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B-2017-0721CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0721 7524 SHADOWHILL LN CUPERTINO, CA 95014-5052 (362 30 093) ATKINSON CLIMATROLLERS INC SAN JOSE, CA 95112 OWNER'S NAME: WU TZUWEI L TRUSTEE DATE ISSUED: 05/05/2017 OWNER'S PHONE: 408-396-5215 PHONE NO: (408) 294-6290 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class CC -20 Lic. #258540 Contractor ATKINSON CLIMATROLLERS INC Date 12/31/2018 X BLDG —ELECT —PLUMB X MECH X RESIDENTIAL COMMERCL4,L 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. JOB DESCRIPTION: INSTALL (1) A/C 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 performance of the work for which this permit is issued. ,9�cQ z. I have and will maintain Worker's Compensation Insurance, as provided for by lv G Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $8207.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 362 30 093 362 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 A'2,4 �t Date 5/5/2017 Issued by: AbbyAvende OWNER DECLARATION Date: 05/05/2017 -BUILDER I hereby affirm that I am exempt from the Contractor's License Law for one of the RF. -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 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: 5/5/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER t. 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. HAZARDOUS MATERIALS DISCLOSURE 2. 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 I I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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: 60'ez?t'� APPLICANT CERTIFICATION Date: 5/5/2017 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I 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 of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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 A HIT .CT'S DECLARATION 1 understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 515/2017 Professional CUPERTIINO BI - Z'on—nz- I GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinga-cupertino.org MPIIimwwC7 MMFCi-JANIICAI. MEITCTRICAL r_1 MISCELLANEOUS MEP misc PROJECT ADDRESS C ----- - 5 j1 I 'n liv 1 APN # 6^ D ol/� / _ � OWNER NAME � � / V �/ PH _ J l 9 - TE MAIL STREET ADDRESS i ZZ Z 5G GII l C I�, CITY STATE, ZIP �., e,� I -.1 I FAX ,t CONTACT NAME .� I /� PHONE o �J q _ E-MAIL I , ', 1,,P, &6'V I j' d STREET ADDRESS d� TITY,S"11 ZIP `osC�(. �r �✓ i l Zj ` FAX , OWNER AGENT ❑ OWNER 13OWNER-BUILDER 13 OWNER 'OrCONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEP,,,,, LICENSE NUMBER LICENSE TYPE BUS. LIC # )i' 2) COMPANY NAME E-MAIL "t l4Z41 STREET ADDRESS CITY, STATE, ZI J V PHO b ARCHITECT/ENGINEER NAME LICENSE NUMBER 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 PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORKA�J `F- A t -e -n r TOTAL VALUATION: -2-0- 0,0 RECEIVED BY. 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 behal . 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 rep sentatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: y� Date: �/ SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY ❑ OVER -HIE -COUNTER Y ❑ EXPRESS v z ❑ STANDARD z ❑ LARGE o. ❑ MAJOR MEPMiscApp_201 Ldoc revised 06/21/11 F Q CUPERTINO Owner Name Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777 -?228 • FAX (408) 777-3333 • buildin cu ertino.or 2 b I ( _T Z 1, i C"/ . ) l . L 1 Permit No. Irtd cl_,�112A // 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. ❑ 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 fonn. ❑ 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. ❑ 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 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. ❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 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 irnprovernents 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 c0mmercial 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: AY I upon compretmg ana signing urs L-ertrncate, prease return it to the tswramg lirvrsron in oraer to nnar your bunging permit. SB4072015.doc revised 01/05/17 1. If the existing plumbing fixture water usage/t1ml rate is equal to or lower than the figure shown, it is not requirea to oe upgraaea. SB407 2015. doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (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 Rafe 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 i 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/t1ml rate is equal to or lower than the figure shown, it is not requirea to oe upgraaea. SB407 2015. doc revised 08/26/15 re"s -�� SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE i COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION C UPF N I 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin c�cupertino.org Smoke: 6'�� 7-07 -z–/ PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2.013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.1.1.2 where no interior access for in ;sections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon :,/Ton.oxide alarms. When the valuation of additions, alterations; or repairs to existing dwelling units exceeds $1000.00, CRC Section R.314 and CBC Sections 901.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon ,kT, noxide Alam, -is lie installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of. the X X i bedrooin(s) On every -jovel of a dwell unit inchtding 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. monoxide alarms combined with smoke alarms shall comply with CIjC Section 420.6 acid shall be approved by the Office of the State Fire Marshal. Power Supply- In. &,jelling 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 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 building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been ins+alled 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 of 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: J Zai GtJeV" "A... nature......