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B-2016-2209 I�I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: I CONTRACTOR: PERMIT NO:B-2016-2209 853 ALDERBROOK LN CUPERTINO,CA 95014-4613(369 20 002) RANDO AAA HVAC INC SAN JOSE,CA 95125 OWNER'S NAME: YOUNG SARAH TRUSTEE DATE ISSUED:06/24/2016 I OWNER'S PHONE:408-255-9942 PHONE NO:(408)293-4717 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class WARM-AIR HEATING VENTILATING AND AIR-CONDITIONING Lie.##768871X BLDG _ELECT _PLUMB Contractor RANDO AAA HVAC INC Date 09/30/2017I X MECH X RESIDENTIAL_COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapterl9(commencing with Section 7000)of Division 3 of the Business&Professions Code and that my JOB DESCRIPTION: license is in full force and effect. I REPLACE FURNACE AND A/C(SAME LOCATION 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. I have and will maintain Worker's Compensation Insurances as provided for by Section 3700 of the Labor Code,for the performance of the-work for which this Sq.Ft Floor Area: Valuation:$8295.00 permit is issued. I APPLICANT CERTIFICATION I certify that I have read this application and state that the above) 69 Number: Occupancy Type: 3 information is correct.I agree to comply with all city and county ordinances 369 20 002 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 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,th applicant understands and will comply with all nQn-point 180 DAYS FROM LAST CALLED INSPECTION. source regular o r the C Municipal Code,Section 9.18. ! Issued by:ABBY AYENDE SignaedDate 6/24/2016 Date:06/24/2016 I i OWNER-RUILD , FCLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Lal 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 1. I,as owner of the property,or my employees with wages as tbeir sole inspection. compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business&Professions Code) I Signature ofApplicant: 2. I,as owner of the property,am exclusively contracting with�icensed Date:6/24/2016 contractors to construct the project(Sce.7044,Business&PI ofessions 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-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 ork 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 p rmit 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 tithe 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 d Sec' ns 25505 3,and 25534. exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions o�this permit shall Owner or authorized ac t: be deemed revoked. Date:6/24/2016 APPLICANT CERTIFICATION TI LE D A E Y 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 Istate 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 purpo0s. (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 Cupgrtino Municipal I understand my plans shall be used as public records. Code,Section 9.18. Licensed Professional Signature Date 6124/2016 I f CONSTRUCTIOf PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228- FAX(408)777-3333-buildingacupertino.org B-ZoIU-:2 2N ❑NEW CONSTRUCTION ❑ ADDITION ❑ AL rERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS GSL, I b Y o e n 7APN# !! OWNER NAME `I f (/`n f^(� PHONE (� E-MAIL I( r STREET ADDRESS V1 CITY,STATE,ZIP FAX CONTACT NAME \0 PHONE � ��--� /E►�-MM�AII�LN n STREET ADDRESS y / CITY,STATE,ZIP . i fi t ll 0 FAX 11 OWNER ElOWNER-BUILDER 11 OWNER AGENT O�CTOR El ❑CONTRACTOR AGENT fl ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I ICENSE NUMBER l LIC NSE T P BUS.LIC# COMPANY NAME E-MAILFAX I s �i�ffG d.olq e,� STREET ADDRESS t` o ( CITY,STATE,ZIP I/� z, /a`PHONE CA 2617r? ARCHITECT/ENGIN1EER NAME 11ICENSE NUMBER ' I BUS.LIC# V 1 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK avi (z EXISTING USE PROPOSED USE CONSTR.TYPQ #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 TOTALDECK/PORCH AREA GARAGE AREA: LJ DETACH ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND TORY ❑YES BEING ADDED? []NO ADDITION? []NO PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED'BY: • TO VALUATION: PLANNINGAPPL# []NO PLANNING APPROVAL LEITER EICHLERHOME? ❑NO — — 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 reEd 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 representatives of Cupertino to enter the above-identified pr pp for inspection purposes. Signature of Applicant/Agent: ` Date: SUPPLEMENTAL INFORMATION REQUI D PLAN CHECK TYPE ROUTING SLIP •' _New SFD or Multifamily dwellings: Apply for demolition permit for •OVER-THE-COUNTER ❑" BUILDING:PLAN REVIEW existing building(s). Demolition permit is required prior to is of building r permit for new building. E].EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous MaLials Disclosure ❑"STANDARD', ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑.•LaxGE. ❑ FIRE WEPT _Copy of Planning Approval Letter or Meeting with Pla Ding prior to ❑ kAJOR 0 SANITARY SEWER DISTRICT submittal of Building Permit application. s , ❑` ENVIRONMENTAL HEALTH Bld A PP_2011.doc revised 06/21/11 g OFFICE COPY c COMMUNITY DEVELOPMENT,DEPARTM& r p -�l bUILD.INQ DIVISION - CUPERTINO APPROVED This set of plans and specifications MUST be kept atfhe job site during construction. It is unlawful to make arty changes or alterations on sarrie, or to deviate therefrom,without approval from the Building Official. The Stamping of this, plan and specifications S be held to permit or to be an approval of the violation of any otvisjcr=- f any City Ordinance or State Law. �/� L(O- DATE t PERMIT # P,-1 IU- 2 � CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT HVAC) (Page 1 of 3) Project Name: EDMUND TAI Date Prepared: 2016-06-03 A.General Information MR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented, use one CF1R-ALT-02 document for each dwelling unit. 01 Project Name EDMUND TAI 02 Date Prepared 2016-06-03 03 Project Location 7802 FESTIVAL DRIVE 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name EDMUND TAI Dwelling Unit Conditioned 07 Zip Code 95014 OS 3350 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 SCInstalling 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 TRANE WHOLE HOUSE 3350 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. fi- € ( GtMD r Registration Number:216-A0205456A-000000000-0000 Registration Date/Time: 2016-06-03 11:01:10 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-06-03 11:01:18 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CF1R-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 furnace AHU AFUE 0.78 AC condensing SEER 13 Setback section is not section is not unit applicable applicable Reauired Documentation: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans --Duct-insulation-requirement-for-new-plenums:-R6. 