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11100088 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18720 TILSON AVE CONTRACTOR:A PLUS HEATING&A/C PERMIT NO: 11100088 OWNER'S NAME: FLYNN THOMAS 244 GREAT MALL PKWY DATE ISSUED: 10/12/2011 OWNER'S PHONE: 4084461925 MILPITAS,CA 92683 PHONE NO:(408)934-0730 LICENSED CONTRACTOR'S DECLARATIONF BUILDING PERMIT INFO: BLDG ELECT PLUMB I7 7 3 `""� MECH F RESIDENTIAL F COMMERCIAL r Contractor _WS fir,_Date fv h?JI{ I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:INSTALL NEW HVAC UNIT AT EXTERIOR ENCLOSURE (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:$9500 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of Ste work for which this permit is issued. APN Number:37517045.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR indemnify and keep harmless the City of Cupertino against liabilities,judgments, 180 DAYS FROM LAST CALLED INSPECTION. costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply 1 non-point source regulations per the Cupertino Municipal Code,Section Issued by:,." 9.18. sigillen Date �L RE-ROOFS: ❑ OWNER-BUILDER DECLARATION All roofs shall be inspected prior to any roofing material berg installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for I hereby affirm that I am exempt from the Contractor's License Law for one of inspection. the following two reasons: 1,as owner of the property,or my employees with wages as their sole compensation, Signature of Applicant: Date: wil l 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: 1 have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain a Certificate of Consent to self-insure for Worker's California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Compensation,as provided for by Section 3700 of the Labor Code,for the compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. Safety Code,Section 25532(x)should I store or handle hazardous material. I have and will maintain Worker's Compensation Insurance,as provided for by Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shal I Health&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Owner or author '■ eat• t 3 Compensation laws of California. If,after making this certificate of exemption,I Date: II 1 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Mork's APPLICANT CERTIFICATION for which this permit is issued(Sec.3097,Civ C.) I certify that I have read this application and state that the above information is Lender's Name correct.1 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 Lender's Address 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 ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply I understand my plans shall be used as public records. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Licensed Professional Signature Date 000'�s GENERAL PERMIT APPLICATIONMEP [All COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO,CA 95014-3255 (408)777-3228 • FAX(408)777-3333• buildina(aDcuoeriino.org misc CUPERTINO "LING �MEMICALELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS -T \S O n V AFN 9 e/ I ✓ OWNER `no L '11O \ I ^I E-MAIL STREET ADDRESS CITY, STATE,ZTP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BUMDER ❑ OWNERAGENT ❑ OONTRACrOR CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMED\ 1 1 D (� LICENSE M11�ER b G/ ' LICENSE TYPE n HUS.LIC COMPANY NAME (��\/ ` ` ,D E-MAIL FAX STREET ADDRESS �j t v 1n �y 11 CITY,STATE,ZIP ( (��(' PHO /I 'r J-o7z ARCHTTECT/ENGINEER NAME r 1' LICENSE NUMBER BUS.LIC N �`7 COMPANY NAME' E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES 1S THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOMO ❑NO DESCRIPTION OF WORK 1 ^ 1 C)0' v V Q WYACA 4-D S U G�� O TOTAL VALUATION: S 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 behalf. I have read this application and the information I have provided is correct,.