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040602210 z F go It] w a U 0 U CITY OF CUPERTINO,CO1�1 T ACTQR INJFORMATI�' %Rr BUILDING DIVISION PERMI er,� 1 v.y,yl¢ rz W, t;/ffi£-� T ef'•^-s<, _.{. BUILDING ADDRESS: n DR . PERMITNOQ4Q6Q221 PERMIT ISSUE DATE IRS NAME: JIM MARXMI SANITARY 190. OLNO. PHONE: BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH 0 LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7ICM) of Division 3 of the Business add-Profciame Code. and my license is in full force aatliregt. / $3 I) L -1 L Cc. a PHOTOVOLTAIC SOLAR PANEL License Class Dam L-�<-ov Canmamor CONTRACTOR: HORIZON ENERGY SYSTEMS ARCHITECTSDECLARA 1 N I mmuiled my plans shall he used as pu cmdx Licomecd Pmfemanal OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt rmm the Contractors Liecnse Law for the i following reason. (Section 0001.5, Business and Professions Cade: Any city o, county . which requires a Permit til Compact. alter. Improve. demolish. lir repair any structure ? poormitsissuance.alsorequmiatWapplicantforinchPermitmfileasignedstatement 9 Sq. Ft. Floor Area Valtl "260 C that he isliccnscdpursuantothe pmvisiouofdoComrxmr'sLicense Law chapter (commencing with Section 7000) of Division 3 of the Business and Professor. Code) or - Nat he it exempt therefrom and IW basis for the alleged exemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to Advil penalty of mot come Nan five hundred dollies(5500). N 35910009.00' I,azowner of the pmpcny,mmy employees with wagesaz dew sole compensation, Required Inspections wKl tlo Nc work end Nc attumurt is notinm,bctl oroRcrttl forsale(Sen.70a6, Business and Professions Code: The Comncturs License Law docs not apply to in owner of property who Wildso improves tenor and whodecoaach workhimself or through his am forsale.11. 1.�P—�� Ne building or improvements sold ear.fdorolti r. ,- howemployeeuilding r imatsucM1impsuwmanuinmic year. ar completion. Nepose L7 'l (I �{ of Wilder will haw tW burden of pmvinS dot W did net Wild or improve for purpose of Wilftr didnet ��eee��7 )pl�^I1its�� sale.). Il�i�/�57 1, as owner of me propeny am exclusively contracting with licensed coneramors to contract the project (Sec. 7006. Business and Profeasion; Code:) The Contractor's Li. unproven Hereon, A 0 cense law does oat apply m an owner of property who Wilds or and ' �[ L� who contracts for such projects with a coninmor(a) licensed pursuant to the Contractors Llc me law. exempt u Sec/-- n rs reazon r� fry p pi p .{'� 5j leui,' '.' V D ORKER'S COMPENSATION DECLARATION Illgsi,S�ytY$tltjp`Jt III/�tl IlryLlk3 IIuJI t�3A\��tp'JII � � 1 hereby affirm under penalty of perjury arc of the following drslualioaz: ❑ 1 have and will maintain aCenificum of Consent to xlf-insure for WorkersCompen- andon, as provided for by Section 3700 of due Labor Code. far the performance of the work for which this pcbnit is issued 0 1 have and will maintain Workers Compensation Insurance. az trgaircd by Section 3700 of the, Labor Cave, for dm performance of the work for which this permit is issued. My/Worker's Compensation Insuran. cubic, and Policy number are: CalriaiJ Policy No.: ' CERTIFICATE OF EXEMPTION FROM W06KERS' COMPENSATION INSURAN (This satian need not he completed if the fc,mit is (moon hundred dollars (SIM) or lrasJ 1 enmity that in tW perfamomen of the work for which this permit in issued. I shall not a employanyPc man�erm azo W[ome sabjesuo tW Worked Compcmalum Laws of Califom'ul`em Applinppcul NOTIC`✓~JO APo this Ccnins of Exemption. iod youshould Wco hject m Ne Worker's Compcnsetion provisions