The URL can be used to link to this page

B-2016-2111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2111 20202 JOSEPH CIR CUPERTINO,CA 95014-2235(316 24 05 1) ATKINSON CLIMATROLLERS INC SAN JOSE,CA 95112 OWNER'S NAME: WANG YIN AND ZHANG XIAOTING DATE ISSUED:06/10/2016 OWNER'S PHONE:408-839-6249 PHONE NO:(408)294-6290 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lie.#258540 X BLDG _ELECT _PLUMB Contractor ATKINSON CLIMATROLLERS INC Date 12/31/2016 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 license is in full force and effect. JOB DESCRIPTION: REPLACE FURNACE-SAME LOCATION;ADD A/C I hereby affirm under penalty of perjury one of the following two declarations: 1. 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 performance of the work for which this permit is issued. 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 permit is issued. Sq.Ft Floor Area: Valuation:$9437.00 APPLICANT CERTIFICATION 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 16 Number: Occupancy Type: 3 and state laws relating to building construction,and hereby authorize 316 24 051 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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulati n per he Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/10/2016 Issued by:AbbyAyende Date:06/10/2016 r _ OWNER-Bim DE,R DECLARATION Thereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner ofthe property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:6/10/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous 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 Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertinounicipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Cod S tion 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:6/10/2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued Sec.3097,Civ C. relating to building construction,and hereby authorize representatives of this city p ( ) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the.City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Code,Section 9.18. Licensed Signature Date 6/10/2016 Professional GENERAL PERMIT APPLICATIONIla MEP COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 �t9�ERT1NCt (408)777-3228• FAX(408)777-3333• buildinclOcupertino.orcl I S C lot 4 1) ❑PLUMBING ❑MECHANIC AL ❑ELECTRICAL ❑MISCELLANEOUS F ADDRESS n,,qct �� APN# /�iu ^aI L-os I AME p , Qk /�, Ytto PHONE�i�� %j /t E-MAIL STREET ADDRESS �S CITY, STATE,ZIP�� ?J/n gYbI� FAX CONTACT NAME ��U r PHONE r e4� �l•��i � E-MAIL„�e�� / AIQ vat STREET ADDRESS. I (��'� I CITY,STATE,ZIP f� lYi�• FAX 2W 4*t t G ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT NTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME��e �' (TCENSE NUMBER Ar� LICENSE TYPE BUS.LIC# �q r COMPANY NAME, n^, E-MAIL FAX STREET ADDRESS (Q_ Ncl �"- ', ,y CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT INI 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. .�w e ' TOTAL VALUATION: (] C O6 R1tVHDI` i� c L 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 ehalf. I have read this application and the information I'have r id 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 b it ing onstruction. I authorize representatives of Cupertino to enter the above- entifi d property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED wo {}ay ai She � 14fAEIIY MEPMiscApp_2011.doc revised 06/21/11 COM LAITY DEVELOPMENT,DEPARTPvIENT BUILDING DIVISION - CUPERTINO APPROVED, This set f plans and specifications UST be kept at the t job site uring construction. It is unlawful to make any `j h �L Ut chang s or alterations on same, or to deviatO �J _---- therefro 1,without approval from the Building Official. The Sta ping of this plan and specific aaii of the violation be held o permit or to be ns an app of any p.ovisions of y Cito-Ordinanc or State Law. BY DATE P'ERMI # ��' () Z- Tose C( � OFFICE COPY PL+ f�LLANNS CH, . DATE PLANNING DEPT CUPERTINO CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT HVAC) (Page 1 of 3) Project Name: 2015-0794 Yin Wang Date Prepared: 2016-06-02 A.General Information CF111-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 2015-0794 Yin Wang 02 Date Prepared 2016-06-02 03 Project Location 20202 Joseph Cir 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name 2015-0794 Yin Wang —07--Zip-Code 95014 08 Dwelling Unit Conditioned 1890 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 09 10 , " 1'kX w Is the SC �nstallmg a r t �- SC System SC System CFA served :'system aL s refrigef=att Instalhngrlevt5 Installing Ins#alliignstalling 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 Replacement,Add Whole House 1890 Yes Yes Yes No No No Altered space AC 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:216-A0203727A-000000000-0000 Registration Date/Time: 2016-06-02 12:20:39 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 9..007 Report Generated:2016-06-02 12:20:42 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CF111-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 Central gas Central split Replacement, heating AFUE 0.8 cooling SEER 14 Setback section is not section is not AC Add AC furnace components components applicable applicable Required Documentation: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans:, ----- --------- — ---- -Duct insulation requirement for new plenums:R6. CF2R-MCH-20-H&C17311-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;ar seal all accessible leaks. CF2R-MCH-25-H&CBR-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15). CRRCF3R-MCH-23&CF3R-MCH-23 Air=Flpw>300 CFM/ton required v hen MCH-25 is required. Exceptions: Duct systems registered with HERS provider as pr`,eyiously sealed are exempt from MCH 20 Duct Leakage Tesing requirements N -Heating-only systems and Air Handler/Furnace changes do not require'venficataan'ofAsr Flow MCI 23 nor Ctefrige)'ant ha a M)CH 25 ' o Existing duct systems constructed,insulated or sear etl with asbestosare exempC from MCt 120 Du�Leakage Testi requir�nents y k = ��.