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15080226F,,!�e H4 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19950 BAYWOOD DR CONTRACTOR: THE SOLAR COMPANY, PERMIT NO: 15080226 INC OWNER'S NAME: AMINZADEH PAYMAN AND LINGG KARIE 20861 WILBEAM AVE STE I DATE ISSUED- 08131/2015 OWNER'S PHONE: 4088328869 CASTRO VALLEY, CA 94546 PHONE NO: (510) 214-9005 lft�— LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL F] COMMERCIAL n 7— INSTALL (N) ROOFTOP MOUNTED SOLAR PV (5.2KW) License Class 13 6 61& Lie. # Contractor J t(6: .5,9L4 P— � M iOd4ll Date e� --!�2ypg 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: $16000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by )ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 31630006.00 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 WITIHN 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,IkAYS 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 ddi 'orally, the applicant granting of this permit understands and will comply Issued by: e: with all no -po cc g lations per the pertino Municipal Code, Section RE-ROOFS: 9.18. Signatu Date_ 49/� 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 Signature of Applicant; 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) 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. 1 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 I performance of the work for which this permit is issued. will maintain compliance with the Caper M icipal Cod Chapter 9.12 and with t I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, 0 , 55 nd 255 y Section 3700 of the Labor Code, for the performance of the work for which this ASect—i0jis Owner or authorized agent* t A61A 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,! 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 9J8. Signature Date N''� it ALTERNATIVE ENERGY PERMIT APPLICATIN COMMUNITY DEVELOPMENT DEPARTMENT AR r F (408) 777-3228 - FAX (408) 777-3333 - building(ftupertino,org X0�6. PROJECT AIsIaRss !� ® 17,, ar S Ii ?� i �► 30 _ AO io OWNER NA)VW •� PFtGNE �`E V j►yt `° 144A3T' STREET ADDRESS GiTY STAiE<ZP i FAQ CONTACT NAW Andre Laines PHONE 209 -418 -8947 E -MAIL TSCdesign@TheSoiarCo.com srREaT aotaRESS 20861 Wilbeam Avenue CITY, STATF a' FAx Castro Valle v, CA 94546 877- 527 -7339 13 OWNER 0 GIANER- DC1L7: ER lJ OW"NERAGP:.NT Cl CONTRACTOR IXcoNOiAcroRAGf:NT Q ARCWTEt"T O ENGINEER Q DEVELOPER O TENANT CONTRACTOR NAm he Solar Com an Inc 11CF_VSENu"'aER 596651 'I`> B TYPE ` "L'C# 31418 cst5~"IP.ANYNASut Tile Solar Company, Inc. E-MAM FAX Andre iheSolarCo,cam 877-527-7339 STREET ADDRESS CITY, STATE, ZIP ""8 77-607-6527 x 710 20861 Wllb am Avenue ARM] ECTIENGWRER NAW LICENSE NILIAMEk MIS I..,c'i COMPANY NAME E-MAIL FAX STF LET ADDRESS CITY, STATE, ZIP PHONIF IN USE OF C] SFD or Duplex Cl Multi-Family