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B-2016-3272CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3272 10224 E ESTATES DR CUPERTINO, CA 95014-3305 (369 07 028) COMFORT ENERGY INC MILPITAS, CA 95035 OWNER'S NAME: CHEN HOWEN AND DENG LINGJU DATE ISSUED: 12/14/2016 OWNER'S PHONE: 408-777-9192 PHONE NO: (408) 263-3100 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class = Lic. #858776 Contractor COMFORT ENERGY INC Date 01/31/2018 X BLDG —ELECT PLUMB X MECH X RESIE ENTIAL COMMERCLAL 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 DESCRIPTI N: REPLACE FURNACE, SAME LOCATION.(CLOSET) 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. z� -'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: $4866.00 permit is issued. APPLICANT CERTIFICATION certify that I have read this application and state that the above Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 3 07 028 369 69 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 PERMIT E3 PIRES IF WORK IS NOT STARTED may accrue against aid City in consequence of the granting of this permit. WITHIN 18 DAYS OF PERMIT ISSUANCE OR Additionally, the pli ant understands and will comply with all non -point source regulationd pea Cu ino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature` Date 12/14/2016 Issued by: MELI AN LMU Date: 12/14/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected RF ROOFS: prior to any roofing material being installed. If a roof is following two reasons:. i. I, as owner of the property or my employees with wages as their sole installed without first btaining 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 Applican : contractors to construct the project (See.7044, Business & Professions Code). Date: 12/14/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROO COVERINGS TO BE CLASS "A" OR BETTER 1. 1 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 fl�ZARDOUS I have read the hazardous MATERIALS DISCLOSURE materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Healtl maintain complianc & Safety Code, Sections 25505, 25533, and 25534. I will with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. s. I certify that in the performance of the work for which this permit is issued, I Health & Safetyode, material. Addition Section 25532(a) should I store or handle hazardous y, should I use a ui went or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the B y , ea Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain comp ante with the pe - o Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Heal & Safety Cod Sec 'o s 255 5533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall f be deemed revoked. Owner or authorized agent. ,,,, APPLICANT CERTIFICATION Date: 12/14/2016 I certify that 1 have read this application and state that the above information is I hereby affirm that 1V TI E here is a construction lendin 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 plE ns shall be used as public records. Code, Section 9.18. Licensed Signature Date 12/14/2016 Professional GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERT 1'` 0 (408) 777-3228 - FAX (408) 777-3333 • buildingp_cupertino.org ❑PLUMBING ECHANICAL ❑ELECTRICAL MEP misc ❑MISCELLANEOUS PROJECT ADDRESS d15tJ ma` PN # (7 ' O J -0 % OWNERNAME y� PHONE S �Tp I E-MAIL I� njC%9 � ��tt STREET ADDRESS 4kj o V Vis" �1 � CITY, STATE, ZIP C t "M I 9 l FAX CONTACT NAME a .�., (� j�}-�} j g (.I 1 1/ 7 c PHONE p �5 9 D E-MAILA3 p C 1'1 ` F ecorm I�t�i21� j v STREET ADDRESS C �s IB� Y2�� J CITY, STATE, ZIP �pyi� n g�� ,AGs vertu" I FAX gj�tft�i�, ❑ OWNER , ❑.OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR � Ai CHTTECT ❑ ENGINEER ❑ DEVELOPER` ❑ TENANT CONTRACTORNAME Cp_ P trf`^tlit LICENSENUMBER LICENSETYPE C70 BUS.LIC# 33YC3 COMPANY NAME C49-yl-)rT c-l-jm ii l f lV( E-MAIL cjtA,A_Z �.Qh�l� � T�^ �' &--I FAX ` s op L(V'Y-, STREET ADDRESS d.4 p ailn f„ p jt�%%'j �� CITY, STATE, ZIP' tt,� 'K63 PHONEd ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS. LiC+#L� COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI-FAMMY PROJECT IN WH.DLAND L] YES PROJECT IN ❑ YES IS THE BLDG AN YES BUII.DING:❑ COMMERCIAL URBAN INTERFACE AREA ® NO FLOOD ZONI ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK MEPMiscApp_2011.doc revised 06121111 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CF1R-ALT-03-E (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFlR-ALT-03-E Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF -IR -ALT -HVAC) (Pagel of 1) Site Address: 