Loading...
B-2017-0014up CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0014 21830 EATON PL CUPERTINO, CA 95014-1180 (326 19 124) ATKINSON CLIMATROLLERS INC SAN JOSE, CA 95112 OWNER'S NAME: LEE DARRYL J DATE ISSUED: 01/04/2017 OWNER'S PHONE: 408-768-8093 PHONE NO: (408) 294-6290 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #258540 Contractor ATKINSON CLIMATROLLFRS INC Date 12/31/2018 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 (SAME LOCATION) 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 permit is issued. Sq. Ft Floor Area: Valuation: $3000.00 APPLICANT CERTIFI AC TION 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 32619124 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 in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18, 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 1/4/2017 Issued by: Abby Ayende OWNER -BUILDER -DECLARATION Date: 01/04/2017 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) 2. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to Construct the project (Sec.7044, Business & Professions Code). Date: 1/4/2017 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 2. 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. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(x) 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 making 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, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 1/4/2017 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING 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 1/4/2017 Professional GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DMS ON 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - bui1dinqCcDcuPe!:Lmt?,onq D PLUMBING F'MECHANICAL F�FTFCTRICAT. M T14T.qCFT I AMPOT TC MEP MISC PROJECT ADDRESS -Z� JAPN# OWNERNAME PtrNE - 0-309 E-MAIL STREET ADDRESS IL 040 CF,,STATE FAX CONTACT NAME PHqE 092OV( I E- STREET ADDRESS 11-71 Cl�JSTATE`P o <,e_ CA c7 51.12 FAX 11 OWNER IJ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR Q CONTRACTOR AGENT ❑ ARCHITECT 1:1 ENGINEER DEVELOPER ❑ TENANT LICENSE NUNMER LICENSE TYPE BUS. LIC 9 CONTRACTOR NAME -410 191 COMPANY NAME V�lJf ivt + b P, 11) EMAIL Ctje1r116,& e Vn, �4 - IFAX �'Les STREET ADDRESS 11-71-I)V q�V�j CITY, STATE, ZIPS -,, Ja'�� 5-112 FF`6�" � 0 �2_ ARCHITECT/ENGINEERNANM LICENSE NUMBER BUS. LIC 9 COMPANY NAME ,E-MAIL FAX STREET ADDRESS ICITY, STATE, ZIP PHONE USE OF 101FD or DUPLEX ❑ MULTI -FAMILY BUILDING: COMMERCIAL PROJECT IN WILDI.AND 0 YES URBAN INTERFAC4 AREA NO PROJECT IN El YES FLQOD ZONE El NO is THE BLDG AN 0 YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK CA CN. P af C-501 A -1c L/ TOTAL VALUATION: $ 31 OOQ, 0 D RECEIVEDBY: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property o4er's lkhalf. 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 agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the aboveTidentified property for inspection purposes. ZSignature of Applicant/Agent: 64 "r Date: SUPPLEMENTAL INFORMATION REQUIRED 0 Z' 171 giANDARD LARGE M'AJOR, MEPMiscApp__,201 1. doc revised 06/21/11 V CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: 2016- 0436 Darryl Lee { Date Prepared: 2016-12-29 A. General Information C1`111 -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 2016- 0436 Darryl Lee 02 Date Prepared 2016-12-29 03 Project Location 21830 Eaton Place 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name 2016- 0436 Darryl Lee 07 Zip Code 95014 ®8 Dwelling Unit Conditioned 1400 -- Installirig.new S,tI Instajliiig nstalling . `Installing Floor Area (ft2) Identification or Location or Area by this SC ducted containing Number of space conditioning more than 40 09 Climate Zone 4 10 (SC) systems in this dwelling 1 system? . component? components? feet of ducts? unit. SC system? B. Space Conditioning (SC) System Information.' 01 02 03 04" 05 06. 07 09 09 10 Is the SC 7ristalling SC System SC SystemCFA served " '�, ystem a : refrigerant ` -- Installirig.new S,tI Instajliiig nstalling . `Installing Identification or Location or Area by this SC ducted containing system more than 40 enfirefy new entirely new Name Served System (ft2) system? . component? components? feet of ducts? duct system? SC system? Alteration Type Furnace whole house 1400 Yes No Yes No No No Altered space replacement conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)INib) This section does not apply to this project. Registration Number: 216-A0480763A-000000000-0000 Registration Date/Time: 2016-12-29 13:42:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards -'2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 13:42:28 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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 All new No cooling This field or This field or This field or This field or Furnace Central gas heating AFUE 80 No cooling component section is not section is not Setback section is not section is not replacement furnace components altered applicable applicable applicable applicable Required Documentation: CF211-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. -Leakage rate compliance: 515%, or!9 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 & CF3R-MCH-23 Air Flow>:300.CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements, -Heating-only systems and Air Handler/Furnace changes do not require venfication of Air Flow MCH 23,,cir Refrigefant Charge MJ CH -25 -Existing duct systems constructed, insulated or sealed with asbestos are exemp6rom MCH-20DuctiLeakage Testingrequiremerit"s. E. Entirely New or Complete Replacement Duct S stem, with car without E ui ment i 5 y q „ p GlaangeQut (Sections 15p.2(b)1,Diia 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-A0480763A-000000000-0000 Registration Date/Time: 2016-12-29 13:42:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 13:42:28 Schema Version: 0.5555DD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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: (?