01100141 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: '
BUILDING ADDRESS: PERMIT NO.
7557 LOCKFORD CT MC SOLAR ENGINEERING 01100141
OWNER'S NAME: APPLICATION SUB DATE
GRANT GRAVES 1168 ASTER AVE 10/26/2001
/ HONE: SANITARY NO. CONTROL NO.
11 (408) 261-1211
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
i LJ LJ L__J _iJ
LICENSED CONTRACTOR'S DECLARATION
Z In0 1 hereby.11for mm 1 am licensed under pro,kiom of Chapter 9("Weendng Job Description
mtw wimg<nion700o)ofDivisionJaftheBusinessandDofnsionsCode.endmylicenu INSTALL PHOTOVOLTAIC SYSTEM ON ROOF .
[- ix infvll force.yJe
e-z�' «na<cha' �' �-� Lina 3 Z !/ Or (4 . 5KW)
3 3 a H rate C°mmnar
ARCHITHCrS UECLARATIO
a O 4 I undersmnJ my plan.shall he used as public recoNs
i p
rQ2
o C Licensed Professional
Oat I am BUILDER m the Contractor
L=' I hereby affirm that 11, exempt from the Cwions C s e:Any c Law for the
y
?C following rerun.Permit
to
7onBusiness mrd Professions Code:Any tiny or county
which q a peter u construct,abee'mpmm,demolish,or repair any structure
n3 prion t Is req rt pi pplicam fnr sachpemmnofiles Law(ChRmem _._ .._. . ... _
thnlh Icon canuectiortahc V fDsion me Conwnnesand PelawlChapter9 I . 5 Ft:Floor itArea- r Cr• t' aluatlOn
or
eniscoinh Smto ,10001d the baisorfine Busmevaandkifi.Any vi Code) '„t. t 'F, 4'9.[ � 9T4 4:<i,.'i YI�`...? l +e�!:
or mm he ii exempt therefrom tint the bans for the allege)ekempuob.Any violation
-oPSeniW 7031.5 by any aPplicem far a permit rvbjtttx me applicvm m a civil penalty
of net mom than five hundred dollars(9500). Umber P'L -:o Occupancy Type
❑1,va rof m<propcny,u my employees wim wagn...her,note cump<nsaion,
will do the work:and the structure is not intended-or offered for'sale'(Sec:'701
Business'and'Profcssions Code:The Convector's License law docs nm apply m on 501 - FINAL E $l@A45tigWERGY
tier of property Who builds or improves thereon,and who does such work himself
°w provided that improvements 505 - FINAL ELECTRICAL
TRI_CAL
or through h-. ply p t: nn intended or ..... .. _ ._.__ ..., ._.__.... .__- -
"off d'f l- If h e ld the Wilding have
t p , s Idwithin one year of
improve for the pieawncr wiffJer well hove the burden of pruving mm he did not build or ”
..improve for purynu of wife.). ___.._._... _ _ _ _..__ _
��NA.LE®
_ ❑L'as project
r the ro n Business
eommfein with licensetl c°mmetots m �rtIr
{[ commm the pray not
to a,Business and Profen rens Cotler)The Contractor'strown, I
License Low does nm apply m an ranter property who builds or improves thereon, ' '
and who.contrwu.for
.such prejecs_with a.mntmnons).licensed Pursuant to.the ..-._ -.. ..__ _____. .._ . .. -FEBA 7-2002---
Commences - ------" --- ------------..---
. License law..
❑lam exempt under Sec' I .B&P C forthis reason P:;' . :J',i.rp
Osvwr DataBUILDING
WORKER'S COMPENSATION DECLARATION
1 hereby M.under penalty of perjury one of 1he following declarations:
(� ❑ 1 have and will inoin,uia'u'Certificate of Consent to self-insuu for Worker's
Compensation, as provided for by Section 37W of the labor Code, for the
_ performance of the work for which this p.it is issued.
