B-2016-2281CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-2281
20005 NORTHWIND SQ CUPERTINO, CA 95014-0549 (316 38 001)
JIM'S AIR
CONDITIONING
SERVICE
SUNNYVALE, CA
94086
OWNER'S NAME: BRYSON JULIETTE A
DATE ISSUED: 07/08/2016
OWNER'S PHONE: 408-446-1952
PHONE NO: (408) 733-7000
LICENSED CONTRA TOR' DECLARATION -
BUILDING PERMIT INFO:
License Class C-20 Lic. #466610
Contractor JIM'S AIR CONDITIONING SERVICE Date 11/30/2016
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 FURNACE - SAME LOCATION; ADD
) A/C -- BACK
I hereby affirm under penalty of perjury one of the following two declarations:
YARD
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
iperformance of the work for which this permit is issued.
2 ' 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: $9100.00
APPLICANT CERTIFICATION
certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
316 38 001
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 N
T STARTED
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
WITHIN 180 DAYS OF PERMIT ISSUANCE
OR
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 7/812016
Issued by: Abby A e� nde
OWNER-BUILDERDECLARATION
Date: 07/08/2016
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 beb
ig 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 rem
ve 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 ofApplicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 7/8/2016
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A"
R 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 S O
RE
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements unde
• 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
tis issued.
maintain compliance with the Cupertino Municipal Code
Chapter 9.12 and the
certify that in the performance of the work for which this permit is issued, I
Health &Safety Code, Section 25532(a) should I store
r handle hazardous
hall not employ any person in any manner so as to become subject to the
>iWorkcr's
material. Additionally, should I use equipment or devices
which emit hazardous
Compensation laws of California. If, after making this certificate of
air contaminants as defined by the Bay Area Air Quality
will maintain compliance with the Cupertino Municipal Code,
anagement District I
Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, ectio 25505, 25531,
and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner or authorized agent: 414;X�U4,311-k�
APPLICANT CERTIFICATION
Date: 7/8/2016
1 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 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 tN; permit is issued (Sec. 3097, Civ
.)
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 wit on -point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9. .
I understand my plans shall be used as public records.
Signature Date 7/8/2016
Licensed
`
..........................
GENERAL PERMIT APPLICATION I E Fm jm&
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION'
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
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O'WNTERNAMiE jv 4.16 76ipe- PHOI�E04e_ 44
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CONTACT NAME Z-9 KC l tj(� �f PHOT E tt s/ E-AZAIL _ />
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CITY, STATE, ZIP
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CONTRACT,ORY-AME n q
LICENSENUMBER
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FAX
STREET ADDRESS
CITY, STATE, ZIP
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USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY PROSECT IN WILDLAND ❑ ITS PROJECT IN ❑ YES
BUILDING: ❑ COMASERCLAL I URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO
IS THE BLDG kN ❑ YES
I EICHLER HOA E? ❑ NO
DESCRIPTION OF WORK 5
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TOTAL VALUATION: RECEIVED B}
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By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property ovmer's behalf. I havi read this
application and the infonnation I have provided is Correct. I have read the Description of Work and verif}, it is accurate. I agree to comply with all z pplicable local
ordinances and state laws relating to uild' g co stru ' n. I au rize representatives of Cupertino to enter the above -identified property for inspec ion purposes.
Signature of Applicantrkgent: � Date: I-A'�!
SUP ' LEA'IENTAL INTFORN4ATI0N REQUIRED
OFFICE U E'ONLI ,' z
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❑ OlER71 �OU'�TER4 �' �.
0 aE7tPRESS t
STAT�'D
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AfEPArliscApp_7011.doc revised 06121111
RE: 20005 Northwind Square, Cupertino, CA 95014
Dear Mr. Lazaro,
Juliette Bryson has contacted the Association to request permission to install a new air conditioner. The
Association approves the installation of the air conditioning unit by a licensed contractor and the owner
of unit 20005 Northwind Cueprtino. At this time the HOA has no cause to prevent this installation and it
is approved for install. The owner and said contractor may apply for permits per the City's codes and
regulations.
if there are any further questions, please contact me directly at the information listed below.
