Loading...
B-2017-0050CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0050 1109 MILKY WAY CUPERTINO, CA 95014-5064 (362 19 011) BAYSIDE HEATING & AIR CONDITIONING INC SAN MATEO, CA 94402 OWNER'S NAME: NICOL BARBARA LAND ROBINSON PAUL T DTE ISSUED: 01/09/2017 OWNER'S PHONE: 408-446-1704 P ONE NO: (650) 299-9070 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 0-2Q Lic. #558197 Contractor 13AYSIDE HEATING & AIR CONDITIONING INC Date 11/30/2017 X BLDG —ELECT _IPLUNM I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X MECH X RESIDENT COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REPLACE FURNACE, SAME LOCATION (CLOSET) I hereby affirm under penalty of perjury one of the following two declarations: m. 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. ~� 2.;' 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 permit is issued. Sq. Ft Floor Area: Valuation: $3193.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 362 19 011 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature. i " CJ Date 01/09/2017 Issued b ��— Date: 01/09/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-RO�.aterialbeing following two reasons: All roofs shall be inspected rior to any roowoof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 01/09/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER m. 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. HAZARD MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with a Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, sho air contaminants as defined d I use equipment or devices which emit hazardous by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized age r� t:-- - P�_ APPLICANT CERTIFICATION Date: 01/09/2017 - I certify that I have read this application and state that the above information is CONSTRUCTION I hereby affirm that there is LENDING AGENCY a construction lending agency for the performance 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 of work's for which this peri nit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S TI ON Code, Section 9.18. 1 understand my plans shal I be used as public records. Licensed Signature Date 01/09/2017 professional GENERAL PERMIT APPLICATION MEP 4 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE �- CUPERTINO, CA 95014-3255 misc (408) 777-3228 • FA708) 777-3333 • building--cupertino.org \ tB- 01 :J` -0050 ❑PLUMBING PMECHANICAL ❑ELECTRICAL ❑ ISCELLANEOUS PROJECT ADDRESS 1109 Milky Way APN# Of) OWNERNAME Paul Robinson PHONE 4-8 M(. E-MAIL STREETADDRESS 1109 Milky Way CITY, STATE,ZIP Cupertino, CA 95014 FAX CONTACT NAME Bayside Heating & Air (Chris Paul) -7 PHONE 650.299.9070 E-MAIL office@baysidehvac.net STREETADDRESS 720 South Amphlett Blvd TCITY,STATE, ZIP San Mateo, CA 94402 FAX 650.299.1145 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT I CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Bayside Heating & Air Conditioning, Inc. LICENSE NUMBER 558197 LICENSETYPE C20 BUS. LIC # COMPANY NAME E-MAIL off ice@bays idehvac. net FAX 650.299.1145 STREETADDRESS 720 South Amphlett Blvd CITY, STATE, ZIP San Mateo, CA 94402 PHONE 650.299.9070 ARCHTTECT/ENGINEER NAME N/A777 LICENSE NUMBER N/A BUS. LIC # N/A COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF IN SFD m DUPLEX ❑ MULTI -FAMILY BUILDING. ❑COMMERCIAL I PROJECT INWILDLAND ❑ YESPROTECT URBAN INTERFACE AREA ❑ NO IN FLOODZONE r YES NO IS THE BLDG AN ❑ YES EICHLERHOME? ❑ NO DESCRIPTION OF WORK Replace existing 120kbtu furnace in hallway closet with new Sok to furnace. Existing ducting to remain. TOTAL VALUATION: $3,193.00 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the pro application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-i(entifie Signature of Applicant/Agent: C�QDate: i erty owner's alE a read this I agree o Ith all applicable local roperty for inspection purposes. SUPPLEMENTAL INFORMATION REQUIRED of cE USE ONLY OVER -THE COUNTER ❑ EXPRESS © STANDARD U a❑ LARGE W ❑ MAJOR MEPMiscApp_2011.doc revised 06/21/11 CF111-ALT-02-E CERTIFICATE OF COMPLIANCE (page 1 of 3) Alterations to Space Conditioning Systems (formerly CF -IR -ALT T-H Robinson Residence Date Prepared: 2017-01-09 Project Name: A. General Information contained within a single dwelling unit, When multiple dwelling units must be documented, use one CFIR-ALT-02 is applicable to multiple space conditioning systems CFIR-ALT-02 document for each dwelling unit. — 02 Date Prepared 2017-01-09 01 Project Name