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B-2016-2582
CITY OF CUPERTINO BUILDING ADDRESS: 21900 BYRNE CT CUPERTINO, CA 95014-1156 (357 16 102) OWNER'S NAME: YIN PAUL AND CHONG MALINA MAN -LING TRUSTEE OWNER'S PHONE: 650-823-8788 LICENSED CONTRACTOR'S DECLARATION License Class= Lic. #952160 Contractor BAY AREA CLIMATE CONTROL Date 06/30/2017 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. 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 ance of the work for which this permit is issued. ave 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. APPLICANT CERTIFICATION I 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 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 City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature - Date 08/24/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. L as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Scc.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of 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 be deemed revoked. 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 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 City of Cupertino against liabilities, judgments,, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 08/24/2016 BUILDING PERMIT CONTRACTOR: PERMIT NO: B-2016-2582 BAY AREA CLIMATE CONTROLLLC HAYWARD, CA 94544 DATE ISSUED: 08/24/2016 PHONE NO: (510) 477-6793 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) A/C UNIT; REAR YARD Sq. Ft Floor Area I Valuation: $6000.00 APN Number;Occupancy Type: 357 16 102 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FR INSPECTION. Issued by: MELI Date: 08/24/2016 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection, Signature ofApplicant: Date: 08/24/2016 TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain,compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent Date: 08/24/2016 CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUPER l IN (408) 777-3228 • FAX (408) 777-3333 buildinw5cupertino.org MISC 13 26 16 - LSV 2- DPLUMBING 76CHANTC`.AT. T �ITRTIIATM&XTOI tVTT AXM—TV PROJECT ADDRESS p APN # OWNER NAME p� PHONEb5 `� P- E MATT. a 991 STREET ADDRESS - ( CITY ST Z' r FAX CONTACT NAME` 'F -MAA AO 1 ri�1 8 iT� STREET)}DI C11T1j, STATE, ZIP // }' v11-� �l -� tam ►1 1 i% /% .�--iti7C� iia - ,9/ !%� A 1 i,i. ❑ OWNER '❑ OWNER -BUILDER ❑. OWNERAGENT VCONTRACTOR Q CANTRACTORAGENT ± ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR^ tl2i� i LICENSENTIMI5 $� LIC BUS. LIC #� f � In.tNO _f i 1191f�s��J.S f� I s-ea.41.s A I ,,�-:�..�s�`,.__..�`. — _ z ICITY- S q4s4c, W 4L§,�- -(p-i 9 ARCIHTECT/ENGEVEERNAME LICENSENUMBER BUS. LI COMPANYNAME Iv1fTIL " r�-- - - FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF M SFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THEBLDGAN ❑ YES BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK TOTAL VALUATION: 0 By my signature below, I certify to each of the following: I am the property o or authorized agent n e property owner's behalf. I have read 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 loc ordinances and state laws rel to building costl�s on. jl�Worizeesentatives of Cupertino to enter theqbve-ldentifi d property for inspection purposes. Signature of Applicant(Agent: } Date� b B p MF_,PMiscApp_2011.doe revised 06/21111 f el 0 c" of Pte` C � V ei Clk ay -"'01 �y. rA fir CUPERTINO Ruilding Deparinent 9 •e REVIEWED FOR CODE COMPLIANCE Reviewed By: V PLOT PLANS CHECKED BY DATE � t� PLAN ING CREPT CUPERTINO CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page I of 3 Project Name: Florence Lam l Date Prepared: 2016-08-18 A. General Information CHR -ALT 0`2,As -applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFIR-ALT-02 document for each dwelling unit. 01 Project Name Florence Lam 02 Date Prepared 2016-08-18 03 Project Location 21900 Byrne Ct 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name Florence Lam 07 Zip Code 95014 08 Dwelling Unit Conditioned 1582 Floor Area (ft2) SC System CFA served system "ducted re ' Number of space conditioning I 09 Climate Zone 4 10 (SC) systems in this dwelling I containing system more than 6� entire y new unit. B. Space Conditioning (SC) System Information` , nformation01 01 02 66 07 08 09 10 Is the h hsta ing a SCS ystem SC System CFA served system "ducted re ' st" ailip I I stalling n Identification or Location or Area by this SC containing system more than 6� entire y new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space System 1 Location 1 1582 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150. 2(b) lDlib) This section does not apply to this project. Registration Number: 216-AO30933OA-000000000-0000 Registration Date/Time: 2016-08-18 12:14:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 12:13:50 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)1E,and F) A01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New'Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Central gas No heating This field or This field or Central split All new This field or This field or System I furnace component section is not section is not AC cooling SEER 14 Setback section is not section is not altered applicable applicable components applicable applicable RequiredDocumentation: ,CF2R-MCH-01-E-Space _Conditioning .Systems -Ducts.andFans ,.