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B-2017-0193CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0193 19928 TWILIGHT CT CUPERTINO, CA 95014-2304 (316 3103 1) ATKINSON CLIMATROLLER INC SAN JOSE, CA 95112 OWNER'S NAME: PURANIK RAJIV AND MANISHA TRUSTEE DATE ISSUED: 01/31/2017 OWNER'S PHONE: 408-366-2897 PHONE NO: (408) 294-6290 LICENSED CONTRACTOR'S DECLARATION - BUILDING PERMIT INFO: License Class C-20 Lie. #258540 Contractor ATKINSON CLIMATROLLERS 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 RE IDENTIAL 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 2 MNACES (SAME LOCATION); INSTALL (I) AC UNIT 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 �pe'rformance 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: $11888.00 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: Occupancy Type: and state laws relating to building construction, and hereby authorize 316 31 031 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 XPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 80 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. -7� 4/`l/ 'Signature,ti Date 1/31/17 Issued by: Ab nde OWNER -B UDER DECLARATION Date: 01/31/2017 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 ' rispected 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 fit st 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) z. I, as owner of the property, am exclusively contracting with licensed Signature ofApplic t: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 1/31/17 I hereby affirm under penalty of perjury one of the following three declarations: ALL RO DF 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. I JAZARDOUS MATERIALS z. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the I iazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Hea Lth & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain complia ice 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 & Safet3 Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additio air contaminants i ally, should I use equipment or devices which emit hazardous is 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 Heal b & Safety Code, Sections25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: L Date:/1 31/17 APPLICANT CERTIFICATION 1 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 I hereby affirm that CONSTRUCTION LENDING AGENCY 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. (VNe) 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 Addres consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal AR DECLARATION Section 9.18. I understand my tans shal1l1 bbe e used a as public records. Licensed e Dat1/31/17 Professional � w • COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 > bUlldingC_cupertlnox ❑PLUMBING I/IMECHANICAL FXELECTRTCAL I I—IMTSCRLLANFnTi.0 MISC PROJECT ADDRESSZ () -&-, ` ' 0 C4 APN # �y OWNERNAME '/ E-MAIL STREET ADDRESS /-I 79t -j - e a -t/ WI CITY v E, ZIP j� �j l FAX !q� CONTACT NAME a It 6, C41 PHON ; A (� 1I E-MAIL ' d6� i % �-y�� / l CJQy"E yyyy aV STREET ADDRESS �� 1-7 tt ( Y-� <I t CITY, STATIFy�ZI�P (,r� - �� FAX - �746I� � ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ CHTTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ®�� I i LICENSE NUMBER/j,5 ® 0j, y LICENSE TYPE C -Z C) cr'COP BUS. LIC # COMPANY NAME V� 1� ��1n CA E-MAIL�d lxn'i9�@' a, i` {�4 ��`� C� FAXV�g_o/ L.L,3 STREET ADDRESS VU 14 I CITY, STATE, ZIP J �V ✓ is B _jJ i t? PHONF�' j 0 8 Ci `� "� j G,r ARCHITECT/ENGINEER NAME LICENSE NUMBER I� BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or DUPLEX ❑ MULTI -FAMILY BUILDING ❑ COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECTI FLOOD ZO4E ❑ YES ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK p y� 'n �)L i v9 _],,. LV 15 i�' 0 VV 5 �i o-�'Q: j� t / tai aur- cO i i�' I v n ex— I t TOTAL VALUATION: fly RECE BY: °LAM By my signature below, I certify to each of the following: I am the property owner or authorized agent to act application and the information I have provided is correct. I have read the Description of Work and verify it is ordinances and state laws relating tobuilding ronstruction. I author'ze representatives of Cupertino to enter th Signature of Applicant/Agent: _ `�Jj �i 09 -to Date: on the property o er's beh lf. I have read this accurate. I agree to comply with all applicable local above -identified property for inspection purposes. SUPPLEMENTAL INFORMATION REQUIRED 0MCE USE ONLY £TVER TRF -COUNTER CI EXPRESS U_ C7 STANDARD a P+- © L"GE © MAJOR MEPMiscApp_2011.doe revised 06/21/11 ,0 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Pagel of 3) Project Name: 2016- 0456 Manisha Puranik I Date Prepared: 2017-01-11 A. General Information CF1R-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- 0456 Manisha Puranik 02 Date Prepared 2017-01-11- 03 Project Location 19928 Twilight Ct 04 Building Type Single family 05 _CA--Gi#y-- rtino -- _ welling Unit Nama - 456 Manisha Puranik SC System SC System CFA served system a Dwelling UnitConditioned Installing new SC 07 Zip Code 95014 08 Floor Area (ft) 3200 by this SC ducted containing system Number of Space entirely new 09 Climate Zone 4 10 Conditioning (SC) Systems in 2 component? components? feet of ducts? duct system? this Dwelling Unit: Alteration Type B. Space Conditioning (SC) System Information ,.:. 