16010046 (3)CITY OF CUPERTINO BUILDING PERMIT
BUHAING ADDRESS:
CONTRACTOR:
PERMIT NO: 16010046
10380 CRESTON DR CUPERTINO CA 95014 (326 37 045)
SUNRUN
2300 ZANKER RD
OWNER'SNAME: WESSLER LOUISE AND MARIE G TRUSTEE
DATE ISSUED: 01/07/2016
OWNER'S PHONE: 415-580-6490
PHONE NO: 408-398-9268
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C46 Lic. # 57 01_8A
Contractor SUNRUN Date01/29/2016
_BLDG _ELECT _PLUMB
MECH RESIDENTIAL COMMERCIAL
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.
JOB DESCRIPTION: -
INSTALL (N) SOLAR MOUTNED ROOFTOP PV - 27 PANELS
I hereby affirm under penalty of perjury one of the following two declarations:
(7,42 KW); UPGRADE (E) 100 AMP PANEL TO (N) 125
r. 1 have and will maintain a certificate of consent to self-mame for Worker's
AW PANEL
Compensation, as provided for by Section 3700 of the Labor Cade, for the
REV # 1 - ADD 4 ADDITIONAL PANELS (31 TOTAL - 8.5kW), CHANGE
performance of the work for which this permit is issued.
PANEL UPGRADE TO 200 AMP, & RELOCATE THE INVERTER -
I have and will maintain Worker's Compensation Insurance, as provided for
ISSUED 1 /29/16 '
by Section 3700 of the Labor Code, for the performance of the work for which
Sq. Ft Floor Area:
Valuation: $16000.00
this 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
APN Number:
Occupancy Type:
ordinances and state laws relating to building construction, and hereby
326 37 045
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
PERMIT EXPIRES IF WORK IS NOT STARTED
expenses which may accrue against said City in consequence of the
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally, the applicant understands and will
comply with all non -point source regulations per the Cupertino Municipal
180 DAYS FROM LAST CALL PECTION.
Code, Section 9.18.
Issued by: MELISSA MES
Signature ate-01/29/2016
Date: 01/29/2016
OWNER -BUDDER DECLARATION
RE -ROOFS
I hereby affirm that I am exempt from the Contractor's License Law for one of the
All roofs shall be inspected prior to any roofing material being installed. If a roof is
following two reasons:
installed without first obtaining an inspection, I agree to remove all new materials for
t. I, as owner of the property, or my employees with wages as their sole
inspection.
compensation, will do the work, and the structure is not intended or offered
for sale (Sec.7044, Business & Professions Code)
Signature of Applicant:
2. 1, as owner of the property, am exclusively contracting with licensed
Date: 01/29/2016
contractors to construct the project (Sce.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
r. 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
HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued
I have read the hazardous materials requirements under Chapter 6.95 of the
2. 1 have and will maintain Worker's Compensation Insurance, as provided for
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
by Section 3700 of the Labor Code, for the performance of the work for which
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
this permit is issued
Health & Safety Code, Section 25532(a) should I store or handle hazardous
3. I certify that in the performance of the work for which this permit is issued, I
material. Additionally, should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
Worker's Compensation laws of California. If, after making this certificate of
the Health & Safety Code, Sections 25505, 25533, and 25534.
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
r
Owner or authorized age1��
be deemed revoked.
Date: 01129/20'1 6
APPLICANT CERTIFICATION
CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information Is
I hereby affirm that there Is a construction lending agency for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which this permit is issued (Sec. 3097, Civ C.)
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
Lender's Address
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant
ARCHITECT'S DECLARATION
understands and will comply with all non -point source regulations per the
I understand my plans shall be used as public records.
Cupertino Municipal Code, Section 9.18.
Licensed
Signature Dale 01129/2016
Professional
CUPERTIN0
CCNST RUCTION PERMIT APPLICATION �Q
CONiIJiUNI i f DEVECOPIJiENT DEPAR T NIiENT BUICDIN"G DIVI N
10300 TORRE AVENUE • CUPERTI NO, CA 95014-3255
(408) 777-3228 • FAX (4D8) 777-3333' buildino(n,m : no.oro101-1
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B,y ;,y signature below, I certify to each of the following: I an the proper}' owncr or zutborized = n the prope,;y DHner's behalf. I here reed this
applkation and the iniemetion I have provided is coeca. I have read the Description of'A'DPI< and Teri')' it 15 2ec�=;e. I agee to comply with all Sop] icable local
o; dinaows and state laws relating Eo boildin,=r�oast _C,10n, I authorize represe,-,-tires'of CuoeYino to enter the ic^ i �edprye ope ; for in, pu�eses.
Signature of ApplicanV.-'_ant;_-l--/—L.�— __ _ _ Date: �+ Uj9 I l ti
NewSFD o; yq'T1t_-.±ily d-,'; ellin=_a: App]y To denoli$on aer;nit for
amtiE•g buildine(s). Demolition pe it is repaired prier to issti211ce of building
pc -:it for new building.
_ Commercial Bldg: Provide a c mn!eted Hazardous 1,4aterials Disc!os,'
T if _ny I does 1+4aterialE -_e bung used as par, of -'his project.
" Copy of Plamiag Approval L.Ger or 1.?eating ;with Pla.mi_,g Prior to
submit -'al of Build � Pen. -nit application.
31dg �7_?011, do revised 0612)/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
imADDRESS:
10380 CRESTON DR
DATE: 01/2912016
REVIEWED BY: MELISSA
l APN: 326-37-045
BP#:
"VALUATION: $0
VERMITTYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY
USE; SFD Or Duplex
PENTAMATION
PERMIT TYPE: 1GENRES
WORK I
REV # 1 - ADD 4 ADDITIONAL PANELS 31 TOTAL - 8.5k CHANGE PANEL UPGRADE TO 200
SCOPE JAMP,
& RELOCATE THE INVERTER - ISSUED 1/29/16
lie,h. Plan Check
,lh',f" 1"rr'711 Fee:
Ofh4?r nfeil, 71Lgt
Piws 'h Flrr? (' 10N'll
Plmnb. J'crmif i'ee:
Other Phiwb hnp.
film, Wm
L;ka-. Pel'ntiL hrr:
£?ther E;i.z. Lrsy,
Wech-insp_ Fe, : I Phxpb, Gup. ;yea: I ITec. &nP.7"'ee:
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Puhlle Works, Fire, Sanitary Sewer
Utt,trect. etc t I ore font, are hacad as !ha nranmianro infnvwmnnn nw.iJahl, and n,, an n0im,,i, f'nn/nnf fho 11—i fax add. n lnG.
FEE ITEMS [Fee Regolution 11-053 NA 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? ® Yes (j) No
$0.00
= hours Plan Check, Hourly
$143.00 1sTPLNCK
Suppl. PC Fee: (F) Reg. 0 OT
0.0
1 lirs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:(F) Reg. 0 WEDlus
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
{01w]- ctioli iQY:
AdinhFivnflily Fee:
0
G)
Work Without Perm it? 0 Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select allon-Residential r
Building or Structure 0
Gravel 17acaanerttaflon Fees:
Strong Motion Fee:
$0.00
Select an Administrative Item
Bldg Stds Commission Fee:
$0.00
STJ TOTALS:'
$0.00
$143.00
TOTAL T Es
$143.00
Revised: 01/01/2016