On behalf of the Northpoint HOA,
�"--- ves, General Manager
Northpoint HOA
10880 Northpoint Way
Cupertino, CA 95014
Office: 408-996-3734
Fax: 408-996-0226
email: manager@northpointhoa.com
10800 Northpoint Way, Cupertino, CA 95015
manaer'alnorthpointhoa.com
= ALTERATIONS - HVAC
" t`Fr`.f'C1 R.Ai T-f1'Lir. 7Ravicart (1R79'ii-
. .'�� ..� r�saricncnt�n-awiear_vrnue�n:ceinti�
-- ._ _ -
CERTIFICATE OF COMPLIANCE
_ _---
CF1R-ALT-03-E
Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF -1R -ALT -HVAC)
(Page 1 of 1)
Site Ad s� t
6067 ®�' '
EnforcementAgerity.
Date Prepared:
Permit#:
l f
emro€
Equipment Type
Equipment Efficiency
New: Ducting, Flenuoi, biro '
Conditioned
Thermostat
Required R -value
Floor Area (sq
)
0 Packaged System
O vaporator Coil
AFUE
CDP
R-6 (CZ 1,3 -7� s
Served by syst
in
Setback
it System
eCondensing Unit
14 SEER
13 R-8= fCZ16) Ducts
11,619sq
f
flf natofready
0 Furnace
neset
1f EER
HSPF
® R-6 tall CZ's) Plenums"
present, must
Q R-5 or R7.5- Uneset3
be installed)
HERS VERiFICATIDN SUMMARY Listed below are Four HVAC Alteration Options. The installer determinesthe work to be competed
and matches it .
to one of the options below. All forms to be registered (no hand filled forms allowed). Copy of forms to be left on site for final i
nspection.
1. NVAC Changeout/Repair
Required Compliance Documents to be left on site far Final:
Can include new ducting
All Equipment,
CFI11-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS
Air Handler/fumace
CF3R: MECH-20-HERS
installer Requirement: Duct leakage (<15% or, < 101y*`to outside, or seal all accessible leaks)
Exempted from duct leakage testing if:
E3 1. Duct system registered with HERS provider as previously sealed, or 13 2. There is less than 40 linear feet of duct in unconditioned
space, orX3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date'of buliding,
2. New HVAC System
Required Compliance Documents to be left an site for Final:
All new equipment and All New Ducts"
CF1R-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-(23or 24) -HERS'
Installer Requirement: Duct leakage:S 6%, Fan Efficacy (.SSW/CFM), Air Flow �: 350 CFM/ton (or Standards Table 150.0-C j D all
ernative)
13 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
Includes replacing or installing All New
CFiR-ALT-02-E
Ducte and one or more of the following:
CF2R-MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS
Condenser Unit, Evaporator Coil, Furnace
CE3R-MECH-20-HERS, MECH=(23 or U) -HERS
Installer Requirement: Duct leakage 5 6%, Air Flow
a 350 CFM/ton for Standards Table 150.0-C / D alternative)
13 Exempted from duct leakage testing
if 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 CFI11-ALT-02 E
CF2R: MECH-20-HERS
space but less than All New Ducts'
CF3R: MECH-20-HERS
installer Required to: Duct leakage (::-:.15% or, 5.10916 to outside, or seal all accessible leaks)
Exempted from duct leakage testing if 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, be '
een floors etc.
Z A New Duct system is when the duct system is constructed of at least 75 percent new duct material, and up to 25 percent ma
consist of reused.
parts from the dwelling unit`s existing duct system (e.g., registers, grilles, boots, air handier, plenums, duct material.
3 11-5 (1" thick insulation) for linesets rand less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfgwill require Suction
tine Diameter
With insulation as the following 1.5-27=21"; 2.5 -3T -2Y4", 3.5 to 4T-2'/:", 5.T -4t"
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. I 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 confo
to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4.; That the energy features and performance specifications, materials, components, and manufactured devices for the build
ing design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part i 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
information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the
nforcement
agency for approval with this building permit application.
Responsible Designer Name.