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>_300 CFM/ton required when MCH-25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from rM'CH720 Duct Leakage Testing requirements.- -Heating-only systems and Air Handler/Furnace changes do not require verification 6f Air Flow MCH-23 or Refrigerant Charge MECH-25: -Existing duct systems constructed,insulated or sealed with asbestos;are exempt from MCH=20 Duct:Leakage Testirig regwremerts. E. Entirely New or Complete Replacement Duct System,with or without;Equipment Changeout(Sections,150.2(b)1Diia.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:216-A0205456A-000000000-0000 Registration Date/Time: 2016-06-03 11:01:10 HERS Provider:CalCERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2015-06-03 11:01:18 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-1R-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: ��?iL(/I�f Rando,Eric Company: Signature Date: RANDO AAA HVAC INC 2016-06-03 11:01:09 Address: CEA/HERS Certification Identification(if applicable): 1712 STONE AVENUE N/A City/State/Zip: Phone: SAN JOSE CA 95125 408-293-4717 _- - - -ResponsiblePs—eron s De�ion 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 wrth'the informetion.provided on other applicable`compliance documents,worksheets, calculations,plans and specifications submitted to the enforcement;agencyTor approvaf;wrth this building permit application. 5. 1 will ensure that a registered copy of this Certificate of�Compliance shall be inatle available with-the building p6rmit(s).issued for the:building,and made availableao the'enforcement agency for all applicable inspections.I understand that a registered copy of this=CertIificate of Compliance is required to be included with the documentation the builder provides to_the building owner at occupancy. Responsible Designer Name: !_ r^= Responsible Designer Signature: `'V C, Rando,Eric ��% i Company: Date Signed: RAN DO AAA HVAC INC 2016-06-03 11:01:10 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 Provider responsibility for the accuracy of the information. Registration Number:216-A0205456A-000000000-0000 Registration Date/Time: 2016-06-03 11:01:10 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-06-03 11:01:18 Schema Version:0.555SDD SMOKE / CARBON MONOXIDE ALARMS ' OWNER CERTIFICATE OF COMPLIANCE 7~��� COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION GUPElTit> 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 (408)777-3228 FAX(408)777-3333 e build ingacupertino.org Permit No. J Address 1 I L/ #of Alarms Smoke: _ Carbon Mon xide: PERMIT C11�©T BE FJNA,LEI� 101VIPLETED�UNT�L T3IS CERTIiICTE 4S BEEi ` Q R T R� Q E Avow V gio m. dam..77 PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Marms 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 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 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 ave been installed in accordance with the manufacturer's instructions and in compliance with the California 3uilding and California Residential Codes.The alarms have been tested and are operational,as of the date signed below. and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name:i 6v t*�l°4 Si ature ..... ... ate: ...._.... r .:. ... Contractor Name: ` i L Jim n ` -Signature .... ..!�'.... .........Lic.4....1..1A1.90 .1........D atJ.4.... ..11�. Smoke and CO form.doc revised 03118/14 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE 7� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION UPC-RTINO I 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 (408) .,.FAX(408)777-3333 building(c�cupertino:org �Q Owner Name U " = p � Q,, i iPermit No. 1 t�� Address U �r n Q! rho/ � I-i 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. k ice"]o 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. PLEASE CALL�IiJCfT� TO SCHEDULE " ® The licensed plumber's certification has been,provided to the Building Division f"YaOUR INSPEC 1"I'+ N THE NiIJ,M;BE�TQC Skip the rest of the form and sign bottom of form. CALL IS.(LI- LIG TED THANK YOh1,! ❑ 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 rorm. 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. El 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. PI ase check ONE of the following: i, 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 . tares to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017, Eill non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). 0 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). 11 My property is a commercial real property. See Civil Code Section 1101.5. j 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- conserring 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 fixtt res 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 rnanufa turer's installation requirements,and that the water-conserving lumbing 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,pl a e return it Vhe Building Division in order to final your building ermit. SB40 7 2015.doe revised 08/26/15