of IW labor Cee. you mixt de, Worker's Compensation of Z fatthwitheomply wit, such pmvimmut or this Permit shall W deemed revoked. CONSTRUCTION LENDING AGENCY y 1 hereby antes Net mete is construction lending agency for tW perfurmenec of s d (See.30 IW work for which this permit u issued (Sec. 3097. Civ. C.) z Name Leader's Leader's Aad. z p 1 certify Nat I haw read this application and sum met the above information is _--- E-' Immet. I agree to comply with all city and county oNinances and state laws relating 10 J building convection. and hereby auNonic reprcsenutives of this city to enter upon tW W abovomentioned pmpcny for inpection purposes (We) agree m saw. indemnify and keep harmless the City of Cupertino against h louilillu.judgmenu.eosu and expenses which may in any way accrue\garnlsaid City Of the granting Of Z in his Permit. APPLICANT cUNDERSTANDS tAND WILL COMPLY WITH ALL NON -POINT Issued by: Dat' SOURCE REGUULA DNS. SV /��- .��`-2r-eI Re -roofs ' Type Roof Signature of Appl' 'Comncmr ` Dam R HAZARDOUS MATERIALS DISCLOSURE of Will the applicantor furore building occupantsmrcor handle mammy Health dcfincd by the Cupertino Municipal Code. Gaper 9.12, and the Health and safety adc, section us3z(an All roofs shall be inspected prior to any roofing material being installed. 0Yuo If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future banding occupant use equipment or devices which emit hazardous air conuminanu az defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yee ONO 1 have mad the Wmrdnus materialatequircmenm under Chapter 6.95 ofthe Califon nia HcalNgm SafciyCWc,Smuons25505.25533and25530.lundcm=dmatiflhc Wilding �— C N docs not ltmaelly haw W ran. mat it is my mcupossibility til ratify de occupant of Na requimmcicj and prionoissuancc ora Ccnincam of Occupancy. Signature fApplicant Date G^ 2S -o All roof coverings to be Class "B" or better igcnl ow ar auihmxl.ed Dam CITY OF •CUPEkTINO ATY OF CUPERTINO -* U� PERMIT APPLICATION FORM v � APN # 3sO csu Date: G z 0 7 Address (if different from building address): Building Address: 2 0 6 2 L S c o I n DR Owner's Name: Phone #: a 1^M /'W2XMILCk-n_ BBOILERI Contractor: �orclzvi✓ L /t-e�'rc Gy Stisltie�p License #: FEZ 9 23 °/ Contac: Phone: -79S- 9 o 6 o I GO/ Cupertino Business License#: JLV CAC 0-O Fax: 3 BBOILER3 Building Permit Info: Bldg ❑ Elect Q Plumb ❑ Mech ❑ Job Description: Residential ® i�Norovc��r <5'�^w ��•) Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Group: 3 2 2 40 Construction Tax ype of Construction: Please check this box if the project is a Ind/Off/Comm/Quasi - second -story addition: ❑ Project Size: Standard ❑ Large ❑ Major ❑ Con. Tax for BQ Zone Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 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 <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 73 1 of3� 7 / . /7-� ��, CITY OF CUPEI�TINO OTY OF CUPERTINO 0 PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINI'ERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures 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 Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace 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 BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 CITY OF !'1 IPLRTIPIn 0 CITY OF CUPERTVS PERMIT APPLICATION FORM n LJ 3of3 Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmd] Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, 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 Inection BUILDING BSWIM Swimming 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 EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING n LJ 3of3 0 c D Sy n Z IN MOT PLANS 1 SIGNED a pati ications�ulun awful Zhu set of Pla all tme. and ft is kept on tha anns on °f nim tt i01. to make enoissw houI written poi Cupaa,ino. rr fm?nrNg of is ph n omits _t ptDT be held tc p ` �� I the viola4or of any IN � m QFRCE COP y ace oa Go X Cn O W N = N Ln m N N 0 O n = _N ,n dT 2 o: m O �p N CD 0 a to N N ID $ � m N � � R N w 1D u 0 IN � m QFRCE COP y r U W�Dp�� C = n n < < o 0 � a c 7 7 N lD Nrt •. n n C4 --I N CO) N N �xaa ss m m � < p p N f M/fyNC 7 c4 Ri i C D .Z1 ;a N 0WW W # y 0 c a T 3'c q • Roof Loading Area(sf) Weight(lbs.) 23 Modules @ 37.5# per module 14.54 862.5 UniRac SolarMount # per module 5.4 124.2 G Standoffs # per unit 2 56 Coverage area: 334.42 1042.7 Total attachment points: 28 Weight per attachment point: 37.2 �n Weight per square foot: 3.1 All penetrations sealed with roof flashings Roof framing 2x4 Trusses 24" oc Concrete tile Reinforced purlin 4 in 12 pitch Electrical Characteristics for inverter •Modules in Array: 8 Arrays: 3 Operating Open circuit Maximum allowed Array Voltage: 289.6 359.2 380 Operating Short circuit Array Current: 5.11 5.75 All wiring wet location (THHN/THWN or RHH/RHW-2) 90C or higher GRP All work to conform to NEC Article 690 'Solar Photovoltaic Systems' a��1g REQUIRED • a 0 SHARP. • • BIG POWER. REVOLUTIONARY DESIGN. MULTI-PURPOSE MODULE SINGLE CRYSTAL SILICON PHOTOVOLTAIC MODULE WITH 18SW MAXIMUM POWER This single crystal 185 watt module features 17.5% encapsulated cell efficiency and 14.2% module efficiency—the highest efficiency commercially available. Using breakthrough technology perfected by Sharp's nearly 45 years �� research and development, these modules use a textured cell surface reduce reflection of sunlight, and BSF (Black Surface 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, solar power stations, solar villages, radio relay stations, beacons, and traffic lights. Ideal for grid -connected systems and designed to withstand rigorous operating conditions, Sharp's NT-185UI modules offer the maximum us#, power per square foot of solar array. �� GI - T f "*7,h Solder-cootedgrid results in high fill factor Sharp multi-purpose modules offer performance under low light conditions, industrydeading performance for a vadety of applications. MULTI-PURPOSE MODULE 'ELECTRICAL CHARACTERISTICS Cell —..._� Single crystal silicon No. of Cells and Connections 72 In series Open Circuit Voltage(Voc) 44.9V Maximum Power Voltage (Vpm) 36.2V Short Circuit Current (Isc) 5.75A Maximum Power Current (Ipm) 5.11A Maximum Power (Pm)' 185W Minimum Power (Pm) 166.5w Encapsulated Solar Cell Efficiency 61c) 17.48% Module Efficiency 61m) 14.23% PTC Rating (W) 162.43 Maximum System Voltage boovoc Series Fuse Rating 10A Type of Output Terminal lead wire with MC Connector r . MECHANICAL CHARACTERISTPC5 t 62.01 x 32.52 x 181'/ 1575 x 826 x 46,,m Cell Temperature: 25 _' 200 6 2 PCs per Carton Size of Carton 6693 x 38.19 x 5.12'/ 1700 x 970 x 130 Loading Capacity (20 fl container) 168 PCs (84 cartons) 0 � P01. 5 y RAIM 160 is 4 20 a 3 80 2 11, BE 0 M N11,11 40 1US NEEME11 0 0 0 10 20 30 40 50 Voltage IV] Current vs. Voltage — Pmervs.Voltage Current, Power vs. Voltage Characteristics MECHANICAL CHARACTERISTPC5 Dimensions (A x B x C below) 62.01 x 32.52 x 181'/ 1575 x 826 x 46,,m Weight 37.4851bs/ 17.17.01<9Packing Configuration 2 PCs per Carton Size of Carton 6693 x 38.19 x 5.12'/ 1700 x 970 x 130 Loading Capacity (20 fl container) 168 PCs (84 cartons) Loading Capacity (40 it container) 392 PCs (196 cartons) � MECHANICAL CHARACTERISTPC5 Dimensions (A x B x C below) 62.01 x 32.52 x 181'/ 1575 x 826 x 46,,m Weight 37.4851bs/ 17.17.01<9Packing Configuration 2 PCs per Carton Size of Carton 6693 x 38.19 x 5.12'/ 1700 x 970 x 130 Loading Capacity (20 fl container) 168 PCs (84 cartons) Loading Capacity (40 it container) 392 PCs (196 cartons) ABSOLUTE MAXIMUM RATINGS Operating Temperature Storage Temperature -40 to 194'e/ -401.