Re leD igrlatufe=
Date signed:
Lic`nser
Company: p
', 4- a� 1 6�
AAdddrress:
1 ! c,
Citylstati /mp: g�
r) W# Com`
Phone:
g
�
for assistance or questions regaroing Ine tnergy :�Eanaaros, coniacG ine energy noiane aa: i -ow -r iG-azw
Al 0255
The Plus 80V Variable -Speed 4 -Way Multipoise Gas Furnace
offers outstanding comfort and electrical efficiency in an 80%
AFUE furnace. You get all of the benefits of Perfect Heat's and
Perfect Humidity-: reduced drafts, reduced sound levels, longer,
more gentle cycles, and less temperature differences between
rooms. Also, it improves indoor air quality, plus provides
outstanding electrical efficiency all year long: Homeowners can
now economically run constant fan to help eliminate temperature
differences throughout the house and to get better indoor air
quality. This Perfect Humidity furnace also increases comfort in the
summer by wringing out extra humidity. The 315AAV/JAV
furnaces are approved for use with natural or propane gas; and the
315JAV is approved for use in Low NOx Air Management
Districts.
Bryant Evolution System When this Plus 80V gas furnace is
matched with the Evolution Control and an air conditioner or heat
pump, you will experience the ultimate in Perfect Heat and Perfect
Humidity through unmatched control of temperature, humidity,
indoor air quality, and zoning. The Bryant Evolution System also
allows for worry -free operation through on-screen, text -based
service reminders and equipment malfunction alerts.
For even greater comfort and convenience, match the Plus 80V
furnace with a two -speed Puron air conditioner or heat pump. This
e
will create a fully communicating system, requ
thermostat wires between system components, and tr+
can even be done from the outdoor unit without enter
Optional remote access through telephone or Int
available when combined with a remote connectivity
0
only 4
the home.
A is also
• Evolution System -match with the Evolution- Control for
Evolution System benefits
• Perfect Heat, Perfect Humidity - operation
Including Super -dehumidify mode for maximum humidity control
Two-stage heating even with single -stage thermost 1 -patented
Adaptive Control Technology
Reduced operating sound through low -stage opera'on and
sound elimination combustion system
• Variable -speed ECM blovi er motor
Increased SEER ratings for /C and H/P systems a compared to
the Air Conditioning Heatir g and Refrigeration Insi 'tute's
standard coil -only ratings when paired with selected Bryant
evaporator coils.
Matches CFM to cooling sys em over a wide range of static points
• SmartEvap - can lower a humidity level in the home by
nearly 10 percent
• Certified to leak 2 percent or less of its nominal it
conditioning CFM deliverd when pressurized tc 1 -In..
Water Gauge with all present air inlets and air outlets sealed.
• Four -position furnace: Upflow, Horizontal Right, Horizontal
Left, Downflow
Thirteen different vent optic us
• Compact design only 33-13 in. (847 mm) tall
• Microprocessor based "sm art" control center
Fan on Plus" - Continuousan speed adjustable fro thermostat
Adjustable heating air temperature rise
Adapts heating stages to in et demand
Up to 12 cooling airflow setons with a wide range of capability
Dehumidify mode
Enhanced diagnostics with LED and reflective sigh glass,
non-volatile fault code memory, and self test featur
On -board fuse for transformer protection
• Patented blocked vent safeguard to ensure proper furnace
venting
• Insulated blower compartment
• HYBRID HEAT® Dual Fuel System compatible
• All models are chimney friendly when used with a cessory vent
kit
• Perfect Light- Igniter
• Residential installations eligible for consumerfi ancing
through the Comfort Credit Program
ferred TM
Puron.
SER1E
Bryant air conditioners with Puron ® refrigerant provide a
collection of features unmatched by any other family of
equipment. The 124ANS has been designed utilizing Bryant's
Puron refrigerant. This environmentally sound refrigerant allows
you to make a responsible decision in the protection of the earth's
ozone layer.
NOTE: Ratings contained in this document are subject to
change at any time. Always refer to the AHRI directory
(www.ahridirectoryorg) for the most up—to—date ratings
information.
