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15050184CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10191 .JUDY AVE CONTRACTOR: SOLARCITY PERMIT NO: 15050184 OWNER'S NAME: LIU MING FU AND WANG KELLY TRUS'T'EE 3055 CLI ARVIEW WAY DATE ISSUED: 0512912015 OWNER'S PHONE: 4088136998 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL INSTALL 18 ROOF TOP, FLUSH MOUNTED PV MODULES, License Class (' (' _ Lie. Il Z ;r ' ('i 14_. 4.68KW. INSTALL (N) 125 SUB PANEL AT 1ZEAI2 C, h Date Cf STRUCTURE Contractor n_laY _I _ ) REV # 1 - RECONFIGURE/REVISE PV SYSTEM TO 1 hereby affirm that i am licensed under the provisions of Chapter INCLUDE 1 ADDITIONAL PANEL FOR A TOTAL OF 19 (& (commencing with Section 7000) of Division 3 of the Business & Professions NEW 4.94kW) - ISSUED 6/17/15 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 Sq. Ft Floor Area: Valuation: $10000 performance of the work for which this permit is issued. I have and %vill maintain Worker's Compensation Insurance, as provided for by APN Number: 37507057.00 Occupancy Type: 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 PERMIT F h + S IF WORK IS OT STARTED correct. I agree to comply with all city and county ordinances and state laws relating 80 DAYS OF P 'IIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter ISR LLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to saveBzS indemnify and keep harmless the City of Cupertino against liabilities, Jud costs, and expenses which may accrue against said City in c0nsequ e 0 Issu tk =ranting of this permit. Additional, the applicant understands and wt connplyc' with all non -point source regulatjdns per,71he Cupertino Municipal Code, Section RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. if a roof is 9 18 j Signature Y. �' Date C t) installed without first obtaining an inspection, 1 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 BE117ER 1, as owner of the property, or my employees with wages as their sole coil) pensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of tine 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. 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(x) should I store or handle hazardous i have and will maintain a Certificate of Consent t0 sett -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 Arca A�' Quality Management District I performance of the work for which this permit is issued, will maintain compliance with the Cupertino N)bni�pal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the health & Safety Code, Sections 25505, 25333; end 25534. Section 3700 of the Labor Code, for the performance of the work for which this x�:�/� Date: i 5 Owner or authorized agent: permit is issued. �� 1 certify that in the performance of the work for which this permit is issued, i shall " not ennploy 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 1 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 (See. 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 ARCIHTECT'S DECLARATIONindemnify 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 pennit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Codc, Section Licensed Professional 9 18. Signature Date _ CITE' OF CUPERTINO FENN FEE ESTIMATOR - BUILDING DIVISION ig, ADDRESS: 10191 JUDY AVE DATE: 06/17/2015 REVIEWED BY: MELISSA Plan Check Fee: Hourly Only? 0 Yes Q No APN: 375 07 057 BP#: 15050184 *VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: _ PENTAMATION 1 GENRE PERMIT TYPE: i WORK I REV # 1 - RECONFIGURE/REVISE PV SYSTEM TO INCLUDE 1 ADDITIONAL PANEL FOR A SCOPE TOTAL OF 19 (& NEW 4.94kW) -ISSUED 6/17/15 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public N"arks, Fire, Sanitary Sewer District, Schaal District, etc.. These fees are based on the preffininarjI info zation available and are only an estimate. Contact the Dept nr adon'l info. FEE ITEMS LFee Resohition 11-0531;//.' 7/1;'!31 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No Mom. 0 hours Plan Check, Hourly $143.00 1STPLATC1: A Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public N"arks, Fire, Sanitary Sewer District, Schaal District, etc.. These fees are based on the preffininarjI info zation available and are only an estimate. Contact the Dept nr adon'l info. FEE ITEMS LFee Resohition 11-0531;//.' 