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B-2017-0153CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0153 7662 SHADOWHI.LL LN CUPERTINO, CA 95014-5062 (362 24 022) T F F HEATING AND AIR CONDITIONING MILPITAS, CA 95035 NAME: CHEN WENHSING TRUSTEE & ET AL DATE ISSUED: 01/26/2017 OWNER'S PHONE: 408-500-9245 IPHONENO: (408) 500-9245 1 t Is .1� tit t ._.; �♦ License Class C-20 Lic. #917350 Contractor T F F HEATING AND AIR CONDITIONING Date 06/30/2018 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: t. 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 iformance of the work for which this permit is issued. ,, F 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. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. jJ. Sianature '� �'�~�-y` __..[late 1/26/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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 (Sce.7044, Business & Professions Code) z. L as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). hereby affirm under penalty of perjury one of the following three declarations: L 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. z. 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. s. 1 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, l become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit sball be deemed revoked. APPI ICANT CERTIFICATION 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 1/2512017 PERNM INFO: BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE FURNACE (SAME LOCATION) Ft Floor Area: I Valuation: $2750.00 APN Number: Occupancy Type: 362 24 022 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Aygnde R& ROOFS• 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. Signature of Applicant: Date: 1/26/2017 ROOF COVERINGS TO BE CLASS "A" HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: _ r----- c Date: 1/261201.7 I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCa�cupertino.orq r7 M I TA41ITTITt'l `IIn,rr—.,.,T, 11 r-1. MEP misc - liLGt PROJECT ADDRESS b)- V/w s _ / ! �', ve, lnLi,r-�L. ivubt- ,LLANEUUN _ APN # -3Q,2— 7-4 o 2 OWNER NAME ` , (� � A �� „ ,l fl / V 1 PHONE v � � � � E MAII, STREET ADDRESS n i CITY, STATE, ZIP FAX pr CONTACT NAMEQ`„pp y C �t'I'1iL W-, is PHONE E-MAII STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER BUILDER ❑ OWNER AGENT ❑ CONTRACTOR . CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME j�e'r, s � - / LICENSE NUMBER j oy YD I LICENSE TYPE /'�� BUS. LIC # J �j #' COMPANY NAME TF -P-# E-MAIL �FF5_ v A-� A h a C0 V FAX STREET ADDRESS l �- CITY, STATE, ZIP B` (, �,�� ^A IS -6 420 (� ( (s pH0 D 2'Y ARCHI TECT/ENGINEER NAME LICENSE NUMBER BUS_ LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF FwKFD or DUPLEX ❑ MULTI -FAMILY BUILDING ❑ COMMERCIAL PROJECT IN WI DLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLERHOME? ❑ NO DESCRIPTION OF WORK c a ca - TOTAL VALUATION: By my 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' g co ction. I authorize representatives of Cupertino to enter the above- entiified roperty for inspection purposes. Signature of Applicant/Agent: Date: L 'T SUPPLEMEN N REQUIRED oI use olva�Y v -.n w -- 'sTANI}apay "ivrAaoi MEPMiscApp 2011.doc revised 06/21/11 V CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) Project Name: Wen-Hsing Chen Date Prepared: 2017-01-26 A. General Information CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF1R-ALT-02 document for each dwelling unit. 01 Project Name Wen-Hsing Chen 02 Date Prepared 2017-01-26 03 Project Location 7662 Shadowhill 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name Wen-Hsing Chen 07 Zip Code 95014 08 Dwelling Unit Conditioned 1760 Installing Installing) Installing Floor Area (ft) Location or Area by this SC ducted F 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 b5 ` 06 ` 07 08 " 09 10 lstheSC ; Installing=a _ - '":• -installing SC System SC System CFA served system a refrigerant 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 (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1760 Yes No Yes No No No Altered space conditioning system C. Extension of Existing Dud System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number. 217 AO20016982A-000-000-0000000-0000 Registration Datefime: 2017-01-26 08:37:34 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-26 08:38:27 Schema Version: rev 10/16 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 15O.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 All new No cooling This field ar This field or This field or This field or System 1 Central as heating AFUE 81 Central split component section is not section is not Setback section is not section is not furnace components AC altered applicable applicable 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 iCZ 1-10,12 and 13) and R8 [CZ 11 and 14-161 CF2R and CFSR-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: r- 15% or <=10%leakage to outside; or seal all accessible leaks. CF2R and CFSR-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF311-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 Dud Leakage Testing requirements - Heating -only systems and Air Handler Furnace changes do not require verlficatiph'of Air Flow .MCH -23; or Refrigerant Charge MCH -25, ceents. -Existing duct systems constructed, insulated or sealed with asbestos are exernOFrom MCH=20 Dud Leakage Testing _reguim E. Entirely New or Complete Replacement Duct System, with or witht E ouquipment Changeout (Sections,150.2(b)1Dna and,1S0.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C) This section does not apply to this project. Registration Number. 