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15060095 (3) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20614 MAPLETREE PL CONTRACTOR:PELLE HEATING&AC PERMIT NO: 15060095 INC OWNER'S NAME: MISHAEL KIM 3751 D CHARTER PARK DR DATE ISSUED:06/12/2015 OWNER'S PHONE: 4089057730 SAN JOSE,CA 95136 PHONE NO:(408)978-7060 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL C, �Q �� 7 REPLACE EXISTING FURNACE WITH A NEW FORCED License Class Lic.# AIR FURNACE(45,000 BTU'S),ADD NEW A/C UNIT(2 TON, Contractor - e Date 2 S 13 SEER) I hereby affirm that I am licensed under the provisions of Aaliter 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:$5000 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:32344033.00 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 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 180D YS FROM LAST CALLED INSP CT ON. 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. RE-ROOFS: Signa Date — 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) 1,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. 1 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 505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 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 Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY 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 1�0600q5 MEP LEI COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building(aDcugertino.org misc ❑PLUMBING MECHANICAL ❑ELECTRICALL ❑MISCELLANEOUS PROJECT ADDRESS IO f_ l' ,/) IeirM pjAf APN# /�A3033 OWNER NAME VA PHONE E-MAIL .J STREET ADDRESS O�I CITY, STATE,ZIP ��14 FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS. CITY,STAT Z[P FAX 3T21 1) UbLA- 0;:�a 5 is cas ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT <CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME# LICENSE NUMBER LICENSE TYPE BUS LIC# tog COMPANY NAMEItoG AIL FA STREET ADDRESS 151_ CITA,yTATE,ZIP PHONE 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 1D 0A &vJ AM Ak, 6MAtf,- �5,(fl 1 i V TOTAL VALUATION: RECEIVED BY: By my signature below,I certty to each of the following: I am the property owner or authorized agent to act on the p operty owner's behalf. I have read this application and the information I have provided is corre ve read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local ordinances and state laws relating to buildi constru Ion. 1 a hor a representatives of Cupertino to enter the above-ide tified property for inspection purposes. Signature of Applicant/Agent: Date: S PP EMENT L FORMATION REQUIRED OFFICE USE ONLY OVER-THE-COUNTER a F ❑ EXPRESS w ❑ STANDARD U ❑ LARGE a ❑ MAJOR MEPMiscApp_2011,doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 20614 Mapletree Place DATE: 06/12/2015 REVIEWED BY: Paul APN: 323 44 033 BP#: `VALUATION: 1$5,000 xPERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex PENTAMATION FURN/AC USE: PERMIT TYPE: WORK Re lace existing furnace with a new Forced Air Furnace (45,000 BTU's Add New A/C Unit 2 Ton 13 SCOPE Seer) APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Furnace, Forced-Air 1MFR=<100 1 # $143 A/C Units (<=10K cfm) 1BREMAIR 1 # $72 TOTALS: $215.00 Mech.Plan Check0.0 hrs $0.00 Plumb.b. Plan Check Plec.Plan Check Fm Permit Fee: 1MPERMIT PeI-177%r l Other Mech. Insp. hrs $48.00 Other Plumb/ns!° Other like.Insp. Li I 0.0 Mech. h:sl?. Fee: "'hal'th. hrsp. Fee: u.Insp.Hee: NOTE: This estimate does not include fees due to other Departments(i.e. Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . Thesefees 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;'13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. .PC Fee PME Plan Check: $0.00 I'erinit Fee: Insp Fee PME Unit Fee: $215.00 PME Permit Fee: $48.00 Construction 7'tr : Administrative Fee: 1ADMIN $45.00 Work Without Permit? 