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B-2016-2688
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2688 21053 RED FIR CT CUPERTINO,CA 95014-4249(359 05 014) RANDO AAA HVAC INC SAN JOSE,CA 95125 OWNER'S NAME: UMAP AVINASH AND DAHAKE ASHLESHA DATE ISSUED:09/09/2016 OWNER'S PHONE:408-9313184 PHONE NO:(408)293-4717 L ICENSOR'S DECLARATION BUILDING PERMIT INFO: License Class WARM-AIR HEATING VENTILATING AND AIR-CONDITIONING Lic.#768871 X BLDG —ELECT —PLUMB Contractor RANDO AAA HVAC INC Date 09/30/2017 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 JOB DESCRIPTION: license is in full force and effect. REPLACE FURNACE;REPLACE A/C UNIT;(SAME LOCATIONS) I hereby affirm under penalty of perjury one of the following two declarations; 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. 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 Sq.Ft Floor Area: Valuation:$10475.00 permit is issued. APPLICANT CERTIFICATION I certify that Ihave 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 359 05 014 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 accrue against said City in consequence of the granting of this permit. Additionally,the apXicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regula s pe a in'Municipal Code,Section 9.18. _m --- Issued by:Kim Dunbar Signature Date 09/09/2016 Date:09/09/2016 OWNER-BUILDER DECLARATION RF ROOFS: I hereby affirm that I am exempt from theContractor'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: 2. I,as owner of the property,am exclusively contracting with licensed Date:09/09/2016 contractors to construct the project(See.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 2. 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 3. 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 aircontaminants as defined by the Bay, ea Air Quality Management District will maintain compliance with the Cupe " ode,Chapter 9.12 and Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Co ec 2 05,25533, d�4. 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' of be deemed revoked. Date:09/09/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I 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 ARCHITECT'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 Professional Signature Date 09/09/2016 GENERAL PERMIT APPLICATION M E P CgMIJUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 cuPI-RTrN© (408)777-3228 • FAX(408)777-3333• buildingecuoertino.org I S " U ( S' U 8 ❑PLWMINGyyy��n ❑MiECE kNICAL ❑ELECTRICAL ❑b1,ISCELLAI�TEOUS PROJECT.ADDRESS I 0 ? 3/+ On O`\NERNAAg �/} I PHONE �� E-h/iAII STREETADDRESS CITY, STATE,ZIP ICA g1W1 FAX CONTACT—\A—','E ' PHONE STREET ADDRESS �-f—(`I W n L CITY,STATE,ZIP 0 p �j F-1X R& 13 OM ER ❑ OWN-.RLBLTILDER ❑ O'WNER AGE1,1T/ OITRACTOR 13COYMA CTOR AGEDNT E3 ARCHITECT V f❑tDqu\= ❑ DE<ELOPER ❑ TE\kXT CONTRACTOR NAhrE =SE\UBBR LICEISE ME BLS.LIC#A6 I 66 COIvPAI Y KAME V lr E-A1.d.IL t r� I FAX STREET ADDRESS t j r ` CITY,STATE,ZIP PHONE ARCIIITECTlENGNEERNA1,1E y LICENSEJSL`ABER I BUS.LIC COMPANY NAA4E E-IciAIL FAX STREET ADDRESSI CITY,STATE,ZIP I PHONE USE OF ❑SFD.DLTPLEX ❑ MMLTI-FAMMY PROJECT L\AV n-DLS.\'D ❑ 1[S PROJECT 714 ❑YES IS TiT BLDG AN ❑YES BLIIDPG: ❑CO1,f,jE'RC1AL LRBA`ATERFACEAREA ❑ NO FLOOD ZONE ❑NO EICHLERHOME? ❑ NO DESCRIPTION OFWORK TOTAL VALUATION: (��. l/� RECEIVED ED Bl By my si_natue below,I cenit,to each of the follova�ing: 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 have:read the Description of Work and verify it is accurate. I aggee to comply with all applicable local ordinances and state laws relating to build construction thorize representatives of Cupertino to enter the above-i entified property for inspection purposes. Signature ofAppiicanVAgent: Date: tiPPLEA4ENTAL IR OR�1,4ATION REQUIRED Y=.OFfICE i',SE'oI\Ll ❑_ ER TF3E GOL\TER 1 i :,EaPR£SS A ST�'\'D"RIi F hiEP-A%iscApp_2011.doc revised 06121111 u� CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3 Project Name: AVINASH UMAP Date Prepared: 2016-08-29 A.General Information CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented, use one CF1R-ALT--02 document for each dwelling unit. 01 Project Name AVINASH UMAP 02 Date Prepared 2016-08-29 03 Project Location 21053 RED FIR COURT 