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B-2017-0065 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0065 8019 PUMPKIN CT CUPERTINO,CA 95014-4902(362 02 045) N90 CONSTRUCTION SAN JOSE,CA 95135 OWNER'S NAME: WOLFSON MARTIN DATE ISSUED:01/11/2017 OWNER'S PHONE:408-623-8477 PRONE NO:(408)966-5268 LICENSEDLICENSERCONTRACTORala BUILDING PERMIT INFO: License Class a Lic.#906011 Contractor N90 CONSTRUCTION Date 11/30/2017 X BLDG _ELECT _PLUMB 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 license is in full force and effect. JOB DESCRIPTION: REPLACE WINDOW(9)-LIKE FOR LIKE TO MEET EGRESS;(N) I hereby affirm under penalty of perjury one of the following two declarations: PATIO SLIDER DOOR(1); I have and will maintain a certificate of consent to self-insure for Worker's REPLACE FURNACE SAME LOCATION;(N)A/C UNIT Lr Compensation,as provided for by Section 3700 of the Labor Code,for the rperformance 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. Sq.Ft Floor Area: V.luation:$16000.00 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 APN Number: 0 cupancy Type: and state laws relating to building construction,and hereby authorize 362 02 045 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 EXPI' S IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 D S OF PERMIT ISSUANCE OR Additionally,the applicant understands and ill comply with all non-point source regulations per the Cupert'ncs'Uu.idi al Code,Section 9.18. 180 DAYS FRO LAST CALLED INSPECTION. i Signature' ___.. d' _____..s,......- Date Issued by:AbbyAyende Date:01/11/2017 OWNER-BUIL) DECLARATION 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• 'or to any roofmg 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 ob.'.',g 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 Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date: I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF CO E RINGS 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. HAZARD* MATER A S 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&Safe Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with t,e 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,Se don 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,sho ld 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 wi h 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 25505,2 3,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: .�'__— _ I certify that I have read this application and state that the above information is s k.. M. t.1r!! ,ING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a orlon lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit ii sued(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. I understand my plans shall be used as public records. Licensed Signature Date Professional I -- --v-v-- v r —. CONSTRUCTION PERMIT APPLICATION 1 ...„,,,, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISIONB , ,..,-s,I,s 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildin cu ertino.or CUPERTINO ---20174-7 c)060,5- . ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISION/DEFERRED ORIGINAL PERMIT#J _ i PROJECT ADDRESS I R5 p,K Q APN# 2 4 13 CI YVN Jct 02 S OWNER A 101/1 M two;IN r% (.23-%4'7-) .=-MAIL STREET ADDREStest)!4111 PV J IA, • C ,I liATE,4 ci14` s o l Li FAX CONTACT Nrin GV CI' Z W i t 4 P�8 i l�C6 Ir it( V-V V ii-r-c,®s_eto cztAvto,c ht,.. 6 STN S Vt#10, �b f C1 CJATATE 5 G 044 L 5-13 c FAX 1:1 OWNER 0 OWNER-BUILDER 0 OWNER AGENT 4CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHTTECI 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRA iv / �.O 1 (/h. e ♦?t LICE L a 9 4/WO l�.1 6EN E•t Li V co I�,``�� .. ` "l CENSE TY' j BUS.LIC# COMP�gV W ✓V �a Din ��w. Lamy 9 A)01 0 "O ".3feve/�6CW.tL.,.FAX STRF,$Ta t moo, I444 / C NwA !c C•p• `S 13.- CibIi-i 6 6-s Z G ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK l ` �) j� (1 r �Y►5T'Vt l A !' YVe' vV Vi Irt.