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B-2016-2410 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2410 7909 BELKNAP DR CUPERTINO,CA 95014-4973(362 08 039) MERCURY MECHANICAL CONTRACTORS SAN JOSE,CA 95112 OWNER'S NAME: MURAMOTO EDWIN E AND SALLIE R TRUSTEE DATE ISSUED:07/29/2016 OWNER'S PHONE:408-253-1401 PHONE NO:(408)293-3185 LICENSED CON2:RACTOR'S DECLARATION BUILDING PERMIT INFO; License Class SHEET METAL Lic.#683076 Contractor MERCURY MECHANICAL CONTRACTORS Date 12/31/2017 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 IN CLOSET;ADD A/C SIDE YARD;ALL I hereby affirm under penalty of perjury one of the following two declarations: ASSOCIATED DUCT WORK i. 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 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$15000.00 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 362 08 039 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 e consequence of the granting all this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations erthe upertino Municipal Code,Section 9.18. 180 DAYS FROM L LED INSPECTION. Signature -- Date 07/28/2016 Issued by:MELISSAN Date:07/29/2016 OWNER-BIM DER DICLARATION 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) i. 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:07/28/2016 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 z. I 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. 1 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 malting 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,�Ions ,25533,and 5534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: f, APPLICANT CERTIFICATION Date:07/28/2016 certify that I have read this application and state that the above information is CONS—--.- AGENCY 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 07/28/2016 Professional GENERAL PERMIT APPLICATION EP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 C PERT NO (408)777-3228• FAX(408)777-3333•building Ca-cupertino.ong MISC LE1 PLUMBINGMLIMCHANICAL ❑ELECTRICA ❑MISCELLANEOUS PROJECT ADDRESS —790 E_ r 4./0A P APN# � � � 0 -3 . OWNER NAME 1l PH / E-MAIL : mO573— STREET DD` / n C Y, STATE,ZIP + � FAX V Z� nJ 13 CONT CT NAME PHONEIj 090 r i �� E-MAIL STREET, RESS CITY,STATE,ZIP per{ ❑OwNER ❑ OwNER-BUILDER ❑ OWNERAGENT XCONTRACToR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACT R NAME £ LIC S ER LICENSE TYPE B LIC# COMPANY NAME I l !t E-MAILFAX STREET ADDRESS CITY,STATE,ZIP T PHONE SAW 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 , FrLAAjae -vJiO i CG`T ta ooti4 aI 0A A TOTAL VALUATION: 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 haver ad the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating uildin onstruct' n. I a rite representatives of Cupertino to enter the above-identified property for inspection put-poses. Signature of Applicant/Agent: Date: �� , 20 $CPPLEMEXTAL INFORMATION REQUIRED � t . OVER THE COTJNTEI2 ❑'EXPRESS. ❑<'6TANDARp CJ z ...._-._,-- a MAJOR MEPMiscApp_2011.doc revised 03116111 STATE OF CALIFORNIA ALTERATIONS -HVAC CEC-CFIR-ALT-03-E Revised 06/14 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:. � En/f rrcement Agcy; Date Prepared: Permit#: F C/Lt. � Equipment Type Equipment Efficiency New:Ducting,Plenums,Lineset Conditioned Thermostat Required R-value Floor Area(sq ft) D Packaged System Evaporator Coil �� AFUE Corp Ef R-6 (CZ 1,3-7)Ducts Served by s stem etback Split System Akcondensing Unit /4 SEER11R-8' (CZ 16)Ducts q ft (if not already . HSPF 13R-6(a!!CZ's)Plenums �s present,.must Furnace Lineset EER p 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. Atper-mit applicatidn--tbis7 formic allowed=to-b`e fill- -eV _t-by-han: For fina 11nspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. .HVAC Cfiangeout/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,:L10%10%to outside,or seal all accessible leaks) Exempted from duct leakage testing if: Q 1.Duct system registered with HERS provider as previously sealed,or 1:12.There is less than 40 linear feet of duct in unconditioned space,or 113.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' 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 alternative) 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>_350 CFM/ton(or Standards Table 150.0-C/D alternative) 1:1 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,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-2W',5T-4%" Contractor(Documentation Author's/Responsible Designer's Declaration Statement) 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 NamesResp nsible Designer Signa Date Signed: License: AW AoW Ram Company: dress: City/State/Zip: 857)2 Phone: Ddu, V MlFa mu l- '7 7 S TO flIC4 29 2)0?-2 -3) 9 S`' For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300 'P W t r Jj M U-F-A M 0- � � OlNu�dfl OPOT5 "7 c Oct j? -Z-,1U'q'V° PP -14,30 ONINN`dId yrv� �- �:M Nand 1,01d r rr�� cc�`.