Robinson Residence -- - — — — — — — —— — Si family 03 Project Location 1109 Milky Way 04 Building Type 05 CA City Cupertino 06 Dwelling Unit Name Robinson Residence 07 1 Zip Code 55014 09 1Climate Zone '14 Installing Installing Installing lniialling,a refrigerant containing system B. Space Conditioning (SC) System lhf6rmatrion,;,"': , entirely new SC system? Alteration Type component? components'P 01 02 03 04 Yes No 'I$ the SC SC System SC System CIA served system a Identification or Location or Area by this SC ducted Name Served system (ft?) system? System 1 Location 1 1900 Yes 08 Dwelling Unit Conditioned 1900 Floor Area (ft2) Number of Space 10 Conditioning (SC) Systems in I this Dwelling Unit: 1 67 69 ntz 10 C. Extension of Existing Duct System, Greater Than 40 Feet (Sectlon150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020025689A-000-000-0000000-0000 Registration Date/Time: 2017-01-09 09:35:58 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1-005 Schema Version: rev 10/16 HERS Provider: CalCERTS Report Generated: 2017-01-09 09:36:21 Installing new SC Installing Installing Installing lniialling,a refrigerant containing system more than 40 feet of ducts? entirely new duct system? entirely new SC system? Alteration Type component? components'P Yes No No No Altered space Altered pace itio system conditioning space No C. Extension of Existing Duct System, Greater Than 40 Feet (Sectlon150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020025689A-000-000-0000000-0000 Registration Date/Time: 2017-01-09 09:35:58 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1-005 Schema Version: rev 10/16 HERS Provider: CalCERTS Report Generated: 2017-01-09 09:36:21 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E 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 No cooling This field or This field or This field or This field or System 1 furnace AHU AFUE 81 centialsplit AC component section is not section is not Setback section is not section is not altered applicable applicable applicable applicable Required Documentation: CUR -MCN -01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supplyair and return -air ducts or plenums: R6 (CZ 1-10, 12 and, 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-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. CF211 and MR -MCH -25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and MR -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-onlys stems and Air Handler furnace changes do not require verification' of Air Flow MCH -23.; or'Refri eraht Charge MCH=25,. Y g q, g B -Existing duct systems constructed, insulated or sealed with-a'sbestos;are exem t;from MCH=20 Duct'.Leaka a Testing requirements. p g r E. Entirely New or Complete Replacement Duct System, with or without-Wipment Changeout (Sections 150.2(b)1Diia and 1S0.2(b)U, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 217-A020025689A-000-000-0000000-0000 Registration Date/Time: 2017-01-09 09:35:58 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-09 09:36:21 Schema Version: rev 10/16 ''t' r --M_101 CERWlCATE OF COMPLIANCE CF2R-AL`- 02-E I Alterations to Space Conditooning Systems (formerly CEe111aALT HVAQ (Page 3 of 3) i i Documentation Author's Declaration Statement 1e l certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Paul, Chris Company: Signature Date: BAVSIDE HEATING & AIR CONDITIONING INC 2017-01-09 09:35:53 Address: CEA/ HERS Certification Identification (if applicable): 720 South Arnphlett Blvd City/State/Zip: Phone: San Mateo CA 94402 650-299-9070 Responsible Person's Declaration statemeilnt' . 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 Businessand Professions Code to. accept. responsibil ity 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 Title24 Part l and Parf;6of the California Code of Reg'u�I`a' frons. linedocuments, worksheets design f t �es identified on Certif cafe of Com: liance are`a:eonsi'ste t.,w,ith-the information„ rovided on'oth.ei a l cable com a c 4. The building design features or system -eau d; _ p �;,�.:<,::,�:,-�ov 'iw'Uh this buily.�'n,..ermt a i at on Fy, r calculations, plans and specifications sUlamitted'to the enforcement agency fo �;appr, a.,_ rte.. d�, g p pp, 5. 1 will ensure that a register co of.this=Certificafenof,Com liance sfrai,l be=made:avarlable viith. the bialldin ei mit(>>s). issued for the. building, and,,madb ava�;labl' W. forcement agency for all applicable g copy p g p ,,...,.