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B-2017-1386CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO B-2017-1386 10208 VISTA DR CUPERTINO, CA 95014-2238 (316 24 046) T F F HEATING AND AIR CONDITIONING MILPITAS, CA 95035 OWNER'S NAME: BALAJI KANIYUR RAND PRIYA TRUSTEE I JDATE ISSUED: 08/18/2017 1 OWNER'S PHONE: 408-218-0717 I I PHONE NO: (408) 500-9245 LICENSED CONTRACTOR'S DECLARATION License Class C-20 Lic. #917350, Contractor T F F HEATING AND AIR CONDITIONING Date 06/30/2018 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 erformance 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. 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) agreeho 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. 8/18/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: m. 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: m. 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. s. 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 applicatio and state that the above information is correct. I agree to comply with nd county ordinances and state laws relating to building construction d h reby authorize representatives of this city to enter upon the above menti ne 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 8/18/2017 BUILDING PERMIT INFO: BLDG —ELECT —PLUM MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE FURNACE AND A/C - SAME LOCATION Sq. Ft Floor Area: Valuation: $8150.00 APN Number: Occupancy Type: 316 24 046 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby A, ey nde Date: 08/18/2017 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 of Applicant: Date: 8/18 201 " 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, ections 25505, 25533, and 25534. er or authorized agent: ate: 8/18/2017 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 Professio 01Wt-4- C'JB4 GENERAL PERMIT APPLICATIONMEP COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 B C (408) 777-3228 - FAX (408) 777-3333 - building cDcupertino.org PROJECT ADDRESS 1 ®,2 o{ (� 7 e APN # 1 / _ -OL4 t� / q. OWNER NAME A✓ k l. Q 1 /J[ (l E-MAILftLa Q STREET ADDRESS v we � (� / CrrY, STATE ZIP FAX I ZJ `i � �`f j/ r �-� ' n O CA � �� b 14 CONTACT NAME 'DC Mk coYh/for PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OwNERAGErr ❑ CONTRACTOR JiRtONTRACTOR AGENT ❑ ARCJJIIECr ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME T �, / ✓`�n LICENSE NUMBER ' 'rn LICENSE E 2 BUS. LIC # 11117 Y 1 YJ vY COMPANYNJUhtE—rF r VA CE-MAIL Pfdi y.yVA FAX STREET ADDRESS R ! L 3 � // V / C, I N. , /� CITY, STATE, ZIP ARCHITECTIENGWEERNANIE, _ i �' LICENSE NUMBER BUS. LIC it C0N1P.UN-Y NA%!E E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF 0r Di:'r iEi ❑ .NR::L 1mFA3ffi.Y PROJECT IN WILDLAND ❑ YESPROJECT IN ❑ YES IS TBE BLDG AN ❑ YES BUILDL;G. -n CoNekaRcuu- I URBAN INTERFACE AREA ❑ NO T FLOOD ZONE ❑ NO EICHLERHONIP ❑ NO DESCRE GN OF R'ORJ 12.pp-+o -j IS- s-ee Aic� TOTAL�_3ssikti_ X `�� o RECEIYEDBY B}-Lnt' s€ r I ce*r to each of the following: I am the property owner or authorized agent to act on the property owner'J behalf Whavereadthis application ?Fs:5b �,_ a 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 o r:='ces i S=e laws relating W building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Si_a-=eo AFS ?Ager= ( �y Date: <8 I S T 1 It7D[t110(7yk MEPMiscApp 201I.doc revised 06121/11 CERTIFICATE OF COMPLIANCE ns to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) I Project Name: KR Balaji I Date Prepared: CF1R-ALT-02-E (Page I of 3) 2017-07-27 A. General Information CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF111-ALT-02 document for each dwelling unit. 01. Project Name KR Balaji- 02 Date Prepared 2017-07-27 03 Project Location 10208 Vista Dr 04 Building Type Single family 05 CA City - Cupertino 06 Dwelling Unit Name KR Balaji 07 Zip Code 95014 08 Dwelling Unit Conditioned 1154 'is the SO'"'— I;"i iiialla Floor Area (ft) W 4$ SC System SC System CIA served Number of Space refrigerant 09 Climate Zone Installing 10 Conditioning (SC) Systems in I Location or Area by this SC ducted containing this Dwelling Unit: more than 40 g, B. Space Conditioning (SC) System In'formai10 n w1k 0 f 01 02 03 04 08 09 10 Pt 'is the SO'"'— I;"i iiialla 7- i"—", W 4$ SC System SC System CIA 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 System 1 Location I -- 1154 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b) lDiib) This section does not apply to this project. Registration Number: 217-A020255628A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-07-27 21:00:28 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CaICERTS Report Generated: 2017-07-27 21:00:06 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)IE 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- -:1----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 All new en Ctral split All new This field or This field or System 1 furnace heating AFUE 81 AC I Cooling SEER 15 Setback section is not section is not components components applicable applicable Reouired Documentation: Ct2R-MCH-01-E - space Conditioning Systems - Duct insulation requirement for the new portions of supplyair 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'?beating 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. CF211 and CF3R-MCH-25-H Refrigerant Charge verificatlon:required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF211 and CF311-MCH-23 Airflow Rate >= 300 CFM per_tofi`reciul� d when MCH -25 is required, Exceptions: - Duct systems registered with HERS provider as previously sealed are exempt fror.