_ �:......0 ..,. (/..v.. Date: .L _ d. Cantracaa.* Name: ---__—_.— — __ Signature................................................................... Lic.#...................................... Date: ................... Smoke and C'O fo;wn.doc• revised 03/18114 'Neu) 1� c qfxk� I A. ........... any KED BY C U ID l3ufldhing I)e partiiPliiiiiiAN N I N4 DEPT CUPERTINO REWEMED F�Ul CODECMMI[AANCE RevkMe�J ByAbby Ayeinde Date, cry/cry/,n.7 CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly Ci: -1R -ALT -HVAC) (Page 1 of 3) Project Name: 2016- 0705 Ellen Wu I Date Prepared: 2017-05-05 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 CFIR-ALT-02 document for each dwelling unit. 01 Project Name 2016- 0705 Ellen Wu 02 Date Prepared 2017-05-05 03 Project Location 7524 Shadowhill Ln 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name 2016- 0705 Ellen Wu Dwelling UnitConditioned Ir staII! ga �i 07 Zip Code 95014 08 Floor Area [ft ) 1800 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 Informatiion --Tk 01 02 03 � 04 05.a� 06 10 � � "Is the SC Ir staII! ga �i m 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 Add AC Whole House 1800 Yes Yes Yes No 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-A020148126A-000-000-0000000-0000 INEW111111MI Registration Date/Time: 2017-05-05 10:16:40 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report V6rsion: 016.T0 Report Generated: 2017-05-05 10:16:57 Reviewed 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 Central gas No heating This field or This field or C Central split All new This field or This field or Add AC furnace component section is not section is not AC cooling SEER 16 Setback section is not section is not altered applicable applicable components applicable applicable Bgyuimd 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 CF3R-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 outsi'& or seal all accessible leaks, CF2R and CF3R-MCH-25-H Refrigerant Charge veri€ication'inequired when refrigerant containing components are installed or altered (app€icable in CZ 2, 8-15). CF2Rand CF3R-MCH-23 Airflow Rate >'300CFM, efton!iegwredwkzOMNLCKi2&isrequired Exceptions: a _" Duct systems registered with HERS provider as pEeyiously sealed are exeplj�t from -MCH20 Duct Leakage lestieg re&gWrerrlerq, ,�. -- Heating -only systems and Air Handler Furnace c446gos do not regGireve'rifica,. cat'N of Air Flow MCfi 23€arRefrigeraiit Cha�ge -Existing duct systems constructed, insulated or sealed with asbestgs�re exerrp from MC 2Ti C41- akage Testj&FPgull _ T, - E. Entirely New or Complete Replacement 1) t�ystem, with or without Eq l lment Cb ngeQut Sectlgns�'SA 2(�) ®na-and.1�0.2(b)1E, F} W3 .: 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. 1-dila Department Registration Number: 217-A020148126A-000-000-0000000.0000 I MURMURI Registration Date/Time: 2017-05-05 10:16:40 HERS Provider: CaICERTS EVIE ED c CODE COMM�r_ CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-05 10:16:57 Reviewed Dal i tOVO#'_ _ 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: �/ ' �, Faulkner, Cindy !/ Cr'GlGGClt��I2P/li Company: Signature Date: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2017-05-05 10:16:40 Address: CEA/ HERS Certification Identification (if applicable): 1171 NORTH 4TH STREET City/State/Zi p; Phone: SAN JOSE CA 95112 408-294-6290 Responsible Person's Declaration stateme.nfi"i. I certify the following under penalty of perjury, underthe'laws;:of the State of California: 1. The information provided a ,this Certrficate of Compliartce.is tr_qe and correct.aa 2. ] am eligible under Division 3 of the ausiness'and Professions Code tccepj-,rRtpdhsit ility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specificattonsm. atenals'r om orients and manufactured devices for the buildmF�design r system design identified on this Certificate of Compliance conform to the ,.. _ .. -vicesr-" �� requirements of Title 24, Part i and Part 6 of the Cahforn(a Code o€ Z ttI Airons. 4. The building design features or system design featuresntified o tlifs Certlf tat pf tjmlance aresansistei v t04he in ormsC� sra, rovided Orr eta plicabi ompliance documents, worksheets, calculations, plans and specifications submitted tothe e igrcementisagencyfo ap ovI.Athis buil( ng perr�t apfmication. �. �- 5. I will ensure that a registered copy of this Certifica e C mpllance i%fl krl3 rn is ii le uaitJtmp #- b%ddlrSg p mit{ issued forth hCiild ig, and: lad& avattabfe pA igforcement agency for all applicable inspections. I understand that a reglsteFed copy of this "cate of Compliance jeciul.10 to pAincluded v h th cum_�tio the sail er prggps tRp buWg owner at occupancy, Responsible Designer Name: ®_ Respon4ible De ig er Signature. Faulkner, Cindy C1'GtlAC/i/ri Pl1f Company: Date Signed: ATKINSON CLIMATROLLERS INC dba VALLEY HEA7ING,C00LING & ELECTRICAL 2017-05-05 10:16:40 Address: License: 1171 NORTH 4TH STREET 258540 City/State/Zip: Phone: SAN JOSE CA 95112 408-294-6290 Easy to Verify r1 at CaICERTS.com Digitally signed byCalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of t E- �- :x Bul-dina Department Registration Number: 217-A020148126A-000-000-0000000-0000 Registration Date/Time: 2017-05-05 10:16:40 HERS Provider; CaICERTS VIE E r MPrP C CA Building Energy Efficiency Standards - 2016 Residential Compliance Reportersron: 016.1:00 Reviewed0iVMVWWC i6 Dale: OtOlObIW Report Generated: 2017 -DS -05 10:16:57