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03070098 (3) CI'T'Y OF CUPEXI'INO Bun,DINc DIVISION PER ice_ CONIRACTnR INFOR]VIr•ON BUILDING ADDRESS: PERMIT NOD 3 070 0 98 OWNER'S NAME: PERMITLSUEDATE NE: SANITARY NO. CONTROL NO. 7A�CHITBCTIENGINEER: BUILDING PERM IT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORS DECLnRATION 1ion70arum mot1.m ribeBu enderndPidoraof Coda. 9my license is lob Description 6W Section AUHp rif Divivon3of Ne Business entl ProfcssiansCMc.and myliccnscix in full forte and effect 5t2: License Class ua.a SKYLIGHT n�n Date Contractor ARCHITECTS DECLARATION SEP 10 2003 I understand my plans shall he used as public records r DiU 3 o aa y Licensed Pndcnional g OWNER-BUILDER .K OW NEDERDECLARATION a E Ihereby affirm,hal I emexemptfrom the ComratLicense Law for(w O Ocreason.(Section)(31.5,Business and Co Any city or county m ff. which requires.permit w constrain,,alter,improve demolish,or 'LvI�J'VUlJ Yu��YuGV � repair any suuetum F_Q priormiu issaanm.situ mquiuslM1c applicam formchparmlupfilcaaigncdautemmn $1 nnn �zpthat heislicensed pursuanttotheprov,sionsoftheContractor'sLicenselaw(Chapter9 Sq. Ft. Floor Area Valuation at (commencing with Section 7000)of Division 3 of the B usiness and Professions Cmle)or -19,691046 00 Is.R$ that 1,is exempt Ccmfrom and the Funds for the alleged maritime.Any violation of Section 7031.5 by an,.pprcamfor.parted subjects the applicant 1p a civil neh,of APN Number Occupancy Type not more than five hundred dollars(SSW). P Y YP ❑1,as owner of the pmpcny,or my employees with wages u their sole compensation, will doare work.and the atmclurt is not intended or offered for sale(Sec.70,W onBusiness101 - FOUNDA ' d Inspections and Professis Code:The Contractor.License law does not apply m an owneof property who builds or improves themon.and who does such work himself or thmugh his 102 — PIERS own employees,provided that such improvements are not intended or offered for sale.If. 103 — UFER however,the building or improvement is sold within one you of completion.the owner- Wilder will have Ira burden or proving deal he did not wild or improve for propose of 104 — REBAR sale.). 105 - ANCHOR BOLTS .as owner didnnject sc.pointer,amexclusively contracting with licensed contractors m cone La doesn not apply to an wnsmcss.ndrtywhonnsds or The csInterco. Li 106 — SEWER & WATER conselawdocznsuch plro lean wish or property who urs impto th Compo.and 202 - UNDERFLOOR PLUMBING who contracts for auto projects wiC a convumr(s)licensed pursuant to the Conmanor's License Law. 203 - UNDERFLOOR MECHANICAL ❑lam exempt un See. ,B&PC far his reason 204 - UNDERFLOOR FRAME Osman ORKERR� -to � DECLAR WENSATIONADTION 205 - UNDERFLOOR INSULATION I nermYartm ander pcn,l(y pr perjpry or¢orma rolmwing aed.ralioax: 301 - ROUGH PLUMBING r.veane win man uir.Coltrane of Consent to setr.insem forworkars crimper- 302 — TUB & OR SHOWER i as provided for by Section 3700 of the Iawr Code,for the pcprortnana of the 3 03 — ROUGH MECHANICAL work for which his permit is issued. ❑1 have and will maintain Worker's Compensation Insurance.as required by Section 3 04 — ROUGH ELECTRICAL 3700 of the tabor Coda,for the parcmommce of the work fax which this permit is issued. 