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15060137CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1007 SEPTEMBER DR CONTRACTOR: EARTH ELECTRIC INC PERMIT NO: 15060137 OWNER'S NAME: SUN WERN-JIEH AND CHU TSENG TRUSTEE 31 HIGHLAND AVE DATE ISSUED: 06/22/2015 OWNER'S PHONE: 4088290747 FELTON, CA 95018 PHONE NO: (408) 206-9704 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL License Class �` —'Lic. # ����j SOLAR ROOF MOUNTED - INSTALL 18 MODULES (5.04 Contractor , ,�,.c K� Date�--t-r I hereby affirm that I am licensed under the provi 'ons of (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 Sq Ft Floor Area: Valuation: $20000 Section 3700 of the Labor Code, for the performance of the work for which this Permit is issued. APN Number: 36215016.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 S FROM LAST CALLED INSPE TI indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the GI c . granting of this permit. Additionally, the applicant understands and will comply Issued by: Y Iw� with all non -point source regulations per the Cupertino Municipal Code, Section Date: A46b 918. Signatur aRE-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 OWNER -BUILDER DECLARATION inspection. I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business &Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. I will declarations: maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 2 533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this w�/�,Q permit is issued. Owner or authorized agent: J► Da l I certify that in the performance of the work for which this permit is issued, I shall 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLI ICATION ERT I certify that I have read this appli ati nCand sta a that the above information is Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply I understand my plans shall be used as public records. with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. Licensed Professional Signature Date ALTER ATWE ENERGY PEROT APPLOCATIO COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 - FAX (408) 777-3333 - building@cupertino.org tj"((�� 6 0137 AE PROJECT ADDRESS f� OWNER NAME `s + PHONE �f E -Mn STREET ADDRESS 99 a% 4 ev CITY, STATE, ZIPFAX i N. z4 C CONTACT NAME // T AGI -Y 1�;.�. L PHON/E. -y E-MAIL STREET ADDRESS� � fEl CITY ST ZIP AFAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT NTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPERANT CONTRACTOR NAME ,, . LICENSE NUMBER _ LICENS TYPE �`���e c •. s BUS. LIC # COMPANY NAME E-MAIL s•?• - g -.✓ed ( c e FAX STREET ADDRESS A �CITY, STATE, ZIP ' � ;•. ... �_4..t..a.. _ � •: PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ No SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS.- NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY TOTAL VALU ON: DESCRIPTION OF WORK •,.., =� (G� 6.��id": �i"�`-% 9:�1-moi ���Y�._.c �-... �a d6.��"9 `�C+_.+�... �a e.� �-.� i!' i �/ . e __ A _ _ .,�-t��.. r- • f, C - RECEIVED BY:_ _ J By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is 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 relating to building construction. I an orize drjoVes of Cupertino to enter the above-ide tified prop rty for inspection purposes. Signature of Applicant/Agent: Date: -% p, SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY OVER-THE-COUNTER ❑ EXPRESS U ❑ STANDARD U ❑ LARGE ❑ MAJOR PVApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION /V ADDRESS: 1007 September Drive DATE: 06/22/2015 REVIEWED BY: Paul APN: 362 15 016 BP#:/- & .� �0 O / 3 VALUATION: $20,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: PRIMARY Alteration / Repair USE: SFD or Duplex PENTAMATION S ERMIT TYPE: POLAR-RES WORK Solar roof mounted - Install 18 modules 5.04 KW SCOPE Li�rr�ct, etG . !hese fees are based on the relimina information available and are onl Distol an estimates Contactthe Dept riot,addS n FEE ITEMS fFee Resolution. 