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03070162 (4) CITY OF CUPERTINO x BUILDINS DIVISION PERMIT ?CONTRACTOR INFORMATION BUILDING ADDRESS: MC SOLAR ENGINEERING PERMIT ND03070162 An VATT tOWNERSNAME' : 1168 ASTER AVEPERMRLSSUEDATE NE: SANITARY O. CONTROLNO.(408) 261-1211HITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMBMECH0 0LICENSEDCOcensed r, rnor EGLARATION 1 nemny.ftirm Lha,I,m naasca un pmvisinm nr cnapmr 9(rnmmenrmg Job Description is ctio al1(NI)nfDiA.ion3of NC Bu rad Professions Cndc,andmylimmaris ll d;ffect-�yG Lic.P a-( 16S INSTALL 2KW PHOTOVOLTAIC S ®P A6E®na ago cram, , SS ARCHITECTS RATION K i I undersund my plans shall be useJ s public mentis SEP 0 5 2003 in Lkased Profess Oran `0S OWNER-BUILDER DECLARATION . <q 1 hereby affirm that 1 am exempt from be Convector's License Law for the rjean n'WP r�'M �� 0llowing reason.(Section 703 1.5,Business and Professions Code Any city or county YKV■0 Billowing requires a permit to construct,alter,improve,demolish,or¢pair any structure prior tells issuance,also mquira the applicant for such permit In file a signed sutemcm E �< that he is limmOd pumuavuru the provisions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area Valu tion tic (commencing wi It Section 7IX0)of Division 3 of the Business and Professions CMe)or our,$ Nn he is exempt shallow and tic basis for Or alleged exemption.Any violation of Section 7031.5 by a"Applicant fora permit subject,the applicant to a Civil penalty or - APN Number Occu ane-Type not more man finnundmd dollars($500). P Y , 0 h u come,of the pmpeny,or in,cmploycu with wages as their sole compensation, will do the work.and the structure is not intended or offered for so).(See7W Bodiless 101 - FOUNDA Qp� Inspections and Pms'am feCode:The Convecmcs r's License law donot apply to an owner of pmrcny who build..,lotions Neuron,And who Once such work himselfor,Brough his 102 - PIERS own employees,provided that such improvements an not intended or offered for sale.If. 103 - UFER however,the building or improvement is sold within nor year tire Of completion, e owner. builder will nave do,burden of proving that he did not wild or improve for Porpoise of 104 — REBAR sale.). 0 1,AS owner of Be prorcny,am exclusively convening with licensed contractors to 105 — ANCHOR BOLTS coax incl the project sm.1844,Business and Professions Code:)The Conbamr's Li. 106 — SEWER 6e WATER arse law does not apply to an owner of property who wilds or improws mere.n,and 202 — UNDERFLOOR PLUMBING who c^ntneu for such projects with a eonlnemr(s)licensed pursuant o the Contractor's LicenseIAA Law. 203 — UNDERFLOOR MECHANICAL El aempt Doerr sec. .B&P c rid mice mason ate 204 — UNDERFLOOR FRAME Owner WORKER'S COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION I hereby affirm under penalty of perjury one of the following declarations: 301 - ROUGH PLUMBING Ihaze and will maintain a Cemficam of Consent to see-insum for WorkersCompcn- 302 — TUB & OR SHOWER s,as provided for by Section nue or the law,Crude,for the pertO mina of he 303 — ROUGH MECHANICAL work for which this permit is issued. 0 I have and will maintain Worker's Compensation Insurance,As inquired by Section 3 04 — ROUGH ELECTRICAL nW.f the Law,Code.for Or perfmmana of Use work for whim Iia .it is issued. 