305 — FRAME My worko's Compensation Insurance carrier and Policy namwr ate:Policy No.: 306 — HOEDOWNS Tamer. CERTIFI CATE OF EXEM MON MOM WORK ERS' 307 — INSULATION COMPENSATION INSURANCE 308 — SHEETROCK or ass.) (This uprompt union need not he completed if the pit is for one hundred dollars($100) 309 - EXTERIOR LATH l 1 canify mal in he performance or the work for which his permit is issued,1 snap not 310 — INTERIOR LATH employ any person in any manner so as to become subject to the Workers Compensation 311 - SCRATCH COAT Laws of California.Dale Applicant 313 ROOF NAIL NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you there Id 501 - FINAL ELECTRICAL ENERGY we•.rte subject to the Worker Compensation provisions of the labor Code,you mus( �Z. IanhwiIn comply with such provision:or his Permit shall M1e eecmad revoked. 502 — FINAL PLUMBING ENERGY z0 CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL ENERGY 'F I hereby affirm that them is a construction lending agency for the Performance of 504 — FINAL BUILDING ENERGY C, the':mrk for which Nis introit is issued(Sec.3(07,Civ.C.) G] Lander:Name 505 - FINAL ELECTRICAL = 2 Under'.Address 506 — GAS TEST U O I ecnee Nall have read this application and sum that the Drove information is 507 — FINAL PLUMBING 0 milling agree to comply with all city and county msi ordinance,and Cott lent relating e above cro,awc(iogand for in amtionum rescnu(ivcs of this oil mcmcru upon�v g y p y pet FI&9C CAL annve.(We)a re propane for inspection perp ha. H y (We)agree m save,indemnify and trop harmless Cc City of Cupcnino against 0 9 F I h liebiliditS,judgmenu,eosu and expenses which may in any way accrue against mid City U,Z in consequence of the granting of this permit. 5 NG '—' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:5 WORKS Date SOURCE REGULATIONS. 0 Re-roofs St�inurc o�f laanvcontoa Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof 11 L t Will the applicant or future building occupant store or handle hazardous material as defined by the Cupeninn Mer ipal Code.Chapter 9.13,and the Health and Safety Code,Section 25532(a) All roofs shall be inspected prior to an roofing material being installed. ❑Yr., . P P Y g Will the applicant or future byayyyr((((Iding occupxn(use equipment err devices which If a roof is installed without first obtaining an inspection, I agree to remove s Rteba<mmoex to cnma pmimem. rnad bydm Bay Area Ann Quality Managamam all new materials for inspection. t(? ❑Yes ❑ 1 have read Ce havrdnus mamrialuayuiremcnu under Chapter6.95 of the Califor- nia Foaled&Safely Cmlc.Sections 25505.25533 and 25534.1 umlapro nd that ifth,Wilding tl(n.nm eutrcndy have r mrem,the iI is my responslhility m notify the accupan(nf the Lcyrocmc which musthe t issuanccnf.CcNrcamof Occupancy. cj � Signature of Applicant Date (/ Ownerau(M1orircaragcm Doc All roof coverings to be Class "B" or better CITY OF CUPERTINO I� 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp: Rng: Sub : Blk: Lot : APN . . . . . . . . : 32653046 . 00 DATE ISSUED. . . . . . . : 07/14/2003 RECEIPT # . . . . . . . . . 22490 REFERENCE ID # . . . : 03070098 SITE ADDRESS . . . . . : 10114 CONGRESS PL SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : YAO-CHENG SONG ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5721 RECEIVED FROM . . . . : YAO CHENG SONG CONTRACTOR . . . . . . . : LIC # COMPANY . ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . . , TELEPHONE . . . . . . . . : �E ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - - - - - - - --- ------------- ---- -------- - - --- - - - - -------- BENERGY PERMIT FEE 77 . 00 23 . 10 0 . 00 23 . 10 0 . 00 BPERMFEE VALUATION 1, 000 . 00 77 . 00 0 . 00 77 . 00 0 . 