15080208 SoiarCiy
April 15, 2016
To: Community Development Department
Building Division
City of Cupertino
10300 Torre Ave
Cupertino, CA 95014
Subject: Building Permit Reinstatement
Address. 885 Betlin Ave
Project: 15080208--Solar Permit
To whom it may concern,
This is to request the reinstatement of building permit number 15080208, 885
Betlin Ave. Cupertino, CA 95014
If you have any questions or need anything further, please let me know
Sincerely,
Marjan Javanmard
Permit Coordinator
(650)477-6430
mjavanmard@solarcity corn
Cioaiviouv Way `ion Moi6o, CA 94402 7 1650)6311 1.{}!f; (m136)6Ot,. rry r•(r 6())08 Meg 6OLAHC11'Y CUM
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I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 885 BETLIN AVE I CONTRACTOR: SOLARCITY I PERMIT NO: 15080208
OWNER'S NAME: CHIANG MIKE AND LIN HHIANG-HSIU 13055 CLEARVIEW WAY i DATE ISSUED: 08/28/2015
PHONE: 4088760019
LICENSED CONTRACTOR'S DECLARATION
License Class QA0 y L kG Lic. # 9' Cf I Q ti /
Contractor 'So tai( ( ' — 1 -\ Date � G / ,
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.
SAN MATEO, CA 94402 1 PHONE NO: (650) 638 -1028
JOB DESCRIPTION: RESIDENTIAL n COMMERCIAL E]
INSTALLATION OF ROOF MOUNTED SOLAR SYSTEM (10
PANELS)(2.6 KW); INSTALLATION OF 125 AMP
SUBPANEL.
I hereby affirm under penalty of perjury one of the following two declarations: I
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: $5500
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 APN Number: 36927028.00 Occupancy Type:
permit is issued.
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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Addition, ' , th pplicant understands and will comply
with all non -point source regulab `ns p r e Cupertino Municipal Code, Section
9.18.
Signature / Date Dx i 5
❑ OWNER - BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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. -
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.
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
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Date
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: i%� Date:
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.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipmen or devices which emit hazardous
air contaminants as defined by the Bay Area it Qu lity Management District I
will maintain compliance with the Cuperti ' Muq(gyi'pal Code, Chapter 9.12 and
the Health & Safety Code, Sections 2550 553 ,dnd 25534. €
Owner or authorized agent: ~` t Date: 08 /-
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
CUPE1!dTINIO
ALTERNATIVE ENERGY PERMT APPLICATION AE
��Jli'
:1_L`'j.. <-..�L4' �>Il��. �f. +'.� _ '� �1'Lll�l�linut�'�,1UI .;:W(['ir..?r_,�
PROJECT ADDRESS
'J
OWNER NAME jl/� c{
PHONE / I y
E -MAIL
STREET ADDRESS �.` C' ) ,y�- j. j n
( f,J - •���,,..' R l 1'1 �/ (....
CITY, STATE, ZIP r /-� $
�f C..-Y "� Cam-!` C,•^ L> I
FAX
CONTACTNAMEIVIarjan Javanmard
PHD11650,477.6430
E- MA`Lmjavanmard @solarcity.com
STREETADDRESS391 Foster City Blvd
CITY, STATE, ZIP Foster City, CA 94404
FAX
I
❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 17 CONTRACTOR AGENT ❑ ARC=CT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAMESolarCity Corporation
LICENSENUMBER88810i1
LfCENSETYPECIO
BUS.LIC#2QS40
v
COMPANY NAME SolarCity Corporation
E- MAILmjavanmard @solarcity.com
FAX
STREET ADDRESS 391 Foster City Blvd
CITY, STATE, ZIP Foster City, CA 94404
"0'650.477 °6430
ARCHITECT/ENGINEERNAA,IE
LICENSE NUMBER
BUS. LIC #
COMPANY NANIE
E -MAIL '
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ( SFD or Duplex ❑ Multi- Family
PROJECT IN WILD AND
PROJECT IN
STRUCTURE: ❑ Commercial
URBAN INTERFACE AREA ❑ Yes No
FLOOD ZONE ❑ Yes C(No
''SOLAR PANELS
❑ ELECTRIC VEHICLE CHARGING STATION
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): 0
TOTAL VALUATIOf
-A
DESCRIPTION OF WORK
Installation (1C) rooftop flush mounted solar panel (.® _) kW
i 1
RECEIVED BY:
By my signature below, I certify to each of the following: I am tide property - wner 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 ha� tl�escription of Work and verify it is accurate. I agree to comply with all applicable local
fead
ordinances and state laws relating to building construction. I atiithdrizerie �esgntatives of Cupertino to enter the above - identified propelty for inspection purposes.
