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B-2017-0416N CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0416 19920 MERRITT DR CUPERTINO, CA 95014-2444 (316 30 022) ECO SYSTEMS HEATING & AIR SAN RAMON, CA 94583 OWNER'S NAME: FONG FRANK Q L AND MAY M Y TRUSTEE DATE ISSUED: 03/13/2017 OWNER'S PHONE: 408-718-0269 PHONE NO: (888) 483-5869 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C46 Lic. #924909 Contractor ECO SYSTEMS HEATING & AIR Date 11/30/2018 X BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing - MECH X RESIDENTIAL COMMERCIAL X — — with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REPLACE (E) 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. 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: $1750.00 APPLICANT CERTIFICATION 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 30 022 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. WITHIN 180 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. Signature. -, G5c,5 ,Qd i mii e Date 03/13/_2017 Issued by: ME OWNER DECLARATION Date: 03/13/2017 -BUILDER 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) z. 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: 03/13/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF 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. HAZARDOUS MATERIALS DISCLOSURE z. 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 s. I certify that in the performance of the work for which this permit is issued, I Health & Safety 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. 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: 03/13/2017 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance 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 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 DE I understand my plans shall be used as publicblit records. records. Code, Section 9.18. Licensed Signature Date 03/13/2017 Professional COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 E-- � RTINO (408) 777-3228 • FAX (408) 777-3333 • building&cupertino.org CUPMISC [:1 PLUMBING Iv MECHANICAL nELECTRIC,AL nMIscF.I.I.AWnIIc PROJECT ADDRESS 19 2© � G r r P (Lr _ APN #3J0 / s -� (J OWNER NAME PHONE®" �+ 8 �� (A T E-MAIL STREET ADDRESS roG �✓ Y.V` CITY, STATE,4P FAX1I4 -Gr )ce. -C q S a CQNTACT NAME g Z �)G83 B PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OwNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHrrECT ❑ ENGINEER ❑ DEVELOPER ,, ❑ TENANT CONTRACTOR NAME C e S X G rG IML CjAd ?FI LICENSE NUMBER? l LICENSE Tcy6 BUS. LIC # COMPANY NAME1 l a e®S 43^f-E� E-MAIL FAX Z 07 10 STREET ADDRE S i4'4 r+^+®®a rk Z®O CITY, STATE, ZIP SM+ it 4-1-0 C4 7ij 5,9 3 PHONE god, ple ®o ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E -MATT FAX STREET ADDRESS CITY, STATE, ZIP PHONE. USE OF ❑ SFD or DUPLEX ❑ MULTI-FAMH.Y BULDING: ❑COMMERCIAL PROJECT IN WHALAND ❑ YES URBAN INTERFACE AREA F] NO PROJECT IN ❑ YES FLOOD ZONE El No IS THE BLDG AN ❑ YES EICHLERHONIE? ❑ NO DESCRIPTIO) l OF WORK ^ L ' lr^_rl�� —� 1 �e.W°fi a TOTAL VALUATION: ' ®� 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 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 above -identified property for inspection purposes. Signature of Applicant/Agent: " � KYGi>'�G! Date: V30 1 IT SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY W ❑ " OVER-THE-COUNTER E ❑ EXPRESS v ❑ STANDARD ❑ LARGE - a. ❑ MAJOR MEPMiscApp_2011.doc revised 0612.1111 ALTERATIONS - HVAC Bell, CEC-CFIR-ALT-03-E (Revised 01116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-03-E Alterations - HVAC CZ 1, 3 to 7 and 16 (Page 1 of 1) Site Address: It A� Enfprcemen Agency: Dat Prep red: Permit#: g92® ,.c, -r t �eG c%u /1I,.w /� 3j7 2011-04 Equipment Type Equipment Efficiency New: Ducting or Lineset Required R -value Conditioned Floor Area (ft) Thermostat ❑ Packaged System ❑ Evaporator Coil 0`1 AFUE COP ❑ R-6 (CZ1-10,12&13) Ducts Served by system ❑ Setback ❑ Split System ❑ Condensing Unit SEER ❑ R-8' (CZ 11,14-16) Ducts ft (if not already ❑ Furnace El Lineset EER HSPF 11 >R-2.8 Lineset' 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. 9&1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: (Can include new ducting) All Equipment, CF1k-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MCH -01, MCH -20-H Air Handler/Furnace CF3R: MCH -20-H Installer Requirement: Duct leakage (< 15% or, <_10% 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 113. 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 DuctsZ CF1R-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)-H2 Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 350 CFM/ton (or Standards Table 150.0-13 / C alternative) 113. