16010005CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10271 BONNY DR
CONTRACTOR: THE SOLAR COMPAN
PERMIT NO: 16010005
INC
OWNER'S NAME: KUO CHING S AND LEE KUEI C
20861 WILBEAM AVE STE 1
DATE ISSUED: 01/04/2016
OWNER'S PHONE:: 4082182383
CASTRO VALLEY, CA '• 94546
PHONE NO: (510) 214-9005
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL El
COMMERCIAL
License Class L ` Lic. # (Q (0 5A
INSTALL (12) ROOFTOP FLUSHED
PANELS
MOUNTED SOLAR
Contractor/ Date IMIU
(3.9 KW)
I hereby affirm that I am licensedunder 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: $12000
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
APN Number: 35913002.00
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 W
RK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF
ERMIT 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 DAYS FROM LAST
ALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses w ich may accrue against said City in consequence of the
Issued b y:
Date:
granting of this pertriit. Additionally, the applicant understands and will comply
--:—
with all non-pgif t so cc regulat s er the Cupertino MunicipalCo e, Section
9.18.
RE -ROOFS:
Signatur ': Date �';�'Y % {p
All roofs shall be inspected prior to any roof
ng material being installed. If a roof is
installed without first obtaining an inspectioi
inspection.
i, I agree to remove all new materials for
❑ OWNER -BUILDER DECLARATION
Signature of Applicant::
Date:
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
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)
1, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATE
IALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requ
rements under Chapter 6.95 of the
California Health & Safety Code, Section
25505, 25533, and 25534. I 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) sl
iould 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 asdefined by t y A
ea A' Quality Management District I
no nicipal Code, Chapter 9.12 and
performance of the work for which this permit is issued.
will maintain compliance wit a per
the Health &Safety Code, ctio 2550
2 33, and 25534.
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
Owner or authorized a nt:
Date: G
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
CONSTRUCTION BENDING
AGENCY
_
Compensation laws of California. If, after making this certificate of exemption, l
I
I hereby affirm that there is a construction 1
riding agency for the performance of
become subject to the Worker's Compensation provisions of the Labor Code, must
work's for which this permit is issued (Sec.
097, Civ C.)
forthwith comply with such provisions or this permit shall be deemed revoked.
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 publ
c 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
COMMUNITY DEVELOPMENT I3EPA mENT -BUILDING 13I I ION
10300 TORRE AVENUE. CUPE TI O, CA 05014-3256
(408) 777.3228 F FAX (40 8) 777-3233 -��[[€t!'t� fat ri c�.
10271 BONNY DR.
a.i 359-13-
._._ HSIN KUO =- 408-218-2383
same as above m ino, CA
A 0? -F 209-676-3497
5TKLI 1-, 20861 Wilbeam Avenue CTMSTAT stro Valle
r'1 F3Wh+ER 13 OW'QA4Ra1P0k 0 OWNMA HNT 0 eowt+mrok1coN mew-R.Au Nr 0 Afta
S.OAI'LYt,E;'COR NA i1CW4% NTJiti bt;k
he Solar Compan�nc 596651 J_E
CO"PANY NAM8
The Solar Company, Inc. �A.�tnntdt
rTe heSolarCo com
95014
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TSCdesi
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1 CITY. "STATE, Z
b U1
Avenue
Ae4CCfiU£" PINGi ER NilMP, I lCM489 NUMBER
;COMPANY NAMV, la -MAIL
USE ter 0 81=1 or Duplex 0 Nfulti-Family € tts IFCr IN Wlt*DLAND
ATRUM-11011 , Coninlacial tt &N tIJT81WACH AMA M Yes IX No
]M;O�LA�-RPANFIS O1 9 i,8CTI S�: Haat-tltt.0 CRA IWINO STAT16-9 SOLAR WXI IM. HF A:rINNO
a"tiA,tiOLAR PANHIA MhAgMAWMIREMM
12 KILOWATTS (COMMERCIAL ONLY)
IMSO tr't ION OF WORK
Install 3.9 kw grid tied solar electric system (PV) roo
x
mount
By nay m a are htelow, t certify togaIng
die following. i am the propeay owner car authorived agent to Acton tfae ra nt+
s:pplicatlon mid the infurrrra}iic�ta ! uye Ittded is twrreut, I I ae read the lies gfjptjots E�C� *rk and var it is acuate. U a €
otdittanec�t and start taus rely " $pz ts$ btticonstruction ' su aorize. r c hives cal'Cupo€ ino to enter the abcw I if
COM
TIN
,DIE, 0 Yes 0 No
12000.00
IC I hasef d this
with al! i
CITY OF CUPERTINO
FF.F.F,.qT'tl%4ATnP—P.lTiry.-ni[ivr--nlrv,F4zinN I
-N
19ADDRESS: 10271 Bonny Dr
DATE: 01/04/2016
REVIEWED
BY: Phuong
APN: 35913 002
BP#:
*VALUATION:
1$12,000
*PERMIT TYPE: Building Permit
PLAN '-HECK TYPE:
kIteration / Repair
PRIMARY
USE. SFD or Duplex
PENT).MA'TION
PERM �
T TYPE: SOLAR -RES
A
WORK
Install (.12) rooftop flushed mounted solar panels (3.9 KW)
PME Plan Check:
SCOPE
I
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, �unitary Sewer District, School
_i_1 start tiro Dont for addnl info.
FEE ITEMS (Fee Resolution 11-053.tff, 711 ;13)
FEE
QTY/FEE
ISC ITEMS
Plan Check Fee:
$0.00
=
# Alternative
Energy System
Photovoltaic System A
Suppl. PC Fee: (F) Reg. 0 OT70.0
17hrs
$0.00
$236.001
IPHOTOVRES
PME Plan Check:
$0.00
Permit Fee:
$0.00
1
Suppl. Insp. Feer Reg. 0 OT
ro._01
hrs
$0.00
PME Unit Fee:
$0.00
PNM Permit Fee:
$0.00
C 1_11 1 1. 1. , 7 .'
Fee:
0
E)
Work Without Permit? 0 Yes ie) No
$0.00
Advanced Planning Fee:
_$0,00
Select a T
Ion -Residential E)
Building or Structure 0
1,
Strong Motion Fee: IBSEISMICR
$1.56
Select
an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBfiUTALS
$2.56,
$236.00
$238.56