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15070226CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20151 FOREST AVE CONTRACTOR: Al SOLAR POWER PERMIT NO: 15070226 OWNER'S NAME: MATSUKI ALFRED AND ATSUKO 3150 ALMADEN EXPW STE 250 DATE ISSUED: 07/30/2015 OWNER'S PHONE: 4082558656 SAN JOSE, CA 95118 PHONE NO: (650) 549 -1250 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] INSTALL NEW SOLAR MOUNTED SOLAR - 15 PANELS License Class C40 ' . 4� 1 Lic.4 t�362S (4.73KW) Contractor )k K6 6 Q 6-0 ,a'Y Date b I hereby affirm that 1 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. Sq. Ft Floor Area: Valuation: $12000 1 have and will maintain Worker's Compensation Insurance, as provided for by 4iCe-t—ion 3700 of the Labor Code, for the performance of the work for which this APN Number: 31633071.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 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 YS FROM LAST CALLED INSP CT N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of they l granting of this permit. Additionally, the applicant understands and will comply Issued by: T 1""� 'O Date: with all non -point sour96 regulations per the Cupertino Municipal Code, Section 9.18. -/ � J RE- ROOFS: Signature Date ! Jll i 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. ❑ OWNER - BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will 1 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 1 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 Hea Owner It or h Safety Code, authorized agent: echons , an 5534. 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 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 L ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building d,)r_uoertino.org I� �r r PROJECT fD,S� lr APN �16 33 OWN NAM a PHONE E -MAIL STREET ADDRESS CITY TAT ZIP r FAX CONTACT NAME PHONE E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWN-ER ❑ OWNER-BUILDER ❑ OwT*ERAGENT ❑ CONTRACTOR ❑CON7RACTORAGENT ❑ ARC=zCT ❑ ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTO ' A LICENSE 1�iJ}# LIe1 E TYIE BUS. LIC t 1&4 ' �_ �� COMPANY N MI lL`i E Aa ? �f r O-A+ er i %—� ( �(C�r c •cn-� Sir ADA ? /i �.r CIT:STATEeg l ' � •• -C /Aa Z � f ARCMTECT//ENGINEER NAME LICENSE NUMBER BUS. LIC 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 —T_ELECTRIC OLAR PANELS ❑ VEHICLE CIL4RGING STATION To SOLAR WATER FF -ATING ❑ OTHER: OR SOLAR PANELS: NUMBER OF PANELSIUNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL V414JAT_ON: DESCRIPTION OF WORK UC � - -rt✓ { AN '&RYuaH! N �. ,.•°0W tt I ' A a d�V 1 RC IvsD BYtd v �Ar TM7 By my signature below, I certify to each of th lowing: I am the property owner or authorized agent to act on the property o mer's behalf. I have read this application and the information I have pro is correct, ave read the Description of Work and verify it is accild ee to co ply with all applicable local ordinances and state law's relating to bu g cc ruc . I authorize representatives of Cupertino to enter the abe pro erty for ins ection purposes. Signature of Applicant/Agent: 4E i Date: PPLEMENTAL INFOR MATION REQUIRED It, I * � I r; WON - eta ,a{„-^urn , 3N,. v7±5i _ wtkl� d� w+vi IN I PliApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 1­%q00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nicirirf olr ) Thoco fooc tyro hacod an tho nroliminary infnrmatinn availahlo and tyro nnly an vc/imaty_ 1- nntart tho Dont far addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711113) ADDRESS: 20151 FOREST AVE DATE: 07/30/2015 REVIEWED BY: PAUL APN: 316 33 071 BP#: *VALUATION: $12,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: Suppl. PC Fee: Q Reg. 0 OT PENTAMATION SOLAR -RES PERMIT TYPE: WORK Install new solar mounted solar - 15 Panels 4.73K SCOPE NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nicirirf olr ) Thoco fooc tyro hacod an tho nroliminary infnrmatinn availahlo and tyro nnly an vc/imaty_ 1- nntart tho Dont far addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711113) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 = # $236.00 Alternative Energy System IPHOTovRES Photovoltaic System Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee: Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? © Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non- Residential Building or Structure 0 i Strong Motion Fee: IBSEISMICR $1.56 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 „., - SUBTOTAL' S ;; $2.56 $236.00 'TU`I'AlG'FE $238.56 Revised: 0710212015 CUPERTINO Owner Name WATER - CONSERVING PLUMBING FIXTURES IL-E OWNER CERTIFICATE OF COMPLIANCE Aj* COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 - FAX (408) 777 -3333 • buildinca(d,>cupertino.ora i<I Permit No 1 ` ( 104" Address -"S^ 4 CIU i C42—'(—1 ,-Jui C,,,k Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form. 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: w- Date: Z o S 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 fonn. Date:�� Sign below and skip the rest of the form. Date: r� 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 d of apply. Sign below and skip the rest of the form. Owner' Signature: Date: Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached. 