+90'C ______-_____._____._ -4o to 194'F / -40 to a90'C Dielectric Isolation Voltage 2200 VDC max. a �F�RBNT UIEYVj �� BACKVIEVJ - _ , Specifications are subject to change without notice. ' (STC) Standard Test Conditions: 25°C,1 kW/tot AM 1.5 "(PTC) Pacific Test Conditions:20°C,1 kW/m', AM 1.5, 1 m/s wind speed In the absence of confirmation 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. SHARP, I be sharp' La Sharp Electronics Corporation • 5901 Bolsa Avenue, Huntington Beach, CA 92647wW. Tel:1-800-SOLAR-06 • E-mail: sharpsolar@sharpusa.com • vvsharpusa.com/solar Cover photo: Solar installation by Pacific Power Management, Auburn CA SSD -03-007 02003 Sharp Electronics Corporation Printed in the USA SH • A�2P • • MULTI -STRING INVERTER 3500W Inverter RELIABILITY. FLEXIBILITY. EFFICIENCY. SHARP'S UNIQUE SUNVISTA" MULTI -STRING POWER %W1 CONDITIONER IS THE HEART OF THE PV SYSTEM More than just an inverter, the JH -35000 is a versatile power conditioner engineered to blend energy from up to three input strings, each varying by number, model, and angle of modules. Now architects and installers can design systems that meet exact power requirements while creating a clean, professional look on the roof. Plus, with its active cooling and ultra-high efficiency, Sharp's inverter maintains stable power output even in extreme temperatures. Perfectly matched to Sharp modules and mounting hardware, the JH -35000 is also compatible with many other man ufacturers'systems, and is ideal for both residential and commercial applications. With over 60,000 units in the field, the Sharp Sunvista has proven to be among the most dependable and flexible inverters in the world. The Sharp solorpower LCD display monitor blends beautifully with the homeowner's decorand displays instantaneous and cumulative electricity generation and CO2 reduction levels. Sharp's 3.5kW inverter is designed with a neutral -toned NEMA 31? housing that Integrates into the look of almost any style home. RES i.. ��..ON�.. i The Sharp solorpower LCD display monitor blends beautifully with the homeowner's decorand displays instantaneous and cumulative electricity generation and CO2 reduction levels. Sharp's 3.5kW inverter is designed with a neutral -toned NEMA 31? housing that Integrates into the look of almost any style home. RES s MULTI -STRING INVERTER 350OW Inverte6: i' ,E(ECTRI_fAL CtiARACj,ERISCIC,5, Maximum system voltage (DC) 380V Rated input voltage (DC) 240V Range of operating DC voltage (DC) 110V - 350V Maximum array short circuit current (DC) JOA Maximum operating current (DC) 22.5A (7.5A per DC input x 3) Nominal output voltage (AC) 240V Operating voltage range (AC) 211v -264V Nominal output frequency (AC) .. 6087 Operating frequency range (AC) t5g.311e-60.5N7 r 4Md%ImVmCOnlIn Xo115 output current (AC) U 15A i—t-- r-.^— )F�Maxl`mum{onlinuD11590Wpul pOwe (A0! 3500W (at DC input 160-32OV) maximum input power (DG) J . 