,
INDUSTRY LEADING
FEATURES / BENEFITS
Energy Efficiency
• 14 SEER/11.7 — 12.2 EER
(Based on tested combinations)
Sound
• Levels as low as 66 dBA
Design Features
• Small footprint
• DuraGuard- cabinet
— All steel cabinet construction
Mesh coil guard
Reliability, Quality and Toughness
• Scroll compressor
• Factory—supplied filter drier
• High pressure switch
• Accumulator
• Line lengths up to 250' (76.2 m)
• Low ambient operation
(down to—20°Fl-28.9°C with h
accessories)
ambient
� >t
FAN
ELECTRICAL DATA
MA
UNIT SIZE - OPER VOLTS*
RLA
SERIES tit/PH
(dBA)
(VOLTAGE) - MAX MIN
LRA
018-A (N)
56.3
024-A (N)
62.9
030-A (N) 208/230/1 253 197
73.0
036-A (N)
77,0
048-A (N)
124.0
060-A (N)
152.5
036-A (P)
71.0
048-A (P) 208/230/3 253 197
83.1
060-A (P)
110.0
036--A (E)
38.0
048-A (E) 460/3 506 414
41.0
060-A (E)
52.0
LEGEND:
23.7
FLA - Full Load Amps
31.,1
HACK - Heating, Air Conditioning, Refrigeration
50
LRA - Locked Rotor Amps
1,20
NEC -. National .Electrical Code
61.5
RLA - Rated Load Amps (compressor)
13.7
* Permissible limits of the voltage range at which the unit will operate satisfactorily
** Time -Delay fuse.
Complies with 2007 requirements of ASHRAE Standards 90.1
15.9
COMPR
FAN
MCA
MA
K FUSE** or
RLA
FLA
(dBA)
C
BRK AMPS
9.0
0.50
11.8
250
20
10.9
0.50
14.1
57.0
25
14.1
0.70
18.3
58.5
30
14.1
1.20
18.8
59.5
30
18,5
1.20
24.3
59.5
40
23.7
1.45
31.,1
59.5
50
9.0
1,20
12.5
61.5
20
13.7
1.20
18.3
30
15.9
1.45
21.4
35
5.6
0.60
7.6
15
6.2
0.60
8.4
15
7.1
0.80
9.7
15
A -WEIGHTED SOUND POWER (dBA)
NOTE: Tested in accordance with AHRI Standard 270-08 (not listed in AHRI).
A -WEIGHTED SOUND POWER (dBA) WITH ACCESSORY SOUND
Standard
1000
Unit Size
Typical Octave Band Spectrum (dBA, without tone adjustment)
Unit Size
Rating
(dBA)
125
18
68
(dBA)
125
250
500 1000 2000 4000
18
69
50.5
57.0
59.5 64.5 60.5 53.5
24
66
50.5
58.5
60.5 59.5 56.5 51.0
30 -
68
55.5 ®
59.5
61.5 63.5 60.0 58.0
36
71
59.5
59.5
62.0 65.5 63.5 62.0
48
70
57.5
59.5
64.0 66.0 63.0 60.5
60
73
60.0
61.5
64.5 67.0 66.0 65.5
NOTE: Tested in accordance with AHRI Standard 270-08 (not listed in AHRI).
A -WEIGHTED SOUND POWER (dBA) WITH ACCESSORY SOUND
Typical Octave Band Spectrum (dBA, without tone adjustment)
250
Standard
1000
Unit Size
Rating
58.0
58.5
(dBA)
125
18
68
52.5
24
65
54.5
30
68
55.0
36
71
59.5
48
70
57.5
60
73
61.0'
Typical Octave Band Spectrum (dBA, without tone adjustment)
250
500
1000
2000
4000
58.0
58.5
64.5
59.5
52.5
57.5
59.5
59.0
56.0
50.5
60.0
61.5
62.5
60.0
58.0
59.5
62.5
65.0
63.0
61.5
59.5
63.0
65.0
62.5
60.0
62.0
64.0
67.0
65.5
65.5
;NOTES:
Tested:in accordance with AHRI Standard 270-013 (not listed in AHRI).
Accessory sound shield will not accommodate unit sizes 18 and 24.
CHARGING SUBCOOLING (TXT' -TYPE EXPANSION DEVICE)
UNIT SIZE -SERIES REQUIRED SUBCOOLING °F (C)
is 12(6.7)
24 12(6.7)
30 12(6.7)
36 8(4.4)
48. 12(6.7)
60 10(5.6)
7
8000
43.0
41.5
49.5
55.0
54.5
58.0
8000
42.5
40.5
49.5
55.0
54.0
57.5