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13070013
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 965 S TANTAU AVE CONTRACTOR:ARCH CONSTRUCTION PERMIT NO.13070013 OWNER'S NAME: ALI GHOREISHI 222 MILBRAE LN APT 18 DATE ISSUED:07/03/2013 OWNER'S PHONE: LOS GATOS,CA 95032 PHONE NO:(409)4014049 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIAL® License Class Lie.# q4 INSTALL(N)FURNACE IN GARAGE AREA WITH DUCT WORK THROUGHOUT INTERIOR OF HOME Contracto Date 0 Vio 5-LI3 (EICHLER,PLANNING APPROVED) I hereby a that I am licensed under the provisions of Chapd,9 REV#1-ADD(N)A/C IN REAR YARD-ISSUED 7/5/2013 (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: 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. Sq.Ft Floor Area: Valuation:$4000 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work f6i which this APN Number:37538053.00 Occupancy Type: permit is issued, APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED 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 WITHIN 180 DAYS OF P IT ISSUANCE OR upon the above mentioned property for inspection purposes. (We)agree to save 180 DA OF INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, < - costs,and expenses which may accrue against said City in consequence of the ssue :dsj 13 granting of this permit. Additionally,the applicant understands and will comply Issue with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: /4S� 5 Signature Date 07 9 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. n OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec,7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2 5,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: t Date: permit is issued. 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked, work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 965 S TANTAU AVE CONTRACTOR:ARCH CONSTRUCTION PERMIT NO:13070013 OWNER'S NAME: ALI GHOREISHI 222 MILBRAE LN APT 18 DATE ISSUED:07/03/2013 OWNER'S PHONE: LOS GATOS,CA 95032 PHONE NO:(408)4014049 0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE] License Class ic.# L INSTALL(N)FURNACE IN GARAGE AREA WITH DUCT WORK ContractDate, 1.3 THROUGHOUT INTERIOR OF HOME(EICHLER, Ihet-4�affir4 that I am licensed under the provision of Ch4pter9 PLANNING (commencing with Section 7000)of Division 3 of the Business&Professions APPROVED) Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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, Sq.Ft Floor Area: Valuation:$4000 1 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 APN Number:37538053.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save _18 FRO LAST CALLED INSPECTION. 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 v: ate: with all non-point source regulations per the Cupertino Municipal Code,Section 41—, 918. RE-ROOFS: Signatu" Date 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. 0 OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 35505 257Wd 34. ; Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized age � -'/1 Date:-7 13 L13 I certify that in the performance of the work for which this permit is issued,I shall (-7 not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECTS DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records, granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date— CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 965 S TANTAU AVE DATE: 07/0212013 REVIEWED BY: MELISSA APN: 375 38 053 BP#: U2=21-3- *VALUATION: $4,000 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD or Duplex PENTAMATION FURN/AC USE: PERMIT TYPE: WORK INSTALL N FURNACE IN GARAGE AREA WITH DUCT WORK THROUGHOUT INTERIOR OF SCOPE HOME (EICHLER, PLANNING APPROVED) APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Furnace, Forced-Air 1MFR=<100 1 # $139 TOTALS: $139.00 Mech.Plan Check 0.0 hrs $0.00 :»rrn . /�lcrrt(74'eck Tj i lec.I'lsaa(,heck Mech.Permit Fee: IMPERMIT ;,ju r<I;.P("'rmil Fee Other Mech.Insp. ED hrs $45.00 or ier Ph anb I;asl). EI-L- !telt. LJ j. lads.I e'?: 1'lttrath. haj/. fee lien.Imp F-C: NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc . These ees are based on therelimina information available and are onl an estimate. Contact the Det or addn'l info. FEE ITEMS(Fee Resolution 11-053 Eff 711/U2,� FEE QTY/FEE MISC ITEMS PME Plan Check: $0.00 pertnit Fee: ,Sl/pp/. Insp Fe PME Unit Fee: $139.00 IV /'K' , PME Permit Fee: $45.00 :✓onsi €action Tax,, Administrative Fee: 1ADMIN $42.00 Work Without Permit? 