00 BSEISMICRE VALUATION 1 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00 TOTAL PERMIT 100 . 60 0 . 00 100 . 60 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER --- - - - - ------ - - - - ----------- - --- - - ---- OTHER 100 . 60 VISA TOTAL RECEIPT 100 . 60 • . COMMUNITY MANAGEMENT SERVICES,INCORPORATED July 13, 2001 M. Yao-Cheng Song 10114 Congress Place Cupertino, CA 95014 Unit: 10114 Congress Place Account: 11601100 Assoc: Commons ofCupertinn Homeowners Association Dear M. Song: The Board of Directors has reviewed and approved your request dated May 7, 2001 to install skylights at your unit. This approval is contingent on the flet that you must assume all responsibility for future repair and replacement and for any damage that may occur as a result of this change. • Please keep this letter on file to pass to a new owner should you choose to transfer title in the future. If you have any questions regarding the above, please give me a call at the number listed below or email me at cRood@communitymanagement.com. Sincerely, Community Management Services, Inc. Christopher Flood, Association Manager Commons of Cupertino Homeowners Association cc: Board of Directors file: 16 r 1935 D^> Creek Road. Suite 203 CamODell, CeniOriW 95008-3631 Bus (;08) 997-9606 Photovoltaic system on roof S Solar Project: Install 12 Sharp 175 modules 1 SMA Sunnyboy 1800u DC and AC Disconnects ^^``,,G 1g ZpU4 Module§"i�lredCp��® qp Is T �E�G�{` �r I�JU � Uv O O F0--01 30A DC Disconnect 1 Sunnyboy 2500u inverter Composition Roof 30A AC Disconnect ApppC)VL2Lby 4' 24'CIC 100A Main Service IN ACMRDANI E WITH THECITY 08 CUP , ' A � Rr" RCE9 OATEr_ SIGNEU� _ a�„ Thi plan! a a sPmDr•'�iV ,VY Ge kept m the A at all times and it is UR, to make roll changes or eltemd4na z U: 7c t atnitten Parmiss 21722 Columbus AvenueG R,, �i Oup rY o M C Solar Yuwei Shi 2362 Walsh Avenue 21722 Columbus Avenue Santa Clara, CA 95051 Cupertino, CA 95014 (408) 496-6226 408-873-8001 CL# 321105 Photovoltaic system on roof • PV modules wired in series to produce 156-400vDC 14 Sharp 175w modules (12Amp) max 1 SMA Sunnyboy 1800u-SBD Intermodule wiring is 12ga USE-2 wire in free air underneath the modules. Electrical Characteristics —M Design Voltage 6 x 44AVoc=266.4Voc x 1.1 for temperature effects = 293V design Design Amperage 2 strings in parallel 2 x 5.4 Ise= 10.8 x 1.56 NEC = 16.8 design amperage 10ga XHHW-2 or TH WN-2 90 degree 100A Main Service wet rated wire in 1/2" EMT conduit min. 0 AC Disconnect ® SMA Sunnyboy 1800u DU221 RB30A AC rated DC in 1564OOvDC I pole rr20A Solar AC out 120vAC ISA max UL listed 1741 s U�CJ N G + - I GFDI GN H fuse DC Disconnect 10 ga THHN for wire in conduit HU 361RB 300A DC rated System grounded through main house grounding electrode system M C Solar Engineering Yuwei Shi 2362 Walsh Avenue 21722 Columbus Avenue anta Clara, CA 95051 Cupertino, CA 95014 08-496-6226 408-873-8001 CL# 321105 S '.f Exceptional reliability and / energy capture ratio i' s 5-year comprehensive warranty standard Rugged NEMA 4X stainless steel outdoor enclosure standard Easy to install three-point ' ' mounting system Comprehensive c . communications Viand data col lection'options . E SMks Modular String inverter design is expandable to virtually any I system size w UL 1741 Listed for grid interactive inverters � 1 r LISTED :. . . . . 1741,1998 ..