__ n,MCH,-20 Duct Leakage Testing requirements Heating Air 'I', ^ '% - � ''.'-.�'."g - -only systems and Handler Furnace changes do not require verificatib'PIRMIr Flow MCW23,f0rRefrlgd fit Charge 191J -71-145i PEV, -Existing ducts ystems constructed, insulated or sealed with,asbes"t- re exem rom MC of �1Leakage Test L, Y without -Equipment Changeout (Section '-'0.2(b)lDiia.,.,.,3nd.150.2(b)lE, F) E. Entirely New or Complete Replacement Duct System, with or withou " 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-A020255628A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-07-27 21:00:28 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CalCERTS Report Generated: 2017-07-27 21:00:06 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: Ferreira, Tony Company: Signature Date: T F F HEATING AND AIR CONDITIONING 2017-07-27 21:00:28 Address: CFA/ HERS Certification Identification (if applicable): 10435 New Ave City/State/Zip: Phone: Gilroy CA 95020 408-786-8120 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws'nf the State of California: 1. The information provided on this Certificatepf Compliance is true and correct. 2. 1 am eligible under Division 3 of the Buslness and Professlons 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 deylces for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part1 and Part 6 of the California Code of Regulations Ot 4. The building design features or system design features identified on fica this Certite of Compliance arentconsistent with=the information provided on other applicabte compliance documents, worksheets, i`n*: t,, r=s calculations, plans and specifications submitted•to the enforcement agency for approva[wlthahis bwlding permit application. . 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the buildipg permits) issuetl fortheb''ullding, andnade availabletto the :enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is,required to bncluded vnth thedocumentation,he,hbulder provides to,the building owner at occupancy. Responsible Designer Name: t n ss flg Responsible Designer Signature. ` --TT Ferreira, Tony /aw Company: Date Signed: T F F HEATING AND AIR CONDITIONING 2017-07-27 21:00:28 Address: License: 10435 New Ave 917350 City/State/Zip: Phone: Gilroy CA 95020 408-786-8120 Easy to Verify at CaICERTS.com 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 fc r the accuracy of the inform - 1.! ti Registration Number: 217-A020255628A-000-000-0000000-0000 Registration Date/Time: 2017-07-27 21:00:28 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-27 21:00:06 Schema Version: rev 10/16 Vista Drive HOA 408-718-9870, 10196 Vista Drive, Cupertino CA 95014 July 26', 2011. Heidi Ferreira TFF HVAC 105 Serra Way #204 Milpitas, CA 95035: Dear Heidi, I have contracted with your company TFF HVAC to install a broken air conditioning unit in my property(Unit.# 10208) at the Vista Drive Homeowners.Association. The new AIC equipment will replace,the current broken one that is in my backyard away from the HOA common area. I have approval from die other HOA members, whose. name and address are listed below. 1) Charlotte Xia, 10184 Vista Drive, Cupertino, CA 95014. 2) �Manish Mehta, 10190 Vista Drive, Cupertino, CA 95014. 3) Joong-Seok Moon, 10196 Vista Drive, Cupertino, CA 95014. 4)Syed Faridul.Haq, 10202 Vista Drive, Cupertino, CA 95014. Please proceed with the work as well as securing the permit approval process.. Sincerely yours, K.R.Bala > - II \i,00V‘ SMOKE / CARBON MONOXIDE ALARMS ' { OWNER CERTIFICATE OF COMPLIANCE 51" In.,COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildinq(a�cupertino.orq MOM CANNOT..BEEINALED UNTIL:THIS:CtATIFICATE,HAS.BEEN COMPLETED,SIGNED AND 'tETUIRNED TO tllt-BUIONNG 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 R314,2016 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 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 X X the bedroom(s) 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 I space.Refer to CRC Section R314 and CBC Sections 907.2.114 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 /®2og Pie/Y C 'PCie7-//V02 C4 ?-6-29/$1- Permit No. 8-•20/7-/30g , Specify Number of Alarms: #Smoke Alarms. � If I #Carbon Monoxide Detectors. I 2 I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: /! R R/W> Signature ole• .. • Date: / lj7 sa /7G cJ f Contractor Name: (� 1 Ton FE"deR l.P Signature . Cic.# �. 't Date((g(4� `s t Smoke and CO fonn.doc revised 12/15/16