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B-2016-2318 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO:B-2016-2318 10555 S FOOTHILL BLVD CUPERTINO,CA 95014-3913(342 16 071) MR RELIABLE PLUMBING& HEATING HOLLISTER,CA 95023 OWNER'S NAME: HEGDE SHASHIKANT GAJANAN AND KAVITHA P DATE ISSUED:07/14/2016 OWNER'S PHONE:408-841-1120 PHONE NO:(800)571-3556 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class WARM-AIR HEATING VENTILATING AND AIR—CONDITIONING Lic.#1 10 1988 X BLDG —ELECT _PLUMB Contractor MR RELIABLE PLUMBING&HEATING Date 03/31/2018 XMECH 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. INSTALL(N)FURNACE IN ATTIC WITH ALL ASSOCIATED DUCT I hereby affirm under penalty of perjury one of the following two declarations: WORK(REMOVE WALL FURNACE) 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 f. Section 3700 of the Labor Code,for the performance of the work for which this 5q.Ft Floor Area: Valuation:$7650.00 permit is issued. APPLICANT CERTIFICATION I 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 342 16 071 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 ac ainst said City in consequence of the granting of this permit. Addit' Hall th a 'cant understands and will comply with all non-point 180 DAYS FROM LAST.CALL �D INSPECTION. sou a reg a s p r the Cupertino Municipal Code,Section 9.18. Issued by: Signatur t _Date 7114/2016 Date:07/14/2016 L. OWNER-BUIL DER DECLAR ATION 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 1. 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: i. I,as owner of the property,am exclusively contracting with licensed Date:7/14/2016 contractors to construct the project(Sec.7044,Business&Professions 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 i. 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 work 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 a. 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 as defined by t 1 Ar Quality Management District I will maintain compliance r the Cul o Municipal Code,Chapter 9.12 and Worker's Compensation laws of California. If,after making this certificate of the Health& _fety C fle,Se ns 25505,25533,and 25534. 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 agent: be deemed revoked. Date:7/14/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 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 A-RCHITECT'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 Signature Date 7/14/2016 Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 C{ PEF€TINO (408)777-3228• FAX(408)777-3333•build ing(aku perti no.ora MISC PLUMBING MECHANICAL ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS APN# �/ / 0 OWNER NAME��yg<h // 1% `Z 1� G tl } Z-3 S 7 T-51 STREETADDRESS/A;-5-5— S, � /�C°// /� g C Y, STAA�TE�ZjP�© r FAX CONTACT NAME '�{� A'�� ul PHONE; (y �f I E MAIIq i_`(T� r V 9 (X J L 1L f AA0v. STREET ADDRESS CITY,STATE,ZIP FAX In/OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N ` E a S LICENSE .NUMBER j,IC2ENSEE TYPE BUS.j,IC# '-/o 5 2 c� v t ( 1 V J COMPANY NAMEM c E-MAIL F ri I It ftli 6 , v 4 df �t [o ff . STREETAD S �vE 11;;:�Nl J My,ST T 7�IP ( JC! `� � 71 ��� TM 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 IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ No DESCRIPTION OF WORK V i h A- 6L TOTAL VALUATION: "7 '� ® RECEIVEDB By my signature below,I certify taavee/di lowing: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information correct. I have read the Description ofWork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws rela gtruction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 7 S PLEMENTAL INFORMATION REQUIRED „ oFFICI<uS ,oNi THE COIIN7ER a, � ❑,EXPRE5S ' ^fir © STANDARD. U - 0 LARGE, a. �0':14IAJOR„'- MEPMiscApp_2011.doc revised 03116/11 A►v1 E: 5, r1'5 ' -e 5•iL,�l1 tINS1YY c-t.- �� u12-/�tr4LrG !� A C. U FFICE: OPY P M m rr Y D- 0 E—. C�)y u�,y Cc S hh� 4 X i ® m �0 zz z M CD 0 T4 ,be COMMUNITY DEVELOPMENT DEPABT�r" BUILDING DiV&ON-CUPERTl A� This s t of plan$and specifications MIDST be kept at the y� 3i'�4`r°! cons'�r action. it is unlawful to Ps Se f'a�any � Z changes�r alt:�rations on same,or to devi �e Lire"` ( ��Y�a � therefrom,without acproval from the Building CMcial. The stanining of this plan and specifications SHALL NO Lr;haid,to per lr ny; be ars approval of the violation f asoy City Ordinance or Mate Lawo . Df 10 Z3 � $--- POl�RAT NO. � '�.Z X11 �yr U/1LIr V(\IV I/1 (/.lL J-� �y.•�•.a,w�� - ALTERATIONS - HVAC CEC-CFIR-ALT-03-E Revised 06114 CALIFORNIA ENERGY COMMISSION 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#: EquipmentType Equipment Efficiency New:Ducting,Plenums,Lineset Conditioned Required R-value Floor Area(sq ft) Thermostat ❑Packaged System ❑Evaporator Coil AFUE COP KR-6 (CZ 1,3-7)Ducts Served by system Setback ❑Split System ❑Condensing Unit SEER ❑R-8' (CZ 16)Ducts Q��jGZI sq ft (If not already HSPF XR-6(all CZ's)Plenums present,must Furnace ❑Lineset EER ❑R-5 or R7.5 Lineset' be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At-Vermitapplication=this �of rm_Is=allowed=to-be=filled out b H n& For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. HVAC 6angeout/Repair Requiied Compliance Documents to be left on site for Final: Candnclude 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 Requirements Duct leakage(<15%or,:10%to outside,or seal all accessible leaks) Exempted from duct leakage testing if: 111.Duct system