The URL can be used to link to this page

B-2016-2734 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR_: PERMIT NO:B-2016-2734 20818 FARGO DR CUPERTINO,CA 95014-1806(326 30 121) RESIDENTIAL HEATING AND AIR CONDITIONING INC CAMPBELL,CA 95008 OWNER'S NAME: SABOL ERIC AND FANG JI DATE ISSUED:09/15/2016 OWNER'S PHONE:650-804-8684 PHONE NO:(408)377-4073 LICENSED CONTRACTOR'S DEC4ARATION BUILDING PERMIT INFO: License Class B Lic.#705554 Contractor RESIDENTIAL HEATING X ND AIR CONDITIONING INC Date X BLDG _ELECT _PLUMB 04/30/2017 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,A/C,AND DUCTS IN SAME LOCATION. I hereby affirm under penalty of perjury one of the following two declarations: 1. 1 have and will maintain a certificate of consent to self-insure for Worker's "Compensation,as provided f6X by Section 3700 of the Labor Code,for the performance of the work for which;th s permit is issued. ( I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Cotte,for the performance of the work for which this Sq.Ft Floor Areas Valuation:$25000.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application acid state that the above APN Number: Occupancy Type: information is correct.I agree to comply with all city and county ordinances 326 30 121 R3 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 WITfIIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code,Section 9.18. vo Issued by:SEAN HATCH Signature 1° V�' Date 9/15/16 Date:09/15/2016 OWNER-BUI DERDECLARATION 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: 2. I,as owner of the property,am exclusively contracting with licensed Date:9/15/16 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 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. 1 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 Health&Safety Code,Section 25532(a)should I store or handle hazardous permit is issued. 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 air contaminants defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino.Municipal Code,Chapter 9.12 and Worker's Compensation laws of California. If,after masking this certificate of the Health&Safety Code,Sections 25505,25533,and 255 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 agent: be deemed revoked. ' Date:.9/15/16 APPLICANT CERTIFICATION CONSTRUCTION LEN-DING 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 ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally,the applicant understands I understand my plans shall be used as public records. and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Licensed Professional Signature Date 115/16 GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION MEP 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 cUP;ERTlNo (408)777-3228 FAX(408)777-3333•building(alcuperfino.org . off 0073 �M I S k; ❑PLUMBIIIG [D ECHANICAL ❑ELECTRICAL ❑MISCELLANTEOUS PROJECT ADDRESS P1 I �1sD' h V� I APN 37—�3012-1 0121 O��RvERNANIE Eric, A PHONE U60— Ca 0 –lJ��5 1 E-I tiSII p Y i c,sdj UC E .C STREET ADDRESS �(] ® { � '��r�,/) CITY, STATE,ZIP l�` (�.'v'�In� CA/� g501 o( FAX CONTACT NAME ® (� r �L PHONE YF VyE-hLAIL `� STREET ADDRESS CITY,STATE,ZIP FAX El uan m ❑ Ow'TTER-BUIL DER ❑ OWNTER AGENT ❑ CONTRACTOR 9 ON RACTOR AGENT ❑ ARCHITECT ❑ENGLNFER ❑ DEVELOPER ❑ TENANT CONTRACTOR lvA1 g CatLICENSEk S(•+II�,{} NUMBER�V LICENSE TYEC7/yv t F�. 2 L VJI COA4P.A2\TY NAME A (c E-MAIL J _q ST 9 STREET ADDRESS UrCxI&VO LGA, CITY,STATE,ZIP PHONE I( ARCHNITECT/EGLNEERN:ME LICENSE NUMBER �I l U BUS.LIC-1, V COMPAI Y NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OFFD,,,DUPLEX El MULTI-FAMILY PROJECT IN,NVILDLAND F1 -ITS .PROJECT A El 1''ES IS THE BLDG AN ❑ YES BUILDNIG:. COI&TERCIAL I URBAN ATERFACE AREA NO FLOOD ZONE -WNO EICHLER HOME? NO DESCRIPTION OF WORK 011 ATMCe A I C ccdU-- G6 c SMAxt dcat0ji TOTAL VALUATION, Com' ( �� N 0>� RECEIVED BI By my signature below,I certify to13'eaach 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 infonnation 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 buil ' g construction. I authorize representatives of Cupertino to enter the above-identi$ed property for inspection purposes. Signature of Applicant�kgent: Date: is SUPPLER NTAL INFORMATION REQUIRED c i.01'ERTHE-COtJNT£R 1 £7�PRESS1r CJ � �• '.� AZ4JQR�� AfEPA11iscApp_? ].doc revised 06121111 i STATE OF CALIFORNIA ALTERATIONS- HVAC CEC-GFIR-ALT-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFI11-ALT-03-E Alterations-HVAC C21,3 W 7 and 16(formerly CF4R-ALT-HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Dat Prepared: Permit#: 20M >L yDryv-2 i oi Cunains Equipment iyp Equipment ment e E ui Efficient New: ucting,Plenums,Lineset Conditioned y Required R-value Floor Area(sq ft) Thermostat ❑Packaged System ❑Evaporator Coil AFUE CSF ❑R-6 (CZ 1,3-7)Ducts Served by system 0 Setback 0S lit S stem ❑(cnesensin Unit SEER ❑R-8' (CZ16)Ducts S (If not already y Conde g g HSPF ❑R-6(all CZ's)Plenums present,must t EER 11 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 application this form is allowed to be filled out by hand. 