11-053 E f 7/1/13) FEE QTY/FEE o. L. Plan Check Fee: $0.00 # MISC ITEMS Alternative �.J Energy System Supp/. PC Fee: Reg. 0 OT 0.0 hrs $0.00 �$236.�001PHOTOVRES Photovoltaic System PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee: Reg. OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conso'nction Tnx: ,16bnlnistrat%ve 1' (,e. Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee- $0.00 Select a Non -Residential Truly l 1 oc ufnantrzlicln Fees: Building or Structure 0 Strong Motion Fee•j' 1BSEISMICR $2.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC _..:. ,.... _ $1.00 SUBTUTALS $3.60 $236.001 TOTAL FEE:-'] $239.60 Revised: 05/07/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1007 SEPTEMBER DR CONTRACTOR: EARTH ELECTRIC INC PERMIT NO: 15060137 OWNER'S NAME: SUN WERN-JIEH AND CHU TSENG TRUSTEE 31 HIGHLAND AVE DATE ISSUED: 06/22/2015 OWNER'S PHONE: 4088290747 FELT CA 95018 PHONE NO: (408) 206-9704 LICENSED CONTRACTOR'S DECLARATION JOB COMMERCIAL SOLAR ROOF MOUNTED - INSTALL 18 MODULES (5.04 License Class O Lic. ># !DOS KV) rr(C— Contractor Date / f REVISION #1: ADD (2) ADDITIONAL MODULES; INSTALL I hereby affirm that I am licensed under the provisions of Chapter 9 (50 AMP) CIRCUIT/OUTLET FOR EV CHARGER; PANEL (commencing with Section 7000) of Division 3 of the Business & Professions UPGRADE (200 AMP). ISSUED 7-1-15. Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 1 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 Sq. Ft Floor Area: Valuation: $20000 erformance of the work for which this permit is issued. r1 I have and will maintain Worker's Compensation Insurance, as provided for by tY Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 36215016.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued by: Date: f 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. n � any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (See. 7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, an 4. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, I shall 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date ALTERNATIVE ENERGY PERMIT APPLICATION COMWH4fS *__ Iv ANT DEPARTMENT • BUILDING DIVISION 1030E AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(o)cupertino.orq /:� - 0 t 60 PROJECT ADDRESS APN 4 OWNERNAMEPHO�AIL �J'z�'O(�� EMLIIJLLZ�S STREET ADDRESS ! .«�� CITY "�� FAX C � lr C-0 00'� CONTACT NAME f 1 j Q ( ( ' PHO E-MAIL �! � 2i - /CEJt STREET ADDRESS �., CrrY, P��U -?I;b 1 '�3 FAX v, ❑ OWNTER ❑ OWN.'ER-BUILDER ❑ OWNER AGENT Q2ON'7RACTOR E3CONrRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 6. , LICENSE NUMBER LICENSE YPE BUS. LIC k COMPANY NAME f( *, E-MAIL A } I I FAX STREET ADDRESS / �JJ f / CITY, STATE F PH NE -ZIP ARCHITECT/ENGTNEER NAME LICENSE NUMBER BUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD Or Duplex ❑ Multi -Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ( NO FLOOD ZONE ❑ Yes NO ❑ SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FORSOL.4R PRA'ELS. NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK l LAC) L v_ T G_�) ,I C—GL1 �� ...._ REc�lur'D Bx '' � � ax✓��, r .�`r �, ' �;� By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local provided ordinances and state laws relating to building c�, o I au�entatives ofCupertino to enter the ab� i� tifie property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED �,'OTFICE't]S�OIy`LYJ r ,y,t; ,� oda ✓b1,P!