❑1 have and will maintain Wmkeq's Compcmwioo Insurance,as requited by Section
3700 of the Laher Code;for the performance of me work for which this permit is
issued My Workers Compe soon Insurance tamer and Policy number ar.
.. Ser 7 1....... I
Came YICERTIFICATIONOF EXEMPT70NFROMWORRF/RS"'u. / / ss .t .� Y�.I 1.) f�a/ fP(j ,.'..ay': 4.c al 1 t: yf`r]`••al r
, COMPENSATION INSURANCE r , -.�. _ .. _..._ . .._..
" tat-.. . . . ....... ._ ....,..... _ _.. ._... .. ..
L..:
(This 'on nttd not be rompincd ifils,permit is for or¢hundred dollars
(SIW)rnlesx.7 ,_ I
11;n fY that in the parformamr,of the wwho,which-thispara I is Vasu<d,1 I.I' a „ _
shall not employ any person in any manner so is to become subject to,he Workers
Compensation Laws of Califrmia.Cash"
NOTICE TOAPPLeWork IL afiermakition pr Cerins of of Labor lode,you must "•li+n e.
lucome subject to the Workers Compensation Permit
of me Labor ne.k you man
C) Q fonhwi,h'compl- --such pmvi.sions.,,his pemrit ahvll he tleemed revoked.
E_,y , e •1 "'-'-CONSTRUCTION LENDING AGENCY
"`+ I hereby vllimi that m - sero swEl on lend g agency fo th performance t -' it .1::1
W;. of the wok for which this Parprit is iiscad(Sc 3097 Ce C1
LendsName r_, -_ ..., I.,, ._.,. ..... .. . _...... _._..._.. _. .. „ .. _
,z Lendcrs Add ass;
V 0 f1 certify,hat I have read this application and sense,hat the above information is
W.,1..r 'mmacl:I agree,°comply with ell,city and c.only ordinances and state It.,relating
:O;.V to luwldingcoanronion,aLd hereby imhrriu miaWs<manvesofthis city,.enterupon
r:ry the shave-mentioned property,for inspection purposes., ,
E. IL (WUugrcemerve.indemnify and keep harmless Ne City of Cupertino against
Lnliabilities,judgmetu.ants and expenses which may in any way acerae against said
V,z City in conaT ce of me griming of this permit.
APPLICANT UNOBRST NDSANp WILL COMPLY,N']TN ALL N6N1'DINTI'
SOUR GF E'cuy^'tn_on - l J Issued by: Date
Sr8^t�^P�l _ ��� R �F Re-roofs
I„ - HAZA DR OtUS MATERIALS DISCLOSURE D° ” —� 2-'
will m PPhcant w fulubre Id' g occ p m stere r handle hawm as mma;al Type of Roof ..... -. -�-. .. -
ai cap at. 'he Cart M p I CW Chapter 9 13 d theHealth and Safety
than
an21 ,_tJa {
t .rCode
All.roofs shall be.inspected prior-to-any-roofing material bein
g.installed._-_
rlINe applcti tutu building c pant use cqupar nt or devices which If a roof is installed'without first obtaining an inspection}I agree.to'remove
mil her.b air contaminates a d fi cd by the Bey Are.Air Q.I ty Management
Dist <nall new materials for Inspection.-Applicant understands and will,comply.with _
rt oY`a - all non'-point source re ulations:, ,• -
l P B n . It
Ii.He read me Safety
Coal,
oo s m tions 2 req 125533 a under Chapter 6.95 of the
Cfm bailing dos occur CWc,Sections25505xt itis and 25534-1underhandthin
rIe building no,currentlyhave r tenant,ohmnrmy nuance oa enotifytoe
occupant of the¢q'irtm a which must bemet poor to issuance of Certificate of
Oce, ..
Signature of Applicant Date
G waer pd as mte� All roof coverings to be Class "B"or better
OFFICE