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B-2016-2208 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2208 7802 FESTIVAL DR CUPERTINO,CA 950144100(362 17 054) RANDO AAA HVAC INC SAN JOSE,CA 95125 OWNER'S NAME: TAI EDMUND TRUSTEE&ET AL DATE ISSUED:06/24/2016 \ OWNER'S PHONE:650-644-8109 PHONE NO:(408)293-4717 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class WARM-AIR HEATING VENTILATING AND AIR-CONDITIONING Lic.#Z688_ _XBLDG —ELECT _PLUMB Contractor RANDO AAA HVAC INC Date 09/30/2017 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. REPLACE FURNACE AND A/C(SAME LOCATION I hereby affirm under penalty of perjury one of the following two declarations: t. 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 iI as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$9857.00 permit is issued. i APPLICANT CERTIFICATION I certify that I have read this application and state that the above; 362 Number: Occupancy Type: information is correct.I agree to comply with all city and county rd-ances 362 17 054 and state laws relating to building construction,and hereby auth�rize representatives of this city to enter upon the above mentioned property for - inspection purposes. (We)agree to save indemnify and keep N rmless the PERMIT EXPIRES IF WORK 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 n; n-point 180 DAYS FROM LAST CALLED INSPECTION. source regulati ns U6r the cudertino Municipal Code,Section 9: 8. Issued by:ABBY AYENDE Sign tu Date Date:06/24/2016 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 t. ,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:6/24/2016 contractors to construct the project(Sec.7044,Business&}rofessions Code). 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-insi ire 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 2. I have and will maintain Worker's Compensation Insuranee�l 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 theiwork 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 s. 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 defined 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 S ' s 25505 539Fd 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 Owner or authorized agen . be deemed revoked. Date:6L24/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING 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 Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, 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 6/24/201 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTIPIO (408)777-3228• FAX(408)777-3333•building(Qcupertino.org �, 201 r„y2203 ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI El REVISION/DEFERRED ORIIGGIIN(}AL PERMIT# PROJECT ADDRESS�I n�� fi V/� � D KI V C, APN# Z w_' n--`( aA OWNER NAME C_ MV nd T , PHONE/I ,50) 001 E-MAIL L STREET ADDRESS( 1 � V I�nQ CITY, STATE,,ZIP D r�l�n FAX CONTACT NAME J (J PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBERYA ,^ _1 LICENSE TYPE/�(� n BUS.LIC;1 �/�Dn(�l, COMPANY NAME Q A E-MAIL �(Oki CDYY� FAX JLeee STREET ADDRESS ( \/� 1 CITY,STATE,ZIPSan !'�(' PHONE _��1 ARCHITECT/ENGINEER NAME LICENSE NUMBER �J BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK I Y� �/ EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: ❑DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION El YES IF YES,PROVIDE COPY OF IS THE BLDG AN YES RECEIVED B$: ITT0 .VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO vl` 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 behalf. 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 buildl'pg construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQU D PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demoliti ' mit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ 'LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑° MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp_201 Ldoc revised 06/21/11 .. �- T.DEP ,R �v1E.N..T COPa%,iJ.,•ITY CEVELOPMEN , . 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 tNs plan and specifications SHALL NOT be held to permit or to be an approval of the violation �r of any, ovisior- of any City Ordinance or State Law. DATE, PERMIT.# �j tee\ > �tI C l - OFFICE - COP I II r- CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: SALLY YOUNG Date Prepared: 2016-05-26 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 SALLY YOUNG 02 Date Prepared 2016-05-26 03 Project Location 853 ALDERBROOK LANE 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name SALLY YOUNG 07 Zip Code 95014 08 Dwelling Unit Conditioned 1201 Floor Area(ft2) Number of space conditioning 09 Climate Zone 4 10 (SC)systems in this dwelling 1 unit. r B.Space Conditioning(SC)System Information. . 