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B-2017-0111C. CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-01 11 21706 NOONAN CT CUPERTINO, CA 95014-5912 (357 19 071) FLANDERS HEAT AND AIR SYSTEMS INC PLEASANTON,CA 94566 OWNER'S NAME: GOYALMANO7 AND MONICA I I DATE ISSUED: 01/2312017 OWNER'S PHONE: 408-656-8226 PHONE NO: (925) 461-3333 License Class a Lic. #5= Contractor FLANDERS HEAT AND AIR SYSTEMS INC Date 04130/2017 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. I hereby affirm under penalty of perjury one of the following two declarations: L I have and will maintain a certificate of consent to self -insure for Worker's BUILDING PERMIT INFO: X BLDG — ELECT —PLUMB X MECH X RESIDENTIAL _ COMMERCIAL DESCRIPTION: ,ACE FURNACE; REPLACE AC (SAME PLACE) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. oO . 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: $8000.00 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 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 may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 01/23/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) i. '1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: s. 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. ' i. 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. 3. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of 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 bedeemedrevoked. APP ICANT CERTIFi CATION 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 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 may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code; Section 9.18. Signature Date 01/23/2017 "N Number: Occupancy Type: 35719 071 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim )t, na bar Date: O1/2L/2017 RF ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 01/2312017 ALL ROOF COVERINGS TO BE CLASS "A" HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous, material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.1.2 and the Health & Safety Code, Sections 2!i505,25533, and 25534. Owner or authorized agent: lts "•-- Date: 01/23/2017 CONSTRU TION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATI9T I understand my plans shall be used as public records. Professional COMMUNITY DEVELOPMENT DEPARTMENT ° BUILDING DIVISION 1O8OOTORREAVENUE ^CUPERTNO.CAS5O14-3255 (408) T77-3228,FAX 44U8 T77-3333^ ` 26/~ � _ UMBING ^_~.L _ R_—__--_ ^~__—_—__ F~.~~~~~.~.~~ PROJECT ADDRESS APN# STREET ADDRESS 2-(Io(o JQ00Vlan i�jb(,ul+- CITY, STA M, CA FAX STREET ADDRESS Cffy� STATE,_f 140—R 11 OWNER -BUILDER 13 OWNERAGENT CONTRACTOR 11 'ARCHITECT 13 ENGINEER EI DEVELOPER 0 TENANT CONTRACTORNAW f,,_6 LICENSE N(RqBER LICENSE TYPE BUS. LIC # 3 NAAM STREET ADDRESS 7 MY, STATE. ZIP q CONVANYNANIE E-MAIL FAX STREET ADDRESS CfTY, STATE, ZIP PHONE DUPLEX MULTI -FAMILY BUILDING: -OZOMMERCIAL PROJECT IN WILDLAND YES URBAN INTERFACE AREA [3 NO CT IN 0 YES FLOODIONI 0 NO IS THE BLDG AN 0 YES EICHLERHOME? [3 No DESCRIPTION OF WORK By my signature below, I certify to each of the following: I am the Property Owner Or authorized agent to act on th erty 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 to Comply With all applicable local ordinances and state laws relating to building consS-on., I authorize representatives of Cupertino to enter the abolve-identified prope for inspection purposes. Sign Rent, SUPPLEMENTAL INFORMATION REQUIRED MEPMiscApp All.doc revised 06121111 ALTERATIONS - HVAC �. CEC-CF1R-ALT-03-E Revised 01/16 CALIFORN[AENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-03-E Alterations - HVAC CZ 1, 3 to 7 and 16 (Page 1 of 1) Site Address: 1 Enforcement Agency: Date Prepared: Permit#: EquipmentType V�q Equipment Efficiency New: Ducting orLineset;� Conditioned Thermostat Required R -value d�" Floor Area (ft) ❑ Packaged System ❑ Evaporator Coil ^ AFUE COP R R-6 (CZ1-10,12&13) Ducts Served by system ❑ Setback Split System ❑ Condensing Unit 141 SEER ❑ R-8' (CZ 11,14-16) Ducts ft' (!f not already 13 Furnace ❑ Lineset EER HSPF 11 >_ R-2.8 Lineset3 present, must 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. Y-1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: _ (Can include new ducting) All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MCH -01, MCH -20-H Air Handler/Furnace CF3R: MCH -20-H Installer Requirement: Duct leakage (5 15% or, 510% to outside, or seal all accessible leaks) Exempted from duct leakage testing if: ❑ 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_ ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF111-ALT-02-E CF2R-MCH=01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H' Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 350 CFM/ton (or Standards Table 150.0-B / C alternative) 113. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: Includes replacing or installing All New CF1R-ALT-02-E Ducts' and one or more of the following: CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H Condenser Unit, Evaporator Coil, Furnace CF3R-MCH-20-H, MCH7(23 or 24)-H Installer Requirement: Duct leakage < 5%, Air -Flow > 350 CFM/ton (or Standards Table 150.0-B / C alternative) ❑ Exempted from duct leakage testing if existing duct systems are constructed, insulated or sealed with asbestos. 114. 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-MCH-20-H CF3R-MCH-20-H Installer Required to: Duct leakage (:S_15% or, < 10% to outside, or seal all accessible leaks) ❑ Exempted from duct leakage testing if existing duct systems are constructed, insulated or sealed with asbestos. ' All new ducting requires R-8 insulationwhen more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 & 13, and R-6 insulation when less than 40 ft installed. This includes in walls, between floors etc. ' A New Duct system is when the duct system is constructed of at least 75 %new duct material, and up to 25%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-2.8 (1" thick insulation) for linesets 1" and less. 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 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. Responsible Desi ner Na��1r991 e: Responsi Designer Signature: Date Signed: � � License � '25-0,:) 5�� 6 CQM1 any: `QC's ��( P��j� a Sl�.�,� _ Address: ,// ( s f�fl�S City/State/Zip: _ Phone: C.-C11S 6-6 qcj �� f`lli�"C�� u.S(,Kvts°^a ✓�� For assistance or questions regarding the Energy Standards,, contact the Energy Hotline at: 1-800-772-3300 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE_ AVENUE • CUPERTINO, CA 95014-3255 PURPOSE W C91 This affidavit is a self -certification for. the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, R315, 2016 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 8314, 8315, 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) _ (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics X_ _ X Within each sleeping room I 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 CSC 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 CSC 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. r �,r Address: +� �� L �1�`�el� _ Permit No. Vt� �� Specify Number of Alarms: # Smoke Alarms: F777 l # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: 'm 0 i1j I cj&0 4 T L— signature .....................`".A°.......................................................................Date:,�...r.�! .�.. Contractor Name: i ..... ....... ................. —.................................. Lic.# ...................................... Date:................. Smoke and COfo7-7n.doc revised 01/10/7.017 CUP RTIN Owner Name o, 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 M Address cl 1 4 . f C' p j,' (�'°1 �' .(.�ef_ l kj o CA Z mu 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. ,21"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. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. d No Go to Question 3. `7 ` 3. Is water service permanently disconnected for your building? ❑ �'es 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 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. 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: 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 properly, certify under penalty of perjury 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 the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following age. Owner or Owner Agent's Signature: Date: / �i- Upon completing and signing this Certificate, plea' e return it to the Building Division in order to final your building permit. I SB4072015.doc revised 08126115 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. SB4072015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (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/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 08126115