�bw. I�'v4rc caths L4PC Art . w e f kimet} J revc.4*VS E WC.vi cIift", 5A.V E- LbC NAiI aw• I tk rwc+(... +''vi t44. tir.5k4I Alt--4A, A V w F Si G-.l 1""Si - EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES 1 USE TYPE OCC. SQ.FT. VALUATION EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA 1 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑DETACH ❑ATTACH #DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? kottO ADDITION? WO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY` - TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? A.NO (r By my signature below„I certify to each of the following: I am the property owner or authorized agent act o 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 agree o comply with all applicable local ordinances and state laws relating to b •Iding cons u ,., Iauthr-to representatives of Cupertino to enter the above-id ntifie property for inspection purposes. ,/� ". ,� I r / Signature of Applicant/Agent:/ �-•• Date: f/ • SUPPLEMENTAL IN O ATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-TIIE COUNTER 0 BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. 0 EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0,STANDARD • ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. 0 LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR CI SANITARY SEWER DISTRICT submittal of Building Permit application. 1 ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 / . i` �5 ('V4�w11tvbov." -ro j :1 III V [ N6 6 f d.GdlJsW .'{ vw a- e Ea }p.... 0' LUPE r ' Buitding DepaltnlelI �.r f j4N 1 1 2017 (,,()DE COMPLIANCE ' ► iewed By. C� PLOT PLACF-iK V!"? DATE PLANNING DEPS I CLJPFRTINC) o . l �C� aCUM[l[AANCE Data: O U HI yam,- • �c W. "k Building Departme wrnt�vr,,r - _ JAN 1 12017 REVIE Vii) FOR CODE COMPLIANCE �i.�' ter' kV A1D41W Re .wed By:-,�C.{..�, tri AIC- � , , PLOT PLANS CHECKED Ry DATE I l I 1 PLANNING DEPT CUPERTINO °iiIIdi°hung I) e p a rt:int ein't E V U UEU':'.': U:) F U'3 CODE CONA['[AANCE oIevue ad ByAbL)y Ayaride STATE= OF CALIFORNIA ALTERATIONS - HVAC MAU CEC-C17IR-ALT-03-E (Revised 06114) - CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE _ CFIR-ALT-03-E Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Dae Prepared: Permit##: 1 •322 Equipment7ype Equipment Efficiency New; Ducting, Plenums, Llneset C diti ned t Required R -value Floor Area (sq ft) 12 Packaged System ❑ Evaporator Coil AFUE COP CrR 6 (CZ1,3-7) Ducts Served by system etback ❑ Split System © Condensing Emit _ SEER ❑ R-8' (CZ 16) Ducts ML—sq ft (If not already urnace Lineset EER HSPF D R-6 (all CZ's) Plenums present, must LOR-5 or R7.5 Lineset' 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, S. HVAC CHangeout/Repair Required Compliance Documents to be left on site for Final: Can -include new ducting All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS Air Handier/Furnace CF3R: MECH-20-HERS Installer Requirement: Duct leakage (:S.IS% or, < 10%to outside, or seal all accessible leaks) Exe pied from duct leakage testing if: r1. 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_-.__] ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: 'All new equipment and All New Ducts' 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) -HERS' Installer Requirement: Duct leakage <_ 6%, Fan Efficacy (.58W/CFM), Air Flow -: 350 CFM/ton (or Standards Table 150.0-C J 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: CF2RW ECH-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;-, 350 CFM/ton (or Standards Table 15D.0 -C/ D alternative) ❑ Exempted from duct leakage testing I existing duct systems are -constructed, insulated or sealed with asbestos. 0 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: " Adding or replacing ducts in unconditioned CFIR-ALT-02-E space but less than All New Ducts' CF2R: MECH-20-HERS CF3R: MECH-20-HERS Installer Required to: Duct leakage (<15% 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. t 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 atleast 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 iinesets 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%", 5T -4Y" Contractor (Documentation Author's /Responsible Designer's Declaration Statement) 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 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 CCR. 5. 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. Res n W 1) Rner NarZ; Responsible besigner sign r bate SI ned: License: C a Addr t State/Zfp:I fPhone: For assistance or questions regarding Standards, contact the Energy Hotlin(fat. 1.-800-772-3300 tEWl.WI.1) FOR CODE CONA[IILJANCE 1 Date: 0l/°l °l/ l 7