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15010116 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 23350 SERANO CT UNIT 27 CONTRACTOR:SANDIUM PERMIT NO: 15010116 OWNER'S NAME: SAN JOSE,CA 95134 PHONE NO:(408)894-9072 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL pp QQ �j INSTALLATION OF UV LIGHT CIRCUIT FOR FURNACE License Class �+�i� Lic.# 4" t ` SYSTEM l Contractor 061 %,U^. Date Z�'f 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:$3000 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:34255012.00 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 80 DA F 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 YS FROM L 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 Issued by: Date: 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. 1 /22 � RE-ROOFS: e / � SignaturDate / 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 Date: Signature of Applicant: 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' 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(See.7044, Business&Professions Code) HAZARDOUS MATERIALS DISCLOSURE I,as owner of the property,am exclusively contracting with licensed contractors to 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 the Health&Safety Code,Sect' ns 25505,25533,and 25534. I have and will maintain Worker's Compensation Insurance,as provided for by {j2 s 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 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �\ 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �p�\ CUPERTING (408)777-3228•FAX(408)777-3333•building(akupertino.org InVV misc Z3v5 0 ' 1 [-IPLUMBING ❑MECHANICAL Z ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS 2? -7 APN# �eticwv G-� `+ FAX CONTACT NAME •���;,`l�� PHONE &MAIL STREET ADDRESS �Z-L3 Vev �S /�t CITY,STATE,ZIP /5" *-& 6k FAX q 5 c 3 ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT py CONTRACTOR ❑CONTRACTOR_'AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME A A` ^ `� LICENSENIIMBERS(�11� LICIN$E'PE BUS.LIC# COMPANY NAME S(/IA+'+6 w �y E-MAIL bo cL• FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSENUMBER BUS.LIC# COMPANY NAME E-MAII FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF �SFD or DUPLEX ❑ MULTI-FAM L PROJECT IN WE.DLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA NO FLOOD ZONE ❑NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK V V ;, 01 C�'� �' - 4'fwkx. 5 w� TOTAL VALUATION: 00 ' r h By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on perry owner's b I have s application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agreed 3+-will all applicable local ordinances and state laws relating to buildin nstruction. orze representatives of Cupertino to enter the above-identi roperty for inspection purposes. Signature of Applicant/Agent: = Date: 1172,0115 SUPPLEMENTAL INFORMATION REQUIRED ,or>ICE,I1sE onX , a i $ n> y 2 x MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION WDDRESS: 23350 sereno ct#27 DATE: 01/22/2015 REVIEWED BY: Mendez PN: BP#: VALUATION: $3,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION 1 GENRES USE: SFD or Duplex PERMIT TYPE: WORK installation of uv light circuit for furnaces stem SCOPE ttncit. f'ir n t Ntr'rk llhwih. Ilan C he,<4,, Chick lfech. t'eeinil Fee: Phdmb. Permit Pee: Oer Perr ,, _[��(?tire., �IecFr. /rrs", Other Plumb Irnsp. od?"?P t c c. 1nsp. b/xzc%z. /Pas/. /.cc Phwlb. Insp. /:eco: 1-i:(_ ]Its" NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff,7/1/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ®Yes (F)No $0.00 L .J hours Plan Check,Hourly Suppl.PC Fee: Q) Reg. 0 OT 1 0.0 hrs $0.00 $143.00 1STPLNCK A PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.