0 Yes 0 No $0.00 ;1�h'uft�•<��ll'krrtrlin; s` Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $0.65 Select an Administrative Item Bldp,Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $357.65 $0.00 TOTAL FEE: $357.65 Revised: 05/07/2015 PLOT P S CHECKED BY &� nr�. U C+5 O 1 DATE PSAPINDEPT OFFICE CCUPERTINO �g OZ ti 1 N(1(' G CO^l1MUN1TY DEVELOPMENT L-�EP RTti1EN BUILDING DIVISION - CUPER INO APPROVED fications mliST bj kept at ite )n. It is unlawful to make ar y 3,ions on same, or to deviat therefrom, v. ." ,oval from the Building officiz I. The Stan-; ! in and specifications SHALL N T be held tc , t� :,e an approval of the violati n D��`� of any ss of any City Oce or State La . U BY DATE �� PERMIT # r RECEIVED June 5, 2015 JUN 12 2015 Mishael Kim BY 20614 Mapletree Place Cupertino, CA 95014 Re: Cupertino Countrywood Homeowners Association Dear Mr. Kim: The Cupertino Countrywood Homeowners Association has approved your architectural request to install an air conditioner condenser unit in the front patio of your residence,subject to the following conditions: 1. The installation being performed by a licensed contractor. 2. Any necessary City of Cupertino permits being obtained. 3. Any damage or maintenance resulting from the air conditioner installation being your responsibility to repair. 4. Any exposed plumbing and electrical lines being enclosed in a duct that is painted to match the building. 5. The air conditioner being a very quiet model compatible with a townhouse community, City noise ordinances,and close proximity of neighboring residences. Thank you for submitting your architectural request to the Board of Directors. If you have any questions,please contact me at(408) 559-1977. Sincerely, Community Management Services, Inc. Bob Soares, Senior Association Manager Cupertino Countrywood Homeowners Association cc: Board of Directors Rafael Sanchez From: Mishael Kim [mishael@gmail.com] Sent: Thursday, June 11, 2015 9:48 AM To: rafael.pelleha@sbcglobal.net Subject: Fwd: Cupertino Countrywood HOA-air conditioning Attachments: Cup Cwood 20614 Mapletree air cond2015.doc ---------- Forwarded message ---------- From: Bob Soares <BSoares akommunitymanagement.com> Date: Fri, Jun 5, 2015 at 10:27 AM Subject: RE: Cupertino Countrywood HOA - air conditioning To: Mishael Kim <mishael(j�gmail.com> Hi Mishael: Please find attached the a/c approval with conditions and install it in the front patio like you showed in the picture. The original will follow in the mail. Thank you, Bob Soares Senior Association Manager Community Management Services, Inc. 1935 Dry Creek Road#203 Campbell, CA 95008-3631 (office)408-559-1977 (fax)408-559-1970 From: Mishael Kim [mailto:mishael(&gmail.com] Sent: Thursday, June 04, 2015 5:08 PM To: Bob Soares Subject: Re: Cupertino Countrywood HOA - air conditioning Hi Bob, any updates? Thanks, Mishael On Mon, Jun 1, 2015 at 11:38 AM, Bob Soares <BSoares(a)communitymanagement.com> wrote: Hi Mishael: I'll submit your request to the Board for consideration at their meeting on Wednesday night. Thanks, Bob From: Mishael Kim [mailto:mishael-0Qmail.com] Sent: Thursday, May 21, 2015 5:06 PM To: Bob Soares Subject: Re: Cupertino Countrywood HOA - air conditioning Hi Bob, Attached is an original picture of our patio, and a rough drawn plan of where the A/C condenser and lines will be going. I preferred not to take a picture of my neighbors house, but if someone would like to take a look for themselves, it is the unit to the left of our home. The condenser unit is drawn gray, and the line set cover is drawn yellow for visibility in the drawing only. Of course the line set cover will be painted the color of the stucco. I believe that this is the least obtrusive and will look very clean after it is painted. 2 I I'd like to schedule the installation soon, so please let me know asap. Feel free to call me for anything else. Thanks, Mishael (408) 905-7730 On Fri, May 15, 2015 at 1:40 PM, Mishael Kim <mishael(a�gmail.com> wrote: Thanks Bob. I'll get the pictures to you within a couple days. On Fri, May 15, 2015 at 12:18 PM, Bob Soares <BSoares(u?communitymanagement.com> wrote: Hi Mishael: The next Board meeting is on June 3"1 . Please provide pictures of your patio and neighbors installation and indicate that you will be doing it the same. I have attached the general requirements. The stucco walls are not being painted, so you would need to paint the conduit if it's against a stucco wall. Regards, Bob 3