PROJECT N W'ILDL:iNf9 PROJECT STRUCM -RE (3 Commercial ARRAN INTERFACE AREA 0 Yes lX No R-OOD Z014F ® Yes 0 No CXOLARP&ELS 1 0 FLECTRICVMifCLCCHARGINGSTATIO?I 0 SOLAR wATERHEATUNG CSfuER; _ FOR ,50L,iR P,aN0ls: NUNMER OF,:PANFLSI: 7 S- KILOWATTS (COMMER€ CAL ONLY) TOTAS. VA UAT ON,+ DESCRIPTION OF WOM W Install 2 kw grid tied solar electric system (PV) mount fj�CEIVE6 By my sigmture below, I cetti fy to each of the folio A ing I am the property owner or authorized agent to act on the property per's behalf, l hake read this application and the information I have provided is correct. 1 have read the Description of Work and verify it is accurate. I ogee to comply with all applicable Imal ordinances and state lave relating to I ding consusetion. uthorize representatives of Cuperfino to enter the above - dertafied IrroinTty for ittapection purposes, g'sgnature oaf 4ppFicantfAge»trw•/4.�y SUPPI.EIVIENTAL INFO M %TION REQts[RED OFFICE VISE O-NILk tartt_TetF,.�s�t�rrtt C� Ex ass 0 w�TA?ti#ARSA "Ian IOR P app 20111,der revised 03/16/11 A,lech, Plai Check Wecli. Permif bee: Pi,wnb. Pian Check I I IjPhdmh, Fe: funir Fee: Of1wr Numb.layj,-�_ Pbumb. Insp. Fee: 111�ez Che�,* I I I71111"_ Pern'lit Fee: Oillt,'v' Eke, /asp?� P*c'. b"wp Fee: NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Hre, Sanitary Sewer District, School District, etc.). lheSejeeS are based on the preliminary information avaname ana are oniy an estimate. uomact rne .wept for aaan-i info. FEE ITEMS (Fee Resolution 11-053 E. f.7/1/13 1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Alternative Energy System $236.001 IPHOTOVRES Photovoltaic System Suppl. PC Fee: 0 Reg. 0 OT 0 0 hrs $0.00 PME Plan Check: $0.00 Pennit Fee: $0.00 Suppl. Insp. Fee: (E) Reg. 0 OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 F AdViinAarative Fee: 0 G Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential 7. Building or Structure 0 7�ravel Docuffienialion fi'ees: Strong Motion Fee: IBSEISMICR $2.08 Select an Administrative Item BI& Stds Commission Fee: IBCBSC $1.00 $1370TALS: $3.08 $236.00 XOTAL FEE: , $239.08 Revised: 07/02/2015 m( HZ Z; N.4 W Z U E-4 0 M 0 E-4 $4 140 0 m ,Z) 4*_ O • 11 I p. �7: )t1096 Iffo ONTI'da 3 do aoum�Vu Os I RI 0 HDRECIISHU H*I#Z (D si E, ::5 FrryU OW m( HZ Z; N.4 W Z U E-4 0 M 0 E-4 $4 140 0 m ,Z) 4*_ O • 11 I p. �7: )t1096 Iffo ONTI'da 3 do aoum�Vu Os I RI 0 HDRECIISHU H*I#Z ITOZ '3', 4­6M( 'A�P.Pff 'b-P*LeE -2iIS sT.g2 b'?uz2M I.PIT 3b2d ? 1iS\ SJuSS\ QxJ \LLZLZ \$SROP \iO- 35GN:I5 -JSS \� 4-) Er, -H I - -, j �4 217 (D si E, ::5 0,0 u z E —z Ti -0 O 0 ca -H u 44 CD 0 Uj 0 w Lu 0 z '0 ' a4 �Q Q) X� v i-A C4 Q, �5 LIJ 'N' to a z 41 Z-2 u p "i . 