�a y a� P pXk'RaTHFrCO(]I1 rkWT� 4�✓ fr Nrr vert r. 1 x I P t4 C ; J x f ❑� F:XI'it7EsrR1F r .'y i t^x T P i �F ,�y aft %r� "y r, 1 a x ; ,�✓6s PVApp_2011.doc revised 03/16/11 4_- CITY OF CUPERTINO Fm_§ FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (4e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the prelimina information available and are on1 an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) ADDRESS: 1007 September Dr Pl/u ,r , I',' m f'f,E ; i, DATE: 07/01/2015 REVIEWED BY: Sean 1xPERMITTYPE: APN: BP#: `VALUATION: 1$4,500 Building Permit Suppl. PC Fee: Q Reg. 0 OT0.0 PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: $0.00 PENTAMATION 1 REAP2 PERMIT TYPE: WORK Revision #1: Add 2 additional modules; install 50 am circuit/outlet for EV charger; panel upgrade SCOPE (200 amp). Permit Fee: NOTE: This estimate does not include fees due to other Departments (4e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the prelimina information available and are on1 an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) FEE Pl/u ,r , I',' m f'f,E ; i, Elec. Plan Check 0.0 1 hrs $0.00 1 7,7 �< � „� r _ , . Elec. Permit Fee: 1EPERMIT 200 1 amps $48.00 Electrical IBELEC200 Services Other Elec. Insp. 0.0 hrs $48.00 Suppl. PC Fee: Q Reg. 0 OT0.0 1 hrs NOTE: This estimate does not include fees due to other Departments (4e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the prelimina information available and are on1 an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 200 1 amps $48.00 Electrical IBELEC200 Services Suppl. PC Fee: Q Reg. 0 OT0.0 1 hrs $0.00 PME Plan Check: $0.00 1 1 $143.00 Electrical IBREMMISC Special Circuits Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 1 r V,_ T Administrative Fee: (ADMIN $45.00 0 0 Work Without Permit? © Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 Travel Documentation Fee: lTRAVDOC $48.00 Strom Motion Fee: IBSEISMICR $0.59 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUtTOTAL:S: $142.59 $191.00 t0T'AlTFE' ka ' $333.59 Revised: 05107/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1007 SEPTEMBER DR CONTRACTOR: EARTH ELECTRIC INC PERMIT NO: 15060137 OWNER'S NAME: SUN WERN-JIEH AND CHU TSENG TRUSTEE 31 HIGHLAND AVE DATE ISSUED: 06/22/2015 OWNER'S PHONE: 4088290747 FELTON, CA 95018 PHONE NO: (408) 206-9704 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class /yt? v SOLAR ROOF MOUNTED - INSTALL 18 MODULES (5.04 Lic. # 0 Ki) Contractor. f%=24le a� REV # 2 -INSTALL ADDITIONAL EV CHARGER IN GARAGE AREA - ISSUED 7/21/15 I hereby affirm that I am licensed under the provisions of C rapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions REV # 2 - INSTALL ADDITIONAL EV CHARGER IN Code and that my license is in full force and effect. GARAGE 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 Sq. Ft Floor Area: Valuation: $20000 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. APN Number: 36215016.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED 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 WITHIN 180 D T ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 D OM ALLED INSPECTION. 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 slued with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature. 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. El OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent permit is issued. I certify that in the performance of the work for which this permit is issued, I shall 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date 3-e CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 0 CUPERTIN (408) 777-3228 • FAX (408) 777-3333 • building C@cupeliino.crg DNEW CONSTRIJCTIC•IN F7 A1T1TTMIT.T M A r —1 a mr-11 i •.,r Y4Y -- u �. iiiv ttviv tt 61-I-Kt1VIJIUN/L) l± l--KKED ORIGINAL PERMIT# PROJECT ADDRESSs to `e'7 1�)�-- APN m r � j v J ® s [ � 0C � OWNERNAME, STREET ADDRESS CITY, STATEZIP , FAX CONTACT NAME j ( PHONE E-MAIL STREET ADDRESS(( 4'1"' CITY,'SyT-ATEa ZIP �,y Com,- FAX 9WI�R ❑. OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINTER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME g^ ( LICENSE NUMBER LICE S E BUS. LIC m COMPANY NAME E-MAIL , FAX STREET ADDRESS < �L CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NP�vIE LICENSE NUN.BER BUS. LIC R COMPANY NAME EMAIL -- FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK i EXISTING USE PROPOSED USE STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMOAREA #CONTSTRK.4 AREA AREAEABATHROOM KITCHEN REMODEL AREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH m DVIELLA'G UNITS: IS A SECOND UNrr ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION ❑ YEs IF YES, PROVIDE COPY OF PLANNING APPL ❑ NO PLANNING APPROVAL LETTER - IS THE BLDG AN - I EICHLER HQi • O TOTAL VALUATION: , h By my signature below, I certify to each of the following: I am the property olvner or t oriza ent n the p mer's behalf. I have read this application and the information I have provided is correct. I have read the Description of �� verify it is ac I agree to comply with all applicable local ordinances and state laws building relating to construc�Ithesentatives'of Cupertino to enter ove-identified property for inspection purposes. Signature G — ofApplicant/Agent: "%% ate: �� !s SUPPLEMENTAL INFORMATION REQUIRED PS i� CHECK YgE J "'-M-N BOUTZ'P- P Y New SFD or Multifamily dwellings: Apply for demolition permit for building(s). s THECOUhTER 1 ' ��$IIIl D�GPL�4NE2EV�E4;3r�f existing Demolition permit is required prior to issuance of building �� OVER permit for new building. MSS Commercial Bldgs: Provide a completed Hazardous Materials Disclosure E �PLaA?1i1TIlGPLAiv R7<VIEW * } _ To—rm. if any Hazardous Materials are being used as ofthis 4 c� 4D4RDcwos am part project. Gh Nly _ Copy of Planning Approval Letter or Meeting with Planning prior to ��� �� � 4 � ��'• �� `�� � 5-2 submittal of Building Permit application. ,,x ��`�� ,_,F ,� zYIAox ,� `�IaxX sR VTsc; -- B1dg4pp_2011.doc revised 06121111 CITY OF CUPERTINO FM__7 FEE ESTIMATOR — BUILDING DIVISION Ifec:h. Plan ("heck Phtmb. Plan C'Grech Alec, P16M Check .11ech. Permit Fee: Orhea Alcch. lrislr. ;Wech. 11:sp. Pee: Plumb. Permit Fee: Other Plumb /rtsp. Plumb. hisp. Tee: Isle.c. Pe:rmir Fee:: Cather Elec. Insp. L lee. Inset. P'ee: ivuiE: lhts estimate aoes not mcmae fees aue to other uepartments (i.e. running, ruouc works, !'Ire, ,Jamtarynewer ulsnZct, acnoo[ Dictriot oto 1- Thoco foot oro haeod nn tho nroliminary infnrmatinn avoilahlo and are aniv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 711/13) 1007 SEPTEMBER DR DATE: 07/21/2015 REVIEWED BY: MELISSA JimADDRESS: APN: 36215 016 BP#: 5 O *VALUATION: $0 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY SFD or Duplex USE: PENTAMATION SOLAR -RES PERMIT TYPE: WORK REV # 2 - INSTALL ADDITIONAL EV CHARGER IN GARAGE AREA SCOPE PME Plan Check: Ifec:h. Plan ("heck Phtmb. Plan C'Grech Alec, P16M Check .11ech. Permit Fee: Orhea Alcch. lrislr. ;Wech. 11:sp. Pee: Plumb. Permit Fee: Other Plumb /rtsp. Plumb. hisp. Tee: Isle.c. Pe:rmir Fee:: Cather Elec. Insp. L lee. Inset. P'ee: ivuiE: lhts estimate aoes not mcmae fees aue to other uepartments (i.e. running, ruouc works, !'Ire, ,Jamtarynewer ulsnZct, acnoo[ Dictriot oto 1- Thoco foot oro haeod nn tho nroliminary infnrmatinn avoilahlo and are aniv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 I J # $109.00 Alternative Energy System 1CHRGSTA EV Charging Station Suppl. PC Fee: Reg. OT 0.0 hes $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee: Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t."Onstrctetion Tqx: Adinlnlstrathu 1-(,, 0 G Work Without Permit? O Yes (D No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure G 0 Travel /. ocuinenfwh-'t Fees: Strong Motion. $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 ;SITBTOTA1LSs' $0.00 $109.00 3 , ." a , TdTALTFEE $109.00 Revised: 07/02/2015 Address SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building Lcicupertino.orq ✓-� _6,A-141,0 .