�� Faulkner, Cindy CJ'GLGGt Ii%2P2 Company: Signature Date: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2016-12-29 13:42:21 Address: CEA/ HERS Certification Identification (if applicable): 1171 NORTH 4TH STREET City/State/Zip: Phone: SAN JOSE CA 95112 408-294-6290 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 of t6 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 requirements of Title 24, Part 1 and Part 6 of the California Code of.Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are conststeftt„with the informatlon,provided on ither'appllcable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with, this building permit application. , ._ 5. 1 will ensure that a registered copy of -this Certificate of, Compliance shaUPe madeayailable with the building permit(5) issued for building, and made availab' jo-,the, enforcement agency for all applicable inspections. I understand that a registered copy of thi'st pifificate of Co.mpliance..is,requi[ed to be included with the„dpcumegtation the,bftilder provides tache building owner at occupancy. Responsible Designer Name: «„ Responsible Designer Signature: Faulkner, Cindy cf/ Company: Date Signed: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2016-12-29 13:42:21 Address: License: 1171 NORTH 4TH STREET 258540 City/State/Zip: Phone: SAN JOSE CA 95112 408-294-6290 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-A0480763A-000000000-0000 Registration Date/Time: 2016-12-29 13:42:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 13:42:28 Schema Version: 0.555SDD 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 : building(a.cupertino.org PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEF . COMPLETED,.S AND RETURNED TO THE BUILDING DIVISION 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 -Lints 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 sleepiLig 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 specified below have been tested and are operational, as of the date signed below. �} Address: �j 330 &Tv, a Ck ) cj� X10 qsm Permit No. ` 60 1`1 • Specify Number of Alarms: # Smoke Alarms: F-7-1 # Carbon Monoxide Detectors: �1 I have read and a-gr-ee-to comply with the terms and conditions of this statement Owner (or Owner Agents) Name: a ........................................................................................ Date: V11 -1 Signature..._.*... .. ................................................... ................................................ I......................... Contract tL Name: % a j He V 7 I ^ � y [ j Si nature......................... �................... Lic.# .. ................Date: ................................................................................ J Smoke and CO fofni.doc revised 09127116 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ing(aDcupertino.org Owner Name _ _30_r tr"I Permit No e "ao n -ap+i Address /'r 0101-1 1. Is your real properly a, registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1-101.8' do not apply. Skip the rest of the form and sign bottom of form. CVNo Go to Question 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of 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. f 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. CJ No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? L•1 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. PI ase 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 factures 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 properly. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing factures 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 -conserving plumbing factures in accordance with Civil Code Sections 110 1. 1 through 1101.8,.the current California Plumbing Code and California_ Green Building Standards Code, and manufacturer's installation requirements, and that theater -conserving plumbing fixtures comply with the requirements as indicated in the table on the followins base. . /­� I Owner or Owner Agent's Signature: "[ ) /moi C2�- Date: _izl/ 0017 I Upon completing and signing this Certificat pease return it to the Building Division in order to final your building permit. SB4072015.doc revised 08126115 BUILDING PERMIT CANNOT BE FINALED ANDC©MPI ETED UNTIL T�IiS ; CERTIFICATEAHAS SEEN r iii ANi) R� ILI32NED Tfl THCTIIIDIG:DiVIItiN° 1. If the existing plumbing fixture water usage/flog rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /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 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 2.5 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 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/flog rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 08126115