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15090043CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20221 BOLLINGER RD CONTRACTOR: SOLARCITY PERMIT NO: 15090043 OWNER'S NAME: RAYMOND & SHUMING CHU OWNER'S PHONE: 4088291876 ❑ LICENSED CONTRACTOR'S DECLARATION License Class 00 � C�_0 Lic. # p *E% (0 q Contractor 0. e—I n Date q/ -F /I 5 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: t. l 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. 2 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 permit is issued. APPLICANT CERTIFICATION I certify that 1 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 indemnify and keep harmless t e City of Cupertino against liabilities, judgments, costs, and expenses which m accru gains said City in consequence of the granting of this permit. A ional a applicant understands and will comply with all non -point source reg tloi i a Cupertino Municipal Code, Section 9.18. SignatureDate_1�5 ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. 1, 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: t. 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. 2. 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 permit is issued. 3. 1 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 3055 CLEARVIEW WAY I DATE ISSUED: 09/08/2015 SAN MATEO, CA 94402 1 PHONE NO: (650) 638-1028 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ INSTALLATION OF ROOF MOUNTED SOLAR (17 MODULES)(4.42 KW). Sq. Ft Floor Area: I Valuation: $9500 APN Number: 36935026.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSSPEpCTIION. Issued by: /Eff/Y� , �/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, 1 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, Scctions 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 equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain complianceth the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Co , Sectyops 25505, 25533, and 25534. Owner or autho " ed -"t: Date: 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 Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional i ALTERNATIVE ENERGIE PERMIT APPLICATION >..f WL 1'?t DENAE - _- r�iu' ?t� :.'�fia,� �1'a l'��i' • i�LY.1. i:: l'� � �Ji�JP:�;?,ih FA CUPERTINO PROJECT ADDRESS rC p,(J APN # 06VNERNANfE ,r�F PHONE.z_ _I'M E•NfAIL STREET ADDRESS �7 O j 12 CITY, STATE, ZIP =17AX CONTACT NAMEMarian Javanmard PHONE 650.477.6430 E-MAILmjavanmard@solarcity.com STREET ADDRESS 391 Foster City Blvd CITY, STATE, ZIP Foster City, CA 94404 FAX ❑ OWNER ❑, OWNER-BLTL.DER ❑ OWNER AGENT ❑ CONTRACTOR A CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SolarCity Corporation LICENSE NUMBER 888104 7 LICENSE TYPE C10 BUS. LIC P28840 COMPANY NAME SolarClty Corporation E-NIAILmjavanmard@solarcity.com FAX STREET ADDRESS 391 Foster City Blvd CITY, STATE, ZIP Foster City, CA 94404 "0'650.477.6430 ARCHITECT/ENGINEER NA IE LICENSE NUMBER BUS, LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD Or Duplex ❑ Multi -Family STRU : URE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes � No PROJECT IN FLOODZONE ❑ Yes 1g O // �� SOLAR PAYEES ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER I-IEATING ❑ OTHER: FOR SOLAR PANELS, NUMBER OFPANELS/UNITS: 1� KILOWATTS (COMMERCIAL ONLY). /1 ij\' TOTAL VALUATION 5 c . OCA DESCRIPTION OF WORK Installation (_tj) rooftop flush mounted solar panel (4-L44 kW RECENEDBY: By my signature below, I certify to each of the following: I the p erty 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 a�Je r the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. alh ze representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: y Date: (� / U SUPPLEME AL INFORMATION REQUIRED OFFICE USE ONLY OVER -TAE -COUNTER ❑ E%PRESS U w ❑ STANDARD U ❑ LARGE a ❑ NIAJOR Mp,p_2011.doc revised 03/16/11 CITY OF CUPERTINO FM -7, 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 Deptfor addh 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 711/13) ADDRESS: 20221 Bollinger Rd DATE: 09/08/2015 REVIEWED BY: Sean _F P�'C;I( I'i / f";'i�'�,'f N: BP#: 'VALUATION: $9,500 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 Installation of roof mounted solar 17 modules 4.42 k SCOPE 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 Deptfor addh 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 711/13) FEE QTY/FEE n _F P�'C;I( I'i / f";'i�'�,'f Plan Check Fee: 1iih�r i/�-.Fr. /rl-1j� J -FT Alternative Energy System IPxoTovREs Photovoltaic System Suppl. PC Fee: Q Reg. () OT 0.0 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 Deptfor addh 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 1 # $236.00 Alternative Energy System IPxoTovREs Photovoltaic System Suppl. PC Fee: Q Reg. () 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 Co)l, `11,11,ction Tax: rLhninisfraliv' 1'..'c" 4 Work Without Permit? Yes No $0.00 Advanced Plannim Fee: $0.00 Select a Non -Residential Building or Structure lldrs'�1 /��,;lline>1�r�ztir�r; r:��s_ Strom Motion Fee: IBSEISMICR $1.24 Select an Administrative Item Bldg, Stds Commission Fee: IBCBSC $1.00 - �" SiJBTOTAI S: $2.24 $236.00 TOTAL FEE: $238.24 Revised: 07/02/2015 Address 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 • building c--cuoertino.org Q l' tciuiuII Z0�1 p01'� n9•P/L i 'W :4 of Alarms Smoke: Carhon MnnnxirlP 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 aind 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 8314 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 SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroorri(s) X X On eNrery level of a dwelling unit including basements X X Within each sleeping room IX 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 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. 1 have read and agree to comply with the terms and conditions of this statement 0%er (or Ower Agent -s) N me: vSi 10, e4 1114AVIS nature..~ ................ .................................................................... Date: ................... Contractor Nam..: Signature...................................................................Lic......................................... Date:.... . Smoke mid COform.doc remised 03/18/14 CUPERTINO Owner N Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 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. 0 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. 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. No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? XNo 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. ❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. Please check ONE of the following: 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, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property 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 iunproverments 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 1 101.8, 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 requirernents as indicated in the table on the following page. , _ _ I Owner or Owner Agent's Signature:. 24A�la CA4314 (',. Date: 11 13 / ZolS Upon completing and signing this Certificate, please it to the B4Ading Division in order to final your building permit. 5B4072015.doe revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED—AND RETURNED TO THE BUILDING DIMS] 1. 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. SB407 2015, doc revised 08/26/15 Non -Compliant Water. -Conserving Plumbing Fixture.- Plumbin Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa /F)Qw Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 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 may be used to achieve reduction. 1. 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