Loading...
B-2017-1550 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1550 22447 BALUSTROL CT CUPERTINO,CA 95014-3948(356 03 014) PELLE HEATING& AIR INC SAN JOSE,CA 95111 OWNER'S NAME: PRESCOTT RACHEL H AND KENDALL S ET AL DATE ISSUED:09/12/2017 OWNER'S PHONE:408-252-7501 PHONE NO:(408)978-7060 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C20 Lic.#809887 Contractor PELLE HEATING&AIR INC Date 10/31/2017 X BLDG _ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH 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: REPLACE FURNACE-SAME LOCATION I hereby affirm under penalty of perjury one of the following two declarations: I. 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. ,4,=%"•ave 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 permit is issued. Sq.Ft Floor Area: Valuation:$4105.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 356 03 014 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 of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE ORAdditionally;the applicant understands and will comply with all non-point source regulations per the Cupertino'Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signa 9-12-2017 Issued by:Kim Dunbar Date:09/12/2017 OWNER-BUILDER DECLARATION I 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 i. 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(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:9-12-2017 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 Conipensation,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: I 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,Sectioq 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 air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of 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,I must forthwith comply with such provisions or this permit shall i be deemed revoked. Owner or authorized age APPLICANT CERTIFICATION Date:9-12-2017 I certify that 1 have read this application and state that the above information is CO T_'UCTIO " I 1 'GE C_ 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. I understand my plans shall be used as public records. Signature Date 9-12-2017 Licensed Professional \'\ / ' GENERAL PERMIT APPLICATION M E P COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION f„.t,,,� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 M I S C (408)777-3228•FAX(408)777-3333•building( cupertino.orq CUP.ERT1140 13 alp/ ---ifiSO ❑PLUMBING ' ,APECHANTCAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS 22,,11 Ectlui -\-ro Q C�. APN# 2•• „ G03„C A y OWNER NAMEfe1 ^4GOPr .. 1 Cat PHONE L1908.--2s-2_-Is-0I E-MAIL '_ STREET ADDRESS 2# 1 Irv..P)Ol l US-1-r°1 C+: CTTY, STATE,ZIP( i per+h n o/ CA' q -0 jq FAX CONTACT NAME,TeJeSsi Ca v a IerrCt O PHONE 4./08-_(r1 '-7O 0 O E-MAIL•,�/�� STREET ADDRESS CITY,STATE, ZIP Care S� C� �� /_�i`�'�l,�e�/ha �j i�/IO�by�l o n e� 3'7311) char r pa r�e� S ,To 3V FAX �7d 0 q 76 IRI/ ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT .CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER .❑ DEVELOPER 0 TENANT CONTRACTOR NAME AI` pe\\c LICENSE NUMBER RP0C ( / LICENSE TYPE CZb BUS.LTC# Apr COMPANY NAME Pelle lie�i-i n E M 4i r AIL SSI C� , V0 ho `S c /obi, A'Q 1 LiVO-q-fr-Elin STREET ADDRESS s'— charityRule. ( CITY,STATE,ZIP .'O V1 TOcei Gk. CTSIj(e, PHONE D� �1 r- ]of 0 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SPD or DUPLEX 0 MULTI-FAMR.Y PROJECT IN WILDLAND 0 YES PROJECT IN 0 YES IS THE BLDG AN 0 YES BUILDING: 'COMMERCIAL - URBAN INTERFACE AREA 0 NO FLOOD ZONE 0 NO EICHLER HOME? 0 NO DESCRIPTION OF WORK WO t Ac 'FUrr c Ce \1Y�vOC€ _ t, 000 V3tvt —7k i'` '''' i ,0 ,,,,01, 4J;, I. TOTAL VALUATION: 9 A \l) 00 RPCEI'TIJJt I -� , i�t,' By my signature below,l certify �• -,-,..,.. .L.,,,,,..7,, ,,.... _ ' € ......: ........ = to each of the following: 1 am the property owner or authorized agent to act on e property owner's behalf. 1 have read this application and the information,I have.:svid•d 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 relafin_ o bid a. construction. I a..rize re.re •ntatives of Cupertino to enter the above-idle tifre property for inspection purposes. Signature of Applicant/Agent: -i�_ ` � a ,_ j / Date: 6177. it SUPPLEMENTAL INFORMATION REQUIREDelta fiC Y ' y 0OE max 4:1114111111101, ifit TANDAR7 �, w SiNi 1 L+1R[yifintra yam `• 0MAJ MEPMiscApp_2011.doc revised 06/21/11 CERTIFICATE OF COMPLIANCE CF1R-ALT U2-E Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: Prescott Rachel and Scott Date Prepared: 2017-09-01 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name Prescott-Rachel and Scott 02 Date Prepared 2017-09-01 03 Project Location 22447 Balustrol Ct 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name Rachel&Steve Prescott • Dwelling Unit Conditioned 07 Zip Code 95014g08,) _ 1680 j Floor Area(ft2) 1110i7ififiiiYi• Number of Space ike 09 Climate Zone 4 " 10 Conditioning(SC)Systems in 1 this Dwelling Unit: B.Space Conditioning(SC)System Information • 01 02 03 04 x.05 I06 - 444 07 08 09 10 Is the SC,,,n. ;Installing a. with CFA served ...,., :; i t ant : � in SC System SC System systema 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(ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Prescott Rachel& Altered space Whole House 1680 • - Yes Yes Yes No No No Steve conditioning system • C.Extension of Existing Duct System,Greater Than-40 Feet(Section150.2(b)1Diib) This section does not apply to this project. Registration Number:417-A020113762A-000-000-0000000-0000 Registration Date/Time:2017-09-01 14:23:58 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 - Report Generated:2017-09-01 14:23:58 Schema Version:rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-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 • - - = 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 -Componehts Type- Value Type Duct Length R-Value All newNo cooling This field or This field or This field or This field or Prescott Rachel Central gas - Central split heating AFUE 96 component section is not section is not Setback section is not section is not &Steve furnace AC components altered applicable applicable applicable applicable Required Documentation: CF2R-MCH-01-E-Space Conditioning Systems -Duct insulation requirement for the new portions of supply-air and return-air ducts or plenums f*:(CZ1-.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 institeajriAlici0,0iitems,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 CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing ciltnpou0hi4;#0:inalled or altered(applicable in CZ Z 8-15). CF2R and CF3R-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 Duct Leakage Testing requirements. -Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23,oiliefrigerant Charge MCH-25. -Existing duct systems constructed,insulated or sealed with asbestos are exempt from MCI-I-20 Duct Leakage Testing requirements. E.Entirely New or Complete Replacement Duct System,with OrWithOut EquiPinent ChangeOUt(Sections 150.2(b)1Diia and 150.2(b)1E, F) 'Th dcids'nbt'aPplY to'thiS'ril'Oject. - 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-A020113762A-000-000-0000000-0000 Registration Date/Time:2017-09-01 14:23:58 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006- Report Generated:2017-09-01 14:23:58 Schema Version:rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement - - - - 1. I certify that this Certificate of Compliance documentation is accurate and complete: --— — — Documentation Author Name: - : - Documentation Author-Signature: Jessica Valencia - - - - - - - Jessica,Valencia,- Company: alevusia,-Company: Signature Date: Pelle Heating and Air,Inc. 2017-09-01 Address: CEA/HERS Certification Identification(if applicable): 3751-D Charter Park Court City/State/Zip: Phone San Jose CA 95136 F i 408 978 7060 Responsible Person's Declaration statement `F ' I certify the following under penalty of perjury,under the laws of the State of California: x f y 1. The information provided on this Certificate of Compliance is true and correct. , 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility forthe building design or system design identified on this Certificate of Compliance(responsible designer).. 3. That the energy features and performance specifications,materials,components,and mantifactuted 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 forap,roval with this building permit application. 5. I will ensure that a registered copy of this Certificate of Compliance shall be madeavailab ewith the buildmgpermit(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 Cwwrriplisnce is`required'o be(hcladed Witli he donli'mentation the builder provides to the building owner at occupancy. Responsible Designer Name: sc Respap psib iigr er Signature: ii„Jar Jessica Valencia rnat ' Company: Date Signed: Pelle Heating and Air,Inc. 2017-09-01 Address: License: 3751-D Charter Park Court - - -- 809887-- - - - City/State/Zip: -_-_- - . - _ Phone__ ._- San Jose CA 95136 408-978-7060 Digitally Signed by CHEERSTM. 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-A020113762A-000-000-0000000-0000 Registration Date/Time:2017-09-01 14:23:58 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2017-09-01 14:23:58 Schema Version:rev 10/16 . / E SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE ys„: COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUFEP1TtN© 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333• buildlnoacupertlno,orQ •nl, ...I...�� ,wi 1'`” f fig._....-r:1'.`,n ��I i'i,�,r�., ,n•A„iuXl:ii� �I:lu:.. ,r,N'n: N,i,G'rn :Mri•itniii' •iUp,iu". N�{:t..w" •�Ili-i.'� '•�1'1'Ii,E.;ii:' �a .i •'I•, -lll� u�'i• r•I+� 'S j�t`:�y,," �sF Y•",. rcni,i°I „,,;ii'p'" f;'i1r�'n� F I Gn':�.iir;�:d.. ':uA- I'v.. ..l'r,il•,.,, _ l:u. ,.L ,d.l ,i,..,1 I td,Fs, �"'�'"•'N,:,...., -,r+,t,.m�l.! ..ct.f �m:,,y'�� >.nr.J ,•:4r: , �.��'�I� f al.,,,•,tl ,:�,J,. :�i;�✓:.i 4,..�„��I, �, li I:�.r�--';g��- .7�i .SEW•�^'. .,�r< ti,. F,.�„ �i^;l �It .UI,, 'vtN, ��%FI'� ;^��i rte°f q,b -"`l':y': - •::i:r�,:y ,�'� �.`3d��� u � a.,,lt 4�(,,.nt�� 1�'' ,.;I`�. l''J, °�v>1•;r'•�'•'�.,��v."V: .I.r.. .;�..y�,t �i�'Rr� v:rti,.,.,,,.,:�, ��: e 9. :NC-90icf c�nY� at'R'`li'�' Nrat:p:.1e15u ztli;r�:a..; W.?','6f�.'•:in,y'?,!•siktit•, :t,�.'i i4,4!d;nitiY�-'i 7.F`�k �. iit Obi,•I<�Ali.• k,i1 ilki7Airlii:p;i � �ai .. ` ( r,,11'A"-: t 4 n �, •�� N 1 �� °i o T ,IN��LII� ry ��;iyTN r�i' Toe: I�' ." Fi' •• i a1 fA .2,. N t, 1 ;, :;y ° . .41 + �+ LSE ' l A , �1 �r �y a�t;• t lP aD L,, c@ IltJ a:h�riMi o N: goz4fm, n e,44-00,4*". i v ioi�,,- 'j'� ,,/`;i„p X7:0. `u r er: U:�Nrx 1„,3A 8,n t4.,,..'r 1 IN eRu?j P l,mt tcl 31 ;,,44 „... ...„,..... .. ..,..4,.. ,.. PURPOSE 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 R314 and CBC Sections 9072.11.5 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 X X the bedroom(s) _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, alaxm(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 axe operational,as of the date signed below P I �~ Address- 22i-A-11 l 1 )6\ Iv .i-Y-.0 CI-- Permit No Y'2 011- IJ Cb Specify Number of Alarms. # Smoke Alarms: [37— #Carbon Monoxide Detectors: WM I have read and agree to comply with fhe terms and conditions of this statement Owner(or Owner Agent's)Name: Signature Date: Contractor Name: 5 CV/y/4 Signature 1„ic.� .���.��� Date: �( Smoke and COforndoc revised 12/15/16