B-2018-0055CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2018-0055
7439 HEATHERWOOD DR CUPERTINO, CA 95014-5823 (359 26 046) RANDO AAA HVAC
INC
SAN JOSE, CA 95125
DOWNER'S NAME: QUAN ZHENG AND CHEN JING I I DATE ISSUED: 01/09/2018
OWNER'S PHONE: 408-332-4381 1 1 PHONE NO: (408) 293-4717
LICENSED CONTRACTOR'S DECLARATION
License Class C48 Lie. #768871
Contractor RANDO AAA HVAC INC Date 09/30/2019
1 hereby affirm that 1 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.
1 hereby affirm under penalty of perjury one of the following two declarations:
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.
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.
V \ 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, applicant understands and will comply with all non -point
source r ati er the Cupertinp Municipal Code, Section 9.18.
iiFLL:1LaL7�%��i��_ 9. : t t 7 I
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
r. 1, 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. 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Sec.7044, Business & Professions Code).
1 hereby affirm under penalty of perjury one of the following three declarations:
r. 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.
2. f 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. 1 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.
Signature Date 01/09/2017
BUILDING PERMIT INFO:
X BLDG —ELECT —PLUMB
X MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
REPLACE FURNACE - SAME LOCATION
Sq. Ft Floor Area: I Valuation: $1995.00
APN Number: Occupancy Type:
359 26 046
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Kim Dunbar
Date: O 1 /09/2018
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: 01/09/2017
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. 1 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 1 use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District 1
will maintain compliance with todeertino Municipal Code, Chapter 9.12 and
the Health & Safety , us�2?55505, 2553 , and 25534.
Owner or authorized agen . t/
Date: 01/09/2017
CON TRUC 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
Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO CA 95014-3255
1901 (408) 777-3228 • building@cupertino.org PEMIT /#B
CVPERTINO REV DEF#
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ❑ T.I. 1• I MEP ❑ RE -ROOF ❑ SWIMMING POOL/SPA
PROJECT ADDRESS'IHN
171M±MA/QM
D APN Y 35),-,-7
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OWNER -BUILDER COMPANY NAME
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❑ ARCHI F.CT ❑ OWNER ❑ OYWtR AGENT ONTRACIOR AGENT El FIQGINFER ❑ DEVELOPER ❑ TENANT
CONTACT NAME
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DECRIPTON
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❑ MULTI -FAMILY ❑ INDUSTRIAL D COMMERCIAL
USE
TYPE
OCC
SQ.FT.
VALUATION($)
r[NGLE-FAMILYIDUPLEX
E I NG USE
EXIs1INGSF
NEW FLOOR SF
I PORCH
SF DECK SF
I DE'MosP
I STORIESt
TOTAL NETSF
REMODEL
REMODEL KITCHEN
REMODELOTHR GARAGE
❑ ATTACHED
BATHROOM SF
SF
SF SF
❑ DETACHED
EXISING ❑ YESEICHLER
❑ YES
I
SECOND STORY ADDITION YES
FIRE SPRINKLERS ❑ NO
❑ NO
NO
DWELLING ISECOND DWELLING []YES ❑ATTACHED❑ DETACHED OTHER
UNITS t UNIT ADDITON: ❑ NO S F
POOLS ❑ FIBERGLASS ❑ VINYL -LINED ❑ GUNITE ❑ PREFABRICATED
POOL -SF SPA - SF SPA ATTACHED ❑YES ❑ NO ITOTAL-SF
EI
REC! /
IOTA
p-TTU\:
Cm—ffriatvr Multi -Family Buildinec with Public Swimming Pools requires Department of Envirmtmental Hench nvPrn:wf
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RE -ROOF EXISTING ROOF TYPE: ❑BUILT -IIP ROOF[-] ASPHALT SHINGLES E] WOOD SHAKES ❑
WOOD SHINGLES ❑ TILE OTT-IER (SPECIFY)
REMOVE /REPLACE ❑ NO
IF NO
PLYWOOD ❑'A" [13/8'
PLYWOOD_TYPE:
ROOF CLASS
❑ YE
# OF LAYERS
I
THICKNESS ❑ 5/8" OTHER
I
❑OSB ❑ CDX OTHER
I2
I A .
PROPOSED ROOF TYPE: ❑BI;ILT-UP ROOF ❑ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER
*Provide a signed copy of the Cupertino's Tear -Off Policy SF .of SQUARES
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 crorrect. I have read the Description of Work and verify itis 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 fo , p (tion purposes. I acknowledge and authorize all information con aine on this application form
to be made available for public tecor C^
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION RE IRED
*New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building permit for anew construction.
*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
*HOA -Provide a letter of approval from the Home OHmer's Association
BldgApp_2017.doc revised 08101117
3 �- -S-0
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) 1
Project Name:
ZHENG QUAN I Date Prepared:
2018-01-09
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
ZHENG QUAN
02
Date Prepared
2018-01-09
03
Project Location
7439 HEATHERWOOD DR
04
Building Type
Single family
05
CA City
Cupertino
06
Dwelling Unit Name
ZHENG QUAN
SC System
SC System
CFA served
system a
Dwelling Unit Conditioned
Installing new SC
07
Zip Code
95014
08
Identification or
1682
by this SC
ducted
containing
system
Floor Area (ft2)
entirely new
entirely new
Name
Served
Number of Space
09
Climate Zone
4
10
Conditioning (SC) Systems in
1
CARRIER
WHOLE HOUSE
1682
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing 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 (ft2)system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
CARRIER
WHOLE HOUSE
1682
Yes
No
Yes
No
No
No
Altered spaceconditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 218-A020008311A-000-000-0000000-0000
Registration Date/Time: 2018-01-09 05:30:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-09 08:30:52
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)lE 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
Gas furnace
Central split
No cooling
This field or
This field or
This field or
This field or
CARRIER
furnace
AHU
AFUE
81
AC
component
section is not
section is not
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Reauired 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 CF311-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 MCH -20 Duct Leakage Testing requirements.
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 exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 218-A020008311A-000-000-0000000-0000 Registration Date/Time: 2018-01-09 05:30:59 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-09 08:30:52
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:
Rando, Eric
Company:
Signature Date:
RANDO AAA HVAC INC
2018-01-09 05:30:59
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 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 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 California Code of Regulations.
4. 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:��/c
Rando, Eric
Company :
Date Signed:
RANDO AAA HVAC INC
2018-01-09 05:30:59
Address:
License:
1712 STONE AVENUE
768871
City/State/Zip:
Phone:
SAN JOSE CA 95125
408-293-4717
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
1�
Registration Provider responsibility for the accuracy of the information.
Registration Number: 218-A020008311A-000-000-0000000-0000 Registration Date/Time: 2018-01-09 05:30:59 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-09 08:30:52
Schema Version: rev 10/16