(E) Reg. ® OTJ 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 J7=_ T= ("C.w2s'frvction fox: '1c'hnini.%Ira tivc Fee: 0 Work Without Permit? ®Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure 0 /r^tli'F'i /)tJ£'1.i11'?t'.t21Ld17t1Y( /',t'es: � Strong Motion Fee: IBSEISMICR $0.50 0.5 hrs Admin./Clerical Fee Bldg Stds Commission Fee: IBCBSC $1.00 $45.00 ]ADMIN $1.50 $188.00 F, TOTAL FEE: $189.50 Revised: 01/06/2015 COM U ITh DEVELOP E : E O _NT EP R Y� — — __._ --B Dfii fl �tOfriT1t�t0 --- — - - -- --. , �- ...... 7 I T1Is set of,'lan ands ecifiction M 5T 'e k�pt a1i the i + -- lob sit cfu ing �onstruc+on...�lt.is. nla ful t make any ,. 1 - - r1G� - P tH .Q £�;flf"���$3Nft - - 7 XA►�+ �iLU1J T. om. withjout ro' val!fro the'Buil, in ;Official.+ { JN1iV t ire �' thislpla a�d�speifications SHALL MOT i -R---r-- " -,- - ' i 1 tie St�mptng o et ,�Serrriprot Crf�tho+ tten- — — - - - �I e 'State-liaw _ r ma e , I --. — _ i Y i l- LV l i --- , i 47- T � t A { 'N F + Y ' i -T r, :i , 1 - - 41 1 j 1 I 5 i - — i '` —13brfdrt p Y - ' j 1 i 1 t1EVfJ OM 1���4 a - -- --- I 7 C P a -- a _ .— �/eked 677 - — -- - i � L / ~�—J Technical LE 7VXAIR CLEANERS / FILTERS Publications m Litho U.S.A. 02009 Lennox Dallas,Texas,61SA 505,276M PUREAIR'*' AIR PURIFICATION SYSTEM 10/09 PHOTOCATALYTIC OXIDATION (PCO) Supersedes 07/09 TECHNOLOGY INSTALLATION INSTRUCTIONS FOR PUREAIR© AIR PURIFICATION SYSTEM MODELS PCO14-23, PCO16-28 AND PCO20-28 RETAIN FOR UTUREIREFEREN ENS NOTICE � 411i1 y4 F `�`y kpyS�iI h Yj F 4 1. • • -1 • •-�Sh1 " , g0Pm6.l, M111remoM- - of • • growth or • ' high levels of chemicals in the air. Assembled PureAir- air purification system which in- cludes: • • • • • • • 1 -Cabinet purification system. 1 - Control box assembly(includes frame, ballasts and associated wiring) AWARN I N G 1 -MERV 16 pleated filter Risk of property damage, injury, or death. 2- UVA lamps ' Installation and service must be 1 -Titanium dioxide metal insert qualified installer or service agency. 1 -Power cord (120VAC)* *230VAC power cord available separately (part number AWARN I N G 91 X44). Electric shock hazard. A warranty certificate and registration card are also inCan cause injury or death. - cluded. vicin •• 7Shi pp�b n 9- xY . . . •- • during . . vDm9 • •- • Check equipment for shipping damage. If damage is A CAUTION found, immediately contact last carrier. Sharp edges hazard. General Informatori � °+" Sharp edges The PureAir- air purification system uses photocatalytic Use protective gloves when grasping equipment oxidation (PCO)technology to significantly reduce levels edges. of airborne volatile organic compounds, cooking odors, common household odors, airborne dust particles, mold NOTICE spores and pollen. The PureAir- system is available in three models: PCO14-23, PCO16-28 and PCO20-28. Possible odor Each unit may be connected to either 120VAC or 230VAC •• •' • power supply. If 230VAC power supply is used,a 230VAC lamp replacement. Odor may also be present power cord must be ordered separately. paint, cleaning solutions or hobby space.been used in the conditioned Lab tests confirm a 50% reduction in total volatile organic Some occupants may experience irritation or dis- compounds (TVOC)within the first 24 hours of initial op- comfort during this period. eration of the PureAir- air purification system. It may take !zomforlonZar an . up to 48 hours after initial system start-up to reduce the air- should •. advised to contact a Lennox dealer. borne chemicals that have built up in a home over a long period of time. Unique. Field-Supplied Installation Items . For peak performance, unit should be installed in homes Cotton gloves and cloth (to remove fingerprints from with TVOC levels that are less than 1000 µg/m3. Home lamps) source removal and ventilation may be required to lower Aluminum foil tape or water-based mastic (NOT sili- TVOCs to this level. cone)to be applied as a sealant. 