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name AVINASH'UMAP 07 Zip Code 95014 08 Dwelling Unit Conditioned 1265 Floor Area(ft2) Number of space conditioning , 09 Climate Zone 4 10 (SC)systems in this dwelling 1 unit. B.Space Conditioning(SC)System Information n h4 F +r 01 02 03 04,, 09 10 ;Is the SC" Installing a SC System SC System CFA served systema refngexant Installing new SC Instathng lnstalhng j 4lnstalling „tet Identification or Location or Area by this SC Xiucted containing system more than 40 entirely new entirely new Name Served System(ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type BRYANT WHOLE HOUSE 1265 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System,Greater Than 40 Feet(Section'150.2(b)1Diib) This section does not apply to this project. Registration Number:216-A0321897A-000000000-0000 Registration Date/Time: 2016-08-29 14:24:02 HERS Provider:CalCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version:2013 Rev 1.008 Report Generated:2016-08-29 14:24:01 Schema Version:0555SDD 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) 01 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 Outdoor This field or This field or Central gas Gas furnace Central split BRYANT AFUE 78 condensing SEER 13 Setback section is not section is not furnace AHU AC unit applicable applicable Reauired Documentation: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums:R6. CF2R-MCH-20-H&CF3R-MCH-20-H—Duct Leakage testing required when heating or cooling components are installed in ducted systems,.or when more than 40 ft of duct length is replaced. i -Leakage rate compliance::5 15%,or 510%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&CF3R-MCH-23 Air Flow_>300 CFMAon required when MCH-25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage T ting% ulrprn is - r, 9 -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH 23ymr Refrigerant Charge MECH-25 ` -Existing duct systems constructed,insulated or sealed with asbestos"jare exempt�from MCH 26 Duct Lc#kage Testing Cgquirgmeu�ts, E.Entirely New or Complete Replacement Duct'System,with or without,Equipment Chlangeout(Sections 15Q 2(b)1Dua and 150 2(b)1E,F) &' 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-A0321897A-000000000-0000 Registration Date/Time: 2016-08-29 14:24:02 HERSProvider:CalCERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.008 Report Generated:2016.08-29 14:24:01 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.i certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: e'YI Rando; Eric 41 Company: Signature Date: RANDO AAA HVAC INC 2016-08-29 14:24:02 Address: CEA/HERS Certification identification(if applicable): 1712 STONE AVENUE N/A City/State/Zip: Phone: SAN JOSE CA 95125 408-293-4717 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. I am eligible under Division 3 of the Business and Professions Code to accept responsibility 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 3 requirements of Title 24,Part 1 and Part 6 of the California Code of Regaiations. w{ F y r .. 4. The building design features or system design features identified ori this Certrfrcafe"of Compliance are consistent witJi�the i formatjbnprovided on other appJtcabl"'i mpliance documents,worksheets, calculations,'plansandspecifcationssubmittedtotheenforcementagencyfor�appkovalwiththisbuildingperrnitapplicatioii. " 5. I will ensure that a registered copy of this Certifica'feE¢f Corppliance sl7ail be madeFgyaitable'"with t_0 bbilding pq` mit(s):;issuetl ford a building,and.ma0 avaitabWX,, the enforcement agency far all applicable inspections.I understand that a registered copy of this Certificate of Compliance,is req"to be,inclucled with the documentation,the builder provides to,the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: i` Rando,Eric% l Company: Date Signed; RANDO AAA HVAC INC 2016-08-29 14:24:02 Address: License: 1712 STONE AVENUE 768871 City/State/Zip: phones SAN JOSE CA 95125 408-293-4717 Digitally signed by CaICERTS. 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-A0321897A.000000000-0000 Registration Date/Time: 2016-08-29 14:24:02 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.008 Report Generated:2016-08-29 14:24:01 Schema Version 0.555SDD