7/1;'!31 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 0 hours Plan Check, Hourly $143.00 1STPLATC1: A Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Supp/. Insp. Fee:Q Reg. 0 OT 0.0 Itrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t�n:r , r•�. Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 Strong Motion Fee: $0.00 Select an Administrative Item 111d1; Stds Commission I=cc: $0.00 S�JBT'01 ' $0.00 $143.00 ��� TOTAL i+'EE $143.00 Revised: 05/07/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10191 JUDY AVE CONTRACTOR: SOLARCITY PERMIT NO: 15050184 OWNER'S NAME: LIU MING FU AND WANG KELLY TRUSTEE 3055 CLEARVIEW WAY DATE ISSUED: 05/29/2015 OW R'S PHONE: 4088136998 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ INSTALL 18 ROOF TOP, FLUSH MOUNTED PV MODULES, License Class Lic. # h' D 4.68KW. INSTALL (N) 125 SUB PANEL AT REAR ���L-i �`� Date ( STRUCTURE Contractor o 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. Sq. Ft Floor Area: Valuation: $10000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37507057.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 18 I D IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to savekssued indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Z �� Date: granting of this permit. Addition ly, applicant understands and will comp with all non -point source re t' ns the Cupertino Municipal Code, Section 9 18. pp c9,5/1q j S RE -ROOFS: being installed. If a roof is Signature Date C9 All roofs shall be inspected prior to any roofing material installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I 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) 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: Health & Safety Code, Section 25532(x) 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 AV4 Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cuper ' o M ' ipal 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 255 r2 5 and 25534. Date6��A45 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 CONSTRUCTION LENDING AGENCY 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 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 1 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 918. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10191 JUDY AVE CONTRACTOR: SOLARCITY PERMIT NO: 15050184 OWNER'S NAME: LIU MING FU AND WANG KELLY TRUSTEE 3055 CLEARVIEW WAY DATE ISSUED: 05/29/2015 OWNER'S PHONE: 4088136998 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL INSTALL 18 ROOF TOP, FLUSH MOUNTED PV MODULES, License Class (9_� O Lic. 4 gjB Io 4.68KW. INSTALL (N) 125 SUB PANEL AT REAR Contractor Ct Date 0 � / I � �� � STRUCTURE REV # 1 - RECONFIGURE/REVISE PV SYSTEM TO I hereby affirm that I aro licensed under the provisions of Chapter 9 INCLUDE I ADDITIONAL PANEL FOR A TOTAL OF 19 (& (commencing with Section 7000) of Division 3 of the Business & Professions NEW 4.94kW) - ISSUED 6/17/15 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 Sq. Ft Floor Area: Valuation: $10000 performance of the work for which this permit is issued. 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: 37507057.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is OT STARTED PERMITKLLED correct. 1 agree to comply with all city and county ordinances and state laws relating 1SSUANCE 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 NSPECTION. indemnify and keepharmless the City of Cupertino against liabilities, judcosts, and expenses which may accrue against said City in consequ o /granting of this permit. Additiona ,the applicant understands and w� comply Isse: V with all non -point source regular ns p�Vthe Cupertino Municipal Code, Section 9.18. % — / "`" �� 5 RE -ROOFS - Signature . Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 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 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). 