1"'Y 450ow Peak conversiori efficiency 4 !e 92,4% Power factor More than 0.95 Total harmonic distortion (THD) Less than 5% Operating temperature Inverter: LCD Display: -4'F to 104'F/ -20`C to+40oC 32'F to 104'F / 0°C to+40°C ;MAIFk1_CIRC;Ui,T Solar power Conditioner system Fixed voltage current control system Switching System PWM(pulse width modulation) system Isolation system Built-in high frequency isolation trauformer r stem Electric system 1 -phase 2 -wire system (connected to 1 -phase 3 -wire system) a ; PRO,TE�CTIO,LSt'?fy=m.; Grid -connected protection AC Over Voltage / Under Voltage, AC Over Frequency / Under Frequency detection anti-Islandln comonent(IEEE929) Ground fault protection DC detector/interni ter p450'al4mm 7c5n92mm 23 MECHANICAL CF{ARAGTERISTIC$., Dimensions (W x D H) Inverter: 23.7 x 178 x 785'/600 x 450 x 192mm LCD Display: 5.4 x 4.61 x os'/137 x 117 x zoom Weight InvLCerter: Approx. 6]]ms/2a kg D Dig la : A rox. 0.44 no, / 0.2 k Enclosures a roe MA3R 1 i INVERTER LCD DISPLAY p450'al4mm 7c5n92mm 23 5.49137mm �}}� M Eicmm� a E �U NV ll eL/ U 7 LL ��:,�fiYliiliYfial� �4t� YYWr r � E C olYuv 1LµEL t2§ G PurrTON b rs. eu tON, 1 e pR A20kdmo11 r - uu, ",up ooe t ® BVROX two Specifications are subject to change without notice. In the absence of confirmation 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. SHARK I be sharp' Sharp Electronics Corporation • 5901 Bolsa Avenue, Huntington Beach, CA 92647 Tel:i -800-SOLAR-06' E-mail: sharpsolar@sharpusa.com - www.sharpusa.com/solar SSO-03-010 01003 Sharp Electronics Corporation Printed in the OSA THE STANDARD IN PV NODULE RACKS` RTM AMS 0 y, _o-..3. PV MODULE FRAMING AND MOUNTING SYSTEM FOR PITCHED ROOFS PV Module Compatibility List Call UniRac or your PV dealer for any module not listed. ASE ASE300 AstroPower AP100, AP110, AP165 BP Solar 3150, 3160, 4160, 5170, Sx150 Evergreen EC94, EC102, EC110 Kyocera KC120, KC125G, KC158G,KC167G Code Compliance SunFrame is designed to comply with the Uniform Building Code, 1997, Chapter 16, and the California Building Code, 2001, when installed according to the SunFrame installation manual. SunFrame Component Specifications Rails, cap strips, splices, and L -feet: 6105-T5 aluminum extrusion. Photowatt PW1250, PW1650 End caps: 5052-1-132 aluminum. Sharp 70,140, 167 �e Standoffs: Service Condition 4 (very Shell SP130 'SPeI"�0, SP1 q @�+ severe) zinc -plated welded steel. SQA ,0 SQ�0, SQ160 ",Fasteners: 304 stainless steel. - " SunFrame Components 0Inter-Module Rails provide support shelves for the modules. Depending on a module's thickness, its upper surface can be as little as 2.125 inches above the roof. ® Full Length Cap Strips secure modules and finish the array topside forming a gap -free frame. Self - drilling screws at 16 -inch intervals provide the holding power. ® End Caps finish the rail ends to complete the frame. O L -Feet attach directly through asphalt shingle roofs and support the rails one-half to three-quarters of an inch above Ithe roof surface to provide convective air flow for ventilation. 0 Splices safely extend rails. O Standoffs (optional), designed for standard flashing, support L -feet above tile or shake roofs. A range of heights ensure a low profile. Clear or dark finishes on all visible above -roof components, from L -feet to screw heads, match the frames of your PV modules. www.unirac.com For more, download SunFrame Code -Compliant Planning and Assembly from our SunFrame page. UniRac, Inc. 3201 University Boulevard SE, Suite 110 505.242.6411 Pub 030901.2ds • September 2003 info@unirac.com Albuquerque NM 87106-5635 USA 505.242.6412 Fax 02003 UniRac, Inc. All rights reserved m re.e Lm,uN ft J.Il.1-1Y: e,rte uminJ ilmae w.—Ify U. I'll .