ❑ OMBc'?.-BunmL ❑ 0M^7flt AGcM ❑ CO!rITACTOR ❑CO\TRACTOR AUNT ❑ ARCH -CT ❑ EPGN=cR ❑ DEVELOTER ❑'yT,y\rr CONTRACTOR I:AJ,c \ .� `C( n UCc'�.'SE!.WBER ��Q LICnT�Z� BUS. LTC-r "]_ L• % COMP,ANYWAi'e K`L E-MAILl FAX STREETADDRESS l�l� `1 p 1 A„ �J (iJ - CITY, STATE, ZIP \�-,p •`] +L PHONE ARCICTECTrNGLNEER NAME LICENSENWIsER BUS. LIC4 CO)RA.NY N.A1dE — E.MAM FAX —_ STMETADDRESS I C',TY, STATE, ZIP PHOIm USE OF 9S1DwDLT11FX ❑ MIII.TI-FA1,mY BLMU Ia'G: ❑C01,04MCIAL I. PRO.^CT LNwdDLa ND ❑ YES LRBAY N'TERFF.CEAP.BA a6No PROJECT IN ❑ YES FLOOD ZONE ❑ No mTrn BIMOA_N ❑r� )TS MC1=1301,SD7 0�1 NO DESCP.IPTTON OF 1WORK v15°�`n-cl. 4\nV�/Y✓ —`{� loll a+ TOTALVALUATION: By my sigast i e below, I certify to each of the fOl)OWLQ: I am the property owner or authorized anent to act Lh _ , owner s behalf. I have read this Eppliation and the L-rfn mation I have prod ed is co sect. I have read the Desciption of Wuk and verify it is accurate. I agree to comply with Ell applicable local ord antes and state laws relating to b ' �m construction. I authorize representatives of Cupeaiao to enter'ue above/1�1d(enti qqd p//ropelty for inspection purposes. Signature afAPPEGRaUAgent: 4 Date: SUPPL - 4ENTAL INTFOR-MATION REQU11RED---}--`-- A1EPMsr.4pp_2011. doc revised 06121/11 w hA 6 , � � �k Sl\ dA � A-L� 2,0k3 Suv'� :14: ENT D" 7ARI MENT CUPEERTINO b ' )T be kept at t�,. c:rlanges I 10 make any cr -Inerefrorn w,, f0 deviate „e aim in rng Official, be beld i j rj -',-4A-'L NOT Z)f a o Or Sfa , La.v. D A TTE PER NI I # k MIA , MR I W� STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFI R-ALT-03-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-03-E Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF-1R-ALT-HVAC) (Page 1 of 1) Site Address: I z � Enforcement Agency: D; to r` r(: PermitN: 0 ,- `re 4 fE Equipment T e Type Equipment Efficient y New: Ducting, Plenums, Llneset Conditioned Thermostat Required R-value Floor Area (sq ft) ❑ Packaged System R Evaporator Coil _AFUE ❑R-6(CZ 1,3-7)Ducts Served by system Setback ❑ Split System $Condensing Unit IS SEER _COP PLR-8' (CZ 16) Ducts 4C'V �sq ft (if not already ❑ Furnace ❑Llneset _HSPF ❑ R-6 (all CZ's) Plenums present, must _EER ❑ R-5 or FITS Llneset' be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final Inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: Can include new ducting All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS Air Handler/Furnace CF3R: MECH-20-HERS Installer Requirement: Duct leakage (< 15%or, <10%to outside, or seal all accessible leaks) Exempted from duct leakage testing If: 111. Duct system registered with HERS provider as previously sealed, or X2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, Insulated or sealed with asbestos (list manufacture date of building__), 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E CF2R-MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS CF3R-MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2 Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 CFM/ton (or Standards Table 150.0-C / D alternative) ❑ 3. All New Ducts with Replacement Required Compliance Documents to 6e left on site for Final: Includes replacing or installing All New CF1R-ALT-02-E Ducts2 and one or more of the following: CF2R-MECH-01, MECH-20-HERS, MECH-(23 or 24)-HERS Condenser Unit, Evaporator Call, Furnace CF3R-MECH-20-HERS, MECH-(23 or 24)-HERS Installer Requirement: Duct leakage <6%, Air Flow 2 350 CFM/ton (or Standards Table 150.0-C / D alternative) ❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos. ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: Adding or replacing ducts in unconditioned CF1R-ALT-02-E space but less than All New Ducts2 CF2R: MECH-20-HERS CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 15%or, < 10%to outside, or seal all accessible leaks) ❑ Exempted from duct leakage testing l existing duct systems are constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' A New Duct system is when the duct system is constructed of at least 75 percent new duct material, and up to 2S percent may consist of reused -parts from the dwelling-unit's existing duct system (e.g., registers, grilles, boots, air handier, plenums, duct material. ' R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5-3T-2W, 3.5 to 4T-2%",.5T-4W Contractor (Documentation Author's /Responsible Designer's Declaration Statement) I certify the following under penalty of perjury, underthe 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 California Business and Professions Code to accept responsibility for the information on this document. 3. Thatthe energy features and performance specifications forthe design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. That the energy features and performance specifications, materials, components, and manufactured devices forthe 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 CCR. S. The building design features orsystem design features identified on this Certificate of Compliance are consistentwith 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. Responsible Designer Name: YY)�c�a e l i-ee. Responsible signer signatu ltii 0a[e 51 ned: c Ali License: 8�a l� Company: Address: Io�FS� (o City/State/2Ip: 304 S)t Phone: o7z_ For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300