�c��,,;)TY DEVELOPIMENT DEPARTMENT BUILDING DIVISION-CUPERTINO APPROVEDi Of P! ns and specifications MUST be kept at the nrl corFstruCtlon, It is unlawful to male any Q; Os ah}.Watiorrs on sarn ,or tO deviate. �"Tl,without approval from the Building Official, p ip of this plivi and sPeclfications SHALL NOT PE s brit or tai be an aPProval of the violation 1 ��`d is33ra��14Y Q"'"ad�T� .A �.xw cav t �c RECEIVED �� JUL2 Mid" ;-!M- T H S*OI CA ON MONO ts C ,l. A i (1IVI�' �Qa {I � 5 �e COMMUNITY DEVEL;OP4MENT DEPARTMENT.BU'ILDI'NG DIVISION CIVIVIVIV NO 10300 TORRE AVENUI= CUPERTINO,,`CA 95014-3255 (408)777-3228 FAX 1(408.)777-3333, buildinp(c ciapertino oro -7g 0 f ° Y cry i FUR OSE This affidavit is a self-certification for the installation of all required Sinoke and Carbon h4onoxide Alarms for cainpliMice,with 2013 CLEC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access.for uzspectionis are required. G>MIRA rl 1NTORMATION EXistirtg.sirigle-family and multi-family dwellings shall be provided with Smoke AlarmIC and Car'bo1-t MAM' tide alarnns When the valuation of additions,alteratio7ls,or. repairs to existing dwelling-units exceeds $10900,CIBC Sgction M14 and CIBC Sections 907.2.1:1.5 and 420.6'require that S troke A arras and/or, Carb-on Monoxide Alarms bye installed in the following locations. AAEA SM—OkE ALAR. CO)ALA- Outside of each,separate sleeping area in the immediate vicinity of the bedoor (s)? 0n e-v-qy level,,of a dlweIlin -Unit neludlin-,basements- x WHIthin eacli Slee i}n roofiirt t (Car=bon,Mdonox de alar x l s are not reqpired in dwellings which,,do,mot,contain fuel-burn' .g appTiances a �'than }o nol halve an attached gauge. Carbon m, oMoAdle alarms coinbir ed with,smoke alarm,s glvall coin F-ly wit_ CBtC Secfi®xti 42Q'.6 aiid sllal be appy©ved by the Offree of the State Hire Mars, al. Power Supply° •t t dwell`i�zg,wants with ii;o�eanlmerczal p�ow'er s•u�p>p,'�,alar: 1 (s)iziajybe so rely battery operalecI. lY existi�%�g,d�weYllingunits alarrms are perrrkC-tecI to lie solely battery operated where rep:- mrs or altera>irio�=s, t+o. not msak hit tat e,.removal of wall;an ,ce-Ah g finishes-or there is no access.by nye. }s o1 at tic,b ase:unen4 or crawl space Defer to)CRC Secftort R314 wrold CBC Sections 907.2.11..4 and 420.6«.2.:An electrical per,Mit i&required fon aTarin&wTuch;must be eorule:cted to,the =�ild Inwir- AAs owner cf the above-r,efere1w,ed property,.Ileer,eby eertrf�that fllrLa,alarzn(s),r 6er e n e ed I aboveleas=iI,ave ken installed m�accordance with,thema2liufacturer s i,,n,,,stmt i c t.j.ans�add im camphan,ce with tH, Cal}fornmia,RwIT,dlk7 g and CalSifonmia=Residential C:ades. Me aldarms leave been tested aiitd are operationail,as f the date s gized below., Ufiauesread andia reetacom,.h' tvrfh Elie termsai d coed ff©ns of`this sf (' rnenfr _ V' _ — ��ODU, � - — ,fit K(rA. .._..�""_�� � /L Vie ' ..,bate St nature .... I .Lich. i D e WATER-CONSERVING PLUMBING 'FIXTUR S a OWNER CERTIFICATEi l ELI OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION aCUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-32 P•FAX(408)777-3333•building(a)cupertino.ora Owner Namet u r-a-mat Permit Non, Address f 7 4 1 CA 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 nd sign bottom of form. C�! 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? p Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Q The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. fd No Go to Question 3. 3. Is water service permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of forrn. C No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 0 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 forma d sign bottom of form. F9/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 follow' g statements and sign bottom of form.. 5. Please check ONE of the following: Q Myproperty 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-cmpliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or befoi e 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 n n-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). E 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 ofwhether property undergoes alterati ns 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 withh 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 OwnerAgent's Signature" i iN Date: Upon completing and signing this Certificate,please return it to the Building Division in order tc final your building permit. SB40 7 2015.doc revised 08126115 BUILDING PEhINIIT CANNOT$E FINALED AND C01��pLETEI� T��,;'AHI, ': CERTIFICATE HA.S EEE�T I ED�tD T E �O THE BUIL ING I)I�TISION .-.. ., r... ..a _`"_. x.�-ctw.r_n.' f......�..a �.«=Y�.F..+3' ♦w r s§�� tirn-w �..�-..'""d >''�3, Idon-Compliant Water-Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicat le to New Construction) Fixture Type Maximum Water Us—age/Flow Rate Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2033 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 flu h volume(the composite, Urinals Exceed 1average flush volume of two reduced flushes and one full'flush .0 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 Showerhead. (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 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 i not.required to be upgraded. SB407 2015,doe revised 08126115