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B-2017-0305CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0305 10385 RIVERCREST CT CUPERTINO, CA 95014-1027 (326 37 005) ALLIED AIRE SERVICE INC MILPITAS, CA 95035 OWNER'S NAME: PILLAIPAKKAMNATT DILIP AND RAGHUNATH PREEt OWNER'S PHONE: 408-242-7636 LICENSED CONTRACTOR'S DECLARATION License Class C-10 Lic. #260035 Contractor ALLIED AIRE SERVICE INC Date 07/31/2017 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. 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 rV performance 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. 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 regulatio r the Cupe ' icipal Code, Section 9.18. Signature Date 02/24/2017 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) 2. I, 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: 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. 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. 3. I 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 be deemed revoked. l 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. Signature Date 02/24/2017 DATE. ISSUED: 02/24/2017 PHONE NO: (408) 934-8844 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE FURNACE (SAME LOCATION) Sq. Ft Floor Area: I Valuation: $3200.00 "N Number: Occupancy Type: 326 37 005 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 02/24/2017 RE -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 ofApplicant: Date: 02/24/2017 "A" OR BETTER 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 9.12 and the Health & Safety Code a 25505, 25533 and 25534. Owner or authorized agent: _ Date: 02/24/2017 CONSTRUCTION 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 DECLARATION I understand my plans shall be used as public records. Licensed Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 N (408) 777-3228 • FAX (408) 777-3333 • building cupertino.org CUPF-IRTImisc" ❑PLTIMBING ' !MECHANICAL ❑ELECTRICAL F— MISCELLANEOUS PROJECT ADDRESS /� �® [n APN OWNERNAME , Z.- ' % P 0 E-MAIL STREET ADDRESS -- - -_-- _ _ - _ _. . _ . _ - CI ,STATE, FAX CONTACT NAME / ! y� PH E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑.OWNER ❑ OWNER-BUIIAER❑��O^^yyWNER AGENT CONTRACTOR El CONTRACTOR AGENT El ARCHITECT I-] ENGINEER El DEVELOPER DEVELOPER ❑ rENAN CONTRACTRDd� SE �BE�R �CE�NS/E�rrYPE _ BiJS. LIC CO N NAME '4� E L �`� �z 7k? STREET ADDRESS CITY, STATE, ZIP PHONE ARCMTECT/ENGINEER NAME R BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP SHONE USE OF 92rSFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WHALAND ❑YES PROJECT IN ❑ YES IS TI3E. BLDG AN ❑ YES BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK TOTAL VALUATION: RECEI B By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf I have read this application and the infonnation I have pr ed 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 Ildin co ction. uthorize epresentatives of Cupertino to enter the above -identified property for inspection proposes. •� Signature of Applicant/Agent: Date: S LEMENTAL INFORMATION REQUIRED OFFICE USE ONLY ❑ OVER THE -COUNTER ❑- EXPRESS ❑ STANDARD V © LARGE P. ❑ MAJOR JWEPMiscApp Z0]1.doc revised 06121111 CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E I Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3) Project Name: Dilip Date Prepared: 2017-02-24 A. General Information CFIR-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 Dilip 02 Date Prepared 2017-02-24 03 Project Location 10385 Rivercrest Court 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name Dilip SC System SC System CFA served Dwelling Unit Conditioned refrigerant 07 Zip Code 95014 08 Floor Area (ft)2500 Identification or Location or Area by this SC ducted containing Number of Space more than 40 09 Climate Zone 4 10 Conditioning (SC) Systems in 1 system? component? components? feet of ducts? this Dwelling Unit: SC system? v `-✓, Jy i". ?Y {Ta K,�JM' •di ' i p '. .1'X,.' '! B. Space Conditioning (SC) System Information ji 01 02 03 04 ' .b> 05 06 r n 07 08 09 10 ``hs the SC' Ir►stallirig 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 Dilip 10385 Rivercrest 2500 Yes No Yes No No No Altered space conditioning system Court C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020061692A-000-000-0000000-0000 Registration Date/Time: 2017-02-24 07:07:35 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-24 07:07:01 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF111-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 Dilip Central gas heating AFUE 81 Central split component section is not section is not Setback section is not section is not furnace components AC altered applicable applicable applicable applicable Required Documentation: MR -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) CF211 and CF311-MCH-20-H - 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 CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF211 and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. Exceptions: Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testin re_ ui is , r T st rpq 'remegtt , a , - Heating only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23 or Refrigerant Chatge MCH Existing duct systems constructed, insulated or sealed with asbestos,are