217-A020016982A-000-000-OD00000-0000 Registration Date/Time: 2017-01-2608:37:34 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-26 08:38:27 Schema Version: rev 10/16 A 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 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ferreira, Tony Company: Signature Date: T F F HEATING AND AIR CONDITIONING 2017-01-26 08:37:34 Address: CEA/ HERS Certification Identification (if applicable): 299 CORNING AVENUE City/State/Zip: Phone: M€LPITAS CA 95035 40&-786 8120 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 forthe building design or system design identified on this Certificate of Compliance conform to the requirements of7rde 24, Part 1 and Part hof the California Code of Regulations, documents, worksheets, 4. The building design features or system designfeaturesidentifiedoAthisCertificateofCompliancearecansistentw�Yhtheinformationprovidedonotherapp_licableeompliance calculations, plans and specifications submitted to the enforcement agency forapproval witfi this building permit application S. I will ensure that a registered copy of this Certifccate of Compliance sha€f be'ma le apeifabte wish the byliding permits}.issued forrthe kruildIng, andmade avaitabte,to the enforcement agency for all applicable Inspections. I understand that a registered copy of thisdertificate of Compl"iance,is;required to, cluded wth the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Re s anslbieDes€gnir5i n ature: Ferreira, Tony Company: Date Signed: T F F HEATING AND AIR CONDITIONING 2017-01-26 08:37:34 Address: Ucense: 299 CORNING AVENUE 1917350 City(State/Zip: Phone: MILPITAS CA 95035 `108-786-8120 DigitallyagnedbyCaICERTS- This digitaisignatare is providedin order to secure the content ofthis registered document and in noway implies Registration Providerresponsibi6ry for the accuracyof the information. Registration Number:217-A020016982A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Datel'rime: 2017-01-26 08:37:34 Report Version: 2016.1.005 Schema Version: rev 10/16 HERS Provider: CaICERTS Report Generated: 2017-01-26 08:38:27 CUPERTINO 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 (a)cupertino org PF,R MT COwIETEI>, 'i 1<.DtTLTRNFO THE B DIN --.1) FI > This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with. 2016 CRC Section R314, R315, 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 R314, R315, 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) — (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable -attics X X Within each sleeping room _- : -. X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-bun�uZg 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, alarms) may be, solely battery operated. Iri 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 CSC 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 beezi 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. p Address:b" _'_? -> k4owl"I�J Z f"i4)W o' m Permit No. � � C51 � � 0 j n Specify Number of Alarms: # Smoke Alarms: �, # Carbon Monoxide Detectors: !� l have read and aaree to comply with the terms »nrl ronn';tinn.c r7f thbz .QPatPm,-r)f Owner (or Owner Agent's) Name: _e _e.-•= Signature.................................................................................................................. Date:.................. Contractor Name: Signature... ........................... ................................... Lic.# .............. _....................... Date: .................. Smoke and COfo7-177.doc revised 01/1012017 Owner Name Address 1 01. I z [OITJTI il 1:3 -.491:4 -.AV I a LOLAN I :K#] a @to _ jilij:11100 ffiffiEmi COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - bujIdjnq(@cupertino.oLq Z -O/ —W ��Iv\ r- � I ?,A- Permit No, 1. Is your real property a registered historical site? 1-1 )'es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. VNo Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? 0 Yes Civil Code Sections 1101.1 through 1101.8 donot apply. El The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. M No Go to Question 3. 3. Is water service permanently disconnected for your building? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. IV No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 0 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. Skip the rest of the form and sign bottom of form. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: V1 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). El 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 whetherpropertyundergoes alterations or, improvements). 0 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. 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). 1, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above 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 on the following page. Owner or Owner Agent's Signature: Date: I Unnn n.nmnletinpr and signinLr this Certificate, Wease return it to the Building Division in order to final your building permit. SB4072015.doc revised 08126115 TH the existing plumbing fixture water usage/flog rate is equal to or lower than the figure shown, Lis not require o , .1, SB4072015.doc revised 08126115 Non -Compliant I Water -Conserving Plumbing Fixture Plumbing Fixture 1 (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPQ Ch. 4 2013 CPC Ch. 4 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rate 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 0.5, gallons/flush 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 W, aterSense 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 11.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 6 ' 0 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. A+ b —1-1 TH the existing plumbing fixture water usage/flog rate is equal to or lower than the figure shown, Lis not require o , .1, SB4072015.doc revised 08126115