„.arta 0", 0',r 1Purcl Yet, of ITT =,'t.....ruul^lune Or,fTlm 11.h.III, C1rle) rhe1 N•SurrRame'"CV r:rrlule b err lmE mewwe rem (Oe'pMuu') I., be The hwa "Tehe In m.leeul an] ww4maval,ip lac e pen.Of,m to ynv, anN IT The .,16-1, eet'. eeel he hee frau rustle µelia9. nuWnfl a [IrJe,e.B Vh natal aunwChen[ ttnEraana H[n. He, a , Of f v< i51 Ynn, hm. Ne u,liert d a Ne Em ¢e .mull auu, d Ott Cm:wu1 Ne S n ^) N EaYea4e[ Rrtpurtbe IT Of the p T,,the 101 part be., d[t,t4KKu t e knne M1elrr-A nnlrh- nr.a-H 1IObI Ilel[eplr a aC41y rulnnY fOS m rtriEve ^.epmueO m rM1e !,TnInnB JInmh.rcr neaI'l IT111111.1 lmhnuheb '^ TO Nmmunn&IOhn TYOe m Nmuurt 01Jnl..Tavez:luJ.. Imlu.e nal hrmleG Y,[Iletin" Hmn, uh rpr.II m etty-'"'I' i tt ..I.....-f.Off Aegl<nlThia T. nrymoe nevu"O'de,b. "O, bpraeln[r l , peeT,Y'oP gine. Tn: Ynhn v4,e.na i. rna lfTumel memanen✓ am anem9 "I" ro, lcllweG [ry Rrthavi TI epec,fiH h MA1.Y fbJ.93- llHl5[eoan ke cjom..t em a uTrtee„n Tr u:ni,.<mm uw,nm uaan,:n• Thu =ue nn Nun:emeBe le tle i:ofue, lNe ocean v'unnP ahrpmm� T.9 Nh'th 'It"IT-Illmr.10' 1,. wrA J trulla.y eft the rOhMt It III, 011eA rrIll 'ucO:- Ennlew:lM1VlrrPne'.wntMT we.11111.y lTnuvrrbelle"UnirthOlby VeORell It by T11 �m TT.41d, lxerrm, al ltw«am h.. rT.rmer Tal 4lrt,oaer amnalraa hr l'mPlc!,I vnlry a,"'Cr[Auc a rallN In 1 r wlnJr ie notAolgner:. 0n Poa vAall rrvl Le IruNe kl ttnaego•.nvL I—T"T, [¢ I,ul.lellbl Avrna!^ arrernq u'vl of me ave eI 101 Cr[Julr LY 4v,eha[er h,nrhmrteapnneE4er,., Te RO]ae,abn h rtumeen r9m'm mbe Yff"', lhm VnrGc Rall rtbe, n,, 411Eef=i.. .en1 Y„trend. TUT'.. r.'Y,T-SUMnprt h,b ,Ab,":NII JIUCPxYIw"lryanN rtgwtu4ti[ "mrnA tW nand UTLm eacirtv'mauxn "”, f1b., ee Iutle The vW." Ithh", TO mn[tyT.Thal T..., aorto{ OT, doe., Ud TO web/ benhfeet of Ne pm]vee TpecrllY maa4la[Iu,sa dl141, rmm. [utl..nI mMulq flaJrirrMr I"I "', te,¢N alar......... -u "'wn:eanne, of rMr Own. LTLIaI'I hllla "IT ItT[oxen TOly t.e %o0ue4 It' 101 hV Thh"111.1bemv"vee ar ehl oma """ r"Te 0 LJ CITY OF CUPER MIT BUILDING DIVISIONON PERMITS,,,, m BUILDING ADDRESS: PERMITNO. 04060221 OWNER'S NAME: PERMIT ISSUE DATE JIM MARXMILLER E: SANITARY OL N0. ARCHITECT/ENGINEER: BUILDING PERMIT INFO 'BLDG ELECT PLUMB MECH I C=l 0 (� LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm Nal I am licensed under provisions of Chapter 9 (commencing - wiNSection]f Division Sof the BusinnasP mfessiona Code,andmylmenseis in full force and4ttgpL ✓✓$3 PHOTOVOLTAIC SOLAR PANEL Liccnm Clef /J a �'l a Lia « ARCHITECTS DOtor Dam G•�s-oy TSD CONTRACTOR: HORIZON �5� '''' II�- 1 addice nil my pl.... hall he used as PuMf curds Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from die Canuaclar9 Licence Law for Ne `g 7 G SEP 1 2UU following mason. (Section 7031.5, Business and Professions Code: Any city or county I which requires a Permit to concoct, alcor. improve, demolish. or repair any structure 14 prior m its issuance. atm mquims the mplica a far such permit to flea signed smtemenl RA Sq. Ft. Floor Area. 1DOPY260 In. W is licensed pursuaoun the provisiunadf the Conuacwr's License Lunt (Chapter 9 (commencing with Section 711110) of Division 3 of Ne Business and Professions Code) or Net he is exempt Manfredi and Ne basis for se alleged exempdon. Any violation of APN Number ', Occupancy Type Section 7031.5 by any applict % a for a Permit objects applicant to civil penalty of an not mart Nan fin hundred dallars (5500). 