�;�� E. Entirely New or Complete Replacement Ducts§% item,with or ijthoutEqulpment Changeout(Sects n 150 2(b)1Dua-and 50.2(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:216-A0203727A-000000000-0000 Registration Date/Time: 2016-06-02 12:20:39 HERS Provider:CalCERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-06-02 12:20:42 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: �o Faulkner;Cindy (?�� 6MG�f�/"-4, Company: Signature Date: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING&ELECTRICAL 2016-06-02 12:20:39 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'Jaws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3`bf the Business and Professions Code to acceptresponsibilityfor the building design or system design identified on this Certificate of Compliance(responsible designer). 3. That the energy features and perforrtfance specificaLons matepp s,components and manufactured devices for the bui�dm design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 pft e California Gode ofgulations '' Wa'° 4. The building design features or system design featur65 identified onathis Certif cat"f compliance areip,nsisten .witfythe i brmatroruprovided ori bth rapplicabl'"61mpliance documents,worksheets, calculations,plans and specifications submitted to he enforcement.agency foY 6 nova Fwith this buil ng pUlbermit a t`Jicati ': 5. I will ensure that a registered copy of this CertificaeAf Cpliance sh )1 b =ftttleaStai ,ale wiYYfe bu�ItliClplmit�};issu ,ti forthe jldrig andfCnat#e avq,itab�dt7 t(e enforcement agency for all applicable inspections.I understand that a registeYed copy ofthisQ,�ficate of Complancels required to be, ncluded with thecumeiitation the bonder provides to the building owner at occupancy. Responsible Designer Name: ` Resp ons''ble Degner Signature: Faulkner,Cindy CIG/XlY/f2P/L Company: Date Signed: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING&ELECTRICAL 2016-06-02 12:20:39 Address: License: 1171 NORTH 4TH STREET 258540 City/State/Zip: Phone: SAN JOSE CA 95112 408-294-6290 Digitally signed by CalCERTS. 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:216-A0203727A-000000000-0000 Registration Date/Time: 2016-06-02 12:20:39 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-06-02 12:20:42 Schema Version:0.555SDD SMOKE / CARBON MONOXIDE ALARMS F LM OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION GR3pRTihtQ 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildingPcupertino.org ` Permit No. Address #of Alarms Smoke: Carbon Monoxide PERMIT CANNtJT BE IYALED,ANIj COMPLETED UNTIL THIS CERTIFICATE 1 � EEI �t +' 1D 1 Rl T STnLD T 0 uii\ g 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 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 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 SectionR314 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 manufacturer's 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. l have read and agree to comply with the termstand conditions of this statement Owner(or Owner Agent's)Name: Sign ture......... . ......:. .:....... Date. ...131-f-,16 Contractor Name: Signature...................................................................tic.#......................................Date: ................... Smoke and COform.doc revised 03/18114 WATER-CONSERVING PLUMBING FIXTURES r OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300TORREAVENUE•CUPERTINO,CA95014-3255CUPERTINO (408)777-3228•FAX 408)777-3333• building (a�cuoertino.org (` Owner Name f AlZA� Permit No Address 2. 0 j 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. 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. P 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. )' 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. X,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). El 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 11.01.5. 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 110 1.1 through 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-conservk plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: Upon completing and signing this Certificate, lease return it tot e Building Division in order to final your building permit. SB40 7 2015.doc revised 08/26/15 BUILLDIIVG PERMIT CANI�IQT,BE FINALED.;AIu.D COMPLETED UNTIL THIS N®n-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate Water Usage 2013 CPC Ch. 4 2013 CPC Ch.4 2013 CPC Ch.4 /Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Sing Ie 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 flush 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 of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi,or the shower shall be designed 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 minute @ 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 si Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons-per minute @ 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 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. SB407 2015.doc revised 08/26/15