- . . - . . . . . i j; unuTY SUNNY BOY 1800 vv. INVERTER @Ma GROUND aauo NEUTRA sf � a DC AC pv_ DISCONNECT DISCONNECT SYIITCH SwRCH w ARRAY we FOLLOW ALL APPLICABLE BUILDING DISTRIBUTION SPeCIfiCOfiOT15 AND ELECTRICAL REQUIREMENTS PANEL EARTH GROUND limenta Technology Real sine-wwe,current source,high fiNuerxy PNM AC Inpul W lkw 106-132(120 V AC naninal) NFAATW Sunny Boy's unsurpassed reliability and i AC Input hequency 59.3-60.6(60 Hz),50 Hz also available d A efficiency is the result of Wks manufacturing oc htMValtup 156-400V DC philosophy that combines simple design with robust execution. Peak Power Tracking Voltage 156-350 V DC SMRs state-of-the-art maximum power point hacking performance PV Stmt Voltage 190 V DC results in greater real-world energy capture than any other Minimum DC Input Voltage 139-170 V DC dependant on line wlkge grid-tied PV inverter. Sunny Boys safety and reliability record Maximum AC Paver Output 1800W is also exceptional due, in part, to the inverters redundant grid Currant TO less than 4% • Power factor Unity monitoring and built-in ground fault detection and interruption Pads loaner EdTxiaxy 93`Y-94.4% protection. The inverters IGBT power stage generates a nearly Coding Carrvedian coding Ino fan) perfect sine wave with the lowest harmonic distortion in the Maximum AC current 15A industry and meets new ultra-skid FCC EMC standards. SMA's Maximum DC Current 12A unique Shing Inverter technology makes future system expansion DC Vantage Ripple Less than 5% simple. Sunny Boys optional power line carrier communication Power Consumption 0 W nighttime,<0.1 W standby capability allows for extensive data acquisition from one or many Ambient%uperotue -25°C...+60°C inverters with no additional wiring. (Optional powerline modem Endmam NEMA 4X stainless steel required.)Other communication options are available to satisfy SIa 434 W x 295 H x 214 D mm almost arty a��pll++ph+)ea-tioml''II Inn 27 kg U�fi!t COP- Witio , CertiBrapara United States: UL 1741,E210376,UL 1998,IEEE 519,IEEE 929 ANSI C62.41 C 1 &C3,FCC part 15 A&B International: DIN EN50082 Part 1,61000-32,50081,50014,600055 Part 2, 55011 Group 1 Class B,50178,60146 Part 1-1 SMA Americo,Inc., 12438 Suite C, Irma Rica Drive,Grass Valley,CA 95945 Phone 530-273-4895- Fax 530-274-7271 w .SMA-AMERICA.com-email: info@SMA-AMERICA.wm DISTRIBUTED BY SMA Regelsysteme GmbH•Hannoversche Strosse 1-5,D-34266 Niestetal Tel.(+49)5 61 95 22-0•Fox(+49)5 60 95 22- 100 vrvrv.SMA.de-email: info@SMA.de Advanced System Technology for The Successful Photovoltaic Future • SH^RR MULTI-PURPOSE MODULE M1 175 WAIT eh HIGH POWER. HIGH EFFICIENCY. F' SINGLE CRYSTAL SILICON PHOTOVOLTAIC MODULE WITH 17SW MAXIMUM POWER This single crystal 175 watt module features 16.4%encapsulated cell efficiency r and 14.2%module efficiency.Using breakthrough technology perfected by f Sharp's nearly 45 years of research and development,these modules use a ,. textured cell surface to reduce reflection of sunlight,and BSF(Black Surface r Field)structure to improve conversion efficiency. An anti-reflective coating provides a uniform blue color and increases the absorption of light in all weather conditions.Common applications include office buildings,cabins, e, solar power stations,solar villages,radio relay stations,beacons,and traffic frfr_ P $.fir ! _Wk 1151, lights.Ideal for grid-connected systems and designed to withstand rigorous operating conditions,Sharp's NT-175U1 modules offer the maximum usable power per square foot of solar array. .5 i. i r t Solder-coated grid results in high fill factor Sharp multi-purpose modules offer performance under low light