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B-2016-1672 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1672 7536 PEACH BLOSSOM DR CUPERTINO,CA 95014-5227(366 11 129) RESIDENTIAL HEATING AND AIR CONDITIONING INC CAMPBELL,CA 95008 OWNER'S NAME: HORTON FENN AND KIM DATE ISSUED:04/01/2016 OWNER'S PHONE:209-613-2096 PHONE NO:(408)377-4073 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B.C20 Lic.# 0 55 Contractor RESIDENTIAL HEATING AND AIR CONDITIONING INC Date X BLDG —ELECT —PLUMB 04/30/2017 X MECH X RESIDENTIAL_COMMERCIAL 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 JOB DESCRIPTION: license is in full force and effect. ADD N A/C TO THE SIDE YARD AND REPLACE DUCT WORK. I hereby affirm under penalty of perjury one of the following two declarations: i. 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. 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 Sq.Ft Floor Area: Valuation:$16030.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above 66 Number: Occupancy Type: 3 information is correct.I agree to comply with all city and county ordinances 366 11 129 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 PERMIT EXPIRES IF WORD IS NOT STARTED City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point 180 DAB'S FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code,Section 9.18. Issued by:ABBY AYENDE Q ��Sl lgnature �j`� ��/ Date 411/2016 Date:4/1/2016 l�tJw,Ai ��(i YI�G OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for i. I,as owner of the property,or my employees with wages as their sole inspection. compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business&Professions Code) Signature of Applicant: 2. I,as owner of the property,am exclusively contracting with licensed Date:4/l/2016 contractors to construct the project(See.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER i. 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the z. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous a. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Code,Sections 25505,25533,and 25534. exemption,I become subject to the Worker's Compensation provisions of the ��- Labor Code,I must forthwith comply with such provisions or this permit shall caner or authorized agent: be deemed revoked. Date:4/112016 / APPLICANT CERTIFICATION CONSTRUCTION L DING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.) relating to building construction,and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments,costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code,Section 9.18. Licensed Professional Signature Date 4/1/2016 GENERAL PERMIT APPLICATION . MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408)777-3228 FAX(408)777-3333•building(D-cupertino:org I S C CUPERTIIV0 Q PLUMBING. dMECHANICAL ❑ELECTRICAL Q MISCELLANEOUS PROJECT ADDRESS -7'75 2� 6)ossoNn Drive APN# 3(k 11 129 OWNERNAME Fenns kim No 1 PHONE 209,W 3_ M(o E 11 *IW I hurton CDSbc labal.M+ STREET ADDRESS 7 5;6 Pl Q c l �� N'. CITY, STATE,ZIP CU W i` o CSA C15011-+ 1 0I`1 FAX CONTACT NAME I I C PHONE � E-MAIL -' - � rg' COMD U I STREET ADDRESS CIT ,STATE, ZIP Cary) CAq50 , FAX 4 ✓ .- I gsCrS �C lGtnO ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR `u CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑:DEVELOPER ❑ TENANT CONTRACTOR NAME CCAihv Hw V LICENSE NUMBER -7 05 5'5Lf LICENSE TYPE Q/c 7O BUS.LIC# 2` j] -I COMPANY NAME n t' AIc, E-MAIL -e It r �y e/I , CUrr 1 FAX STREET ADDRESS W 5 f I��'Ch L/''^ CITY,STATE,ZIP�� i i �i� ��j,rl(� PHONE(� L)-31 y-j'(:) ARCHITECT/ENGINEER NAME �l 1 LICENSE NUMBER l 1 �/V U BUS.LICI#V- / y COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK A d&� c lo 4e �r d Wnli •I I 1 1 \_„ rJ elf 1 eri l c n TOTAL VALUATION: I 1030. o 0 RECEIVED BY: �ju U By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's b half. 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. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize repres tives of Cupertino to enter the�above-identified property for inspection purposes. Signature of Applicant/Agent: - Date: P d d0 SUPP MENTAL.INFORMATION REQUIRED OFFICE USE ONLY W ❑ OVER-TRE-COUNTER q. ❑ EXPRESS U x ❑ STANDARD U a ❑ LARGE w ❑ MAJOR MEPMiscApp_2011.doc revised 06/21/11 N OFFICE COPY Horton Residence - Duct Design (Enlarge) (Enlarge) (Enlarge) 14x6 14x6 14x6 136 cfm 154 cfm 191 cfm 8" CI1 8 i Bedroom 1 i 101, Living Room 12" 5" -Shaem ker1.050,Serie 24 x 20 10 x 6 14 581 cfm Den 31 cfm 12" ` . ` +- ��•� ,,., ,. -'M 3 feet to property line Bath 1 L_ 51, C12 \\Cl Bath 2 Shoemaker 1050 eries (Enlarge) 20x24 6x14 10" 349 cfm Hallway 169 cfm 10x6 8" 29 cfm Bedroom 3 Kitchen Bedroom 2 7" (Enlargey 8" (Enlarge) 14x6 14x4 145 cfm 110 cfm Equipment Specifications: 'I 1-Bryant Model#:124ANS024000A Condenser { 1-Bryant Model#:CNPVP3617ALA Coil Garage 1-Bryant Model#:FILBBCAB016 Filter Cabinet 1-Bryant Model#:FILBBCAR016 