10/09 505,276M IIIIIIIIIIIIIIIII 11111111111111111111IIC Page 1 111111111111111111111111111111111111111111111111111 Parts Identification r Lamp MERV 16 Filter Securing I Clips Electrical Control Box Socket Assembly Ballast Access Door \ \ o �r O O O . ° Cabinet Metal Insert 4[:::] Reflectors \ UVA Lamps Control Box Cover Surge Protector Lamp Socket Figure 1. PCO Parts Identification ` � vInllto 'Exmla a,��4,�s� '2Y4x0P + + Note-At sharp turns, o install turning vanes before the PCO. QM o �p Upflow Upflow : (Side Installation) (Side installation with PCO access panel pointed upward and lamps suspended vertically—NOT Upflow RECOMMENDED) Contact the Technical Support Department at 1.800.953.6669 for additional infor- mation. The PCO must not be installed in a confined space where service + clearance woul restricted. o a 0 0 0 0 � J 0 Typical Transition 400>v00 QM= ® am metal transition should be used. O�OOOaD00 ,, + OIb00000U0 UOOAN0001 The transition must be planned for �U1omV00 OO�A]VOVO ® each job.Reduction should not be DOwnflow Horizontal more than 4 inches per linear foot, approximately 20 angular degrees. Figure 2. Installation Examples 505,276M 10/09 Page 2 Dimensions arid4 S'pecficatlons " s` " �(25410)� A Lk- Model A B PCO14-23 23(584) 21-1/8(537) B 0 ° PCO16-28 28-1/2(724) 17-1/4(438) PCO20-28 28-1/2(724) 21 Figure 3. Dimensions and Specifications IrtlstaIII ation PCO14-23 34 lbs. � PCO16-28 36 lbs. Select a Location PCO20-28 39 lbs. The PCO must be installed in the return air duct upstream ELEC�T �Ci j1111;oil low'! of the supply blower.Allow a 30-inch service clearance in PCO14-23 120V,50/60 Hz, front of the access door as shown in figure 4. The control PCO16-28 1.2 Amps--Maximum, box, pleated filter and metal insert must be removable. 230 V,50/60 Hz, PCO20-28 0.65 Amps--Maximum POWER CONSUMP l y j z 120VAC 144 Watts Nominal 230VAC 1150 Watts Nominal jQPEI ATINGE IRON 0°F to 14l outside of duct. 10 to 60 percent relative humidity. Allow Approximately (Optimal performance at 50 percent relative humidity) 30"of Clearance P� �T D�F16;TT EF C Minimum Efficiency Rating Value(MERV)16. ETL safety listing report 3061144A.Conforms to UL STD 1598.Certified to CSA STD C22.2 no.250.0. �ZZZ Approximate Air Flow Resistance(Cabinet and Filter) Capacity Flow Pressure Drop(in.w.g.) Figure 4. Service Clearance (Tons) Rate 1 PCO4-23 PCO16-28 PCO20-28 (CFM) 2 800 0.12 0.11 0.09 NOTICE 2.5 1000 0.17 0.15 0.12 shouldThe PCO •_ installed so that the lamps wiir 3 1 1200 0.22 0.20 0.16 be in the horizontal position. 3.5 1400 0.28 0.25 0.19 If the PCO must be installed with the access panel 4 1600 0.30 0.23 pointing upward and the lampssuspended 4.5 1800 0.28 ly from the sockets, retaining clips are required t 5 2000 0.32 lock the lamps in the sockets.Contact "Not recommended. Excessive system pressure drop can Support Department •' for addition- damage HVAC system and reduce performance. al information. Pa e 3 PUREAIR"AIR PURIFICATION SYSTEM g PHOTOCATALYTIC OXIDATION(PCO)TECHNOLOGY