0) u (D �� 75 cl CL M 1� 4J r� (D �4 0 Cn rp CO C 4-) C\j 04 44 U _4 _4 0) cli `s" ") OD 0 a) ©V Q co 0 "1 co 4j 6 KL `� cD Ux a,1:: U) �.l w z 0 E, o r_ H U) (r, E-4 tD 0H U) C) P4 �14 El % r-4 0 u P4 U1 C) 04 z 4J P" > 0 a, H KC LT Q) �4 a4 ITOZ '3', 4­6M( 'A�P.Pff 'b-P*LeE -2iIS sT.g2 b'?uz2M I.PIT 3b2d ? 1iS\ SJuSS\ QxJ \LLZLZ \$SROP \iO- 35GN:I5 -JSS \� 4-) Er, -H I - -, j �4 217 (D E, ::5 0,0 u Ti -0 O 0 ca -H u 44 CD 0 Uj 0 w Lu 0 z '0 ' a4 �Q Q) w v �E0 Z C4 Q, �5 LIJ a, E, N CD 4j z 41 u p "i . 0) u (D �� 75 ;_1 S 0 W CL M 1� 4J r� (D �4 0 Cn rp CO C 4-) C\j 04 44 U _4 _4 0) cli `s" ") OD 0 a) 4j Q) 4j Ux a,1:: U) �.l w z 0 H U) (r, E-4 tD 0H U) ITOZ '3', 4­6M( 'A�P.Pff 'b-P*LeE -2iIS sT.g2 b'?uz2M I.PIT 3b2d ? 1iS\ SJuSS\ QxJ \LLZLZ \$SROP \iO- 35GN:I5 -JSS \� 4-) Er, -H I - -, j �4 217 E, ::5 0 Ti -H u 44 CD 0 w (D I 4J CO a4 w 1z a, E, N CD 4j � o u p "i . ;_1 S 0 W (D �4 0 Cn rp CO C 4-) C\j 04 44 U (n G C) 0 a) 0) cli `s" ") OD 0 a) U) �.l w z 0 H U) (r, E-4 tD 0H 43X �14 El % r-4 0 u ED 41 C) 04 z 4J P" > 0 a, H ED N 0 w oz x 00 E, U) (N t� al w z co z wviai F, X z u El U) 114 El (1) 0 Y) �4 w fl, P E- tD 10 'o C) 4 000 a �l (0 r� I I m m El (4 ED >4 0 0 a; po i immm- 1 7m 41 FC m 0 A j H ml aw ( V) CN 41 to 0 -10� C) 0 IS 10 A ti a to C7 U IV 41 l z4 � H F4 z w C) z > C4 U O -1 41 4j (a 0 0� 1� 0 P4 W �tl W 0 F34 0 W :�,; Went ma E-1 ;4 El El C14 PA H z (D 0 �D ol �4 D° o w al n C) i::) C4 Q z w -1; oz m 0 z xo Cf) 4J 11 0 n CD "o �4 M) �D > > a) 4-1 +j 0 Cl P� m 4J 44 -W () m —0 (D —0 w :7n 2� z �� z �� e� immm- 1 7m 41 FC m 0 A j H ml aw ( V) CN 41 to 0 -10� C) 0 IS 10 ti to C7 U IV 41 l z4 � 0 p z w �4 O -1 41 4j (a 44 4J �O 41 Went ma �14 la4 1�1 I n �4 U) 04 O 0 4-1 4J 11 CD "o �4 M) �D > > a) 4-1 +j 0 Cl P� m 4J 44 -W () m ro immm- 1 7m 41 FC m 0 A j H ml aw ( V) CN 41 to 0 -10� C) 0 IS 10 ti to C7 U 0 p El `4 L = 105.40' IC 0 OS661 O 4c gz 'LE a LQ Aux c� of HONZGIS � ifizlaemp tr yhl N IC O 4c gz IC A rv,- a CA, E -1 d 6 6 as 6 d 4c gz Aux A rv,- a CA, E -1 d 6 6 as 6 d tit 00 , N m 4c gz tit 00 , N m ro ar bo N (Ii W 900-0Z-9TE ww, 6TOS6 )9, Omiluaano 4 dc *OVVE 0 s 6 6 9 9 AM S,§ A ro ar bo N (Ii 06 3. gig IR uy `fro f Lu W 900-0Z-9TE 6TOS6 )9, Omiluaano 4 dc *OVVE 0 s 6 6 9 9 AM S,§ A -�'t 2 OL Ll L71 06 3. gig IR uy `fro f Lu 4 MR 9 9 AM S,§ A -�'t 2 F iz Jo hr Ln A" U 4 MR 9 9 AM S,§ A -�'t 2 F iz Jo I J1 15 Ln A" U 4 MR 9 9 AM F Jo Ln A" U tI I � -- .« - 4, Az 2 6 4 MR AM tI I � -- .« - 4, Az 2 6 MR AM tI I � -- .« - 4, Az 2 6 auON _ w.wN lie=d bO adeaspuel v sm) ZZ. 6-!7e u I- f7TC96 V3 ZION Iva ad fl--) COW OS66T W P` q 'ER C) W iz C) cvr aoxmaiM c m,,"a . .... 1117ATINVI I I I F auON _ w.wN lie=d bO adeaspuel v sm) ZZ. 6-!7e u I- OT ad4 v £ adfi 'r adA-L'T adA-L .dAL cn-P w TNnow8vios so; 6wjvj wy V ssel 3 .41 . low i o. .1 Naap J00, aqj a&oqe tAwlej i w!j jq5ja4 wnw!xew jo umtwujw pal inbai ou si aaaqj (saa�6a p S•6 so 'jooj sad saqa.! 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