conditions. industry-leading performance for a variety of applications. - - s •tr �'Jftll� MULTI-PURPOSE MODULE 175 WA ELECTRICAL CHARACTE RUSTICS MECH-ANICAL CHARACTERISTICS- Cell Single crystal siliconDimensions(A x B x C below) 162.01 x 32.52 x 1.81-11575 x B26 x No.of Celts and Connections 72 lo series Weight 37.4851bs/17.0kg v.4N, Open Circuit Voltage(Voc) 44.4V Packing Configuration 1 2 pcs,per carton Maximum Power Voltage(Vpm) 35.4V Size of Carton W970.130� 93.3819.5.1217M Short Circuit Current( 5.4A Loading Capacity(20 It container)1168 pcs(84 cartam) Maximum Power Current(Ipm) 4.95A Loading Capacity(40 It container):392 Its;1196 cartons) Maximum Power torn 175W Minimum Power(Pm) I57.1W A'` 't't Encapsulated Solar Cell Efficiency 16.4% ABSOLUTE MAXIMUM RATING'S :44„x, 3 artl Module Efficiency 61m) 13.5% PTC Rating(W)** 153+65 Operating Ternperatirre .0 to 194'F/-40 to+90*C Storage Temperature -40 to 194T/-40 to+90T VD Maximum System Voltage 60OC Series Fuse Rating ICA Dielectric Isolation Voltage2200 VOC max. -------------- ------------------- Type of Output terminal Lead Who,with MC Connector IV CURVES DIMENSIONS Rf CeillernMrsaure: 25'C 6 190 5 150 800MAo'! iV 4 in Gro rwrm'3 A !!3 to + 2 60 G 30 ffi RIK Fl�j Pff "WNt. 0 0 1,4111 +' 1'1k*jIL_ *tUj(+Jjj1 �I IF 0 10 W 30 0 50 D Voltage IV] T E Nnwrrs.Wluxge D E F G '11853o,rr '1485.5.. W85.5. ',I '11300.q5ft. 'M� Current,Power m voltage Characteristics 73 19.42 30.93 51.2 -2 30.43 Specifications are subject to change without notice. '(STC)Standard Test Conditions:25'C,I kW/.'.AM 1.5 (PTC)Pacific Test Conditions:20T,1 kW/M2.AMI.5,1 m/s wind speed In the absence at confinnnation by product manuals,Sharp takes no responsibility for any defects that may occur in equipment using any Sharp devices. Contact Sharp to obtain the latest product manuals before using any Sharp device+ be sharp- Sharp Electronics Corporation'5901 Bolsa Avenue,Huntington Beach,CA 92647 TeI:1-800-SOLAR-06-E-mail:sharpsolar@sharpusa.com-VotAnAr.sharpusa.comlsola I • Rooftop Mounting Overview PV module (weighs 380 Aluminum Rail p� 0 ti Lower Track (point laud -2541) spacing is per rafters 24' min 48' typical Si-4w 6 IN �hFS Each four modules weighs 160# 57,3 square feet 2.8#/square foot PV module Lower Track 5/16' lag screw Aluminum Rail (2 1/2' typical length) penetrates 2' min. sealed with mastic/ Sikaflex 1A o �URafter System Weighs <3#/sq,ft C Solar Engineering 2362 Walsh Avenue Santa Clara, CA 95051 408-496-6226 CL 321105 Rooftop Mounting Gross=Section. Composite Shingle. Roof Inter-module,clip y Channel nut, Exttuded rail Solacmodule laminate T .Solar module,frame, . _ � _ _I t ) - °- Lower -track Extruded carnia � _ 9e 1'a r� � -Roofing plywood . with threaded hex molt, nut and washer 3:r Rafter, � j r I l SUM CITY OF CUPERTINO* CITY OF PERMIT APPLICATION FORM ° `' CUPEkTINO qllRPN # 7 Z� O Date: Building Address: pSSr Mailing Address (if different from building address): JW Owner's coo ,Aqf Owner's Name: Phone#:1 000-_3 _ �1 ax �. iW v Contractor: I v License#: D Contact: Phone: Cupertino Business License#: Fax: Building Permit Info: BldgL�' Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential W Y �� /� Z> Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: O ^-� Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ • Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> l OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1 M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILERS Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V <= I OOOA ELECTRICAL BELEC1001 Elec 600V > I OOOA ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING zzq-g0 Iof3 / (� OITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPERTINO Ouantity Fee ID Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Family Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING t BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i eOfFixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water HeaterNent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel,Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL 2of3 n ' (fid OITY OF CUPERTINO* CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmd] Sips Add Branch ELECTRICAL BREMSIGNS Remodel Sips, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIN4 Swinuning Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITIFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING 3 of 3 Cl r0 V J - - N 7 N I` C� C CD rD A H H H H H 3- 0 �- o o � 01 � 5 � � CD CD AUG 1 2003 ' I Q rD BY CI'T'Y OP CUPCR'I'INO „y . • Nr ACxa , , RMA1Inuu.mnc DIVISION iTOI00p, •: BUILDING ADDRESS: PI!RMIT"'03070098 OWNER'S NAME: PERMIT ISSUE DATE YAO—CHENG SONG4 2003 SANITARY NO, CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MGCII CT t� Q 0 0 op LICENSED CONTRACndlR'SDECLARATION iWCC Ichereby n70arummarIamftheBuawe,ndPrmnscarchapterv(mmmenais lob Description beim Section 701(r)n(Division lofmc Business and Prufcsximns Coca,and my license is ' �N in full force and effect. SKYLIGHT m22 Liccnsc ClassLie.N a Dal Cummam REVISION--#03080002 (ADD 1 MORE SKYLIGHT) ARCHITECTS DECLARATION wa I understand my plans shall w used as valh,records eO oG Licensed Professional S OWNER-BUILDER DECLARATION <F. 1 hereby affirm Na,I am exempt from the Contractor's License Low for the n 0 following reason,(Section 7031.5,Business and Professions Code:Any city or county m which requires a permit in construct,alter,improve,demolish,or repair any strunure _y prim to its issuance.also termites the applicant for such permit o file a signed statement Stao that he illicemsed pursuant to the Poryolmons Ofmc Contractor's Limens,Law(Charter 9 Sq. Ft. Floor Area Valua 1000 3� (commencing with Section l0f10)n(DivixionJof the Business and Professions Cote)m �i that ha i;exemp„h sefrom and the bmis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects me applicant to a civil Penally of - not more tan five hundred dollars(S5W). 3 er00 Occupancy Type O I,is owner of the property,or my employees with wages u,heir sale compensation, will do the work,and the awnu¢is not intended or offered for sale(Sec,load,Business and Professions Code:The Conlnctor's Lieema,law dors not apply to an owner of d Inspections panni who builds of improves mereomand whodoes such write hurecIfor through his 101 — FOUNDA own employees,provided that such improvements are no,intended or offered for our.IL 102 — PIERS however.Ne building or improvement is sold within one year of completion,the owner- builder will have me burden of proving mat he did not wild or improve for purpose of 103 — UFER sols.). 