^,'�yy yF I L E!�,�` ... a�It 5 PO" por,,,;t1V„ llJOC701 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 w $1000.00, CRC Section R314 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: In 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. I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: �77 mfr, ..�......................................D7.L�f Si ... ate: Contractor Name: e o Signature....................... ............................................ Lic.#.....,................................ Date: ................... Smoke and CO forrm.doc revised 03118114 ;;I/(— Smoke j— CVPERTINQ 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(Dcupertino.org Owner Frame3 d —; �i e �°'� (, � Permit NTo. � Address _ Ic 077 '�oer r L k4-144 0CA— 9�w 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 form. Owner' Signature- — — Date: �F No Go to Question 2. 2. 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 foam. Owner' Si Date: Signature: 7 No Go to Question 3. ~° — 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' Signature: ,� Date: a No Go to Question 4. 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 form. Owner' Signature: F roti ✓� Date: 121 Yes My real property is built and available for use o% o cupancy on or before January 1, 1994. �� I 1 Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. G 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 improvements). ❑ 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). ❑ Myproperty is a commercial 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. SB4072015,doc revised 02/04/15 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). I/We, 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 1101.1 through 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumb' tures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: ` ' -%'" Date: 71:2'v1_"1 -S_ Upon completing and signing this Certificate, please return it to the Building Division in order to frial your permit. If the existing plumbing fixture water usage/floW rate is equal to or lower than'tlie figure shown, it is not required to be upgrades.. SB4072015.doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (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 psi 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 @ defaultto 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 "Where the above are unavailable, faucets rmeeting aerators or other means the above are"„ may De 8e toachiev11" unavall ble; aerators or reduction. " other means may be used to achieve reduction: If the existing plumbing fixture water usage/floW rate is equal to or lower than'tlie figure shown, it is not required to be upgrades.. SB4072015.doc revised 02/04/15 BY DATE 6 DC kW (STC) Photovoltaic Power System �g3/4" EMT Conduit #8'AV#1NHHN-2 Con( #8 AWG 0%Qundin-q.0 Ual-F/reUuldamasshall mafollowed tor ,h roof plane ie: 3S"setbacks from ridge and two 36" paths of egress shall be I work mhoD comply with: ll 3 California Fire Code >13California Building Code )13 California RooidentiadCoc )13 California W4echonioa|Co >13California Plumbing Code `13California Electric Code For ol����ED FOR CODE COMPLIANCE kn 00 Revievvecl By 0 IN FFIC COPY APP 11 BY U NITYIDEVELOPME APPPOIVED 2nd specifications MUST be kept at the e-nstruction. It Is unlawful to make any alter-ations on same, or to deviate ��Out approval from the Building Official. n Or to be an approval of the violation - PE. MlTNO. Y-10 14 N 1 0 Y A �� ��� ID co kvij CL For ol����ED FOR CODE COMPLIANCE kn 00 Revievvecl By 0 IN FFIC COPY APP 11 BY U NITYIDEVELOPME APPPOIVED 2nd specifications MUST be kept at the