1 0�a q C -�� t,, Ly � Enforcement Agency: Date Prepared: Permit#: Equipment Type Equipment Efficiency New: Ducting, Plenums, Lineset Conditioned Thermostat Required R -value _Floor Area (sq ft) Packaged System 11 Evaporator Coil AFUE COP 0 R-6 (CZ 1,3-7) Ducts Sery b system 13Setback 13 Split System 0 Condensing Unit SEER 0 R-8' (CZ 16) D cts I sq ft (If not already Furnace 13 Lineset EER HSPF 0-11-6 (all CZ's) Plenums present, must ❑ R-5 or R7.5 Lin set' 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 (n hand filled forms allowed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be le on site for Final: Can-indude 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 (:L15% or,: 10% to outside, or seal all accessible leaks) Exempted from duct leakage testing if: 13 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 ❑ 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 le on site for Final: All new equipment and All New Ducts, CF1R-ALT-02-E CF2R-MECH-01, MECH-20-HERS, MECH-22- dERS, MECH-(23 or 24) -HERS CF3R-MECH-20-HERS, MECH-22-HERS, ME H-(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 Ief 6 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 >_ 350CFM/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. ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: Adding or replacing ducts in unconditioned CF1R-ALT-02-E space but less than All New Ducts, CF2R: MECH-20-HERS CF3R: MECH-20-HERS Installer Required to: Duct leakage (:L15% or,': 10% to outside, or seal all accessible leaks) ❑ Exempted from duct leakage testing l 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. Z 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-23/44", 3.5 to 4T-2%", 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 anufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Pari 1 and Part 6 of the CCR. 5. The building design features or system design features i entified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, Isheets, calculations, pians a d specifications submitted to the enforcement agency for approval with this building permit applica ioAl I Responsible Designer Name: Responsible;�4� Date Si ned !6 Lic se s, Company: �1((� ,, SNC Address: r�S a6vllIf l OL City/State/Zi Inns tii� 4s Phone: �b,'2C9'3 1 For assistance or questions regarding the Energy Standards, contact the Energy H )tline at: 1-800-772-3300 CUPERTINO PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinaCa)-cupertino.ora PERMIT CANNOT BE FINALLD UNTIL THIS CERTIFICATE HAS BEEN COMPLETED,"5ji;= AND RETURNED TO THE BUILDING DIVISION" j6c5 1mo- 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 CSC 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 bedroom(s) X X On every level of a dwelling unit including basements 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 907.2.114 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 hasihave been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below Address: W1VE,CAXbk4iU , CA t; ` Permit Note Specify Number of Alarms: # Smoke Alarms: # Carbon Monoxide 1 have read and agree to 4o l i ith the terms an conditions of this statement Owner (or Owner Agent's) Name: Signature .Date: Contractor Name: � % 1,j` t Lie.# Date: Signature.. J-.4- - - -14 .. -V - I TI aj )—,) ,r v `I Smoke and CO form.doc revised 09/27,'76 Owner Name Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 FAX (408) 777-3333 o buildingC@cupertino.org f 1. Is your real property 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? TA 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. ❑ No Go to Question3. 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. 9 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 properly 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. Nh 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 forma. 5. Please check ONE of the following: Vk 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-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-conservinplumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current'California Plux' bion CfgandC-alifornia GreenBuildingtandards Code, and manufacturer's installation requirements, and that the wate -cone plumbing fixtures coimply with the requirements as indicated in the table on the followinz pate. n/1 t Owner or Owner Agent's Signature: IA�YI AZ\�Date: k/ k-7 / 41 ) I I Upon completing and signing this Certificate, please return it to the Building Division in order to final vour building nermi _ SB4072015d d �8A.</7C oc revue c i