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 con ctto `I aurborize representatives of Cupertino to enter the above-identified property for inspection pu0oses. Signature of Applicant/Agent Date: (J— SUPPLEMENT'AL 1NFO TION REQU=D OFFICE USE ONLY m OVER-THE-COUNTER ❑ EXPRESS Y U ❑ STANDARD zU ❑ LARCE ❑ MAJOR A,HPMscApp_70J1.doc revised 06121111 y ' a HEATING & AIR-CONDITIONING COMPANY PLO1' NLAiN�) CHECKED NY CITY OF CUPERTINO DATE PIVr DEPT. QA'[E JOB SITE: 18720 TILSON AVE Hu"Em CUPERTINO, CA 95014 RECEIVED OCT 12 2011 OWNER: THOMAS FLYNN BY: - PHONE NUMBER: (408) 446-1925 r JOB CONTACT: DAVID BARRAGAN PHONE NUMBER: (408) 813-3584 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION-CUPERTINO ; APPROVED This set of plans and specifications MUST be kept at the Job site during construction. It is unlawful to make any changes or alterations on same,or to deviate therefrom,without approval from the Building Official., The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any provisions of any City Ordinance or State Law. I O b BY DATE PERMIT NO. 244 GREAT MALL PARKWAY - MILPITAS, CA 95035 TEL: (408) 934-0730 - FAX: (408) 934-0734 y s HEAPING&FAIR CONDITIONING 2,44GREATMALL,PARD 'Y,;M1LPla_A5,_CA95035 PH:(1108)934-0730 FAX. F408 934-0734 �.. r...nw+.r--r_ wry-�rn+w++--.•+-�+s+-+-+�-.. x: -�.—.--......�e.t!n.-.-+---.+...+: .r..r —.`^'_"^'.^�-.--'��{"��� _�a t � a- .��"� �',�"� �.�.... � i .µrbc►- .T} y - f 18720 TILSON AVE T — -- — — CUPERTINO, CA 95014 — D ALL a —--�-- -- —_ r2 � r ... ----M— -- 011 ji ti k 4 t --i r --- _:-_�_�-�—__ ;.� _..:...-moi.._ _�. - - -�.r�'•�• - •pq; ? 1 - Fm Wix4vn�mfc.euu�kdeII.��up�¢m.ozmc _ a��ggYyY - -a-,.-�+=rsnw.rcuxo�wr.w'.r.�um..:�u- - —�-�w�.. -,c_'s•.anm.�.�m�,a:-�-- rao.a�«m�a�w.,. .vc� - I -._ ` mr<•,r-w ter_uca ,.w, vs.a NFArwc&�IP eorvarr�orvrrvc s --- _. --- —�� —x 244 GREA7 MAL`-PA KWAY�MI Pl7AS, EA 15035 _ a PF-:: (408)934-0730 F4� : (408)934-3 734 � 71 It - , F ! C P •� � 1 f 1 � a�� _......Y._ - •x---.,,._.:,..�...._ �,..... a ......i.: pp _.,-»v..... - F ` 18720 TILSON AVE ' L CA 95014 - - - -� -- CUPERTINO, -�---- -� - p ! i e r a ems• d � _� � - _ r — --- — -— -- i y F - _,,, „ ,..P�,. a �.= g—r�, _ ®�-_�-,�_ :�•`''_...__-,...=�s - ——— �-� �_- Kp iaa• ccs � —.-___ ' _.�,.!e:5.ic� ___I �. — i g HEAT NG Rc AIR COND/TIONlNG t � _Ll _ �_-" 2;44 GREAI'M RKJNAY, MILPITA$, CA 7 f A�PA i �503�5 — : _ PH:(1408934-073.0 FA°x(:_408)934-97.34WN 77F x( j it it 7 — i n e n {_ t.. _ 1 1 r V4 14 r.:-.pian—%' -�.•--a�•.r — y��' � .w$cawml___ o:�� !�xra•��...�:....ic::ac r 1i�$ _ I — _ . if ".' .:, ;-S ' --c-4 i L f - E ADDRESS: 1 ^� -y SIT _ } r,, , '_�� p 18720 TILS®N AVE t. - CUPERTIN®, CA "`:- 95014 xms+ara , i I HEATING&A/iZ CONDITIONINJG 244 GREATIMALL PARKWAY,`M LPITAS, CA 95035��--� sic PH:1408)934-0730 FAX (408)934-i9734 s h _ i w nom^ _ lay., _- �..�. 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Lj T— �4 -T 3 : : 6 ] y� f I ELL • I I �f # I-- -!-�--- -- --� -�:�.---- ---i --:-- -- - --- - 555 = ----- - -- ---- -----�r----� l lz r i f I j i T- I : • I SITE ADDRESS: —_ S 1 J_E 18720 TILSON AVE -- -- `- CUPERTINO, Coo 95014 CPV V-3 I OT " OT-AMOK Q HEATING&AIR CONDITJONIN" 244 GREAT MALS;PARKWAY,tMt,PITAS, CA 35035 r _ PH:(408 934 0730 F408)934 0734 �.ANNING 15 ` �•� �I, _._ _ 'w r � Tom_ . -- -` --r - 'mnaaru'r T=_ v-_- �ueix ».�-,.o ��F9. vv�s f�-1 G ,.s+_zm.. — .�:+F•-Tn^•'....." 1 , f ,. .