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 A' Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino riopal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, Sections 25505, 23,s d 25534. _... Section 3700 of the Labor Code, for the performance of the work for which this is issued. Owner or authorized agent:' "" Date: 6 6/ Il permit I certify that in the performance of the work for which this permit is issued, I shall rte. 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, 1 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 1 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 Licenscd Professional 9.18. Signature Date CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 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 (Fee Resolution 11-053 Eff 7/1/13) ADDRESS: 10191 JUDY AVE DATE: 06/17/2015 REVIEWED BY: MELISSA Plan Check Fee: Hourly Only? Yes Q No APN: 375 07 057 BP#: 15050184 `VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: PME Plan Check: PENTAMATION 1GENRES PERMIT TYPE: WORK REV # 1 - RECONFIGURE/REVISE PV SYSTEM TO INCLUDE 1 ADDITIONAL PANEL FOR A SCOPE TOTAL OF 19 (& NEW 4.94kW) - ISSUED 6/17/15 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 (Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Yes Q No $0.00 1 hours Plan Check, Hourly $143.00 /STPLNCx Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q 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 E) Building or Structure 0 � �Yr,ns�l /,rv�°t:if77c's2/Gdfi{u; I���Fr.�r.� Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 0"T0TAI S: $0.001 $143.00 �� � � TOTAL FEE: $143.00 Revised: 05/07/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10191 JUDY AVE CONTRACTOR: SOLARCITY PERMIT NO: 15050184 OWNER'S NAME: LIU MING FU AND WANG KELLY TRUSTEE 3055 CLEARVIEW WAY DATE ISSUED: 05/29/2015 O R'S PHONE: 4088136998 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 10/ LICENSED CONTRACTOR'S DECLARATION 308 DESCRIPTION: RESIDENTIAL COMMERCIAL E] INSTALL 18 ROOF TOP, FLUSH MOUNTED PV MODULES, License Class C? D Lic. # (C� �{ 4.68KW. INSTALL (N) 125 SUB PANEL AT REAR Contractor n�0���-1� Date STRUCTURE 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 Sq. Ft Floor Area: Valuation: $10000 performance of the work for which this permit is issued. 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: 37507057.00 Occupancy Type: permit is issued. 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 WITHIN 180 D IT 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 1 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 VS,ed granting of this permit. Addition ly, applicant understands and will comp with all non -point source r, ns the Cupertino Municipal Code, Section 9.18. 5�' 5 RE -ROOFS: Signature Date C0 All roofs shall be inspected prior to any roofing material being installed. If roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I 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 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). 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(x) 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 A Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cuper ' o M4nKipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 255 " 5 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date 05aqk permit is issued. I certify that in the performance of the work for which this permit is issued, l 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. 1 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 CITY OF CUPERTINO R M-7, FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'1 into. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) ADDRESS: 10191 JUDY AVE DATE: 05/29/2015 REVIEWED BY: MELISSA APN: 375 07 057 BP#: /5 tk 31� `VALUATION: $10,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: 1,117a Nf,, lw,p In.- PENTAMATION SOLAR -RES PERMIT TYPE: WORK INSTALL 18 ROOF TOP FLUSH MOUNTED PV MODULES 4.68kW. INSTALL N 125 SUB PANEL SCOPE AT REAR STRUCTURE NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'1 into. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE 77cb Elec. Plan CheckTO.01 hrs $0.00 P" ,O, P,r iva Elec. Permit Fee: IEPERMIT �)//We '!1'7sPE17- Odu F /,v,PE]_L___ Other Elec. Insp. 0.0 1 hrs $48.00 5/,t h 1i Xhfl E'r'ic 1,117a Nf,, lw,p In.- /.I(("_ hY,V'. %`cc NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'1 into. