B-2016-2272 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2272
10191 PHAR LAP DR CUPERTINO,CA 95014-1113(326 39 053) TRON AIR HEATING&
COOLING INC
SAN JOSE,CA 95127
OWNER'S NAME: DOWD TIMOTHYAAND BONICELLI LYNNE DATE ISSUED:07/07/2016
OWNER'S PHONE:408-886-8047 PHONE NO:(408)649-3211
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-20 Lic.#980126
Contractor TRON AIR HEATING&COOLING INC Date 04/30/2018 X BLDG —ELECT —PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing X MECH X RESIDENTIAL— — _COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
REPLACE 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
yCompensation,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 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:$0.00
APPLICANT CERTIFICATION
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 326 39 053
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. WITIIIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source-regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 7/7/2016 Issued by:AbbyAyendIf e
Date:07/07/2016
OWNER-BUILDER DECLARATION
I hereby 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 I ieing installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to re alove,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. 1,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:7/7/2o16
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A,"OR BETTER
1. 1 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 DISCL URE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements ur der 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 25505,2 533,and 25534. I will
maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued.
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 sto a or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devi es which emit hazardous
air contaminants as defined by the Bay Area Air Quali y Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipv l Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,2 533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION __J Date:7/7/2016
I certify that I have read this application and state that the above information is CONSTRUCTION LENDING A 1 N Y
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
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097, iv C.)
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 T' DEL or N
be s.
Code,Section 9.18. I understand my plans shalt bused as public record
Licensed
Signature Date 7/7/2016 Professional
GENERAL PERMIT APPLICATION MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
Ctl' RTI (408)777-3228•FAX(408)777-3333 buildinclCo)cupertino.org Isc
PLUMBING ❑MECHANICAL [:]ELECTRICAL []MISCELLANEOUS 6s
PROJECT ADDRESS 1 0 `C41 APN# `L(A
OWNER',. ` PHONE 1,jo )886 E-MAIL
STREET ADDRESS CITY, STATE,ZIP FAX
CONTACT NAME = PHONE E-MAIL
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STREET ADDRESS CITY,STATE,ZIP FAX
VV_i c� A "0 1 000 111 2 r
El OWNER ❑ OWNER-BUILDER ❑OWNER AGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME y LICENSE NUMBER LICENSE TYPE ra BUS.LIC
I r A or ¢et+ " l r� Int'. 1001:2 ( `
COMPANY NAME I E-MAIL _ FAX
STREET ADDRESSCITY,STATE,ZIP PHONE
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ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANYNAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF 0sFD.,DTjPLEx ❑ MULTI-FAMII Y PROJECT IN WHALAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES.
BUILDING: ❑.COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLERHOME? ❑NO
DESCRIPTION OF WORK
TOTALVALUATION: B
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 111ehalf. lhavereadthis
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 representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: 5
SUPPLEMENTAL INFORMATION REQUIRED
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MEPMiscApp 2011.doc revised 06121/11
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-03-E Revised 06/14 CALIFORNIA ENERGYCOMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-03-E
Alterations-HVAC CZ 1,3 to 7 and 16(formerly CF-1R-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency: Date Prepared: Permit#:
!
New:.Ducting,Plenums,Lineset Conditioned
Equipment Type Equipment Efficiency Thermostat
Required R-value Floor Area(sq ft
0 Packaged System ❑Evaporator Coil AFUE COP ❑ R-6 (CZ 2,3-7)Ducts Served by syste ❑Setback
E3 Split System ®/Condensing Unit SEER Q R-8' (CZ 16)Ducts sq f. (If not already
HSPF p R-6(all CZ's)Plenums present must
❑Furnace M Uneset EER ❑R-5 or R7.5 Lineset3 be installed)
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form's 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, CFIR-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:
❑1.Duct,system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned
space,or .Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building
0-2.New .VAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CFIR-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)-HERS'
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow>_350 CFM/ton(or Standards Table 150.0-C D altE rnative)
❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
Includes replacing or installing All New CF1R-ALT-02-E
Ducts'and one or more of the following: CF2R-MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS
Condenser Unit,Evaporator Coil,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 CFIR-ALT-02-E
space but less than All New Ducts' 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 I 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,betty en floors etc.
'A New.Duct system is when the duct systemis constructed of at least 75 percent new duct material,and up to 25 percent may consist of reused
parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,plenums,duct material.
I 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-2%",3.5 to 4T-2%",5T-4%"
Contractor(Documentation Author's/Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance confor to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations(CCR).
4. Thatthe energyfeatures 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 CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the i iformation
provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the e 1forcement
agency for approval with this building permit application.
Respons le Designer Name: ;Resp Bible Designer Signature: Date Signed:: License: ` e7d� 0/L
ep
Com ny: A dress: City/State/Zip: Phone:
err_� /aye` ljtla 1' hoj f»c 2-'y`/ z, /- yI 6 <
For assistance or ques ns regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300