104 — REBAR 1 s owner of me property.am exclusively contracting with licensed Lenlra[mes to 10 5 — ANCHOR BOLTS Lo beet the pmjea(Sec.]Bad,Business and Professions Code:)The Co Mmieri Li came law does not apply to an owner of progeny who wilds or improves themon.and 106 — SEWER & WATER who contracts for projects with acnntranor(s)B<emudpursuanuu the Cono-amor's' 202 — UNDERFLOOR PLUMBING Lice nu Law. ❑ 1amexemplp sec. B&PCfeethisreason 203 — UNDERFLOOR MECHANICAL owner i -( bel %i/_ 204 - UNDERFLOOR FRAME , WORKER'S COMPENSATION DECLARATION I hemby ofrte,model pena0y of parjmry one of the following daclarnions: 205 - UNDERFLOOR INSULATION w and will maintain a Crnillcom orConsem to sclNnsum mrworkces Cont 301 — ROUGH PLUMBING s n as provided for by Section TIDO of She Labor Code,for the performance of the 3 02 — TUB & OR SHOWER work for which this permit is ismcd. 303 - ROUGH MECHANICAL ❑1 have and will maintain Worker's Compensation Insurance,as Inquired by Section 37BB or be Wbor Code,for the performance or me work for which this peRNr is issued. 304 — ROUGH ELECTRICAL My Worker's Compensation Insurance carrier and Policy number am: 3 0 5 — FRAME Carder: Policy No.; 306 - HOEDOWNS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 307 — INSULATION or less.)(This section mail not wcorrelated ifthe Permit isfor one hundred dnnaa(slaro 308 — SHEETROCK I ceairy that in the performance of the work for which this minor is Wised.I shall nor 3 09 — EXTERIOR .LATH employ any person in any manner u as to become subject to me Workers Comracation 310 — INTERIOR LATH Lawscant mia.Date 311 — SCRATCH COAT Appliof cant NOTICE TO APPLICANT:If,alit,making,his CtnlOcam or Exemption,you snoulJ 3 13 — ROOF NAIL become mhjcn to the Workeri Compnsm cion previsions of the labor Code.you must )z roodawith comply with such provisions or this Permit shal I be deemed mvokcd. 501 — FINALELECTRICALENERGY :y CONs'rRUCTION LENDINGAGENCY 502 — FINAL PLUMBING ENERGY a for which his almcre iso construction lending ageyfnr mePerformance of 503 — FINAL MECHANICAL ENERGY me work fur white IM1is permit is issued Sec.3097,Civ.C.) 7O LcnemiName 504 — FINAL BUILDING ENERGY Underi Add )z 505 - FINAL ELECTRICAL p 1 Lenity that 1 have read this application and state that the above infermmion is 506 - GAS TEST jUcorrect I agree to comply with all city and county ordinances aivesof aw team laws relating m bmmmgeonsuucriouand ihereby insanthonplreomer.. liveserrthis shyern¢,mpunme FINAL PLUMBING r W ahovememiune0 property for inspection PurPoxs. O H FIN L r gy (We)agree to save,indemnify and keep harmless tht City of Captions,against liabilities,judgments.costs and expenses which may in any way acerae agah¢t said city 5 A ) z in cometr anoc of rhe granor,of this rami,. '—' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:5 NG Date J SOURCE REGULATIONS. Signature of Appl¢anUCconclor Date Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building Deeupanl sere or handle haaucuts material as defined by the Cupertino Municipal,Code.Chapter 9.17,and rhe Health and Safely ewe,Section s zss3z(aIy All roofs shall be inspected prior to any roofing material being installed, Yes No Will mea Et9n err mtu pal oceu yuiPm If a roof is installed without first obtaining an inspection,I agree to remove nn g beer use a en,or atvlLes wmLn g P g ,amnms air Lnn,ammants a eetmea ray aft Bay Arta Air Quality Management all new materials for inspection. L,r ❑secs No I hove mad thchusards,usm terinls rcyuiremenm under CM1aPIer 6.'15 of the nothing s not cur Safely Calc,Sectionshatiti1myrand ISSJa.1 motility Occupant JOCL not CYRCnIy haw d ICnan4 that 1111 my fCSpprra1h1111y bnlndl]mC IM:LYPNI of me requiremcm,which must be ern poor w issuance of a Carafe rCecuperacy. ' Signature of Applicant Date Owner or authorized agtm!/, a,c All roof coverings to be Class "B" or better