-...r_sy. '.. ^••w..... tt ' S I `} nswrw 1 f www.ay+awww....w..w.w+r�.ewwnl. 51 �3 (1 /cam( /�-� t,7 f -!C _�_:.:•Q V 1 � -_f 4 • �-01 y p_. kh'.hi�.�.+�.a 9➢Ast., E.1: F 5 _' ' _ _ i if ADDRESS: 18720 TILSON AVE m° CUPERTINO, CA 95014 P;41-:,Ci xy S 444 S i q-----._ tl 4 HEATING&;AIR CONDITiON1NG — _F 2,44 GREAT MALL PARKWAY,VIL Pl7AS, CA 95035 G a PH f408).934-0730 FAX. (408)934--0734 SITE ADDRESS: 18720 TILSON AVE G"ERTINO, CA 95014 — —` ;j. IF ILI- w. 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F w r o W — -- w W L6 I UL6 4CLL oalao/ zpaa/ N7= 1a17HN3W � - i Aj SO-ET iso ° Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC Climate Zones 1, 3-7 Site Address: Enforcement Agency: Date: Permit#: 18720 Tilson Ave Cupertino, CA 95014 City of Cupertino Aug 29, 2011 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat 2 Package Unit ❑ Furnace R AFUE 78% ❑COP R R 6 (CZ 1, 3-5) Served by system R Setback ❑Indoor Coil R SEER 13.0 ❑ HSPF If not already present, must F1 Condensing Unit [--1EER ❑Resistance ❑ R 4.2 (CZ 6, 7) 105 sf be installed) I'il Other_LAQL Ducts 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 SEER, 78%AFUE, 7.7HSPF 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 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulatlons. •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 application. Name: Jane Alo Signature: Jane Ala Company: A PLUS GENERAL CONTRACTORS INC Date: Aug 29, 2011 Address: 11330 KNOTT STREET License: 763154 City/State/Zip: GARDEN GROVE/ CA/ 92841 Phone: (714) 901-050Q . M4Y IL J!7 XIAW CUECKW BY p�►ZE AV HEZE�9 MM'S ULI LjLW Reg: 211-A0044564A-00000000-0000 Registrauion Date/Time: 2011/08/29 12:18:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 TRaI�/E® 4YCY4036B-SUB-1 E TAG: 3 Ton Convertible Gas/Electric Packaged Units 4YCY4036 B 1075/96A PRODUCT SPECIFICATIONS MODEL 4YCY4036B1075A 4YCY4036B1096A G)Certified in accordance with the Unitary Air-Condi- RATED Volts/PH/Hz 208 230/1/60 208 230/1/60 tioner Equipment certification program,which is based on ARI Standard 210/240.Sound Power values are Performance Cooling BTUH® 38000 38000 not adjusted for ARI 270-95 tonal corrections. Indoor Airflow (CFM) 1210 1210 ®All models are certified to UL 1995.Ratings shown Power Input (KW) 3.166 3.166 are forelevations upto2000 ft.For higher elevations EER/SEER(BTU/Watt-Hr.)® 12.0/14.2 12.0/14.2 reduce ratings at a rate of 4%per 1000 ft.elevation. Sound Power Rating (dB(A))m 69 69 OO Convertible to LPG. Performance Heating® O This value is approximate.For more precise value, Input BTUH- 1st Stage(Natural Gas) 56250 72000 see Unit Nameplate. Input BTUH-2nd Stage(Natural Gas) 75000 96000 ©Based on U.S.Government Standard Tests. AFU E 79.5 80.0 O Filters must be installed in return air stream.Square Temp. Rise—Min/Max(°F) 30/60 40/70 footages listedare based on 300f.p.m.facevelocity. Orifice QtV/Drill Size(Natural Gas)® 2/#33 3/#37 If permanent filters are used size per manufacturers POWER CONN.—V/PH/HZ 208-230/1/60 208-230/1/60 recommendation with a clean resistance of 0.05' Min. Brch.Cir.Ampacity® 24.6 24.6 W.c. PLOT PLANS lf u�r. Fuse Size—Max. (amps) 40 40 O standard��l..''DDa Fuse Size—Recmd. (amps) 40 40 COMPRESSOR SCROLL SCROLL Volts/Ph/Hz 208-230/1/60 208-230/1/60 DATE R.L.Amps—L.R.Ams 15.4/83 15.4/83 0 TDOUR COIL—TYPE SPINE-FIN SPINE-FIN DEPT- Rows/F.P.I. 2/24 2/24 PLAN1vING Face Area(sq.ft.) 15.49 15.49 Tube Size (in.) 3/8 3/8 DATE — INDOOR COIL—TYPE PLATE FIN PLATE FIN Rows/F.P.I. 4/15 4/15 Face Area(sq.ft.) 3.54 3.54 Tube Size(in.) 3/8 3/8 Refrigerant Control EXPANSION VALVE EXPANSION VALVE Drain Conn.Size (in.) 3/4 FEMALE NPT 3/4 FEMALE NPT OUTDOOR FAN—TYPE PROPELLER PROPELLER Dia. (in.) 23.4 23.4 Drive/No. Speeds DIRECT/1 DIRECT/1 CFM @ 0.0 in.w.g.T 3320 3320 Motor—HP/R.P,M. 1/5/830 1/5/830 Volts/Ph/Hz 208-230/1/60 208-230/1/60 F.L. Amos/L.R. Amos 1 1 /1 q 1.1 /1.9 INDOOR FAN—TYPE CENTRIFUGAL CENTRIFUGAL Dia x Width (in.) 10 X 10 10 X 10 UJ Drive/No. Speeds DIRECT/VARIABLE DIRECT/VARIABLE CFM @ 0.0 in.w.g.