3 0 5 - FRAME My Workers Compensation insurance anie/r ayne Pp hey number are: 305 — FRAMEHOLDONS C\ S?4 Fry iA xpylfeyNo: /SNOOSR—aa C\ CER FICAEOEKEMPnONMOMWORKERS' 307 - INSULATION COMPENSATION INSURANCE 308 — SHEETROCK orlessj3^s.rreion need not we.mplemd iftnc prrmB is foal nundmd dollars I$HXB 309 — EXTERIOR LATH I anify mat in the performance of the work for which unix pmmi,is issued,10111 not 310 — INTERIOR LATH employ any Person in any manner so as it Become subject mhe Workeri Compensation 311 — SCRATCH COAT Laws of C,lif.....Date Appliam 313 — ROOF NAIL NOTICE TO APPLICANT:IL after making this CeMR1111 of Exemption,you should 501 FINAL ELECTRICAL ENERGY become subject m the Worker's Compensation provisions of the labor CMB you must D� mrthwimamplywith a rap,ruviainnsrurtmarcrmitsnalweremedm ,trd. 502 — FINAL PLUMBING ENERGY z ^ CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL ENERGY F^ k(mwyaf8ridthnlncmissed(Sm.309 , encylnrmeperfmmanccnf 504 — FINAL BUILDING ENERGY a� the work fur which this permit is issued(Sec 3(M11,Co.Civ C.) i p LendcrsName 505 — FINAL ELECTRICAL = z Lemurs Address 506 — GAS TEST U 0 1 cenify mu 1 haw rad this application and sure that the even information is LL F collect 1 agree In comply with all city and county ordinances and sum laws miming to 507 - FINAL PLUMBING ' O V buildingcouswetion,and nemhyamnoriaemprmrnL2IivesofBig City toenter upon are FI&aNWG(CAL ehovementioned property for impaction purposes. H y (we)agree m save,indemnify and tap ha msess the City of Cupertino against 0 C3 FI h liabilities,judgments,costs and expenses which may in any way acemeAgainst mid City 5 Z in eonsequcrim of me gaming of this permit.APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:5 DaleSOURCCE,E,gEGU IONS. RKS pV!� Signnurc Ap1(f2UConvactor Dai O� Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof will the applicant or future building occupant store or handle haamdous manual m defined by the Cuyenlno yf,rn;clrel Code.Chapter 9.12.and thc Health and Safe,, c.de.Section tics zss3z(a)+ All roofs shall be inspected prior to any roofing material being installed. ❑ Nu Will the applicant or future Wilding=upon(use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. Tier? a, lir ❑Yes '✓k}`y, 1 have read Be wraNnusmamrialson uimmass under Chxpmr6.95 of the Califor nia Health&Safcty Codc.Secuons255115.23533 ad 25534.1 undenund met ifun,building docs not cuncmly Bowe moan,mut n r y imports,. ity m no. IM occupant of me requiremen¢whi mon ba mm prior ance of a Ceni me, cup �k �` � �- t-af Signature of Applicant Date 0 mianar cdag Dare All roof coverings to be Class "B"or better CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO PN # 2 �� Date: ✓ xalw Building Ad ess: Mailing Address (if different from building address): Coy.✓�' Owner's Name: Phone#: 307N --� 51- L- 04�6 SSS -�5 ,4 Contractor: License#: M Iv.r 3a 1 v s Contact: Phone: (joy a! tv Cupertino Business License#: o �rre� Fax: � � ilding Peit Info: Bld Elect Plumb ❑ Mech ❑ Jobb rlptlOn: 1r S}c �,.._, rj�a�av0��'fnC, S`•1S�A'�" °`^ Residential f r a a Commercial ❑ Sq.Ft. Floor Area: $/S .Ft.: Cost of Project: 10, O D D OcccuupaancyU oup: Type of Construction: Please check this box oject 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> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1 M 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 <= IOOOA ELECTRICAL BELEC1001 Elec 600V > IOOOA 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 Iof3 0 / J �, (CL- CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity 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 BOVERTEVIE 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 BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Repipe Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen TrapPLUMBING 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 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 Kern Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL • 2of3 c sm-5 CITY 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 Rmdl 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 Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Tem or 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 Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3