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Furnace replacement downstairs 1200 Yes No Yes No No No Altered space conditioning system Furnace Altered space replacement add upstairs 2000 Yes Yes Yes No No No conditioning system A/C C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020000911A-000-000-0000000-0000 Registration Date/Time: 2017-01-11.16:37:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-11 16:37:45 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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 Furnas.-— Central gas Central split -fl—new-----—— --- -- -- -- --- Thirfiefd-or— phis—field-or-- replacement heating AFUE 80 cooling SEER 14 Setback section is not section is not add A/C furnace components AC components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and MR -MCH -20-1-1 - Duct Leakage Test 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: <= 15% or <= 10% leakage to outside, or seal all accessible leaks. CF2R and MR -MCH -25-H Refrigerant Charge verification required when refrigerantcontaining components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -2S is required. Exceptions: Duct systems registered with HERS provider as previously seated are.exempt from M.CH-20 .Duct Leakage resting requirements. Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos aree.xempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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: 217-A020000911A-000-000-0000000-0000 Registration Date/Time: 2017-01-11 16:37:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-11 16:37:45 Schema Version: rev 10/16 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: ,/ , �j�'��,,� Faulkner, Cindy (?�%! Cl'G6GGG1ii Company: Signature Date: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2017-01-11 16:37:21 Address: CEA/ HERS Certification Identification (if applicable): 1171 NORTH 4TH STREET -ity{Statz/z[p1- -- --- — --- --- ---- --- -- - -- --- - - — -Rhon 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 ofthe 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 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. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made'available with the building permits).issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance, is. required to be included with the,documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Faulkner, Cindy(ej Company: Date Signed: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2017-01-11 16:37:21 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: 217-A020000911A-000-000-0000000-0000 Registration Date/Time 2017-01-11 16:37:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-11 16:37:45 Schema Version: rev 10/16 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 • building(d)-cupertino.ora 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, R315, and CBC Sections 907.2.11.5 and 4L0.6 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) -- (Smoke alarms shall not be located withiri 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics 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 fetishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section 8314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the buildirtg:wirilno, 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. ii Address: jq% -Tf�l � CT, Permit No I OI 3 Specify Number of Alarms: # Smoke Alarms: F-77 # Carbon Monoxide Detectors: �1 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Si nature....... WJ_A_ � ��.........................................................Date .... Contr ctor Name: 'V � i✓Z Signature. fj�f ti✓ ............. Lic.# ....p.0.....Date:.[./ . 1..., J a Smoke and CO fonir.doc remised 0111012017 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(a)cupertino.org � Owner Name A N (� U Al Q� i t V (� UP, A -M IK Permit No BMT— lel 3 Address � c1 � 7� �liJ � � C fdzA� ( C l C u V C-9-7—it 0 d C� S b 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. TNo 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. 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. TNo 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 11011 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.. Please check ONE of the following: {f�Z 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 -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 followina Daae. I Owner or Owner Agent's Signature: VV/ _, fQ_ k_14 Date: x33 jb � j 17 1 upon completing ana signing tms uertmcate, please return it to the butiamg liivision in oraer to nnai your ouuamg permit. SB407 2015.doc revised 08126115 1. If the existing plumbing fixture water usage/floe rate is equal to or lower than the tigure shown, it is not requirea to ne upgraaea. SB407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /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 0.5 gallons/flush 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/floe rate is equal to or lower than the tigure shown, it is not requirea to ne upgraaea. SB407 2015.doc revised 08/26/15