The URL can be used to link to this page

15010120A CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10093 CRAFT DR CONTRACTOR: ABC COOLING & PERMIT NO: 15010120 HEATING OWNER'S NAME: HAYWARD, CA 94545 PHONE NO: (510)471-8181 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REPLACE HEAT PUMP License Class # J 0 2p 2-33 3 kLiic�. Contractor Cry" ft ,, ,\,\fQfDate 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 Sq. Ft Floor Area: Valuation: $12000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 37502038.00 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 RMIT 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 DA S FROM LAS ALLED 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 granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. r ZZ' Signator Date � any 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, �Z IS Owner or authorized age 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 918. Signature Date CUP RTIINO GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCoDcupertino.org l\ C I 1J I (PLUMBING Ix IMECHANTCAT, F—IRT.F.cTRirAT F-1K4T'r'PTI AMPnilc MEP misc PROJECT ADDRESS 10093 CRAFT DR OWNER 10093 CRAFT DR CITY, STATE, ZIP CUPERTINO CA 95014 PAX CONTACT NAME MAGGIE MENDOZA [PHONE 510 471 8181 E-MAILMAGGIEM@ABCCOOLING.COM STREETADDRESS3266 INVESTMENT BLVD CITY, STATE, ZIP HAYWARD CA 94545 FA"510 471 8368 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT N CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SCOTT LUN DAYLICENSE NUMBER 382383 T77ET-E C20 BUS. LICP ,� 61 q 3 COMPANY NAME ABC COOLING & HEATING E-MAILMAGGIEM@ABCCOOLING.COM FAX510 471 8368 STREETADDRESS3266 INVESTMENT BLVD CITY, STATE, ZIP HAYWARD CA 94545 PHONE 510 471 8181 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # 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 IS THE BLDG AN ❑ YES BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK REPLACE HEAT PUMP TOTAL VALUATION: 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. I 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 const . I authorize represe atives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: a3 k {Yli P 3 zy � 4S AL MEPMiscApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FF.F. FCTIMATOR — BUILDING DIVISION lADDRESS: 10093 craft dr FEE ID DATE: 01/22/2015 REVIEWED BY: Mendez I APN: --7B—P#: BP FEES *VALUATION: $12,000 *PERMIT TYPE: Mechanical Permit 1BREMAiR PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex # PENTAMATION FURN/AC PERMIT TYPE: i USE: ��%��'f` 1<'� � E3 S1"1� Mgip. 1, ,v, Plumb hs/). Fee. WORK��heat um PME Unit Fee: $72.00 PME Permit Fee: $48.00 SCOPE ("On;t}WC11on 1"ct:l: APPLIANCE / EQUIP TYPE FEE ID �---- --- — QTY/FEE QTY UNITS BP FEES Mech. Plan Check 0.0 hrs $0.00 Heat Pump (<=10K cfm) 1BREMAiR Mech. Permit Fee: IMPERMIT 1 # $72 On'ler Plumb Insp.E3 ��%��'f` 1<'� � E3 S1"1� Mgip. 1, ,v, Plumb hs/). Fee. PME Unit Fee: $72.00 PME Permit Fee: $48.00 ("On;t}WC11on 1"ct:l: Administrative Fee: IADMIN $45.00 Work Without Permit? ® Yes (F) No $0.00 TOTALS: i Travel Documentation Fee: 1TRAVDOC $72.00 Strong Motion Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (Le. r/anntng, ruouc rworKs, rt e, auuuuiy JGrvGi L[J[i iu, �w�. and Oro nnh) nn &.comate. Contact the Dent for addn'l info. Ulsirtcy e[c.. irteJe eeJ UlG Ul[JGK V[[ LiLG . csoiiwiswi FEE ITEMS (Tee Resolution 11-053 Eft..- 7/1/13) �,� v..,•..'�.",. ^.."_...�.._— FEE �---- --- — QTY/FEE ---- ---- --- MISC ITEMS PlOrt ("Paw k 1 'ee>: Mech. Plan Check 0.0 hrs $0.00 Plumb, Plan Check Ouc- Pao Mech. Permit Fee: IMPERMIT Phimb, I'erm t Fee: t l<:r. Per -n;; 1"A" Other Mech. Insp. 0.0 hrs $48.00 On'ler Plumb Insp.E3 ��%��'f` 1<'� � E3 S1"1� Mgip. 1, ,v, Plumb hs/). Fee. NOTE: This estimate does not include fees due to other Departments (Le. r/anntng, ruouc rworKs, rt e, auuuuiy JGrvGi L[J[i iu, �w�. and Oro nnh) nn &.comate. Contact the Dent for addn'l info. Ulsirtcy e[c.. irteJe eeJ UlG Ul[JGK V[[ LiLG . csoiiwiswi FEE ITEMS (Tee Resolution 11-053 Eft..