15060005CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10378 KRISTA CT
CONTRACTOR: BAY AREA SOLAR
PERMIT NO: 15060005
SOLUTIONS
OWNER'S NAME: JINGXIA LIU AND LIKUM FENG
6700 SANTA RITA RD #E
DATE ISSUED: 06/01/2015
OWNER'S PHONE: 4083908161
PLEASANTON, CA 94588
PHONE NO: (510) 293-0366
LICENSED
CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
G% 2
NEW SOLAR PV ROOF MOUNTED - 4.6 KW DC (25
License Class
Lic. # !
PANELS),
Contracto '�`
/
� L � � -5
Date
NEW MAIN SERVICE PANEL UPGRADE (100 AMP)
I 47 c.Sh
1 hereby affi m that I
am licensed utf' r t�e provisi ns 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
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: $13500
1 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
APN Number: 34245006.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have rea�
this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. 1 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 S FROM LAST CALLED INSPECTION.
indemnify and keep hick
costs, and expenses which
m the City of Cupertino against liabilities, judgments,
may accrue against said City in consequence of the
�1
granting of this permit.;
Additionally, the applicant understands and will comply
Issued by: Date:
with all non -point soui40
regulations per the Cupertino Municipal Code, Section
9.18.
1
;/V 5
RE -ROOFS:
Signatu
Date
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.
❑ OWNI�R-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that 114m exempt from the Contractor's License Law for one of
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,
wil I 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
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: I
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
Compensation, as provided for by Section 3700 of the Labor Code, for the
material. Additionally, should I use equipment or devices which emit hazardous
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
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: Dater
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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
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
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(ocupertino.orq J
PROJECT ADDRESS � / 1 S �r�-� C �j �
CJS
APN 9
OWNERNAME J n � a V 1 w
V `
I
I PHONE/ �j� �Gw/,• �(�� E-I,4A:L
CITY, STATE, ZIP FAX
STREET ADDRESS /V6 Z -?X I /.. � D
CONTACT NAME,/ PHONE
E -MAI>
IAA 'r
STREET ADDRES� I
Imo! • `�v 1
CF/'STATE
�STo�((I®� 'l `f
FAX
❑ OW?,TR ❑��ii OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR )f CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICE ISE NUMBE4,,,,5 � LICENSE TYPE /�
BUS. LIC #
✓ �
COMPANY NAME-
E-MAIL
FAX
STREET ADDRES
, JI G
CI TATE, ZIP ` �+�
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X121 _ �/� ^ 5 8 Q
[B;US.LICR `T O
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ARCFBTECT/ENGINEER NAME
LICENSENUtl4B•EERR
COMPANY NAME
E-MAIL
FAX
STREET ADDRES$
CITY, STATE, ZIP
PHONE
USE OF 4FD or Duplex ❑ Multi -Family
PROJECT IN WILDLAND
PROJECT IN
STRUCTURE: ❑ Commercial
URBAN INTERFACE AREA ❑ Yes �0
FLOOD ZONE ❑ Yes �YNO
SOLAR PANE'S
❑ ELECTRIC VEFBCLE CFLARGING STATION
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PAN4LS: NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCI.AL ONLY):
TOTAL VALUATI : /
DESCRIPTION OF: ,WORK _k,�
/IVP�,�ct r•+r S
RECER�ED BX
e �+°"
=fi
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 verif, it is accurate. I agree to comply with all applicable local
ordinances and State laws relating to b con on. I authorize representatives of Cupertino to enter the a9ve-i nti ed roperty for inspection purposes.
Signature of Applicant/Agent: Date: t
LEMENTAL INFORMATION REQUIRED
o F CEu�Eo.LY = L
U -
r ;
OVER TELE OOUNTER
� ❑ F.JiPRESS
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❑ 1l4,AJOR "z
_
PVApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
Fm-- 7 �FEE ESTIMATOR - BUILDING DIVISION
1AADDRESS:
10378 KRISTA CTDATE: 06/01/2015
REVIEWED BY: PAUL
Elec. Plan Check 0.0 hrs $0.00
A N: 342 45 006
BP#:
*VALUATION: 1$13,500
;PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration /Repair
PRIMARY SFD or Duplex
USE:
Suppl. PC Fee: Q Reg. ® OT
PENTAMATION SOLAR -RES
PERMIT TYPE:
WORK
NEW SOLAR PV ROOF MOUNTED - 4.6 KW DC 25 PANELS NEW MAIN SERVICE PANEL
SCOPE
UPGRADE (100 AMP)
NOTE: This /estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc_).! These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS Lee Resolution 11-053 Eff: 7/1/13)
FEE
QTY/FEE
Elec. Plan Check 0.0 hrs $0.00
P�
Plan Check Fee:
Elec. Permit Fee: ]EPERMIT
------ _L_hrs
E3
I
Other Elec. Insp. 0.0 $48.00
Suppl. PC Fee: Q Reg. ® OT
Q.0
hrs
NOTE: This /estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc_).! These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS Lee Resolution 11-053 Eff: 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
=#
$236.00
Alternative Energy System
1PHOTOVREs Photovoltaic System
Suppl. PC Fee: Q Reg. ® OT
Q.0
hrs
$0.00
PME Plan Check:
$0.00
100 1 amps
$48.00
Electrical
1BELEC200 Services
Permit Fee: !
$0.00
Suppl. Insp. Fee.0 Reg. Q OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
L
F
Administrative Fee: ]ADMIN
$45.00
0
0
Work Without Permit? Q Yes (j) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
Q
0,
Travel Doc0mentation Fee: ITRA VDOC
$48.00
Strong Motion Fee: 1BSEISMICR
$1.76
Select an Administrative Item
Bldg, Stds Commission Fee: 1BCBSC
$1.00
SUBTOTALS:
$143.76
$284.00
TOTAL FEE:
$427.76
Revised:
F I LL
DOIN IT RIGHT, I
LATHING •PLASTERING •STUCCO •FOA
#642057
City Inspector: Gary
Email: garys@cupertino.org
Permit# 15060005
Address: 10378 Kirsta Court., Cupertino, Ca. 95014
This is confirmation of work performed at the above mentioned address.
Work was completed in a workmanship like manner with; proper flashing
installed prior to stucco work. Area's where flashing & old paper came together
was caulked where needed.
Keith L. Spencer - Owner
r
P.O. Box 2792 • Sunnyvale, CA 94087.Office (408) 271-9777 • Cell (408) 591-1440 • Fax (408) 271-9830
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