08050071BUILDING DIVISION PERNIIT
1--- D3mr-OAK VALLEY RD I SOLARCITY 08050071
NER'S NAME:PERMR ISiUE DATE
KRISTEN NEVEITT 393 VINTAGE PARK DR STE 140 05/20/2008
1 bercby affirm that 1 am famous umlcr provide. of Chapter 9 (cammmuing
with Section 70(10) of Division 3 of the Basin-.• and Pmfcssiom Code, and my He oma
in full forte and effect
License Clyy r at/ C' I n Lm Is 4SR4? I Dy
Dau Ka(_2.Q_IO CT DECL
ARCHf1ECf'S DECLARATION
1 undervaml my plains "I W used as Public mamds
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am scion from de Conmacsoes License Law for the
following mason. (Section 7131.5, Business and Professions Cc&: Any city or county
which rtquims a Permit no construct, alar, improw, demolish, or repair any smuetum
prior W its issuance. also requires the applicant for such permit W file a signed su caunt
mus o is licomed pursuant nc dee provision of the Commences license law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Curie) or
Lou he Is exempt Verefrum and tee basis for Ve alleged eumptian. Any violation of
Section 7031.5 by any applicant for a permit subjects dm applicant to a civil penalty of
not mom Wan five hundred dollars (SSW).
❑ I.uownesof Nepmpetty,umyemPloyceswithwagesuthe(rmkcompenudon,
willWthework,andthesV umunot InendedoroRem for We(Sec.70N,Bulinus
and Profession e TW
CodConhmmes Liceme law dn W e
onot apply an ower of
Property who Wilde Or improves darn and who doeasuchworkhim¢IforNmugh his
awn ion,myom. premiums that such improvements aro net founded o1o0crem formic. If.
however, Ve Wilding or improvement is sold within on yeas of mmpledon. tete owner.
Wilder will haw tha aim r of proving that he did set Wild m improve far purpose of
1, as owner of rhe property, am eaetusively contracting with licensed convenors to
utmct Ve project (Sec 7014. Business and Profession Cade:) The Cootreme's U.
an law dura not apply W an owner of property who Wilds or Wpmves Verson, and
o contracts for Such projects with a comrseam(s) licemed pursuant W the Conuactors
eve law.
I ....."unders. ,BkPCfmthisroame
u Date
WORKERS COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury ane of Ile following dedla adome:
I have and will maintain a Certificate of COnsem no self-ivurt for WarkersCompen-
at, as provided for by Section 37W Of it. Labor Code. far the pedo... of the
k for which Nis permit is named.
in Irawana, u mattered by Section
wort for which this permit is issued.
Wlicy number are:
INSURANCE
e pemrit IS for one hundred dollars LSI W)
1 century dent in Ver p olormanro of the woh for which this permit is isma d. I shall am
employ anypctson in my manncrm as M become subjeer to the Workers' Compcnsauon
Laws of Cahlamia. Dau
Appilam
NOTICE TO APPLICANT: IL afacr making this CcNnate of Emmption, you .should
become mbjm W the Warkces Compensation previsions a the Labor Coda. you most
.J O forthwith comply with such provision or this permit shall W deemed revoked.
CONSTRUCTION LENDING AGENCY
[—i l for
thi caw Vert iiacovuecti0lending agency for the Performance of
a
the work fur which Vu permit Is issued (Sec 309'f, Civ. C.)
0 Landers Name
Q z Lenders Asn...•
IJ Q I cenify that 1 have toad Vis application and sue Nat the above inforenaWn is
Ly V carioca I agree to comply with all city and county Ordinance and sum laws totaling in
.Q Wilding construction, and hereby aw1mrine repcamuiveser this city no enter upon the
FW move-mendoned property for incNeuon pu pai
Ly (We) agree W save, indemnify and tour, hatmleas the City of Cupertino against
res liabilities, judgmcnla. cams and sxpO. which may In any way aecme against said City
fJ Z in conese eace of the grandng of this permit.
^ APPLICANr UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
HAZARDOUS MATERIALS DISCLOSURE
Will Ve applicant or (utum Wilding occupmisnm or handle huardoua material
an dented by fie Cupertino Municipal Cade. Chapter 9.11, and the Haahb ad Safety
Section 85324)?
0y. KNo
Will the applicant or furore Wilding occupant use equipment or &Wm which
chat hmardon air contaminants as defirud by to Bay Amo Air Quality Management
DkstrwO
C] Y. �No
I have read the hvvdrnumauyials requirements muterChapmr6.95 ofthe Califor.
his Hrsh"SafeayCede. SaYsov8505,8533 an18534. 1 understand then if& Wilding
dose rent currendy have a enanh u d it u .,responsibility W rmufy the occupant of the
(650) 638-1028
Job Description
4.8KW ROOF FLSH MNT PHOTVOLTAIC SYS
Area
34257019!
Issued by:
Re -roofs
Type of Roof
$24000
Required Inspections
son trcos, no.
rr awm r mvl�
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.
Signature of Applicant Date
All roof coverings to be Class'f}a' or better