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: Includes replacing or installing All New CF111-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, MCH -(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. ❑ 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 Ducts2 CF2R-MCH-20-H CF3R-MCH-20-H Installer Required to: Duct leakage (< 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. 2 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. a R-2.8 W' 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. ' I 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 Designer Name: Responsible Designer Signature: " k� �z Date Signed: 0-31,1)1)11*)061 License: Co any: cc�rSYf�M�Meq�l ad2a,. Address: I Jcc(W®mc� /d Zv® City/State/Zip: .d �LA"'ve& tF3 Phone: n®'�aD &0 LIP For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 4 . SMOKE / CARBON.MONOXIDE ALARMS IR 7- # • OWNER CERTIFICATE OF COMPLIANCE COMMUNITY,DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300'TORRE AVENUE• CUPERTINO,CA 95014-3255 .' (408)777-3228•FAX(408)777-3333 ebuildinq(a cupertino.orq Z — ' L Permit No � _ ' o Fe , 1infi, fi %:7r'u? Address Zr ' f7f v2I s � N*- of Alarms .Sinoke/ Carbon Monoxide s w w z q gta a�PERMIT CANNOT=SE FINALED AND COMPLETED UNTILVTHIS CERTIFICATE ]f ` ' 3 HASSEEN SIGNED AND�jtETURNF1D TO THE BUILDINkDWISION =L PURPOSEr • This affidavit is a'self-certification for,the installation of:all required Smoke and Carbon Monoxide Alarmsfor 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 dwellirigs'shall..be provided with Smoke:Alarms and Carbon Monoxide alarms. When the valuationof additions, alterations, or repairs to.existing,dwelling units 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'. ''X X bedrooms) On every level of a dwelling'unit including basements- ' • -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 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 isl required for alarms which,rnust 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 have been tested and are operational, as olf the date signed below. ',. . I have read and agree to comply with-the terms and conditions of this statement ' ' Owner(or Owner Agent's)Name: ,t_1^ &4" agli;SgatUre �.,r.S n, ? J"f.__ yr y . 4. 8 "ri rs r Date � 0of 7 Contractor Name: '',";- , •• _ ' - 'fifi 0.1 t - r . '-Q ? - rSignatuie ••-• .�. ..i .,c.7:,='.-:,.tiY_ 3.t f ,''; c:ic#...:3A.... : ..Date: mss.: l Smoke and CO forin.doc revised 03/18/14 .'g WATER-CONSERVING PLUMBING FIXTURES Fit a _ OWNER CERTIFICATE OF COMPLIANCE q-)-7-i 1 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTINO D }408)777 3 FAX(408)777-3333•buildinq a(�,cupertino.orq ,.., Owner Name ' Fo G Permit No. V f Z077 4_ .0 6. Address 76 2� 1&02 /) 1Z. u/ .Ti/k/c 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. ,}'0No Go to Question 2. ejTf.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. AO 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. g o Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 4l 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. : tfre es My real property is built and available for use or occupancy on or before January 1, 1994. "14, 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: 0,0 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 following page. Owner or Owner Agent's Signature: Date: 9`�A3 5u, / Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.r�'" SB407 2015.doc revised 08/26/15 BUILDING PERMIT CANN OTgBE FINALED f,AND CO,MPLETEDE UNTIL THIS ;_, ,CERTIFIC.�A. AS BEENN$IGNM: AND ATO TA HE"`BVILDTNG t}I�ISTON _ .-. • d� '�'/n',� �y�E"3'1d1�`t'�ts�P3,� �3A"'^' � S,�:f �"�7'}ya � 9 ii� .3-Y -rR Yqy 2.C'S �` �"A � g A•, s.. a�a•aw�?ar3 ..Zc" u '�" .'�'�`:..»'"'�. .a..mo . '4 a - Hi s�} V �,'�"i+� Ai s i x .,'�'t' x3 1�c xr ate`ram Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixturel • - (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type ' 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC,Ch. 4 Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div. 4.3, 2013 CALGreen Div. 5.3 /Flow Rate • 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 Lavatoryper 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'p`sr the above are'unavailable, Whei'e faucets meeting aerators or other means the above are may be usedito achieve= 'unavailable, aerators'or 'ieductions`' othersrreans`maybe'' used'to'achieve ' a...: ;� :, reduction . yt 1. If the existing plumbing,fixture.water usage/flo.w rate is equal'to or lower than the 5gure'shown,'it is not required to be upgraded.. ( SB4072015.doc revised 08/26/15