registered with HERS provider as previously sealed,or❑2,There is less than 40 linear feet of duct in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_ 2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF113-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 2_350 CFM/ton(or Standards Table 150.0-C/D alternative) ❑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 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 1 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 CF1R-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,between 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 may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handier,plenums,duct material. a 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 conform 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 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 information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Respon le Designer N Respo e esiml�� V07d' License: FCS L ZCa/6 gU�� corilpany: Address:. City State/4ip: Phone: For assistance or questions regariling the Energy Standards,contact the Energy Hotline at:1-800-772-3300 SMOKE I-C :W MONDxIDE RM COMMUNITY D.EiVELOPKIENTIDEPARTMENT-; i LDI-NG>DIVISION �. 10300 TO.RRE AVENUE"GUI iCA 55014-3255 IO (408)7177-32,2-8 FAX`(4x8)'177=3333 tb,uildir�gti�tnertino.org 1044-- S. ... r 'm lift wt > w • �t I A URY©'SE .r 11-us affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for corMliance will'i 2013 CR-C Section 8314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access.for inspections are 'required. G MM -° y E�istin �srr g.le-familY and multi-family dwellings shall be provided with Smoke Alarms and Carbon M holxide alarms When the valuation of additions,alteralioq s,or repairs to existmg dwellitng units exceeds CTC Section 8814 and CBC Sections 907 211.5 and 420.6 require that Smoke Alarms aired/Or Cart,(D Monoxide Alarms be installed in the following locatlnhg: AREA S"PA011 V,ALARM CO ALAN]�M Outsiitde of each separate sleeping arca in the immediate vicinity of fihe fied�oorn(s)'. . ' 0 cue' level of a dwelling ,unit tneltxclin .basernents X X tt7iiq eaeh.sfee %ng room, X lit i _ Carb,niMon.ox'de alarzr=s are not required isi dwel ngs wlt,ch cla not confarzc fuel-burningapplianees and",tf e {a�not 1'nawe x21 attached garage•. Carbon xnanox�de alarrm�co�rnbu�ied wifh s t� alae a=lars s11a}Il corntp+Iy with, CBC SectioYr 429-61 and shAtIl be approved by the Of hilce of the State Fire lunars h 3a1.. P`owex SFupyly.hil dwelluag,urLits with ne cota�,:tercial power supply„alarm(s);zuay,be s:olleTiy battery operated. hi exi°sf g dlwe;= zg rzLaits,.aIalmis: ,are perrnxtted to be solely battery opezatedl whene repa!Ts or: alterations.de, zLot resutl4 m the rer ,oval o=f v�all .E.i t ceili2�g fiziisl es ox there is no;access_.by mea ns of attle,blaamment asr crawl space.,Refur to:=CRC Section 1,314 a21d CDC Sections 9017.2.11.4 and..420.4.2..Ant eledr leaf p•ert=in is ye t juired foT. ala}}rias:which mFust b;e corutiected to fhe buil, rig wring. As o�vnex of the above-referei�eedi property,,I ltiereby certz4fy tll+at the ala�rin(s)b referenced above Ilan� �a�e b.eei k rlstalle�d�accard�aince v�ijtl�i the��rn�anlufactuxer"s snstruietio�ns�az�d coxnpflliaz>;ce wring.the Catlfaxn�iaB3u�il`di�1g axed Ca3lifonl a Residential:Coles. t e'ala4rrms lnave_been tesfed.artid sire oxperationa;l,as,o>f t1 e,date s,, b.elow., 1,haves ceadl ands ate,ree to COMAkvM IAEe terms and condi ton,.s of fhrs,s,63: en:ff 5 � / SSf1( n ' 722 1.. / .. .._>a...,Lac. .�� Date `� WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildingP-cuoertino.org Owner Name� S N�N 1 J�1rr�n/ �1 a�G L`J� Permit Address l'� ta.5SS F0Q'SH 1 L L 13 L V P Cv reltil v,ry CA- 15n) tf 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. 1 O 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 110 1.1 through 1101.8 do not apply. El The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. WNo 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? El 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. Wr Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1.101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: E/My property Yis a single-family residential real property.Y• 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). 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 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 Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature' i f, Date: -Lo 12 n )� Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08126/15 BUIL.DINGPERMIT`CANMOT BE EINALED AND COMPLETED 1NTII.,.THIS, CERTIFICATE HAS BEEN l +D AND RETLTRNL+'D TO THE BUILD�TG DIVISION n` Asa` "`:..� i* �' 'r" ✓ +�` Non-Compliant Water-Conserving Plumbing_Fixture PlumbingFixturel (Fixture Complying with Current Code 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 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div.43 2013 CALGreen Div.5.3 - 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, average flush volume of two reduced flushes and one full flush Urinals Exceed 1 A 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 shallnot 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 psi 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 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 is equal to or lower than the figure shown,it is not required to be upgraded. z SB4072015.doc revised 08126115