-. -; inspections. I understand that a registered copy of this Certificate of Compliance, is,requi.red to beincluded with the documentation theibulder provides to:the building owner at occupancy. y" Responsible Designer Name: Responsible Designer Signature: ` Paul, Chris Company: Date Signed: BAYSIDE HEATING & AIR CONDITIONING INC 2017-01-09 09:35:58 Address: License: 720 South Arnphlett Blvd 558197 City/State/Zip: Phone: San Mateo CA 94402 650-299-9070 Digitally signed by CatCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-A020025689A-000-000-0000000-0000 Registration Date/Time: 2017-01-09 09:35:58 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-09 09:36:21 Schema Version: rev 10/16 WATER -CONSERVING PLUM13ING FIXTURES OWNEq CERTIFICATE OF COMPLIANCI-E COMMUNObvg LbPMEWT DEPAI�TMENT - BUILDING. DJVtSf0N ........ ­00,,TORPEAVENVE - CUPERTINOCA M14 -32M (408777� S - FAX (4 04) 777-3332 _b2ii—dim mAW -2gln oMr 'Lot 'I coso Vefina Na; Address regimcrej llistolic.;ij site'? 'a Yes chilcc4c S(w'6(mt":1 10 1 1 fb 1101, do vbt Skip the rest of the foiln And 4em 1 'JOT -of forn), 0 '40 to Quo I J)YopertV tlaVeL 3 ljcemscd%pluniher 011i i�itig dull, due (6 the;a& 0rr01hJ%w*3dm':of IN plepenyor its _t3 Y, C�iyi 1 _Code El 'Ile owi rkatiroa JiWl hcm providw to tli,r liouding Trision. SLP ill'ore, 151, orthe fonnand'silt!Iii b6llm; of form. 9NO, Go to Qut.Lantz 3 Is wwgr wiW'116 kir build ing,! sitn' oni r_"Yo L 11 Y'04 C ivil c. b0f. &'4 fiow U 0 JA thwqgli I 110 LR do wt qipjy, 8kip drat of the f0mi and- Sig Witonroffolm 4, stir 9 propolyllull( Mid aN' jl4blC _foI_ t OTC .famuaiy 1, P I 10, 'M`a l propcity is btrflt aA iNallkiv fo r use orocoupn'1 Jamwry'l . 94 Qvil C04 OW011% 1,1011 tffir4gll] 1OLNjilonot apply. Skip ilid reqt of Me f0imand'6_14 botipm otroau, 1pqa, NlyW ro pperte, taut amdjal*fir" r II�se or c' aujumn y I g Lgti—ag st re. J at", t, 19 94. civil -cNc Sa6011r. U-01 3OL -tht-o"sh 11 K oppy. � C We k o 11 e of (II e th roe -ro 110 %vj rig, spal iwa("4 mId 0�jgll boaom'0 Sea Civil Code Swball(11,4, 'ioln -relilwe'd Will) Nvaw-co-j"emm i plooral, il)-J Ambeforej all nml� c4injiljijit pli mbing lixtureNs' Avoll tv mplaccd %vidi watcr-ousvr6nj: pWi-blng', !Uuw4q Of %Y other P nVu ]JIt0hilialls or liq�lc MQP rollc lwergm"� Ve L�)� L. a pr(146rty- S6' Civil Code $teiim 11,011.5. or improwmentsiliall require n0114 oAdipliant ettijl. Weg_ 11s,. tia ms t 6 b c r c I I d i4' idl trta- w to� 1-0 1 g 01411* i I I u 6 x i U re -R. fatbefore n r 112019, Xajj oPumbing I'm t re lz 31bgrepined mrith'w4u*- cm"ervilig-plumbi'lig fl%lo"S _cadlcst; f"wlr,-tltcr•p tty mims pr Q My SceCivil -Code 4v tiara I IOLS. 10,11S ON or "l lett J" rez I Da 1 W a, "Vial Lirtr PjjjrAhj 1.1 "K, rc AW1,, be i)�pw cc t wbing-fixtomA114 11t'l Callfbillin Grom oily i tandW,� Codoj t 1 .1 d� ' - 111timbing llxlurel� 1:01pply wit #1e il", III ietlod-i" -dw Owher or OwnerA�ent'wSJ9nature, m mm� ru,mbatwing 'OF $MOKF- I.CARBON MONOXIDE ALARM$ OWNER CERTIFICATE OFCOMPLIANCE, PEPARTMIENT StAWING DIVISION 10%. 0 TORA9 AYWA, - CUPCRTiN6,pAL,960144265 QVPAATINP MAFAX-'(40�)-717 T I CER-111FICA"MO-AS POWT, CA 'NjPLtTY0p %j� A?�D To ToguumoyN oN 4- t is, a for i1wimstaflatido of 'A �Cqtflrad soioke pnd C;Irbop Nllonqx�de- fox �mpccfloos ort T%quirad. GENERAL INFORMATION :xi 'Kn ! �'-t 4.1 S Will mdc�rboh ngWfijmiIv'anam0J: -niilydw� S's i Smoke, A Nlolmideoja Vjwn ific V tullikynof ad'di HoA$' a1hyraijans, of. $1 OW 00, CRS '20.0 xopqvivfllat Smokt! AmMandior Carbor .Nfooaxide Alarmi 41stalled t - the h6tiowip,ig kwadonsk Ix? X' 'djjt � fitj jtV f �of o d ly'01 I'm I -118ink ellen d -their d'ot1 lmye on b ttothiOd gay ag e. Ca i1xv i n -on oxi (� a lar til s combine vo , smdke Warnvk'sfiall complywt 4713 -the offio of the State Firvmmvolali C - HO 420,6 olndsh,�olt'be approw'd kv Power Sti pptyfjb% J i's.Y)'I'l 11 i16 -.011 I'ktlleuck! battery opprowd, wy,operated Wi er rep not r6wlt In Ole removal of waildrid evilin&finladies br ther4is ftoaccowby Tilealls of attc' Asomept of CIL"'I'wi ardCBC Sectims 07,il 1-4 and 420A2, Ali eleorica-I g6rnmus requ'fredfor 'esowpor of tlic, otxsv- referome'd p,roper ty�'I hew -by icvAjfy'th-At thc olarm(s) refiamod �bove 11SIIIAOL� tv�"fatv - hist itict'lom and ill cof'OPIP111ce, wllfll -ol�o ooiji4ng an ffom!I f cwtit las vjafiopdlf tile Spv '-C�rb&n Mormnc do, -L-A WA,,'4qiWr of A A Wraw', - lhave �*oaq1(' 1111 gppfy vdthfl.�e tomiN r*adltioo of Ws &Wem' at _ow form.-