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B-2017-0426CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1658 S STELLING RD CUPERTINO, CA 95014-5232 (366 24 044) OWNER'S NAME: COOK MICHAEL J AND SONJA L TRUSTEE OWNER'S PHONE: 408-996-6745 LICENSED CONTRACTOR'S DECLARATION License Class C=20 Lie. #740999 Contractor BIGHAM SERVICES INCDate 10/3112017 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: 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. r r.' 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 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_lbpCup�o nicipaLCode, Section 9.18. Date 3/15/2017 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. 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. 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. 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 3/15/2017 CONTRACTOR: PERMIT NO: B-2017-0426 BIGHAM SERVICES INC SANTA ROSA, CA 95404 DATE ISSUED: 03/15/2017 PHONE NO: (707) 545-1800 BUILDING PERMIT INFO: X BLDG —ELECT _ PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE FURNACE AND A/C; DUCT REPLACEMENT (SAME LOCATION) Sq. Ft Floor Area: I Valuation: $22196.00 APN Number: Occupancy Type: 366 24 044 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby A ende Date: 03/15/2017 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 ofApl Date: 3/15/2017 ALL ROOF COVERINGS TO BE CLASS "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, Se ' 25505, 25 and 25534. Owner or authorized agent: _ Date: 3/15/2017 CON CY 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 r GENERAL PERMIT APPLICATION ROMP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building9cupertino.org I IPLUMBINCT N-11MAC'TTAMTC AT. nT.T MISC - ^ -- PROJECT ADDRESS1 k53 V ----- --- 1 -via 1 Pj, ! LJiv 7N# f reLLfftilVDVVJ 044 4y OWNER NAME 0 in D k PHONE 0,8 _ 67+5t MAIL STREET ADDRESS c 1 6 S �,o )10 - C TY, STAT ,, ZIP ^� u �r A- 8301 FAX CONTACT NAME KI 1 pgO 7d7� r-^ �� ` `/ `✓'1 U �L STREET ADDRESS o kl� W1 9111 C � E, ZIP p ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR R CONTRACTOR AGENT. ❑ ARCHTTE T ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMB!jMq I LICENSE T e BUS. LIC # ;�yj'� COMPANY NAME , I ' 6ar WhicA �- `f E-MAII FAX STREET ADDRES a j CIT TAT ZIP n 6k 15 D P 7h 34 =1800 AR CHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF RMIDUPLEX ❑ MULTI -FAMILY B=ING: ❑ COMMERCIAL PROSECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN FLOOD ZONE Q YES 0 NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION III LAC C _I L►1« - a w e SEE I b - nn QVC 6 TOTAL VALUATION: 2 / RECEIVED BY: By my signature below, I certify to each of the I am the property owner or authorized agent to act on the property application and the information I have Ided is torr t. I hav the Description of Work and verify it is accurate.I ordinances and state laws relating t ld-Z cons b . authori re r ves of Cupertino to enter the above- Signature of Applicant/Agent: e Date: J— owne s behalf. I have read this agree to comply with all applicable local enti_fiI ed property for inspection purposes. UPPLEMEN FORMATION REQUIRED OFFICE USE ONLY w ❑ OVER-THE-COUNTER ❑ EXPRESS U ❑ STANDARD v ❑ LARGE - A ❑ MAJOR MEPMiscApp_2011.doc revised 06121/11 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) ,Project Name: 1658 S. Stelling Rd. I Date Prepared: CF1R-ALT 02-E (Page 1 of 3) 2017-03-13 A. General Information CF113-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 1658 S.,Stelling Rd. 02, , Date Prepared 2017-03-13 03 Project Location 1658 S. Stelling Rd. 04 Building Type Single family 05 CA City Cupertino 06. Dwelling Unit Name 1658 S. Stelling Rd. 07 Zip Code 95014 08 Dwelling Unit Conditioned 1758 Floor Area (ft2) SC System SC System CFA served system a refrigerant Number of Space Installing 09 Climate Zone 4 10 Conditioning (SC) Systems in 1 ducted containing system more than 40 this Dwelling Unit: entirely new B. Space Conditioning (SC) System Information 01 02 03 04 051 06 :-r_' 08 "09 10 Is the SGµ listalling 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 (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space System 1 Location 1 1758 Yes Yes Yes Yes No No conditioning system 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-A020080530A-000-000-0000000-0000 Registration Date/Time: 2017-03-13 20:43:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-13 20:43:40 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: �7 Schaff, Kevin CJ��%�' Company: Signature Date: BIGHAM SERVICES INC dba ONE HOUR HEATING & A/C 2017-03-13 20:43:44 Address: CEA/ HERS Certification Identification (if applicable): 1400 PETALUMA HILL RD 740999 City/State/Zip: Phone: SANTA ROSA CA 95404 707-545-1800 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 energy features and performance specifications, materials, components, and manufactured devices for the buildingdesignor 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.,this Certiflcate bf d6mbliance are'consisteAwith the 6` ormattop provided on other-appl cablis compliance documents, worksheets, i�, rt calculations, plans and specifications submitted to the enforcementi agency for,approval`$wlf� this building permit apollicatign. 5. I will ensure that a registered copy of this Certificate of Giornpliance shall berma'de�ayallable wlth ,the buildi.ngpermit(s),,issued for,the dildlog and made available to theienforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Colnpliance,ls,requjred to be,included with the,documentation.,therbuilder proyides tq.the building owner at occupancy. Responsible Designer Name: � } „1i ;; 1 1 : J +- Responsible De§igrier Signature: , - � `� Schaff, Kevin �/� C��- // Company: Date Signed: BIGHAM SERVICES INC dba ONE HOUR HEATING & A/C 2017-03-13 20:43:44 Address: License: 1400 PETALUMA HILL RD 740999 City/State/Zip: Phone: SANTA ROSA CA 95404 707-545-1800 Digitally signed by Ca10ERTS. 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-A020080530A-000-000-0000000-0000 Registration Date/Time: 2017-03-13 20:43:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-13 20:43:40 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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 new11 new System 1 furnace heating AFUE 96 en ra split AC cooling SEER 16 Setback Greater than R-6 components components 40 feet 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 CF313-MCH-20-11 - 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). CF2R and CF311-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 Testing requirements Heating -only systems and Air Handler Furnace changes do not require verificat!6W Air Floyy MCH' 23?.,Iot"Refrigerant Charge MCH 25 N Y` Existing duct systems constructed, insulated or sealed with asbesto, ,;are exem�C'from MCH=2tl DuCt;Len1kage Testin"g,require�renfs. E. Entirely New or Complete Replacement Duct,81yftern, with or without Equ piment Changeout (Sections 150 2(b)1Dua 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-A020080530A-000-000-0000000-0000 Registration Date/Time: 2017-03-13 20:43:44 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-13 20:43:40 Schema Version: rev 10/16 w 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(-cupertino.org PERMIT CANNOT BE FINALED -UNTIL THIS CERTIFICATE HAS BEEN COMPLETED, Sffi Ll2, AND ET �-�%HUD TO THE BUILDING DIVISION 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- 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 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: 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 within 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 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 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. Address: Permit No, P 201--) -041'& Specify Number of Alarms: # Smoke Alarms: FT -1 # Carbon Monoxide Detectors: 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: �t Signature ... ............... ................................................................... Date: 32y!i Contractor Na e: Signature...................................................................... Lic.#........................................ Date:................... Smoke and CO form.doc revised 0111012017 GUPERTtN Owner Naive Address MATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 -3333 • buildingna.cupertino.ora 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. Ga"'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. F-� '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. KNo 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 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. . Q 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.. Pl ase 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 ofwhether 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 page. Owner or Owner Agent's Signature: U �NWD Date: i �-Z4 q7 Upon completing and signing this CeitificaflcJplease return it to the Building Division in order to final your building pen -nit. SB407 2015. doc revised 08126/15