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B-2016-2296 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2296 10451 MILLER AVE CUPERTINO,CA 95014-3427(369 15 006) SANDIUM INC SAN JOSE,CA 95134 OWNER'S NAME: MCKERNAN A PATRICK AND ROSEMARIE TRUSTEE DATE ISSUED:07/12/2016 OWNER'S PHONE:410-610-3999 PHONE NO:(408)894-9072 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic.#888119 X_BLDG ELECT PLUMB Contractor SANDIUM INC Date 12/31/2016 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 license is in full force and effect. JOB DESCRIPTION: REPLACE FURNACE(CLOSED&ADD A/C,SIDE YARD 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. u 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:$6500.00 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 369 15 006 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. WITHIN 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 07/12/2016 Issued by:MELISSA Date:07/12/2016 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 being 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 remove 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. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:07/12/2016 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under 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 permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store 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 devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent:' APPLICANT CERTIFICATION Date:07/12/2016 - 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDINGAGENCY 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,Civ 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 DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 07/12/2016 Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building(@cupertino.orgCUPERTINO MISC [—I PLUMBING CHANICAL [:]ELECTRICAL ❑MISCELLANEOUS / PROJECT ADDRESS F O 4-5 ' �t APN# OWNER NAME ��W'A' i� '^A� PHONE 41�6�o 3no E-MAIL STREET ADDRESS Yit ' r `VR CITY, STATE,ZIP `� i FAX CONTACT NAME PHONE>t eJ�jI f'Q��2- E-MAIL STREETADDRESS �O CJ ) j�, CITY,STATE,•�ZIP �i1 FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNE�•ERvAGENT N<CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ' ^ LICENSE NUMtlI ,g LICENSE jY; BUS.LIC#JR�rA 69 COMPANY NAME 1 E-MAIL //�� L FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME EMAIL 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 TOTAL VALUATION: By my signature below,I certify to each of the following: I aui 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 b ' construction. orize representatives of Cupertino to enter the above+-idenh ednprop rty f r inspection purposes. Signature of Applicant/Agent Date: ` � !� 1 SUPPL MENTAL FORMATION REQUIRED OFFICE USE,QNLY< OVER THE COUNTER F 0 ��P1z�S5 El,"STAND¢' El LARGE a. 0 ikIA30I2,' MEPMiscApp_201 1.doc revised 03116111 SC0G PLOT PLANS CHECKED BY DATE -7 PLANNING DEPT CUPERTINO -%jQsG 3 a.� ail '31z 61 1100 L✓ ti fir,�v .�lyde`�•� �.g�.'� C C L> , CeGo p ti ALTERATIONS - HVAC CEC-CF1R-ALT-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-03-E Alterations-HVAC CZ 1,3 to 7 and 16(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: Yli`t�J t Enforcement Agency: p Date Prepared: Permit#: Equipment Type Equipment Efficiency New:Ducting,Plenums,Lineset Conditioned Required R-value Floor Area(sq ft) Thermostat Packaged System ❑Evaporator Coil AFUE COP ❑R-6 (CZ 1,3-7)Ducts Served by system Setback I� 11R-8' (CZ 16)Ducts (If not alreadSplit System ❑Condensing Unit SEER sq ft Y Furnace ❑Lineset EER HSPF El R-6(all CZ's)Plenums present,must ❑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=appiication'this fo—f is allowed t6bi filled out'bytiand'. 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, CF1R-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: 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 H60 1 0 2.New HVAC System Required Compliance Documents to be left on 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-(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 f D alternative) 3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: Includes replacing or installing All New CFI11-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. 0 4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final: CF1R-ALT-02-E Adding or replacing ducts in unconditioned. CF2R:MECH-20-HERS space but less than All New Ducts' CF3R:MECH-20-HERS Installer Required to:Duct leakage L15%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. '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 handler,plenums,duct material. 3 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%1,5T-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. Responsible Designer Name: Responsible Deyg r Sie: Date signed- License: // (rte X71-2— tc q Company: Address: City/State/Zip: Phone: �bIF V ` �,. z sit For assistance or questions regarding the Energy Standards,.contact the Energy Hotline at:1-800-772-3300 �- ► F / S ONMO OXIDE ALARMS F Ian €, gt OWNER CE"F.i i��E` F °�O�AP'LIAN�F .7 i MT{ COMMUNITY DEVELOPMENT+DEPARTMENT=BUILDING-DIVISION r1�JV".p "iil 10300 TORRE AVENUE—CUPERTINO,SCA 95014-3255 (408)777-3228• FAX(408)777-3333•building(a-)coperfino org / own�,s PUR-Post Tl-ds 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. GV,N'V,RAL IN,POIRWkTIONT 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 8314 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: SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X bedrooms) On eye;y leyel of,a dwedhn&unit including basementsX X Within,eacit sleeping roori Carbon Monoxide alarms are not required in dwellings which do not conirain.fuel-burning appliances and that do not have an attached gar:age. Carbon monoxide alarms combined wit smoke alarms shall comply with CDC Section 420.6=and shall be approved by the Office of the State Fire Marshal. Power Supply:In dwelling.unfits with no conlrnercial power supply,alarm(s)m-ay be solely battery operated. In existft dwelling units alarrms are permitted to be solely battery operated where repairs or alterat oxzs do not result m the removal of wall and ceiling finishes or there is no access by means of attic,basement, ©r crawl space..Refer to CRC Section 8314 and CIBC Sections 907.2.11.4 and 420.6.2:.An electrical permit is required.for alarins whxclt 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 Califorxua Buildn.- and Califon a Residential Codess.The alarms.have been tested ailed are operational,as of the date sighed below. t have..,read and a rea to com p l with,,tha terms andconditions of,this,.statement �1 ► t� �.QQ, `""" 'Ac.. t'htUrz. r n.4te f 1 G.+I��tA.�N Stg an Ian f re...:.. etc � DaEe _— a WATER-CONSERVING PLUMBING FIXTURES FILE 7 ly OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTIN[i 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 l (408)777-3228•FAX(408)777-3333 building cupertino.org Owner Name' 2w�v. Permit Nod Address 1. Is your real property a registered historical site? El 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? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ 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? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 09 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. 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. P se check ONE of the following: Li? 0,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). ❑ My property is a multifamily residential real properly. 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 Daie: Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.. SB4072015.doe revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED,AND COMPLETED UNTIL THIS CF�RTIFICATE HAS BEEN I NED AND RETLTRNEb TO THE BUILI3ING pIVISION Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 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, Urinals Exceed 1.0 average flush volume of two reduced flushes and one full flush 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 shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow onl 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 a 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 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. SB407 2015.doc revised 08126115