- 7/1/13) �,� v..,•..'�.",. ^.."_...�.._— FEE �---- --- — QTY/FEE ---- ---- --- MISC ITEMS PlOrt ("Paw k 1 'ee>: SYlPpl, N-1,Fee PME Plan Check: $0.00 .Pennit .3u/pl, I11sp F(v PME Unit Fee: $72.00 PME Permit Fee: $48.00 ("On;t}WC11on 1"ct:l: Administrative Fee: IADMIN $45.00 Work Without Permit? ® Yes (F) No $0.00 ,l1 vcnlc'tr i Planning Feet': i Travel Documentation Fee: 1TRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $1.56 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 u n r $215.56 $0.00 TOTAL FEE: $215.56 Revised: 01/06/2015 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-03-E Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: ac Enforcement Agency: Date Prepared: Permit#: loos &CA Equipment Type Equipment Efficiency New: Ducting, Plenums, Lineset Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged System ❑ Evaporator Coil AFUE COP ❑ R-6 (CZ 1,3-7) Ducts Served system Setback 13 Split System ❑ Condensing Unit 13 SEER ❑ R-8' (CZ 16) Ducts 1,54 �lj sq ft (if not already HSPF ❑ R-6 (all CZ's) Plenums present must ❑ Furnace 13 Lineset EER ❑ R-5 or R7.5 Lineset3 be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: Can include new ducting All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS Air Handler/Furnace CF3R: MECH-20-HERS Installer Requirement: Duct leakage (<15% or, < 10% to outside, or seal all accessible leaks) Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts CF111-ALT-02-E CF2R-MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS CF3R-MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2 Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >— 350 CFM/ton (or Standards Table 150.0-C / D alternative) ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: Includes replacing or installing All New CFIR-ALT 02-E Ducts' and one or more of the following: CF2R-MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS Condenser Unit, Evaporator Coil, Furnace CF3R-MECH-20-HERS, MECH-(23 or 24) -HERS Installer Requirement: Duct leakage < 6%, Air Flow >- 350 CFM/ton (or Standards Table 150.0-C / D alternative) ❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos. ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: Adding or replacing ducts in unconditioned CFIR-ALT-02-E space but less than All New DuctsZ CF2R: MECH-20-HERS CF3R: MECH-20-HERS Installer Required to: Duct leakage (<15% or, < 10% to outside, or seal all accessible leaks) ❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. Z A New Duct system is when the duct system is constructed of at least 75 percent new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, plenums, duct material. 3 R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. 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 Regulations (CCR). 4. 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 CCR. 5. 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. Responsible Designer Name: Responsible Designer Signature: Date Signed: License: 3a3 Company: Address: City/State/Zip: Phone: Fl e poor.., � 396(0 ) .cf-�;r-5v-5 F10 1/7(- /8 For aNstance or qu'dstions regarding the Energy Standards, contact the Enefgy Hotline at: 1-800-772-3300 Address 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 • buildingCa.cupertino.org ( 00 - C FILE (s0[01�D PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 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 R314 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 have been tested and are operational, as of the date signed below. 1 have read and a ree to comDly with the terms and conditions of this statement Owner (or Owner Agent's) Name: �( Sinature .......... ...... ..... ....................................................................... Date: ............ ..... Contractor Name: Signature...................................................................Lic.#...................................... Date: ................... Smoke and CO form.doc revised 03/18/14