e-nstruction. It Is unlawful to make any alter-ations on same, or to deviate ��Out approval from the Building Official. n Or to be an approval of the violation - PE. MlTNO. Y-10 14 N 1 0 Y A �� ��� kvij For ol����ED FOR CODE COMPLIANCE kn 00 Revievvecl By 0 IN FFIC COPY APP 11 BY U NITYIDEVELOPME APPPOIVED 2nd specifications MUST be kept at the e-nstruction. It Is unlawful to make any alter-ations on same, or to deviate ��Out approval from the Building Official. n Or to be an approval of the violation - PE. MlTNO. Y-10 14 N 1 0 Y A �� ��� 4 3 F D Array 01u Open Air Into J -box f String#1 #10 AWG PV wire or 10 Optimizers 3 k x 10 Modules , q_ 1 , Equivelent Conductors Y ;Solar Edge, Inverter '1Hh Array # 6000 1 String#2 _ "10 Optimizers k C W10 Modules r� s All racking shall be grounded .using #6AWG bare ground wire. The modules] shall be grounded by Unirac grounding integrated intermodule clamps. All fasteners ew 3l4" EMT Conduit w/ shall be stainless steel. �ea #10 AWG THHN-2 Cond lea #8 AWG Grounding Corn Optimizer Properties B Imax 15 Amps Vmax 60 Volts Voc 1 Volts A DC system Charateristics STC System Size 6600 Watts System Voc Optimizers regulated to 11 Volts System Vmp Optimizers regulated to 350 Volts Max Regulated Voltage 500 Volts Nominal Imp 8.6 Am s Max Current 15 Amps 4 3 2 1M 3ea. 210 THHN-2 1 112" Ridged Conduit 200Amp n Panel New F 314" EMT Conduit w/ #8 AWG THHN-2 Conductors #8 AWG Groundina Conductc r 314" EMT Conduit wl #8AWG THHN-2 Conductors #8 AWG Groundina Conduct #6 AWG GEC to new Ground Rod #4 AWG Water Bond to Hot/Cold & Array Wire Specifications .r CUPFRI PV Array 5.6 DC kW (STC) j `0. Building DW, (20) LG Electronics, 280W Modules PN: L. C-133 (20) SolarEdge Technologies DC Optimize 1530dU1-' ; 2015 (1): 6.0kWSolarEdgeTechnologies InverterBEpvsuvSE3800-US (240V) U FOR CODE COMP, Array Rating: 2 strings of 10 Optimizers Reviewed By Voc= Regulated to 500Vmax Imax= 15A per string PV Source Curcuits Ampacity Required for DC Conductors = 15A x 1.25 = 18.75A Proposed Conductor #10 THWN-2, Ampacity= 40A, 40Amps x 80%(fill factor) x 71 %(temp derate @ 60C)=22.72Amps Inverter max output = 6000W @ 240V Max continuous output current = 25 A Ampacity Required for AC Conductors = 16A x 1.25 = 31.25A. Proposed Conductor # 8 THWN-2, Ampacity= 55A, 55Amps x 100%(fill factor) x 82%(temp derate @ 50C) = 45.1Amps 2 1 i E > d. D CY)ICU Cr � � o is tB C) •L C U _P �o N W}� V .Poo ;6.0r- m •fes y °O o 00 W�ca 00 r, WU� horn 6' B P= °Wo i�•IMw��. W U CUPERTINO Building oepammnt 2115 )R CODE COMPLIANCE GY j— h4111 Array Mounting Information: Roof Material: Comosition Shingle Slope: 4:12 Module Dimensions- 39.4" x 65.4" Module Square Area: 18 sq ft Module Weight: 44.5 lbs ea. Array Ttl Sq Ft: 20 x 18 sq ft = 360 sq ft Module weight per Sq ft: 2.5 lbs/ sq ft Overall load: 20 x 44.5 lbs = 890 lbs Number of attachment points = 28ea. Load per point: 890 lbs/28ea = 32 lbs/point a > 0 gl- coo)O 00 00 OSo r7 U =1 . rnirac Racking System applied tol PV Quick Mount Flashings I ,L"idge Rail System PV Quick Mount 4p ly appropriate Inverter wwummn fastener ion|mnRidge Rail System wmunt- | ~~_~_� Typical Flush Mount Array - Elevatio - Clamp Find Clamp kn Detail A-Mld Clamp to XRS Roll -Plan Detail B - End Clarrp to Rail - Plan 4-0 E U cn Mid Clamp Solar Panel 0 CUPERTINO CU EVIE ED FOR CODE COMPLIANC evLewed By: lr()nR!(Jge Rail Flashing Existing Roof Structure 00 Detail C -Typical Roof Connection Max 8'Unsupvorted Span 19 IPV Quick Mount Flashirlis-1 (q HexNuts,__----- m� gatvvashe,(e)1^xs/10 __----- 5/1e' Rubber Gasket aoovrpmeterepom Sealing Washer (A)z/4''xs/1a^ ---� Hanger Bolt s/zo''xa^ 1-1/2" Machine, 1-1/2" Spacer, a^ Lae Mount & Flashing Aluminum � Mvuntz'1/4^|x 1-1/4°w / ''h Flashing .os^thick. 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