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # $236.00 Alternative Energy System IPHOTOVRES Photovoltaic System Suppl. PC Fee: Q Reg. 0 OT0.0 hrs $0.00 PME Plan Check: $0.00 125 1 amps $48.00 Electrical IBELEC200 Services Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Administrative Fee: (ADMIN $45.00 0 E) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 i Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 S 1BTOTAtS; $143.30 $284.00 ' ` > ` TUICAL FEE: ; $427.30 Revised: 05/07/2015 .�.�,.,� CITY OF CUPERTINO 1 i if, I >VF>P 1Pc'rnvr A TnR — RI IIT .DING DIVISION d .. p.. . - �Rt i:J9" .`j k'\fr Fr) Sr ,c+�ryf �...F ren 1 f.;. K�_«.rJSfi»A ✓t-kt4 i]•14'`,...;.. 1' L ADDRESS: 10191 JUDY AVE DATE: 05/29/2015 REVIEWED BY: MELISSA 111re;rh. Nail (aleck APN: 375 07 057 BP#: "VALUATION: 1$10,000 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex Elec. Permit Fee: 1EPERMIT PENTAMATION SOLAR -RES PERMIT TYPE: USE: Permit Fee: $0.00 WORK INSTALL 18 ROOF TOP FLUSH MOUNTED PV MODULES 4.68kW. INSTALL N 125 SUB PANEL SCOPE AT REAR STRUCTURE d .. p.. . - �Rt i:J9" .`j k'\fr Fr) Sr ,c+�ryf �...F ren 1 f.;. K�_«.rJSfi»A ✓t-kt4 i]•14'`,...;.. -.:: :,.6'"1'k11 ,SW'f£1 RAY"n`� f f. (i S A`{ ..(FY i-., }'1} Cfal�lAttJ}� r'.,%v }�,e�f1xa'itY,,pnae%FiFT A.".LA('1'f h Z'� i} JN1M;. it'„4H2 .. p, t.l �f u'+ @N j7- �1 J,t" 1.. 4. ,lk.Na.ml�'iW�d:::,',t•:.xl'�Kt.....7d-0��J.',_,n:_..�.:�..�a�._r.. 1 T' fl fj�iS A1,213�z,id �yf.��'l1. L' A^.1�t'. 1 T1fM. AA'li Al F t 'irM11"tft'r F Fltr,Mi3 �.. to F.66.m...e, a✓.u'_:rX.,. -.__ __. _________ I MISC ITEMS 111re;rh. Nail (aleck Elec. Plan Check 0.0 hrs $0.00 Alecli. Plan ("hec-k Suppl. PC Fee: Q Reg. Q OT 0.0 Fee: F; 1'lr.,rnG. I'P ; rni! I }-�: Elec. Permit Fee: 1EPERMIT $0.00 125 amps Electrical $48.00 1 IBELEC200 Services Permit Fee: $0.00 Supp/. Insp. Fee:Q Reg. ©OT Other Elec. Insp. 0.0 hrs $48.00 0t Ocher alrc6r, lr,s1:,.ID-L- C)rher t'1r.+mh ln,er,. Idk C/r. /,rsl,. 14 c:: 1'Iruu/. Ins;t�. 12.: lilc:c. lisp. h<e: $48.00 --17= — ("Onstr action TOX., 1 Administrative Fee: IADMIN }3�'f,'lF.y.es+t�f'k:Afr.��'. `vi; •ti:1G lf�.f�.+h� d .. p.. . - �Rt i:J9" .`j k'\fr Fr) Sr ,c+�ryf �...F ren 1 f.;. K�_«.rJSfi»A ✓t-kt4 i]•14'`,...;.. -.:: :,.6'"1'k11 ,SW'f£1 RAY"n`� f f. (i S A`{ ..(FY i-., }'1} Cfal�lAttJ}� r'.,%v }�,e�f1xa'itY,,pnae%FiFT A.".LA('1'f h Z'� i} JN1M;. it'„4H2 .. p, t.l �f u'+ @N j7- �1 J,t" 1.. 4. ,lk.Na.ml�'iW�d:::,',t•:.xl'�Kt.....7d-0��J.',_,n:_..�.:�..�a�._r.. 1 T' fl fj�iS A1,213�z,id �yf.��'l1. L' A^.1�t'. 1 T1fM. AA'li Al F t 'irM11"tft'r F Fltr,Mi3 �.. to F.66.m...e, a✓.u'_:rX.,. -.__ __. _________ I MISC ITEMS 111re;rh. Nail (aleck Elec. Plan Check 0.0 hrs $0.00 Alecli. Plan ("hec-k Suppl. PC Fee: Q Reg. Q OT 0.0 Fee: F; 1'lr.,rnG. I'P ; rni! I }-�: Elec. Permit Fee: 1EPERMIT $0.00 125 amps Electrical $48.00 1 IBELEC200 Services Permit Fee: $0.00 Supp/. Insp. Fee:Q Reg. ©OT Other Elec. Insp. 0.0 hrs $48.00 0t Ocher alrc6r, lr,s1:,.ID-L- C)rher t'1r.+mh ln,er,. Idk C/r. /,rsl,. 14 c:: 1'Iruu/. Ins;t�. 12.: lilc:c. lisp. h<e: $48.00 --17= — ("Onstr action TOX., NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public works, [ire, ourma.y -0 .,..,......, > _ _� .,. -r. ..� .�: :In61e and nrn nnly Qn estimate Contact the Debt for addn'1 info. District, etc). mese ees are basea On ine rcu......0. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1/13) ................. FEE • _ QTY/FEE -.__ __. _________ I MISC ITEMS Plan Check Fee: $0.001 # Alternative Energy System $236.00 IPHOTOVRES Photovoltaic System Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 125 amps Electrical $48.00 1 IBELEC200 Services Permit Fee: $0.00 Supp/. Insp. Fee:Q Reg. ©OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 --17= — ("Onstr action TOX., 1 Administrative Fee: IADMIN $45.00 Work Without Permit? Q Yes (j) No $0.00 Advanced Planning .Fee: $0.00 Select a Non -Residential Building or Structure Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item $427.30$143.30 $284.00 w.T, s. w Bldg Stds Commission Fee IBCBSC I r Fi Vt r ,s W�ag�R �} Yti1;' aFlyiodwf4r �t bd4 A:.n.t.4 lSn14rvu} ?5` kw ".If1 "Alf $1.00 Revised: 05/07/2015