- -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage test! nireq pired when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced, -Leakage rate compliance: :5 15%, or:5 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CP3R-,MCH-23 Air F16W 300 CFMAon required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are, exempt from JMCH; 20 Duct Leakage Testing req.ulrempnts., -Heating-only systems and Air Handler/Furnace changes do not require�veriflcation"o Flow lv1CW23;'cW h R e feigerant"Cla MEAN-2�,�- -Existing duct systems constructed, insulated or sealed with asbestosare exempt from M&'kDU5�t,l_ "�kage Testing requirements, N 7, ipm nd�,:, E. Entirely New or Complete Replacement DuctSystem, with or withop ent nagaout ($ectiqns-,,1S0.2(b)1Dii 150.2(b)1E, F) q4 This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 216-AO30933OA-000000000-0000 Registration Date/Time: 2016-08-18 12:14:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 12:13:50 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: 19we" Hartsinck, Ryan T/lx�L'CiG�L��L1 Company: Signature Dater RYAN HARTSINCK 2016-08-18 12:14:21 Address: CEA/ HERS Certification Identification (if applicable): 516 JAYAR PLACE City/State/Zip: Phone: HAYWARD CA 94544 510-881-6964 11 Responsible Person'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 ofthe Business and Professions Code to accept'responsibil'ity for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. 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 I and Part 6 ofthe California Code of Regulations 4., The building design features or system design features identified ori this Certificate of Corrjpiiance are consistent with<the �nformatjcin provided on, other app 1pable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit appiicatiorr, 5. l will ensure that a registered copy of this Certificatz'of Compliance s'liall, be made availai le with rite bu+idtng pc�rmit(s)_;issued for th? buiwld ng ands mac),e ava lableto thd,gpforcementagency for all applicable inspections. I understand that a registered copy oftlnsfi;artlficate of Compliance js required to b,e included with the,documentation the builder pr�yides to tFle building owner at occupancy. Responsible Designer Name: %'fi ,. �. a„ Res onsible Desi gri"er Signature: p g Hartsinck, Ryan Rx' 7L1 Company: Date Signed: RYAN HARTSINCK 2016-08-1812:14:21 Address: License: 516 JAYAR PLACE 952160 City/State/Zip: Phone: HAYWARD CA 94544 510-851-6964 Digitally signed byCalCERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-AO3093BOA-000000000-0000 Registration Date/Time: 2016-08-18 12:14:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 12:13:50 Schema Version: 0.555SDD t"UPURri-mo SMOKE I CAR. -RUN! OWNER jMKTVjCA�TE-,,jDF COM- LIAN.(;: CC)'MMU�NITY:D;E,VEL,'GP,IMENT;D.EP),AIRIT,M,ENT - BUILDINGDIVISION 10300 TORRE AVENUE - 0UPY8RpNa1, A 0. G .5014-3255 (OB) 777-3226 - FA.iX 777-3183 % bildlrrafccu�priino oro PURPOSE TtUs affidavit:; is a sel�fceftificafion for the installation of afire iced Smoke and Carbon Monoxide 'an '01 - CR qu. Jr I Alarms for CoMph nce with 2 C Section R314, 2013 CSC Sections 420.6 ai d 907.2.11.2 where no interior access for if tgpewfivn, a are required. G A - NERAL 114F OR, MATION and mOti-f affiflY dwellings shAl be provided with Sr, ke Alarms and Carbort alatun-,s. Mien the, valuatich of additiovg, a-fteratioiis, or repadrs to exiotmag dwelling, ecce $1, Vogl 00" C79" c- skc, tim, L' 131, 4- and CBC & ctions 507.2-11ds -55 alld, 420.6 t equicre, th at Sq n-qke Alax m, s a ftid/m Cajrt,&A M,c)v0-X,id,ff Allaft, f vs; be- in ataed in the f d1lowing, ioc atigns: _AAIS-MUCE AtAAO A i M, C uit,8MIe of each separate sleeping area in the imme4iialt, — - . N A, evicinity. ©f the I ON, 5ZglWof a dwelft intit basements Mik 6acrhl gm�nvuom Carbon; m- are Riot required i ni, d, w dIftinp w ka,& dg X0 t COntair, Li fumell-bur, mmig ap fainc resavdiffiat CBS` S'ectin�i 4i2:OF 6� aRnd sl2a==111 be � , � Hall comp ; with pbwa a, I aneukos Mft WA no) ck owntiter ck i1allpvweig, suppfy, alar m(s)) inaky'"b"e S'a'Jely battery "Ing, wrMs.-, aillay mils, afre ermined or-yatedl. e%J1 i!q'b-e9dek b Mely ope-ra*ed) wher ei re epair, & or ailiteratiewa do, not, r5eswTU iii? tT'%e- ve-f. nmur, al oi wa,11% alvid ceilkqg, ii4fishea, or &eve ins: i2o> aceess, by iineams, of atfic, b�ase mweffg or crawl spac-e.. Xkffeir to: CRC` Sect mu R31,141 @Rmid, CKBC Sedr'.6ims 9°0:7'.2.11.4 and 420:6;.2.. Ail electrical per, m,, A is, 33 equ&ed. for ata,ruvs, wfiikhi mUS# be c, 01-, urected to, the bit ild'i ng, wbirLg,. As, owner of the, a,bave-ref erevvced propertyy, 1, Ifter eby certffy, tkat ON& referenced, above kalsffil ave be eut, instalfed, kno ace oudaiwee with tine m-mim lactuxer's ilLstvaldioms, an,01 inn comepliance, witHt, the (Ca,11,6wria 3viffalimigg, amd, Calico;Xesfdk?m tial Codes. 'Ilene allaqimsihavebyeeirL< tesTed, aind, arie operaltimta,11, as of te skg�7re b,,elow., -d ga CUPIERTINO Owner WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-32228 • FAX (408) 777-3333 - building(Wcupertino.ora Address .. ; / lj 0 C % j l I � L� �� 1. Is your real properly 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. 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. KNo 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. j I 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. Please check ONE of the following: 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 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- conservingg plumbing fixtures throughout the building (regardless of whether properly 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 11011, 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 thefollowing mage_ _ D Owner or Owner Agent's Upon- completing, and signing this Certificate, please return it to the Building Division inorder to, final your building permit. SB407 20,15.doc revised 08/26/15