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15070089
'Ur CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22619 STEVENS CREEK BLVD I CONTRACTOR: ELITE ELECTRIC INC PERMIT NO: 15070089 OWNER'S NAME: SINGH KATAR AND NEELAM 19415 BELLEGRAVE AVE I DATE ISSUED: 07/13/2015 1 OWNER'S PHONE: 4084253021 1 RIVERSIDE, CA 92509 1 PHONE NO: (915) 681 -5811 %4 LICENSED CONTRACTOR'S DECLARATION License Class % y Lic.# Contractor �t�`s-5�7t Date ' / 3 is I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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. APPLICANT CERTIFICATION 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. J -� Signature V ` Date 7' 13 / S 0 OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. I certify that in the performance of the work for which this permit is issued, I shal I not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ INSTALL NEW ROOF MOUNTED SOLAR - 16 MODULES (5.2 KW), INSTALL NEW 200 AMP SUBPANEL Sq. Ft Floor Area: I Valuation: $19400 APN Number: 34212116.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 D S FROM LAST CALLED IN SPE TI N. Issued by: Date: RE- 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 Cod , ed ns 2 05533, and 25534. Owner or authorized agen . �%� Date: 3 t CONSTRUCTION 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 • ALTERNATIVE ENERGY PERMIT APPLICATION AM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION AV IL 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 H IL (408) 777 -3228 • FAX (408) 777 -3333 • building Qcuoertino.orq &OWO- PROJECTADDRESS OWNER NAME P NE E -MAIL STREET ADDRESS C STATE, Z FAX CONTACT i E _ PHONE (� . 1; E -MAIL (� C I STREET ADDRESS Li I CITY, S F 4�A �ZIP�� fT ❑ OWNER El OWN'ER- BUILDER El OW'N*ER` AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER, ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I LICE1 isE I TiBE , _2- LICENSt i E� BUS, LIC R CON,P,ANY NAME � � � /lam, ,, � E-MAIL STRE D RBSS TATE, ZIP /v 'v �� PHONE �o���a- �► -A ARCHTECTIENGENEER NAME LICENSE NUMBER BUS. LIC R COMPANY NAME E -M.AIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE. USE OF SFD or Duplex ❑ Multi- Family PROJECT IN WTLDLANID PROJECT IN ❑ Commercial URBAN INTERFACE AREA El Yes ❑ NO FLOOD ZONE El Yes ❑ No ,STRRUCTURE: .�� KJ`SOLAR PANELS ❑ ELECTRIC VEHICLE CYARGING STATION ❑ SOLAR WATER DATING ❑ OTHER: FORSOLAR PANELS: NIUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK 1 a By my signature below, I certify to each of the f flowing: I am the property owner or authorized agent to act on the property %vner's behalf. I have read this application and the information I have provided i correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws re ?t3 uildi g c lion. I authorize representatives of Cupertino to enter the above- identified property for inspection purposes. SignatureofApplicant/Aeent: ✓ Date: SUPPL M NTAL INFORMATION REQUIRED �t vr' M i f � OVFRTB'E-COTR�TER: s. U PV.4pp_2011.doc revised 03116111 CITY OF CUPERTINO l l 5©m F-8—ml FEE ESTIMATOR — BUILDING DIVISION ` 1AADDRESS: 22619 Stevens Creek Blvd DATE: 07/13/2015 REVIEWED BY: Paul APN: 34212116 BP #: *VALUATION: 1$19,400 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 0.0 PENTAMATION SOLAR -RES PERMIT TYPE: WORK Install new roof mounted solar - 16 Modules 5.2 KW), Install new 200 Amp Sub panel SCOPE 1 200 1 amps $48.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are only an estimate Contact the Dept for addn'l info. FEE ITEMS Fee Resolution 11 -053 Elf 7/1/13) Ort�<<� Elec. Plan Check 0.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT 0.0 Other Elec. Insp. hrs $48.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are only an estimate Contact the Dept for addn'l info. FEE ITEMS Fee Resolution 11 -053 Elf 7/1/13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 = # $236.00 Alternative Energy System IPHOTOVRES Photovoltaic System Suppl. PC Fee: (j) Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 1 200 1 amps $48.00 Electrical IBELEC200 Services Permit Fee: $0.00 Suppl. Insp. Fee:D Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Administrative Fee: IADMIN $45.00 Work Without Permit? Yes (j) No $0.00 Advanced Planning Fee: $0.0 < Select a Non - Residential Building or Structure 0 i Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $2.52 Select an Administrative Item Bldp, Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $144.52 $284.00 TOTAL FEE: $428.52 Revised: 07/02/2015 k CUPERTINO Owner Naive Address WATER- CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building acupertino.org Cl v t j Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the fonn. No Owner' Signature: / / �,A Date: 0� 2 0 �i j C Go to Question 2. 'V Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water - conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner' Signature: y N` /�✓ i `—t/Y Date: d -7 ;! 2�'NO Go to Question 3. G 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Qustion 4. `� Date: �j J No Go to Question Signature: V___—/ d% %0 )' 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the fonn. Owner' Signature: �j " Date: r Yes M real roe is built and available for use or occupancy on or before January 1, 1994. /) Y property rtY Y Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non - compliant plumbing fixtures to be replaced with water - conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non - compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures (regardless of whether property undergoes alterations or irnprovements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water - conserving plumbing fixtures. On or before January 1, 2019, all non - compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a com2memial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water - conserving plumbing fixtures. SB407 2015.doc revised 02104115 On or before January 1, 2019, all non - compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). a ter' UWe, the owner(s) of this property, certify under penalty of perjury that non- compliant plumbing fixtures will be replaced prior to date specified above with water - conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water - conserving plumbin ,g fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: _02 110y, Upon completing and signing this Certificate, please return it to the Building Division in order to final your pen-nit. 1. If the existing plumbing fixture water usage /flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 02104115 Non - Compliant Water- Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single - Family Multi - Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons /flush (Toilets) Gallons /flush Dual flush toilets: 1.28 gallons /flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons /flush Gallons /flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand -held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and /or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 si Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage /flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 02104115 Address Ox- SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORP.E AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(c�cupertino.org /T ._G 7 00,F— i PURPOSE This affidavit is a self - certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single - family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds , $1000.00, CRC Section 8314 and CBC Sections 907.2.11.5 and 420,6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: h1 dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above- referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. 1 have read and agree to comply lroith the terms and conditions of this statement Owner (or Owner Agent's) Name: QSi nature........... . .............. .................................... ............................... Date: 01 . 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