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14020115 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20322 SILVERADO AVE CONTRACTOR:VALLEY HEATING& PERMIT NO: 14020115 COOLING OWNER'S NAME: PAN KUO-RUEIH AND CHEN HSIAO-FANG 1171 N 4TH ST DATE ISSUED:02/20/2014 OWNER'S PHONE: 6509672443 SAN JOSE,CA 95112 PHONE NO:(408)294-6290 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL REMOVE AND REPLACE FURNACE License Class C>nM�.,�/ Lic.# Contractor a`�F �12QNrI, Co�It Nj Date Z./�7 t/ 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: 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:$4667 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 APN Number:36938012.00 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 WIT YS 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 180 D S FROM L T CALLED INSP TION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the t�! granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-points urce regulations per the Cupertino Municipal Code,Section 9 18. Zl 2 711 RE-ROOFS: Signature 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. ❑ 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 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) 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. I 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,Sectios 5505,2553i�d 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. g �71/�i Owner or authorized agent: Date: , 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 CONSTRUCTION LENDING AGENCY 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 ARCHITECT'S 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 BUILDING PERMIT BUILDING ADDRESS: 20322 SILVERADO AVE CONTRACTOR:VALLEY HEATING& PERMIT NO: 14020115 COOLING OWNER'S NAME: PAN KUO-RUEIH AND CHEN HSIAO-FANG 1171 N 4TH ST DATE ISSUED:02/20/2014 OWNER'S PHONE: 6509672443 SAN JOSE,CA 95112 PHONE NO:(408)294-6290 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] 1 Yt] REPLACE FURNACE AND INSTALL GAS LINE License Class C0711-f'ttif Lic.# I Contractor a 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: 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:$4667 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 APN Number:36938012.00 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 1 DAY 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 180 DAYS FR LAS 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 n Issued by: Date: OC. 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. �I/(� any roofing Signature . 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. ❑ 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 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) I,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. I 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,Section 5505,2ZZ�� 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 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 ARCHITECT'S 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 GENERAL PERMIT APPLICATION MEP DIVISION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING f� 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 J(408) 777-3228•FAX(408)777-3333•building ftuoertino.org �AO MISC CUPERTINO ❑PLUMBING El _1 ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS �\v APN# Q OWRTERNAME T;G P�� PHONte,q /f�� E-MAIL STREET ADDRESS S, r a (1,Q CITY, STATE,ZIP. CS /� I o7)q FAX CONTACT NAME V PHONE (,E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑ OWNER ❑ ONVNER-BUILDER ❑ OwNERAGENT ❑ CONIRAcTOR ❑CON/TR�ACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LICENSENUMBERQ LIC�'NSE E BUS.LIC# COMPANTY NAMEE-MAIL D FAX y —T cnA\I STREET ADDRESS !/� III CITY,STATE,ZIP CA /� PHONE,-P l -ZI�J S(`/ l ARCHITECT/ENGINM EER NAME +.�' LICENSE NUMBER. P r BUS.LIC# r COMPANY Np MEF.MAII FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WI DLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BURRING: ❑COMMERCIArL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO . DESCRIPTION OF WORK 7120 TOTAL TOTAL VALUATION: / A I ZZECENEDBY ; { '� By my signature below,f certi to each of the following: I am the property owner or authorized agent to act on the property owne ave read this application and the information 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 ordinances and state lavas relating to b ' ing construction. I thorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature ofApplicant/Agent: Date: !�! P� �( SUPPLEMENTAL INFORMATION REQUIRED 14-5- 10111 ,� 1-101 _ •gym�vr ��"",�- MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20322 silverado ave DATE: 02/20/2014 REVIEWED BY: mendez APN: BP#: EVALUATION: 1$4,667 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION FURN/A USE: PERMIT TYPE: WORK replace furnace and install gas line SCOPE Mech.Plan Check T0__01hrs $0.00 Plumb.Plan Check 0.0 hrs $0.00 =7ec. Plan Check Mech.Permit Fee: IMPERMIT Plumb.Permit Fee: 1PPERMIT Lsle;c 1' izrti t : Other Mech.Insp. 0.0 hrs $47.00 Other Plumb Insp. 0.0 hrs $47.00 ofh p i..-loc-Ins,. El Insp, J,v'v.- Phvnh rle: InsIv" NOTE: This estimate does not include fees due to other Departments(i.a Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These _f -fees are based on the relimina information available and are onlyan estimate. Contact the Detor addn'l info. FEE ITEMS(Fee Resolution 11-053 Ef. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Mechanical Suppl. PC Fee: (D Reg. 0 OT 0.0 1 hrs $0.00 $139.00 1MFR=<100 Furnace,Forced-Air PME Plan Check: $0.00 1 # Plumbing Permit Fee: $0.00 $70.00 IPGASRES Piping, Gas<=4 Outlets Suppl. Insp. Fee:Q Reg. ® OT Q 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $94.00 Administrative Fee: 1ADWN $44.00 C) Work Without Permit? ® Yes (E) No $0.00 G Advanced Plannin&Fee: $0.00 Select a Non-Residential E) Travel Documentation Fee: ITRAVD0C $47.00 Building or Structure 0 i Strom Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 0 O5 $186.50 $209.00 TOTAL FEE:' $395.50 Revised: 01/15/2014 HVAC ALTERATIONS ENERGY COMPLIANCE FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL GUPERT(NC3 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228-FAX(408)777-3333•buildingaacupertino.or4 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 1, 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 (Title 24,Part 6)REQUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78%AFUE (Exception: Wall &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