15080187CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18940 BARNHART AVE
CONTRACTOR: SOLARCITY
PERMIT NO: 15080187
OWNER'S NAME: CHAO THOMAS AND NANCY T
3055 CLEARVIEW WAY
DATE ISSUED: 08/26/2015
O ER'S PHONE: 4089969721
SAN MATEO, CA 94402
PHONE NO: (650) 638-1028
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
INSTALL 20 ROOF TOP, FLUSH MOUNTED PV MODULES,
License Class Q) C.Z—O Lic. # U (j (0 14
5.2
Contractor" ( . j { `Date_A_2
KW
I hereby affirm that I am licensed— rider 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: $11000
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: 37533006.00
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 DAYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
LED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgmen ,
costs, and expenses which may accrue against said City in consequence of the >-C--
this "�
granting of permit. Additional the�p licant understands and will comply
,4Y
ssue t
with all non -point source regulat'6Vns pert Cupertino Municipal Code, Section
9.18.
Signature /
g Date 5 (
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.
❑ 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
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 Qpality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cuper ono Mq cipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections,255 , and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner
permit is issued.
or authorized agent:
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
Lender's Address
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
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
'441'6.1e.�.��ri: k}� �.'a};'=l�il-ai.1}�iv �:`_.�3.�.ICiirnLl.�I'ryll ilil i�7•Illul. IL�rii "..`rli��l'�%:i �U
CA 5
_4
FAX .. t
' PROJECT ADDRESS
OWNER N.4"tE-J��C v \ G'l�'
PHONE y/ y p
E-MAIL
STREET ADDRESS CR/. > 1
O iX r) (3 (,�,c ( � 1 L ,,— ,
CITY, STATE, ZIP
=FAX
CONTACT NAME Marjan Javanmard
PHONE 650.477.6430
E-MAILmjavanmard@solarcity.com
STREETADDRESS391 Foster City Blvd
CITY, STATE, ZIP Foster City, CA 94404
FAX
❑ OWNER ❑ O',VNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 9 CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAMESolarCity Corporation LICENSENUMBER888104 LICENSE TYPE C10 BUS. LIC h!28840
(JU ll
COMPANY NAME SolarCity Corporation
E-"A"mjavanmard@solarcity.com
FAX
STREET ADDRESS 391 Foster City Blvd
CITY, STATE, ZIP Foster City, CA 94404
PI"650.477.6430
ARCHITECT/ENGNEER 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 N WILDLAND
PROJECT N
STRUCTURE: ❑ Commercial
URBAN NTERFACE AREA ❑ Yes ❑ NO
FLOOD ZONE ❑ Yes ❑ NO
El SOLAR PANELS
1:1 ELECTRIC VEHICLE CHARGNG STATION
❑ SOLAR WATER HEATING❑
OTHER:
FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: C -y KILOWATTS (COMMERCIAL ONLY):
M
TOTAL •
ALUATION
pCJ�.�
DESCRIPTION OF WORK
Installation rooftop flush mounted solar panel 0 d9--) kW
E@ED BY: _
caner or authorized nt to acto operty owner's behalf�ha�ead this
By my signature below, I certify to each of the following: I am the��op)ID),
application and the information I have provided is correct. I havelead t)Zcription ofWork and verify if Isaccurate` I agree to c6mply with all applicable local
ordinances and state laws relating to building construction. I aI hnze;ientatives of Cupertino to enter the above -identified property for}nspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEM133IqTAL�INFORMATION REQUIRED OrFTCE USE ONLY
❑ OVER-Tnr COUNTER
m
F ❑ ESPRESS
v
U
❑ STANDARD
.w
U
a❑ LARGE
a
❑ MAJOR
PVApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
,19ech. 1'Ian Check Plrrnth. Plan ('heck FT Is%ec..Phsn (`heck
Uech. Pen)lit Fee: Pkrmb. Permit Fee: lstac. Permit Fee:
Other rVec•h. lrtsp.