0,,` 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). ❑ My property 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. SB407 2015.doc revised 02104115 Owner' Signature: No G�= 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. Owner' Signature: Go to 4. No Q uestion Date:�� Sign below and skip the rest of the form. Date: r� 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 d of apply. Sign below and skip the rest of the form. Owner' Signature: Date: Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached. 0,,` 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). ❑ My property 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. SB407 2015.doc revised 02104115 Sri orefore January 1, 2019, all non - compliant plumbing fixtures shall be replaced with water- conserving 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 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water - conserving plumbin tures comply-with th ,requirements as indicated in the table below. Owner's or Owner Agent's) Signature: �µ' y Date: l " ( 9 ) 9 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. SB4072015.doc revised 02104115 h t r 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 o eration 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 @ 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. SB4072015.doc revised 02104115 h t r �St :tDS� 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(a,cupertino.org Address m5\ `��T # of Al Car F, MLE t 5 zL� 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 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. /have read and agree to comply wrCh - -dhe te°rms--arrd�onditions of this statement Owner (or caner ent � � )Name: c) f Si .......�. ............................... ................ Dale: ........ 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Sunfix plus: Use WEER -DPF at mid-clamp locations on outer-beams to bond solar module frames to module mounting beams. Professional Solar: Use WEEB-PMCatmid-clamp locations onouter-beamsto bond solar module frames to module mounting beams, UniracSolarMcruot: Use UGGI at mid-clamp and end-clamp locations on outer-beams to bond solar module frames to module mounting beams. Panel Claw, Polar Bear: This CSaw is used for PV modules that are not compatible with flange clamp style Claws. The Long Claw attaches at the module mounting holes. Please seethe module manufacturer's installation guide for screw torque spect- fications. z 0 z Iry 0 0 17 L) al LU 0� Panel crow, Polar Bear unlrac solarmourt * Professional Solar AOL co u u �j mn CL co o D 0 0 0 L ET z (D o' 70 0 O D 0) n, O w (D 0 0 0 0 0 n o- (D a, CY 7 3 - ol tQ (a (D CL z r En @ rt o T ; — 0 0 E7 0 0 0 0- o < aT in 3 D 0 CD n (D N 0 CL ID CD r- ET ;_� (D a 0 E; RL 0 3 0 < 0 < AOL co u u �j mn CL co o D 0 0 0 L ET (D o' 70 0 O D w (D 0 0 0 0 0 o- (D a, CY 7 3 - ol (D CL z r En @ rt o T ; — 0 0 0 AOL co (D hj CL co o D 0 0 0 (D o' 70 li O D AOL ,n (D CL I- "n hl 0 0 (D cr li 0 0 0 0 7 3 - AOL ,n ni CL r 0 0 ti z ,n (D CL I- "n hl 0 0 (D cr li ,n ni CL r 0 0 ti z w z C 0 :5 ., V2 w IL T s sr aiva w Ps ro IV, '1.(, crw SOLARWORLD MODULE TYPES May 19, 2014 j Issue -1027 Module Typing of SolarWorld Modules SolarWorld has completed the spread of flame fire performance testing of our photovoltaic modules to classify them to the updated UL 1703 standards. When combined with Class A mounting systems our modules meet the photovoltaic fire system rating of Class A. Module Types There are up to 15 different module types classified by UL. Types are defined by their construction characteristics such as glass thickness, EVAthickness, back sheet thickness and fire performance. Testing Criteria For Class A testing (the most stringent) the module is positioned to simulate mounting to a ballasted system or sloped roof at 22- degrees and exposed to calibrated flame and wind from a standard distance. The flame is continuously applied to the bottom of the module for 10 minutes. Passing Criteria In order to pass the spread of flame test: iff No part of the module can be blown or fall off the deck in the form of flaming or glowing brands g% No portion of the module or roof deck thatforms part of the building can fall away in the form of glowing particles i The flame cannot spread laterally on the top surface or intermediate channel such as the space between the module and a roof °i Flame may not spread beyond the specified distance: TESTING CLASS FLAME SPREAD DISTANCE (ft) FLAME SPREAD DISTANCE (m) CiassA 6 L82 ........................................................................................................................................ ............................... Class B 8 2.4 ................................................................................................................................................ ............................... Class C 13 3.9 Results Sun module Plus and Pro-Se ries: Type 1 Sun module Pro - Series XL: Type 1 Sun module Protect: Type 3 When combined with a Class A mounting system our modules meet the photovoltaic fire system Class A requirement. 0 0 ti 0 0