0 Yes 0 No $0.00 Advanceec ,'l Planning Fees: Travel Documentation Fee: ITR. VDOC $45.00 Strong Motion.Fee: IBSEISMICR $0.50 Select an Administrative Item. Bldg S�tds Commission Fee: 1BCBSC $1.00 $UBTOTALS $272.50 $0.00 TOTAL FE:: $272.50 Revised: 07/0112013 GENERAL PERMIT APPLICATION (0� MEF EQ COMMUNITY DEVELOPMENT DEPARTMENTBUILDING D3VISION V 10300 TORRE AVENUE•CUPERTINO,C4 95014-3255 {408)777-3228• FAX(408)777-3333•building_cupertino.org misc PLUMBING' , #�(IvIEt HANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS i Y APN .I Q OWItER NAIlRE' f STREET ADDRESS --- < CIT STATE,Z P, FAX 14 CONTACT NAME PHONE E-MAII. STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHTI-CT ❑ENGINEER ❑ DEVELOPER ❑TENANT . CONTRACTORNAME r' LICENSE NUMBER fiG LICENSE TYPE BUS.LIC# Zn COMPANY NAME E-MAIL F t�0t1 all, STREETrADDRESS / 3 CITY,STAT ,ZI/g ¢/ P ARCHITECTBNGII tEER!NAME LICENSE NUMBER BUS.Liel :.i O COMPANY NAME E-MAIL FAX STREET ADI}RESS CITY,STATE,ZIP PHONE USE;OF ! ❑SFD or DUPLEX ' ❑ MUL TI.FAMILY PROJECT IN WI DLAND ❑ YES 7PROTECTIN ❑YES L5 THE BLDG AN ❑YES BUH.UING• ❑COMMERCIAL URBAN INTERFACE AREA ❑ NOOOD ZONE ❑NO EICHLER HOME? ❑NO DFSCILIPI'fON p y RIZ } r� fi i. 16 ,1 i TOTAL &g 3 By;Iy ssgnature bckiW,1 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 applicatlan and`th�uifarnatlon I have giovided is correct. I have read the Description of Work and verify it is accurate. I a ree to comply with all applicable local` ordniances and state IaWs rela ing:t us" t g construction a rI Pres ntatives of Cupertino to enter the above-ide I d pr (eprtyfor inspection purposes Slgn�ture of gent. Data= l E LEMENTAL INFORMATIO REQUIRED y 1 i 01 , a15 i 1 } MEPMiscApp 2011.doc revised 06121111 4qck 14)Ale Ce'" '� AI P' a , S set of plans and 81 Ccifi :tions MUST be ke t at the P :l ft is L# lawft,I t:(9 make any "ail Sat g or"to Cay vi.-i'e tai E Y`=r3s Wbout si Proval from the Builth: x ;,ci q � ,,. 1 d yi e.. @��rstfY�Ps�T,'b x.73 �' 9,:#f`4td i° ...<, „'i, T. an i,i...prov !of the 1 r .H - _,fOrdinance or S a'M-Pmt:=w. t 0 eaa.-vaoas CUPERTINO �. �. Building Department JUL 0 5 2013 REVIEWED FOR CODE COMPLIANCE Reviewo w �A� -7 S- Re 181 ON HVAC ALTERATIONS ENERGY COMPLIANCE FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL GUPER'!"ItV© 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333•building cupertino.org WHEN IS A PERMIT REQUIRED A construction permit shall be obtained from the enforcement agency prior to the erection, construction,reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Chapter I, Section 112.2 of the 2010 California Mechanical Code. Projects requiring permits include, but are not limited to: • New HVAC installation • HVAC Changeout • Replacement of furnace, coil,FAU or condenser • Relocation of an existing HVAC unit • Adding or replacing more than 40ft ducting in unconditioned space BUSINESS AND PROFESSIONS CODE, SECTION 7110 Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license. 2008 BUILDING ENERGY EFFICIENCY STANDARDS (True 24,Part 6)REQUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78%AFUE(Exception: Wail &floor furnaces; room heaters). 2. Central air conditioners&heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. 4. A setback type thermostat(24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirement of Section 150(m). • All joints and openings in the HVAC system must be sealed. • Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings. • Connections of metal ducts and the inner core of flex ducts shall.be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 4 ft, max for horizontal runs with no more than 2"of sag between supports and 6 ft. max for vertical runs. 6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector will collect this form and verify that the model numbers are the same as the installed equipment. 2008 Residential Compliance Forms.doc revised 04/10/12 " Simplified Prescriptive Certificate of Compliance:2008 Residential HVACAlleradow CF-IR-ALT-RVA+C CIunate 7aues l and 3-7 S1teAddr LnforcementAgency: Dntez Permit A Conditioned Duct insulation EquitxrnentTypel List Kwimum Effncien ' Floor Aria re ent Thermostat- DakWd Unit _ Over 40 ft of ducts urnaceCAP Served by system added or replaced tai Setback 13 door Coil _ ELR HSPF sf nditioned space t"Ifnotafreudypresw.must be Condensing Unit ®EER Resistance R 6 t o 1, spa rt �Other -I :�' ' 1.Equipment Type:Choose the equipment being installed;if more than one_system,use another CF-IR-ALT-HVAC for each system 2.Minimum Equipment Efficiencies:13 SEEK 7S%AFUE,7.711SPF for typical residential systems. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 ofthe California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and perfomrance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts I and 6 of the California.Code of Regulations. • The design features identified on this Certificate of Compliance are'consistent with the information documented on other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit lication" Namesavi G7 CCompany: ,4/-C,4 t Yt f'1 EC t G? e". —7 1-3 Address: License: 2Z-2- l P - CitylstatelZip: Phone: 2008 Residential Compliance Forms.doc revised 04110112 "X ------------- t co iQ 94010# k t , DAW - b-- ,,;,;s�, -E-L 1 ` * -AO PO co- 16 .�... Of r 0 ja- - vnl CA -------------- „P `-4 u r� a. Ff (5 -1 0 • d.....,M............._., 1 �-`"'"'•p•.....w Wit,,,.. ---_.... Ll IJo 13 6 CUP[ TINO Building partment REVIEWED FOR CODE COMPLIANCE Reviewed BY: � t S Cate 7e Ao_."_