01 02 03 074 09 10 ', 08 06 ,Is the SC' Installing a _ SC System SC System CFA served sys a— refri Installing=new;SC Installing i elnstalling- ' ;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 TRANE WHOLE HOUSE 1201 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:216-A0196081A-000000000-0000 Registration Date/Time: 2016-05-26 11:44:29 HERS Provider:CalCERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-05-26 11:44:23 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-1R-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 Central gas Gas furnace Central split Outdoor This field or This field or TRANE AFUE 0.78 condensing SEER 13 Setback section is not section is not furnace AHU AC unit applicable applicable Reauired Documentation: CF211-MCH-01-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums:R6. CF2R-MCH-20-H&MR-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:515%,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/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 t p -Existing duct systems constructed,insulated or sealed with asbestos,are exempt<from MCH`20 Du&E Leakage Testin&requirements. r "' rr p� E._Entirely-Uew-or_Complete_.Replacement_Duct-SVitemrwith-or--vwthout-.E-quipment-Changpout(Sections 150 2(b)lDilazand>130.2(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-A0196081A-000000000-0000 Registration Date/Time: 2016-05-26 11:44:29 HERS Provider:CalCERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-05-26 11:44:23 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: � /G Rando,Eric Company: Signature Date: RANDO AAA HVAC INC 2016-05-26 11:44:29 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. 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 R gulations. t w 4. The building design features or system design features identified on this Certificate of Compliance are consistent witWthe Information provided on other applicable compliance documents,worksheets, calculations,plans and specifications submitted to the enforcementagency forapproval with this building permit application. _ r 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be:rriade available with.the building permit(s):issued for�the building,and" ade'available to the enforcement agency for all applicable "* inspections.I understand that a registered copy of this Certificate of Compdanc_e_islequii; o-beincluded,wityh-the documentation the builder-provides-to,ILhe-buyilding-ownerat-occupan Responsible Designer Name: k. £ t (:-w Responsible Designer Signature. ,g° '` 1"'s• Rando,Eric Company: Date Signed: RANDO AAA HVAC INC 2016-05-26 11:44:29 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 Providerresponsibility for the accuracy of the information. Registration Number:216-A0196081A-000000000-0000 Registration Date/Time: 2016-05-26 11:44:29 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-05-26 11:44:23 Schema Version:0.555SDD SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION +CUpl�l{TItdQ 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building cupertino.org (� \ __ _Permit No. //lJ 6 ��GO 00 Address&&� �tl rf A D IVI V(� #of Alarms Smoke \Carbon Monoxide:) PERM I T GAIYNQT,$E FINALEDrAND G+DMPE TED UNTIL THIS CERTIFICATE HAS SEEN { U RFT T©THE BTILD INTI ' IIOTT f 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 divelling 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)maybe solely.battery operated. In existing dwelling unitsi 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 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. --1-have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name= -Signature............................................................................................................. atet................. Contractor Name: Signature...... .. ....... ..............Lic.#....7700 �........Date:21k. ).0 Smoke and CC fonn.doc revised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING-DIVISION CU ERTII`1< I 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 Owner am �mUn (408 777-3228•FAX(408)777-3333•building(a)cupertino.orq Ne yPerm.it No AddressQMIn�lf� 1. Is your real property a registered historical site? 0 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? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 0 The licensed plumber's certification has been provided to the Building Division, Skip the rest of the form and sign bottom of form. No Go to Question 3. 3-: Is water service permanently disconnected for your building? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Wo Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? El No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.$do not apply. Skip the rest of the form and sign bottom of form. 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). 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 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 Plumb' g Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-c nerving 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 Certifica e,please return it to the Building Division in order to final your building permit.---- J SB4072015.doc revised 08/26/15 .. BIJILDIl��•PE�M�T'�A1�Nt�T BE��A�D ASVD COI1riPLE�TET;� �TDA A - • f.. Non-Compliant Water-Conserving Plumbing Fixture Plumbin ixturel (Fixture Complying with Cur-resat Cade Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4 Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div.5.3 fFlovie 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, =r average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush 0.5 gallonslflush Showerheads Exceed 2.5 2.0 gallons'per minute @ 80 psi. Also cerfified 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 outletto 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 ares: 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 I.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 @ defauitto 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 i's_ equal to or lower than the figure shown,it is not required to be upgraded. SB407 2015.doe revised 08126115