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B-2017-0701CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0701 10831 BARRINGTON BRIDGE CT CUPERTINO, CA 95014-6401 (375 22 100) ALLIED AIRE SERVICE INC MILPITAS, CA 95035 OWNER'S NAME: BAJAJ RAJNEESH AND POONAM DATE ISSUED: 05/02/2017 OWNER'S PHONE: 408-685-1206 PHONE NO: (408) 934-8844 LICENSED CONT ACTOR'S DECLARATION ATION BUILDING PERMIT INFO: License Class C-10: C-20: C-38 Lic. #260035 Contractor ALLIED AIR SERVICE INC Date 07/31/ 017 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X MECH X RESIDENTIAL _ COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: REPLACE 2 FURNACES - SAME LOCATION; REPLACE 2 A/C - i. I have and will maintain a certificate of consent to self -insure for Worker's SAME LOCATION Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 permit is issued. Sq. Ft Floor Area: Valuation: $16500.00 APPLICANT C RTIFI ATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 375 22 100 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 this permit. Additionally, the applicant understands and will comply with all ll non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. t - Signature Date 5/2/2017 Issued by: Abby Ayende OWNER -B TIL D R DECLARATION Date: 05/02/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is u. 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 (Scc.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 5/2/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL, ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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. HAZARDOUS MATERIALS DISCLOSURE 2. 1 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 the 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, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I 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, Code, I must forthwith comply with such provisions or this permit shall be deemed revoked.: ~ , Owner or authorized agent: g� �r1 APPLICANT CERTIFICATION Date:/5 212017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit 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 DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 5/2/2017 Licensed Professional +CUPERTINO GENERAL PERMIT APPLICATION mmm F PRO COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 A0116 C (408) 777-3228 • FAX (408) 777-3333 • buildina(a)cupertino.org 'M I ❑PLUMBINGCHAMCAL ❑ELECTRICAL 71 MISCELLhlvnuu� PROJECT ADDRESS � APN # P CITY,. STATE, ZIPZ/ FAX [' CONT NAME PHONE E-MAIL, STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ ORTNERAGENT CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENG ER ❑ DEVELOPER ❑ TENANT CO C OR NAME CPO � ce�/ /I LICENSE NUMBER LICENSE TYPE/, VC) f1 �� BUS. LIC n COWVW NAME _ _ . Lme,q C- _ E-MAIL __e__ T C STREET ADDRESS a Ts®` I CITY STATE, ZIP r -q ARCHITECT/ENIGLNEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX z STREET ADDRESS — CITY, STATE, ZIP - PHONE USE OF SFD.1D1)PLEX ❑ MULTI -FAMILY PROJECT INwILDLAND ❑ YES BUILDING: -1 COMMERCIAL URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK > `" lL ✓� 4C� --!5-4L0- l TOTAL V ALUATION: / / f RECEIVED BY By my signature below, I certify tc each of the following: I ain 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. I have read the Description of Rork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t ding construction. I ItI3 ze repres atives of Cupertino to enter the above -i nfffed property for inspection purposes. Signature of Applicant/Agent: Date: �� SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY -4 Ol ER-THE-CdP-NTER f" ❑ EXPRESS, ..., L7 STAN AJ LARGE,:::. . > ❑ IvL�JOR A1EPA7iscApp_2011.doc revised 05/21111 I CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Pagel of 3) I Project Name: 10831 Barrington Bridge Ct I Date Prepared: 2017-05-01 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFIR-ALT-02 document for each dwelling unit. 01 Project Name 10831 Barrington Bridge Ct 02 Date Prepared 2017-05-01 03 Project Location 10831 Barrington Bridge Court 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name 10831 Barrington Bridge Ct. 07 Zip Code 95014 08 Dwelling Unit Conditioned Installing new SC Installing Installing Installing Floor Area (ft)3078 Location or Area by this SC ducted containing system Number of Space entirely new 09 Climate Zone 4 10 Conditioning (SC) Systems in 1 component? components? feet of ducts? duct system? this Dwelling Unit: Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ftz) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Downstairs 1878 Yes Yes Yes No No No Altered space conditioning system System 2 Upstairs 1200 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 417-A020091781A-000-000-0000000-0000 Registration Date/Time: 2017-05-01 11:23:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-01 11:23:15 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R• -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 Central gas All new Central split All new This field or This field or System 1 furnace heating AFUE 0.81 HE cooling SEER 14 Setback section is not section is not components components applicable applicable Central gas All new Central split All new This field or This field or System 2 furnace heating AFUE 0.81 HP cooling SEER 14 Setback section is not section is not components components applicable applicable Required Documentation: CF211-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air 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. CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15), CF2R and CBR -MCH -23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. Exceptions: Duct systems registered with HERS provider as previously seated are exempt from MCH -20 Duct Leakage Testing requirements. Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 154.2(b)1E, 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: 417-A020091781A-000-000-0000000-0000 Registration Date/Time: 2017-05-01 11:23:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-01 11:23:15 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. f certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ken Frazier Ke4q/F aj,6ex Company: Signature Date: Golden State Energy Efficiency Service Inc, 2017-05-01 Address: CEA/ HERS Certification Identification (if applicable): 1463 Circus Court RCN 10076 City/State/Zip: Phone: Turlock CA 95380 209-648-2999 Responsible Person's Declaration statement 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 Business and Professions Code to accept responsibility 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 Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) Issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building ownerat occupancy. Responsible Designer Name: Responsible Designer Signature: Arnie Steiner Kavv Fra#ex Company: Date Signed: Allied Aire Service Inc. 2b17-05-01 Address: License: 887 Ames Avenue 260035 City/State/Zip: Phone: Milpitas CA 95035 408-934-8844 Digitally signed by CHEERS7' . 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: 417-A020091781A-000-000-0000000-0000 Registration Date/Time: 2017-05-01 11:23:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-01 11:23:15 Schema Version: rev 10/16 CUPERTINO ,PERiVI PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(Mcupertino.org `iT (`A-�IFi\1[1T.Ttla T+T TAT-TIl TT1 TTf7 TTTTi• f Fi?T7TrT! i-.�t t'i A l°C 72Ti 1 `AT This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, 2016 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: 10831 Barrington Bridge Ct., Cupertino, CA 95014 Permit No. B-2017-0701 Specify Number of Alarms: # Smoke Alarms: 1 7 1 #Carbon Monoxide Detectors: I have read and a ree to comDlv with the terms and conditions of this statement Owner (or Owner Agents) Name: Signature X,/�/.....`.............................................................................Date: RAT%✓E.S11 l � ......... ,..% ...........................1................................................-....................... ........................ .... Contractor Name: �,o}} r 4&a�L Signature ........... ....... ............ .................. ................ - LieA ......................................Date: ................................................................................. Smoke and COform.doc revised 12/15/16 WATER -CONSERVING -PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING_ DIVISION CUPERTIN10 " 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • building(akupertino.org ± Owner Name Rai'n "est h Baiaj & Poonam Baja: = Permit No. B-2017-0701 Address _ _ 10831 Barrin6t0n Bridge Ct.,-Cupertino. CA 95014 'Please refer to the attached California Civil Code Sections 1101.1-1101:8 which are part of this Certification form. 1. Is your`real property a registered historical site? ❑ Yes 'Civil Code Sections 1101,.1 through 1101.8 do not apply. Sign,below and skip -the rest of the form. Owner' Signature' Date' 19 No Go to Question 2. 2. Does your real property yhave a licensed plumber certifying that, due to=theaga or`c onfiguration of the properly or its , plumbing, installation of water -Conserving plumbing fixtures is not technically feasible? ❑ Yes CivilCode Sections 1101:1 through 1101.8 :do not apply,. ❑ The licensed plumber's,certification has been provided to the Building Division. -- Sign below and skip the rest of the form... Owner' Signature: Date: ® No Go to'Question 3.. ' 3. Is water service permanently disconnected for your building?- ❑ Yes Civil Code -Sections 1101.1 through.1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: ® No Go to Question 4. 4. Is your real property built and available, for use or occupancy on or before January 1, 1994? ❑ No My real property- is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: `= Date- C.. Yes My real property is built and available for use ;or occupancy on of before January 1, 1994. _ Civil Code Sections 1101.1 through, 1101,.8 apply. Refer to the attached. My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building- alterations ' or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements)., ❑ My property is a multifamily residential real property. =See Civil Code, Section. 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. -. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). El My property is a commercial real property. See Civil Code Section 1101.5. 'On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB40 7 2014. doe revised 03118114 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout, the building (regardless of whether property undergoes alterations or improvements). I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date:` / Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. 1f the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072014.doc revised 03/18114 Rion -Compliant Water -Conserving Plumbing Fixture Plumbin Fixture1 (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush 0.5 gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must. 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. 1f the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072014.doc revised 03/18114