B-2017-1611 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1611
5975 SUTTON PARK PL CUPERTINO,CA 95014-3530(375 35 041) RANDO AAA HVAC •
INC
SAN JOSE,CA 95125
OWNER'S NAME: CHEN TSUNGNAN NEIL AND KATHY K TRUSTEE DATE ISSUED:09/20/2017
OWNER'S PHONE:408-996-1524 PHONE NO:(408)293-4717
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-43:C-20 Lic.#768871
Contractor RANDO AAA HVAC INC Date 09/30/2019 X BLDG _ELECT _PLUMB
X MECH X RESIDENTIAL_COMMERCIAL
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:
REPLACE CONDENSER(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. •
2, 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:$6565.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 375 35 041
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 Cu ertino.Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
S' t Date 9/20/2017 Issued by:Abb'AY ende
�
Date:'09/20/2017
OWNER-BUILDER DECLARATION
I hereby affirm that d 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)
2. 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:9/20/2017
I hereby affirm under penalty of perjury one of the following three declarations:
• ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 'I 1
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
a. 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
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
aircontaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making,this certificate of will'tuaintain 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,Sections 25505,2 33,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall'
be deemed revoked. ner or authorized agent '..LA.-
APPLICANT CERTIFICATION Date:9/20/2017
I certify that I have read this application and state that the above information is • CONSTRUCTION LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws ' I hereby affirm that there is a construction lending agency for the performance
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,coats,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 noxi-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section'9.18. I understand my plans shall be used as public records. .
I
Signature Date 9/20/2017 Licensed
Professional
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... sl.,By inyy'signature below;,I certify to"eaeit"of the followings I am Ili, property,owner,or�authorized agent to act on the property owner's behalt I hve;mad this"".
' application and the information I have provided iscorrect.•I have teal the Desenption'±of Work and veiify'it is"accurate. I agree to comply with`all:appiicable,local
'. : 'ordinandes,and state laws relating'-o lir s.ing'`consti•etion°"I authorize representatives'Of Cupertuio to enter the above'Ide t'Se. • Iiet ;fOr inspection purposes ,.
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CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: NEIL CHEN Date Prepared: 2017-09-13
A.General Information _ __. __.
CF1R-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 NEIL CHEN , 02 Date Prepared 2017-09-13
03 Project Location 5975 SUTTON PARK PLACE 04 Building Type Single family
05 CA City Cupertino 06 Dwelling Unit Name NEIL CHEN
07 Zip Code 95014 08 Dwelling Unit Conditioned 2145
Floor Area(ft2)
Number of Space
09 Climate Zone = 4w._ aa, 'ra aaa;= -araa 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
.., .. r l'°'-'a:
et . i d` -,
B.Space Conditioning(SC)System Information _ .s .� °_' e `� �F
01 02 03 04 05 06 07 08 09 10
e.
FIs the SC `' In tallingg a ''' v
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
CARRIER WHOLE HOUSE _ 2145 _ Yes _ __ __Yes __ _ Yes _ - No - _. _ _ No __ No
conditioning system
Altered space
in s s
C. Extension of Existing Duct System,Greater Than 40 Feet(Section150-.2(b)1Diib)
This section does not apply to this project.
Registration Number:217-A020315626A-000-000-0000000-0000 Registration Date/Time: 2017-09-13 11:17:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2017-09-13 11:18:14
Schema Version:rev 10/16
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)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' `Rep _laced New_Duct
or Name Type Components Type _ Value System Type Components Type- Value Type Duct Length R-Value
No heating This field or This field or Outdoor This field or This field or
CARRIER Central gas component section is not section is not Central split condensing SEER 14 Setback section is not section is not
furnace altered applicable applicable AC unit applicable applicable
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)
r.
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 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 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 MCHC 20 Duct Leakage Testing requirements
��.i �.t,
-Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23 or Refrigerant Charge MCH 25 ,
-Existing duct systems constructed,insulated or sealed with asbestos are exem jfrom MCff=20 puce Leakage Test ni grequirements.
• : s
E. Entirely New or Complete.Replacement Duct System,with or without Equipment Changeout(Sections 150 2(b)1Diia and 15,0.2(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-A020315626A-000-000-0000000-0000 Registration Date/Time: 2017-09-13 11:17:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance. Report Version:2016.1.006 Report Generated:2017-09-13 11:18:14
Schema Version:rev 10/16
CERTIFICATE OF COMPLIANCE - = CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement -- _
1. I certify that this Certificate of Compliance documentation-is accurate and complete.
Documentation Author Name: _. . - Documentation Author Signature:
Rando,Eric Ea'a
Company: Signature Date:
RANDO AAA HVAC INC - 2017-09-13 11:17:33
Address: CEA/HERS Certification Identification(if applicable):
1712 STONE AVENUE N/A
City/State/Zip: Phone:
SAN JOSE CA 95125 408-293-4717
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 Certificategof Compliance is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code to accept:responsibiliityfor the building design or system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performance specifications,materials, and manufactured devices for the building design orystem design identified on this Certificate of Compliance.conform to the
comments, >.+
requirements of Title 24,Part 1 and Part?6 of the Cahfernia.Eode"of Regulations.
4. The building design features or system design features identified onthis Certificate of Compliance are consistent w th the informationvided oot
n he 'appriaco
cab mpliance documents,worksheets,
calculations,plans and specifications submitted;to the e orcement=agency for apppoval with this build ,pro
ing permit application.
5. I will ensure that a registered copy of this Certificate of Compliance shaUie riadefavailable with,the building,permit(s);;issued fortheibuilding,and made avaifab a to the;enforcement agency for all applicable
inspections.I understand that a registered copy of this Certificate of Compliant is required to be,included with the documentation the builder provides to„the building owner at occupancy.
; E 3,'?. C _ -
Responsible Designer Name: � ` j E ° -i x .. �! Responsible Designer S'ignaY�ore. ' --� "m`
Rando,Eric E$G�/%
Company: Date Signed: •
RANDO AAA HVAC INC 2017-09-13 11:17:33
Address: License:
1712 STONE AVENUE - 768871
City/State/Zip: - - - - Phone:- -
SAN JOSE CA 95125 408-293-4717
Easy to Verify in 1,
at CaICERTS.com ,,{,
Digitally signed by CaICERTS. 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 the information. ❑ `T
Registration Number:217-A020315626A-000-000-0000000-0000 Registration Date/Time: 2017-09-13 11:17:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2017-09-13 11:18:14
Schema Version:rev 10/16