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15080225CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 819 HOOSHANG CT CONTRACTOR-' . PERMIT NO: 15080225 vl OWNER'S NAME: KEVIN PHAM W �� ���� DATE ISSUED: 08/31/2015 OWNER'S PHONE: 4083355945 �` �0� PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ INSTALL (3) MITSUBISHI DUCTLESS HEAT PUMP UNITS License Class C--2 Lie. # (�(p_ Z d(. WITH (1) CONDENSER INSTALLED IN BACKYARD Contractor��9,��� i J. Nt S„��c�.bate � / 5 I hereby affirm that I am licenseunder 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: $9475 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 35902002.00 Occupancy Type: -Section 3700 of the Labor Code, for the performance of the work for which this 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 180 DAYS 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 S FROM LAST CALLED INSPECTI N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the rk,—All.' I by: Date: lJ LA granting of this permit. Additionally, the applicant understands and will complyIssued with all non -point source regulations per the Cupertino Munr ipal Code, Section RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is 9.18. (—*P'- (,,kpe )•- �--- Signature Date lj 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 1, 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, Sections 25 , 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: l 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 CUPERTINO GENERAL PERMIT APPLICATION 0506DO05 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a cupertino.org PLUT SING ❑ MECHANICAL 56LECTRICAL ❑ MISCELLANEOUS PROJECT ADDRESS i Da 8 I AP\ OD OWI ERNANLES PHONE f `� E-MAIL l J ' `-IIP STREET ADDRESS CITY TATE FAX L . C CONTACT NAME ON � E-MAIL _ � yr� ©� , S ET ADDR,ESS6 CI STATE, ZIP FAX - '_ �. W -"' , ❑ ONT'r'i. t ❑ 01AINER-BUIIAEt ❑ CIAN-ER AGEN''T yam. CO?\'TRACTOR ❑ CO:,7RACTOR AGENT ❑ ARCHITECT ❑ F-iGL\'EER ❑ DEVELOPER ❑ TENANT CONTRACTOR N?ANiE LICENSE NUl BE LICENSE •PE^ BUS. LIC a COMPANY E-MAIL FAX STREET ADDRESS CITY TATE, ZIP P ONE O o � ARCHITECT/ENGINEER NA \fE � LICENSE NUMBER BUS. LIC n COMPANY NAME E-MAIL FAY, STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI-FAP.,2LY PROTECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUII-DNIG: ❑ COMMERCIAL URBAN L\'TERFACE AREA NO FLOOD ZONE NO EICHLER HOME? .NO DESCRIPTION OF WORK ♦ �/ + CMs CDURAc%S►'L C TOTAL VALUATION:r� RECEIVED B] 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 build' a construction. I authorize representatives of Cupertino to enter the above -identified operty for inspection purposes. Signature of Applicant/Agent: Date: 71 SUPPLEbIENTAL IN'F'ORMATION REQUIRED o ICE,t s ;nJ.Li � s� , O�T�ER\THE,COU�TER�Y � ❑ ❑ s ,••��, � ' L.AI2GE � � �' ❑ 3\4AJOR, a, S t R7EPAIiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO L0601085 FEE ESTIMATOR - BUILDING DIVISION lalADDRESS: 819 HOOSHANG CT DATE: 08/31/2015 REVIEWED BY: SEAN UNITS APN: BP#: *VALUATION: 1$9,475 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION FURN/AC PERMIT TYPE. WORK INSTALL 3 MITSUBISHI DUCTLESS HEAT PUMP UNITS WITH 1 CONDENSER INSTALLED IN SCOPE BACKYARD. APPLIANCE / EQUIP TYPE FEE ID Plumb. Pian Check QTY UNITS BP FEES Fl,'Iec. Permit Fee: Cooling System 1MRRAA Mher Elec. Insp.I 1 # $72 1 1 -mit Fee: ` Uplpl. In,sp fee PME Unit Fee: $72.00 PME Permit Fee: $48.00 Construclion Tax. Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes (F) No $0.00 TOTALS: eel Travel Documentation Fee: ITRA VDOC $72.00 Strong Motion Fee: 1BSEISMICR 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 preliminar information available and are only an estimate. Contact the De t or addh7 info. FEE ITEMS (Fee Resolution 11-053 E(f. 7/U132 Mech. Plan Check0.0 hrs $0.00 Plumb. Pian Check £7ec. Plan Check Mech. Permit Fee: IMPERMIT Plumb. Permit Fee: Fl,'Iec. Permit Fee: Other Mech. Insp.0.0 hrs $48.00 "Nber Plumy lf?Q1Li I Mher Elec. Insp.I PME Plan Check: Fee. - 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 preliminar information available and are only an estimate. Contact the De t or addh7 info. FEE ITEMS (Fee Resolution 11-053 E(f. 7/U132 FEE QTY/FEE MISC ITEMS Plan Check.hee: Suppl. P(' Fee PME Plan Check: $0.00 1 1 -mit Fee: ` Uplpl. In,sp fee PME Unit Fee: $72.00 PME Permit Fee: $48.00 Construclion Tax. Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes (F) No $0.00 ,4(:hwncerl Pkinning Fees: eel Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: 1BSEISMICR $1.23 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $215.23 $0.00 TOTAL FEE: 1 $215.23 Revised: 07/02/2015 Paul O'Sullivan From: Eric Moran [coolerliving@gmail.com] Sent: Monday, August 31, 2015 2:08 PM To: Paul O'Sullivan Subject: Fwd: Installation of HVAC ---------- Forwarded message ---------- From: "Kevin Pham" <kevin.h.pham6D,=ail.coin> Date: Aug 31, 2015 2:05 PM Subject: Fwd: Installation of HVAC To: "Eric Moran" <coolerliving((&gmail.com> Cc: ---------- Forwarded message ---------- From: John & Adriana DaSilva <jandadasilva@sbcglobal.net> Date: Monday, August 31, 2015 Subject: Installation of HVAC To: Kevin Pham <kevin.h.Pham(a,gmail.com> To Whom It May Concern: This email is being provided to confirm that the owner Kevin Pham has the permission of McClellan Estates to install an AC unit in his home. It is understood that the condenser will be placed within his patio. The owner agrees that he/his contractor will install it to code and ensure that the building is properly sealed. If you have any question feel free to contact me at 408-871-9500. Note I am currently out at a property and am unable to provide this on letterhead at the moment but can do so later today if necessary. Adriana DaSilva Community Manager UCEIV ED AUG 31 2015 ALTERATIONS - HVAC "Iry CEC-CFI1R-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 -1R -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit#: v�� r 1�0•3// 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 by system P Setback Split System ❑Condensing Unit SEER ❑ R-8' (CZ 16) Ducts s ft q (If not already HSPF ❑ R-6 (all CZ's) Plenums present must ❑ Furnace ❑ 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, CFIR-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' CFIR-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) -HERS' Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 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 CF1R-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 CF1R-ALT-02-E space but less than All New Ducts' CF2R: MECH-20-HERS CF3R: MECH-20-HERS Installer Required to: Duct leakage (:!L15% 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. ' 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 I" and less. R-7.5 (1.5" thick insulation) for linesets over I inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5 -3T -2Y.", 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 consisten��� provided on other applicable compliance documents, worksheets, calculations, plans and specifications submit agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date Signed: ,� F ' fUcy SO�� Company : Address: City/State/Zip: Phone: BY For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 �St kC) (DS ►tom 4 - P>Li�- TE OFF ICE COPY CHIWKED .ANNIWDEPT CUPERTINO aSj COMMUNI DEVELOPMENT DEPAPTMENT BUILDIIN G DIVISION -.LUPE �-,o PPRO`JED This set of plans an i specifications MUST be kept at the Job site during con 3truction. It is unlawful to make any changes or all arations on same, or to deviate therefrom, withou approval from the Building Official. The stamping of thi plan and specifications SHALL NOT be hold to permit r to be an approval of the violation of rovisions BY �-i DATE rra' PERMIT NO. I 121 CUPERTI O Building Departrier AUG 31 2015 ��CL�—i REVIE Nk``,C ; U N �Z c:�) ,91,A WED FOR CODECOMPLIANCE Reviewed By; Tk" vii X%X4 I AUG 31 2015 BY'