exempt"from MCN`20 DucC+Lekage Testing Cequirements. E. Entirely New or Complete Replacement Duct System, with or without.. Equipment Changeout (Sections 150 2(b)1Dlia 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-A020061692A-000-000-0000000-0000 Registration Date/Time: 2017-02-24 07:07:35 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-24 07:07:01 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: STEINER, ARNIE Company: Signature Date: ALLIED AIRE SERVICE INC 2017-02-24 07:07:35 Address: CEA/ HERS Certification Identification (if applicable): 887 AMES AVENUE City/State/Zip: Phone: MILPITAS CA 95035 408-934-8844 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 the 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 energyfeatures and performance specifications, materials, c a building design or system design identified on this Certificate of Compliance conform to the p p components, and rrlanufactured devices for ,4 requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. t' 4. The building design features or system design features identified on,this Certificate of Compliance are consistent wlth'the mformation,provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the et forcementagency for approval with this building permitapplication. S. I will ensure that a registered copy of this Certificafe`of Compliance shall; be,'ma'de ava)lable with;tM building permits) issued for•the,build,ipg, and made availabie`to+the;enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is, required to b,e included with the,documentation.the,bililder proyides to,.,the building owner at occupancy. Responsible Designer Name: Responsible Des"ig"ner Signature: { STEINER, ARNIE Company: Date Signed: ALLIED AIRE SERVICE INC 2017-02-24 07:07:35 Address: License: 887 AMES AVENUE 260035 City/State/Zip: Phone: MILPITAS CA 95035 408-934-8844 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-A020061692A-000-000-0000000-0000 Registration Date/Time 2017-02-24 07:07:35 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-24 07:07:01 Schema Version: rev 10/16 CUPERTINO SMOKE / CARBON i 40NO IDE ALARMS OWNER. CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - bull dina(c)-cupertino.ora PURPOSE 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 inhere 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, 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: IF AREA SMOKE ALARM CO ALARM I Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) — (Smoke alarms shall not be located within feet of bathroom door) 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 a -1-1d that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply wifh. 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) maybe 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 perinit is required for alarms which must be connected to the building wirilg. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance INTI t ze man and California Residential Co es. Th date signed below. .n_,o Address: s instructions and in compliance with the California Buildilg alarms specified below have been tested and are operational, as of the Permit No. (� � ®' Specify Number of Alarms: _ I Smoke Alarms: t Carbon Monoxide Detectors: 1 have read and agree to comply v✓i h thj terms and conditions of this statement l l {Owner (or Owner Agent's) Name: q 0JtjP fit' L/"-fo`�'y'" ov J I Signature. ................... e .......................................................................................Date: .. ...+ Contractor Name: Signature.................................................................. Lic.# ......................................Date:.................. S17704 -e a»d CO form. doc rerised 01/1012017 Owner N Address s WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 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. o 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 licensedplumber'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. tzK IN o Go to Question 4. 4. Is your real properly 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 1101.1 through 110'1.8 do not apply. Skip the rest of the form and sign bottom of form. "Tn1 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.. J 0_1 5. Plea 'check ONE of the following. - y 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 properly. 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, cel tify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water- nerving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing C 'de and liforma Green Building Standards Code, and manuf turer's installation requirements, and that the water -co se 'ng`pl birrg fixtures comply with the requirements as Indic ted i the table on the following page. Owner or Owner Agent's Signature: Date: Upon completing and signing this Certificate, eas -etum it the Building Division in order to final your buil ing permit. SB4072015.doc revised 08126/15 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the tigure shown, it is not requirect to ue upgraaen. SB407 2015.doc revised 08126/15 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 {ger 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 tigure shown, it is not requirect to ue upgraaen. SB407 2015.doc revised 08126/15