09080104CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10551 N PORTAL AVE I CONTRACTOR: REC SOLAR, INC. PERMIT NO: 09080104
OWNER'S
OBISPO, CA 93401 PHONE NO: (888)657-6527
BUILDING PERMIT INFO: BLDG ELECT r PLUMB r
MECH RESIDENTIAL r— COMMERCIAL
JOB DESCRIPTION: SOLAR PV SYTEM FLUSH MOUNTED ON
ROOF; CONTRACTOR
RENEWED BUS LIC 8/11/2009
Sq. Ft Floor Area: I Valuation: $35000
APN Number: 31630099.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
18 AAYS F�R/OM AST,CCAA`ILED INSPECTION.
Issued b �/'��' — "
-ROOFS:
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 "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534. a
Owner or authorized agent: Date:
(
LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
Date