10100185 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: 10398NORMANDYCT CON7-R,\CI'OR:PRO T[CH POOL AND SPA PFRMITNO: 10100185
OWNER'S NAME: CILIA IIORN JIANG PO BOX 61552 DATE ISSUED: 11/162010
OWNER'S PHONE: 4088618823 SUNNYVALE.CA 94088-1552 [']]ONE NO:(408)7357665
❑ LICENSED CONfRACTOR'S DECLARA'T'ION BUILDING PERMIT INFO: BLDG (- ELECT r' PLUMB I1
License Class C T-3 Lie.4 S 10'If 7
q p (( \TECH r RESIDENTIAL r COMMERCIAL F.7
Contractor erg %eol& 10% i J17a- Date I I I r 4 / t0
1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REINSTALL(XIO)SWIMMING POOL SOLAR PANELS,
(commencing with Section 7000)of Division 3 of the Business S Professions NATER
Code and that my license is in full furce and effect. ONLY,NO VOLTAIC S&RETU RETURNS
TNO PLOW FROM POOL
TIIRU SOLAR PANELS R['fUTO POOL-10 PANELS
1 hereby affirm under penalty of perjury one of the following two declarntions:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$2500
A I'I'LIC,\\I'CIiR'I'I FIC,\'PION
I certify that I have read this application and state that the above information is APN Number:36929024.00 Occupancy'1'ype:
correct.I agree to comply with all city and county ordinances and state Imus relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting ofthis permit. Additionally,the applicant understands and will comply. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature �( Date /I / ! Issued
❑ OWNER-BUILD)?R DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Lawfor one of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material being installed If a roof is
I,as owner o(the property,or my employees with wagesas their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for
will do the work,and die structure is not intended or offered for sale(Sce.7044, inspection.
Business&Professions Code)
I,m owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date:
construct the project(Sec.7044,Business R Professions Code).
1 hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
declarations: -
1 have and will maintain a Certificate of Consent to self-insure for Worker's 1L\-/,ARDOUS JIATF.RIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued I have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California Health d Safety Code,Sections 25505,25533.
_5533.and'5534. I will maintain
Section 3700 of the Labor Code,for dine performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.1_and the Ilealth&
Safety Cade,Section 25532(x)should 1 store or handle hazardous material.
permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will
not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Compensation laws of California. If,after making this certificate of exemption, Hcalth&S4,cly Code,Sections 255M.25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I mIust Owner I uthori djiq r /
forthwith comply with such provisions or this permit shall be deemed revoked. Date: f I 1 I%. /f a
APPLICANT CF.R'TIFICA TION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating I hereby affirm that there is a construction lending agency for the performance of work's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
\ upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may acerae against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
`rich all non-point source regulations per the Cupertino Municipal Code,Section ARCIITTECI"S DECLARATION
'.8.
\cure Date I understand my plans shall be used as public records.
\J\ Licensed Professional
CITY OF CUPERTINO
ZVI SOLAR PANEL
CUPERTINO PERMIT APPLICATION FORM
APN # Date:
WLto�2S 20+0
Building Address:
O 3 4 B or an 0%
Owner's Name: Phone
C_4.,0_ lio.e? f, �, 08 • e lei, 3az3
Contractor:/� Phone#: 409 -73S-. 7 G (-r Contractor License#:
4 ro 7-.v4 oja.. Fax #: lo 11 • %L 1/`/5.17zo F>to q17
Contact: Phone#: SaM� Cupertino Business License#:
C A Fax #:
Number ofPanels/Units: 1 ' /{ -nns (Cen�efeiel-OFI+y): 4 9
O .l•�tr'•�
Job Description: 2e ;4 +O) ac+'^'^'••} `lae� ds%r vo..efL JolGr 01 t� A/
/y /Y1GI
is rf M ool jhN j0/.r an c'L /-GL,,J A. pa/. C(<G{-r:c•
Project Size: Expres Standard Large LJ Major ❑
Residential K Commercial ❑ Valuation (cost of project):
S0
Green
Green Points: W /A
1.2 KW-6 Points ❑ 2.4 KW- 12 Points ❑ 3.6 KW - 18 Points ❑
Quantity Fee ID Fee Description Fee Permit Type
Group
1SOLARPANL Commercial Solar Panel E SOLAR-COMM
Af
1PHOTOVCOM Photovoltaic System E
Commercial/Multi-family
1BSEISMICO Seismic Commercial E
1 ELCPLNCK Plan Check Fee E
1 BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee COMM & RESID
1SOLARRES Residential Solar Panel E SOLAR-RES
Revised 07/06/09
_]
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: DATE: REVIEWED Bl':
AN
: BPP: 'VALUATION: $2,500
*PERMIT TYPE: Building Permit PLAN CIIECK TYPE: Alteration / Repair
PRIMRI' TOTAL PENTAMATION SOLAR-RES
USE: SFD or Duplex FLOOR:IRE.1: PERMIT TYPE:
WORK
SCOPE
Alech. Flan Check Plumb.Plan Check lilee. Plan Check
,L/ech.Permit Fee: Planhb. Permit Fee: F,lec. Permit Fee:
Other Afech./asp. Other Plumb Insp. Other Elce. Insp.