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, CFI11-ALT-02-E Condenser Unit,Evaporator Coil, CF2R:MECH-01,MECH-20-HERS Air Handler/Furnace CF3R:MECH-20-HERS Installer Requirement:Duct leakage C-5_15%or,<10% outside,or seal all accessible leaks) Exempted from duct leakage testing if: 0 1.Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned space,or 0 3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building 0 2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New DuctS2 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)-HERS2 Installer Requirement:Duct leakage:S 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 CFIR-ALT-02-E Ducts2 and one or more of the following: CF211-MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS Condenser Unit,Evaporator Coil,F rnace CF3R-MECH-20-HERS,MECH-(23 or 24)-HERS Installer Requirement:Duct leakage<b%,Air Flow>_350 CFM/ton(or Standards Table 150.0-C/D alternative) D 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 space but less than All New Du CFIR-ALT-02 E Adding or replacing ducts in unconditioned CF2R:MECH-20-HERS cts2 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. 2 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. 3 R-5(I"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%a",5T-4%8" 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 manufactureddevices 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. S. 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 Designer Signature: _ Date Signed: License: Kelly McDaniel Ot))!S 1, 705554 -Company: Address:6 City/State/Zip: Phone: Residential Heating &A/C Cristich Lane Campbell, CA 95008 408-377-4073 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CU['I✓1'i"f I Nt? 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 408)777-3228•FAX(408)777-3333• buildin.q@cupertino.org Owner Name �(�C. ��1 Permit No 2��'a 2' Address 20816 Farob Ono Cup fi n o , 6 Jo Ig 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. 1 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. El The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. 9 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 form. 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. Please check ONE of the following: N 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- 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-coinpliant 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 penury 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 thewat -conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: W 1 Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08126115 UIL INN I'E �T��i1�� DE Ia I��I,ED AND Ct�MPLETED TNTIL THIS 4 CEHTIFIGA TE S I�EUi N I iii+l) ,��D TT_ �n T4 THE BUILDING DI VISIOI�T ion-Cornpl¢ant Water-Conserving Plumbing Fixture i Plumbing Fixturel I (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water.Usage/Fl ow Rate Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch. 4 /Flog 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 Pxceed 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 1.0 Gallons/flush 0.5 gallons/flush Showerheads : Exceed 2.6 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 slower 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 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute j 60 psi @ 60 psi psi Faucets I 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 I'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. SB407 2015.doc revised 08/26115 SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 UP RTIM+f',3 (408)777-3228•FAX(408)777-3333-building(&cupertino.org Permit No. Address 2 OS i S korm Driy #of Alarms Smoke" l' "__Carbrin Monoxide: ;4 ,PERMIT IGA- N`1IUT I3E FINALED A TI)COMPLET,EI)TJNTII. iS CERTIFICATE HAS BE z { RIi I R b TO',T) 3C LDIN DI BION PURPOSE This 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. GENERAL INFORMATION 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 R314 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: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On every level.of a dwelling unit includingbasements X X _ Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. 'Power Supply:In dwelling units with no commercial power supply, alarm(s)may be solely battery operated. In existing dwelling units; alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An electrical permit is required for alarms which 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 California Building and California Residential Codes.The alarms have been tested and are operational, as of the date signed below. 1 have read and agree to c pl,with the terms and conditions of this statement - owner(or Owner Agent's)Name: r ' p J Si nature......... ..Date: ..`fll.wi Contractor Name: h AI �p(� R6 C��{'l1lla /I L Si nature......./ ..... ........!.V"..b.... ......... Lic.#....1 M55 ........Date: Ip. Smoke and COform.doc revised 03118114