Wech. hlsp1 Fee":
Other Plumb ln:s'p.
I'lttnt6. hrsp. Fee:
Other lsk:c. Insp.
Alec Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Aictrirt atr 1 Thoca foac ora knead nr tha nra/im;"any infarmadan avnilahlo and ary anly an estimate- Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13)
1890 BARNHART AVE
DATE: 08/26/2015
REVIEWED BY: MELISSA
jwdADDRESS:
APN: 375 33 006
BP#:
*VALUATION:
1$11,000
*PERMIT TYPE: Building Permit
PLAN C ECK TYPE: Alteration /Repair
PRIMARY
USE: SFD or Duplex
0.0
PENTAMATION
PERMIT TYPE: SOLAR -RE
WORK
INSTALL 20 ROOF TOP FLUSH MOUNTED PV MODULES 5.2 kW
SCOPE
$0.00
,19ech. 1'Ian Check Plrrnth. Plan ('heck FT Is%ec..Phsn (`heck
Uech. Pen)lit Fee: Pkrmb. Permit Fee: lstac. Permit Fee:
Other rVec•h. lrtsp.
Wech. hlsp1 Fee":
Other Plumb ln:s'p.
I'lttnt6. hrsp. Fee:
Other lsk:c. Insp.
Alec Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Aictrirt atr 1 Thoca foac ora knead nr tha nra/im;"any infarmadan avnilahlo and ary anly an estimate- Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
0 #
$236.00
Alternative Energy System
IPHOTOVRES Photovoltaic System
Suppl. PC Fee: (2) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee -.(j) Reg. Q OT
0,0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
('ortStt•uction Tax:
,16hninistrcative Fee:
0
E)
Work Without Permit? 0 Yes E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
0
7ru1�el 1: oc•atmentation Fees:
Strong Motion Fee:
IBSEISMICR
$1.43
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$1.00
Si1BTOTAL:
$2.43
$236.00 TOTAL FEE,
3
$238.471
Revised: 07/02/2015
Address
PURPOSE
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 - buildino(aa)cuoertino.org
Hfif
Permit No.
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 IIINFORMATION
Existing single -f=amily acrd 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
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon.
Monoxide Alarrns be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
_
Outside of each separate sleeping area in the immediate vicinity of the
bedroom (s)
X
X
On every level of a dweDing unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms axe not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms axe permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above hasihave been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I have read and agree to comply with the terms and conditions of this statement
Owner (or owner Agent's) Name:
N(✓n/kms
Si ............................................................ Date: 9�t J ..
� Conirac9or t\ me:
Signature........................ ........................................... Lic.o....................................... Date: ...................
Smoke and CO form.doc revised 03/18/1;
ONn r Neste
A$d'ret
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE w._ F1
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION to Fa
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408)),7f77-3228 • FAX (408) 777-3333 • building(a.cupertino.org j C 0/n $
][ [ ) t tit W l W CU,l.8 / .
CANNOT BE
UNTIL THIS CERTIFICATE
Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form.
J. Is your real property a registered historical site?
❑ Yes C#vil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature l� �i Date:
XNo 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 110 1. 1 through 1101.8 do not apply.
0 The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form.
Owner' Signatur�
No Go to Question 3.
Date: [ 0/'z -j/yam ., f
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�,�/ pry Date:
ANo 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:�� �y r� Date:
Yes My real property`rs' built and a/vaila le for use or occupancy on or before January 1, 1994,
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
i' 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,
QV 2017, all non -..compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
of whether property undergoes alterations or improvements). / y (A tJST S I (Si A
❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. 13ACCIKP py E
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 02/04/15
On,,pt before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
plu ing fixtures throughout the building (regardless of whether property undergoes alterations or
impi"tvemnts).
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 plumbing fixtures comply with the requirements as indicated in the table below.
OWn- e (rpt'; Orrt reffs} Signature: Date: 10117301L_
Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit.
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 02/04115
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixtures
(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 Rafe
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 @
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 maybe
used to achieve
reduction.
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 02/04115
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