Filter Cartridge "Reuse existing furnace 311JAV036070 COMMUNITY DEVELOPMENT DEPARTMENT Manual dampers to be installed on ALL terminating supply ducts. BUILDING DIVISION - CUPERTINO APPROVED This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The Stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any pro 'sions of ny Cit Ordinance or State Law. BY Q. DATE i11 ILP PERMIT# -a0JU Job #: HORTON03072016 Residential Heating &Air Conditioni... Scale: 1/8" = 1'0" Performed by Residential Heating &AIC,... Page 1 Horton Residence 65 Cristich Lane Comfort Builder by Wrightsoft 7536 Peach Blossom Drive Campbell,CA 95008 15.0.22 RSU04451 Cupertino,CA95014 Phone:408-377-4073 Fax:408-377-98542016-Mar-08 20:39:22 w. wwresidentialheating-ac.com veronika@resiheat... ...etz\Desktop\Horton Residence.rup SMOKE / CARSON MONOXIDE ALARMSF OWNER CERTIFICATE OF COMPLIANCE L s COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION Ns Ib CUPERTtNOO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildingna.cugertino.org `i,:Adclress- 1 5 3(0 P d-) blosson ��PI v e �C—#.OfAr S Sm6k0_7 �Ca b�Mon�icle RERMf�CA OT�.F ri]NALFI)A1NP.COMPLETEI):.U.NT% EliS CF, tW CATE, j B FIN �i�.�1'.,�AND REILI$ i TO THE BIUDIl\TO.I)I'�?ISILI�I PURPOSE This affidavit.is a self-certification for the installation of all required Smoke and Carbon Monoxide larms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior ccess 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 CC ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning applian es 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 batter operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or altei ations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,baseme nt 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 thave been installed in accordance with the manufacturer's instructions and in compliance with the CaliforniaBuilding and California Residential Codes.The alarms have been tested and are operational,as of the date signed below. 1 have read and agree tg_cQmply with the terms and conditions of this statement owner atOwnerfi en_sName.— naEtrre' z. at . ..... ........ -Go�ctor Mame: X251 � 1 i i P _..... r d tICAI lVafin S.t natu€e .......... ....sLscl#._..tt1 .1........ ..., Smoke and COform.do remised 03/18/14 77 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION Ui'l^itTlhlt3 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 408)777-3228•FAX(408)777-3333•buildingAcuoertino.org weer a e KA (Permit o,1 2-01, Cj- 1(01� raA-eDss 7 53 to Pesch B I osS ori pry v L Is your real property a registered historical site? . El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of Jbim. PNo Go to Question 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. WNo Go to Question 3. Is water service permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply.-Skip the rest of the form and sign bottom of liorm. No Go to Question 4. r 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 nn. f Yes My real property is built and available for use or occupancy on or before January 1, 1994. r Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 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 vhether 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). 0 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 bereplaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improveme ts). 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 Sec ions 1101.1 through 1101.8,the current California Plumbing Code and California Green Building Standards.Code,and manufa cturer's installation requirements,and that the water-conserving plumbing fixtures comply with the requirements as indical ed in the table on the following page. Owner or 0inmer Agen1's S L= afe l d Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB4072015.docr vised08126115 BUILDING i?E121VIIT CA�T)1TOT SE FiNALE�,AND COMPLETED UNTIL THIS 'CERTIFICATE HAS BEEN* �D RF, T TCI T1REUILI N IIIS>4 r d. $ `, 3 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Constr tion) Maximum.Water Usage/Flow Rate Fixture Type 2013 CPC Ch.4 2013 CPC Ch.4 2013 CP Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div.4.3 2013 CALGreen Div. 5.3 /Flow Rate Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite, average flush volume of two reduced flushes and one full flu Urinals Exceed 1.0 Gallons/flush 0.5 gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower,the combined flow rate iii f all showerheads and/or other shower outlets controlled by a single valve s iall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designE d to allow only one shower outlet to be in operation at a time. Faucets- Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per linute@60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per mute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. SB4072015.doc evisedO8/205