Signature of Appl icant/Agent: J Mfr Date: '; <— 1-5
SUPPLEMENTAL INFORM? aN-REQUIRED
/7
OFFICE USE ONLY
v
OVER -THE- COUNTER
F
❑ EXPRESS
U
❑ STANDARD
U
a❑
LARGE
a
❑ MAJOR
PVApp_2011.doc revised 03116111
FM-1 FEE ESTIMATOR OF CUPERTINO
- BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc 1_ Thoco foot nro hacod nn tho nroliminani infnrmatinn availahlo and are an)v an octimato_ L'nntart the Dent for addn'I info.
FEE ITEMS (Fee Resolution 11 -053 Elf. 711113)
885 BETLIN AVE
DATE: 08/28 /2015
REVIEWED BY: SEAN
IlaADDRESS:
APN:
BP #: 0,�0
'VALUATION: 1$5,500
Alternative Energy System
IPHOTOVRES I Photovoltaic System
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
hrs
PENTAMATION SOLAR -RES
PERMIT TYPE:
WORK
INSTALLATION OF ROOF MOUNTED SOLAR SYSTEM 10 PANELS 2.6 K .
SCOPE
Electrical
IBELEC2oo Services
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc 1_ Thoco foot nro hacod nn tho nroliminani infnrmatinn availahlo and are an)v an octimato_ L'nntart the Dent for addn'I info.
FEE ITEMS (Fee Resolution 11 -053 Elf. 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
0 #
$236.00
Alternative Energy System
IPHOTOVRES I Photovoltaic System
Suppl. PC Fee: Q) Reg. 0 OTJ
0.0
hrs
$0.00
PME Plan Check:
$0.00
125 amps
$48.00
Electrical
IBELEC2oo Services
Permit Fee:
$0.00
Suppl. Insp. Fee-.0 Reg. C) OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
construction Tax:
Administrative Fee: 1ADMIN
$45.00
0
Work Without Permit? 0 Yes (2) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non - Residential
Building or Structure
E)
0
i
Travel Documentation Fee: ITRAVDOC
$48.00
Strong Motion Fee: IBSEISMICR
$0.72
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:,
$142.72
$284.00
TOTAL FEE
$426.72
Revised: 07/02/2015
CUPERTINO
Owner Name
WATER- CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255
(408) 777 -3228 - FAX (408) 777 -3333 • buildingacupertino.org
'f 4 I A N C-1 Permit No.
Address 99!� IOU (UAI AVE.'/ Cue(:2 C/� %o(C-4
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
IA 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.
Skip the rest of the form and sign bottom of form.
14 No 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. Skip the rest of the form and sign bottom of form.
a No Go to Question 4. (9, / /,
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. Skip the rest of the form and sign bottom of form.
93 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. Check one of the three following statements and sign
bottom of form..
5. Please check ONE of the following'
f My property is a single-family residential real property. See Civil Code Section 1101.4. . `f/IV o.
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).
❑ Myproperty 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.
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).
I, as the owner or owner's agent 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 plumbing fixtures comply with the requirements as indicated in the
table on the following pane. „ n
Owner or Owner Agent's Signature: 'Ck��(JL —P Date: Ik
Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit.
SB4072015.doc revised 08126115
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO. CA 95014 -3255
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 aild 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 I
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.
and CO form.doc revised 03118114
® ®Dd ®v
Solano;hi !L.
OQ
April 15, 2016
To: Community Development Department
Building Division
City of Cupertino
10300 Torre Ave.
Cupertino, CA 95014
Subject: Building Permit Reinstatement
Address: 885 Betlin Ave.
Project: 15080208 — Solar Permit
To whom it may concern,
This is to request the reinstatement of building permit number 15080208, 885
Betlin Ave. Cupertino, CA 95014.
If you have any questions or need anything further, please let me know.
Sincerely,
Marjan Javanmard
Permit Coordinator
(650)477 -6430
mjavanmard @solarcity.com
Scar 41ealyim aYav fan Mateo, CA 9440? r 133 =].Q (&fit$) S,QI GIT4' e (00) 1'?MARGTYt?PN
Al RMC _43) 11, 0A CSI.B "Pj OS, CO F f 104 1, OP CCO 18009 @, Fa TDLP, 2700f,
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