35910009.00 ❑I. as owner ofthe property, or my employees wish wages as their sole compensation, Required Inspections will do the wah, and meantime is a., intended orotfeted forsshe(See.]044, Business and Professions Code: The Contractor's Liceroe Law does not apply m an owner of q P property who Wilds orimproves thereon, and whodoessuch workhimselforthrough his own employees, provided that such improvements am not Intended oroQered forsale. if, however. the building or improvement is mid within one year of completion. Ne owner. builder will have the burtlen of proving that he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with lice®ed conuaclnrs m construct the project (Sec. 70". Business and Professions Code:) The ConuamarY Li. cense law does not apply us an owner of property who Wilda or improves Nneon, and, who coal=%for such projects with a conuacmrfs) licensed pursumt to the Conuactoh License law. �:I em exemp/t/,%yI rSe9� ,B&PC to Amason p water D� ORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of Ne following declar armor I have and will mdnlom a CeNfcaw of Consent In self -Insure for Workers Comped- mtion, as provided far by Secdon 3700 of the labor Code. for the perfo..not of Ne work for which this permit is aimed. ❑ I have and will maintain Workers Compensation Insurance, m required by Section 37W of Ne Labor Cade, for the performance of the work for which this Person is based, My Workers Compensation Inmmnce carrier and Policy number am: Policy No.: ' C.�CERTIFICATE OF EXEMPTION FROM WO@KERS' COMPENSATION INSURA!50W (Thbsection aced nothccomplemd if the Permit is (uratic hundred daBam(SIOM, ' or loss.) 1 certify that in the performance of Ne work for which this Permit is issued, I shall at employ any p, in m az m become subject m the Warkcn' Compensdlon Laws of Celifor am Applic ill zi- APn If, atom making this Ceni of Exemption, you should Warh rovide. oration provisions of the Labor Code, you must lotto object m the mk ns of lawn forthwith complywish such pmvieion or this permitshot] Wdemand revoked. it CONSTRUCTION LENDING AGENCY I seamy that More is construction agency I'm the Performance of rwhaRrm s e theLa work for which Nis permit is issued (Sec. 309]. Civ. CJ ' Lender's Name Lenders Address I modify that 1 have reed this application and slow thus the above information is correct, I agree to comply with all city and county ordinances and stele laws relating to ��- building concoction, and hereby authorise mineeenmtiws of his city in enter upon the above-mentionrA property for insPcmmn purposes. (We) agree to rove, indemnify and keep harmless the City of Cupertino against j liabilities, judgments. costs and expenses which may in any way nares Sainal mid City I. consequence of the granting of this permit. 1 m APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Dat S7CE REGULA ONS. l/ � �L-2s-eh Re -roofs a Signature arAppl; UCanuecmr �'� Dam an HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupanlsame or handle h madous material as defined by tie Cupertino Municipal Code, Chapter 9.11, and the Health and Safety Coda, Section 15532(U? ❑Yes o 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 Will the applicant or future building occupant low equipment or devices whim it heximddus air contaminants as defined by tie Bay Area Air Quality Management all new materials for inspection. Disuia? ❑Yes ®Nu I have mail Ne harmdousmamrialsmquimmen% under Chapor6.95 ofshe Califor. nu Health& Safmy Code, Sections 25505,25533 and 15534.1undentsed thatifthe Wilding /// -- I ZS— ciN don not curently how wnent. thus it is my responsibility be redly Me occupant of the require Ls which mctpriorwlam ... faCertificaoofOccupancy, Signature &Applicant Date �• Z -c" -T All roof coverings to be Class "B" or better Owner or ausho'.cd aged, Date