® SEE FAN PERFORMANCE TABLE SEE FAN PERFORMANCE TABLE Motor—HP/R.P.M. 1/2/VARIABLE 1/2/VARIABLE Volts/Ph/Hz 200-230/1/60 200-230/1/60 F.L.Amps/L.R.Amps 4.3/4.3 4.3/4.3 KJLM COMBUSTION FAN—TYPE CENTRIFUGAL CENTRIFUGAL LAW Drive/No. Speeds DIRECT/2 DIRECT/2 Motor—HP/R.P.M. 1/45/2800/1500 1/45/2800/1500 Volts/Ph/Hz 208-230/1/60 208-230/1/60 FLA 0.34 0.34 AL FILTER/FURNISHED NO NO Type Recommended THROWAWAY THROWAWAY Recmd. Face Area(sq.ft.)Q 4 4 R41 OA R41 OA Charge (lbs.)© 7.9 7.9 GAS PIPE SIZE(in.) 1/2 1/2 DIMENSIONS H X W X L H X W X L Crated (in.) 47.86/44.5/52.03 47.86/44.5/52.03 WEIGHT Shipping(lbs.)/Net(lbs.) 488/392 493/397 0 2010 Trane ctT:Y.OF CHECKED BY CITY OF CUPERTINO . FURNACE/AC CUPERTIi' O FEE SCHEDULE p��� vEpr. M fl(.. D -PT. Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl installation of controls regulated by this code. 1MCREPALT Commercial for the repair of alt/add to M ea heating appliance,refrigeration unit,cooling unit,VAV boxes, absorption unit or ea heathing, cooling absorption,or evaporative cooling sys, incl install of controls regulated by this code. 1MCSUSHTR Commercial Install/Relocate ea M suspended heater,recessed wall htr, or floor mounted unit heater. 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1MCAPPVNT Commercial for the install/relocate/ or M replacement of ea appliance vent installed&not incl in an appliance permit. 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO Commercial Seismic B 1MRRAA Residential Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl installation of controls regulated by this code. 1MRSUSHTR Residential Install/Relocate ea M suspended heater,recessed wall htr, or VLVT YLAFY$ CITY OF CUECXW BY CITY OF CUPERTINO 4ATE IMI FURNACE/AC CUPERTINO FEE SCHEDULE PLANNING DEPT. DATE floor mounted unit heater. Quantity Fee ID Fee Description Fee Permit Type Group 1NIRAPPVNT Residential for the install/relocate/or M replacement of ea appliance vent install&not incl in an appl permit. FURNACE FURN/AC 1PGASRES Residential for ea gas piping system of P 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1MFR=<100 Furnace Syst<=100k BTU install or M relocate ea forced-air/gravity type furnace/burner, incl ducts/vents attached to such appliance up to and include 100,000 Btu/h IMFRN>100 Furnace Syst> 100k BTU install or M relocate ea forced-air/gravity type furnace/bumer, incl ducts/vents attached to such appliance over 100,000 Btu/h IEPERMITFEE Electric Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B nm PLOS CCTV OF Clacxw BY CITY OF CUPERTINO FURNACE/AC Vis , FEE SCHEDULE CUPERTINO Q14►"$� 1BUSLIC Business License Quantity Fee ID Fee Description Fee Permit Type Group AIR FU R.N/A.0 CONDITIONING 1BCAIRHAN Commercial A/C Units <= IOk CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1 PGASRES Residential for ea gas piping system P of 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. Comm/Resid 1BREMAIRHAN Residential AJC units<= l0k CFM B 1MRRAA Residential Mech Repair/alt/add M 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic Residential B lEPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B PLOT PLANS CITY CHEMW BY c. • CITY OF CUPERTINO "W FURNACE/AC PLANNING DEPT. FEE SCHEDULE CUPtiRTINO DATE IBUSLIC Business License B