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16010046 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10380 CRESTON DR CONTRACTOR:SUNRUN INC PERMIT NO: 16010046 OWNER'S NAME: WESSLER LOUIS E AND MARIE G TRUSTEE 775 FIERO LN STE 200 DATE ISSUED:01/07/2016 OWNER'S PHONE: 4082457113 SAN LUIS OBISPO,CA 93401 PHONE NO:(888)657-6527 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL INSTALL(N)SOLAR MOUTNED ROOFTOP PV-27 PANELS License Class Lie.# � (7.42 KW);UPGRADE(E) 100 AMP PANEL TO(N) 125 �, ` jj �ISG' / AMP PANEL Contractor d 4l Date I hereby affirm that I am licensed under the, 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 /performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$16000 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:32637045.00 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 WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT 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 CALLED INSPEC ION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, ® . costs,and expenses which may accrue against said City in consequence of the (� r granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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 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) 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 California Health&Safety Code,Sections 25505,25533,and 25534. 1 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)should 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 as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: `- 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 LENDING AGENCY 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 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 APPLICANT CERTIFICATION Lender's Address ii i 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 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 CITY OF CUPERTINO N FEE ESTIMATOR—BUILDING DIVISION t ADDRESS: 10380 Creston Dr DATE: 01707/2016 REVIEWED BY: PAUL APN: 326 37 045 BP#: *VALUATION: 1$16,000 1 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION SOLAR-RES USE: PERMIT TYPE: WORK Install I, solar rnoutned rooftop PV-27 Panels 7.42 ; Upgrade E 100 amp panel to N 125 SCOPE Amp Panel i Elec.Plan Check 0.0 hrs $0.00 ;%.`2t.r.I'"t:rY;•t �<_.. 'hw,-,I,,1,.,-;i-_ e­,,,, EIeC.Permit Fee: IEPERMIT 7- El Other Elec.Insp. 0.0 hrs $48.00 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 prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS Tee Resolution 1 Z 053.E.ff. 7,'11.13 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Alternative Energy System Suppl.PC Fee: (j) Reg. 0 OT 0,0 hrs $0.00 $236.00 IPHOTOVREs Photovoltaic System PME Plan Check: $0.00125 amps Electrical Permit Fee: $0.00 $48.00 IBELEC200 Services Suppl. Insp.FeeQ Reg. 0 OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 T_T_ Administrative Fee ]ADMIN $45.00 Work Without Permit? 0 Yes (a No $0.00 Advanced Planning,Fee: $0.00 Select a Non-Residential G) —10 Travel Documentation Fee: ITRAVDOC $48.00 Building or Structure Strong Motion Fee: IBSEISMICR $2.08 Select an Administrative Ite Bldg Stds Commission Fee: IBCBSC $1.00 ITBTOAZS $144.08 $284.00 TOTAL FSE. $428.08 Re 'sed: 01/01/2016 ALTERNATIVE ENERGY PERMIT APPLICATION A& omm COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING; DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 GU (408)777-3228• FAX(408)777-3333•building acupertino.org 160 PERTINO PROJECT ADDRESS //IJ�y /fi/ APN'R 3 e 4 ✓ OWEERNAME E-MAIL 1108 2_1K_71131 STREET ADDRESS '/ n CITY, STATE,ZIP �p � � GA � — + FAX CONTACT NAME K^ PHONE C/V E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX i ❑O'A ER ❑ OWhZcR-BUILDER ❑ OWNER.AGENT I�CON7 ACTOR ❑CONTRACTORAGEN7 ❑ ARC=.CT ❑EIIGIINEER ❑ DEVELOPER ❑ TENANT CONT&&CTORNAf,4E in n LICENSENUMBER , ©/ t J_ LIC T BUS,LIC y COhIPANY NAME E-M uyv AIL / ( FAX STREET ADDRESS00 2�Nyti� n_A (j(�( ( CITY.STATE,ZIP ,j f PHONE ARCHITECT/ENGI"I1EER NAME I LICENSE NU],/,BFR 7` f ( BUS.LIC R COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duple; ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes, EDNo FLOOD ZONE 1:1Yes ElNO SOLAR PANELS ❑ ELECTRIC VEHICLE CFV RGrNG STATION ❑ SOLAR WATER HEATING ❑ OTHER: FORSOLARPANELS. NUMBEROFPANELSJL'NITS: 2 1 PILOWATl'S(COM?4ERCIALONLY): TOTALVALUATION- DESCRIPTION OF WORK L^ 1 v 27 PV ups - BA -I+1 Gid OF 1'SFIgfM PAM t- Li 1sRECEIVED.BY _ s c By my signature below,I certify to each of the following: I am the property owner or authorized agent tq act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building co ruction. I ut presentatives of Cupertino to enter the abov -ide tified property for inspection purposes. SignatureofApplicant/Asent: <-� Date: l ��J SUPPLEMENTAL INFORMATION REQUIRED pFErCEtcpnTg.. _ !: NOR t.,MEN _;Ok-ER.THE�COTJItERs,_ - 5 = � 4 �3 Pi1Xpp_2011.doc revised 03/16111