,Neck Insp.Fre: Plumb. Lisp.Fee: Elcc.Insp.Fee:
NOTE: Thesefees are based on the prelitninan,information available and are only an estimate. Contact the Dept for addn'I info.
FEE ITEMS (J-ee Resolution 09-051 Elf 7/1/10) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1-1 # Photovoltaic Systern
Suppl. PC Fee: E) Ree. 0 OTT $0.00 $207.00 ISOL IRRFS
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. FeeO Reg. 0 OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Con ti7iction Tizx
Acoustical Fee: 0 Yes 0 No $0.00 0
Work Without Permit? 0 Yes t7 No $0.00 E)
Planning Fee: $0.00 Select a Non-Residential E)
Droved Documentation Fees: Building or Structure 0
i
Strom±Motion Fee: IBSF.IS,11/CR $0.50 Select an Administrative Item
131du,Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: $1.50 $207.001 TOTAL FEE: $208.50
Revised: 10/17/2010
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O I-ax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: 10319 :A: PERMIT# / 0 /00 / 85'
OWNER'S NAME: C 4: NE # Y0 C. 731-- to (. r
GENERAL CONTRACTOR:pf v j0 BUSINESS LICENSE# t A
ADDRESS: CI'T'Y/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business,license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCIIEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
1 am not using any subcontractors: ��'V� to - Z r Zp/o
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum/ Wood
Glass/ Glazing
Pleating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
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metal clamps and multiple straps
across the collectors
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manujacrurer, e Designed to withstand Hurricane force winds j
1-JE LIOCOL has a 9 Low collector head loss race reduces pump requirements
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proven rn;;h record o%
w CCITiCicailon Data:
iecnternational Laboratories
durability,pert rmance Onh International Florida Solar Energy Center(FSEC)
j Solar Rating and Certification Corporation(SRCC) City of Los Angeles 4RR-4508
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� en.. desk t en'ellenre.
Solar Energy Analysis Laboratory(SEAL) British National Water Council(for potability) I
j DSET Laboratories.Inc. i
HRS,Florida(Required for Commercial Use German Federal Health Board
Israeli Technical Institute
Dade County Florida Standard Installation Cor
Miami Testing Laboratory Corporation of Israel
IAPMO#5-3053 i
Collector Dasa: I
Collector Model HC-50 HC-40
HC-30 HC-11.5 HC-10 �
Size,Nominal 4'x12.5' 4'x10.5'
4'x8' I'x 12.5' I'x 10.5'
Width
47" 120 cm 97" 120cm
v"
<� lllaf�flt ± s�F t{kS1 47H 120 cm 11.75" 11.75" I
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Length 152.1" 380 cm 127" 323 cm 91" 231 cm 151.5" 127"
///lVJIIIIIf�( �10�0` Area(sq.fL) 50.0 4.65 m' 41.6 3.88 m' 30.0 2.77 m' 2.2
10.2
i Manifold Diameter 2" 5.08 cm 2"
5.08 cm 2" 5.08 cm 2" i
2"
X Weight.Dry 22 lbs. 10 kg 19 lbs. 8.5 kg 15 lbs. 6.84 5.5 lbs. 4.75 lbs.
i�'" 3 VQ�gp1e Gpa<i 3.7 gal. 14 L 3.1 gal. 12 L I.
,••� �:. W 2.9 8a .93 gal.
9 L .78 gal.
I e9xi'.rs ciuen Fr_dde Lye sdv:
Hees,sy�ea,r,;r e Geri-'cCn VW/ ing Pressur 90 P51 90 PSI
1 - - c"' O 90 PSI 90 P51 90 P51
si:o c_:[e As'cr.:c i:.-�.--r G1yroi:
t, - Bu t Press,e `J 270 PSI 270 PSI 270 PSI
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Roc mmen270 PSI 270 PSI I
aed FI 5 GPM 4 GPM//nII\\\1(J^(J7�1I II
Cly--s�GPM 5� 11 GPM
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SOLftR POOL HEATNG ENGINEERED - 1
FOR LIFE
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