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15100142CITY OF CUPERTINO BUILDING i PERMIT BUILDING ADDRESS: 21401 MILFORD DR CONTRACTOR: HIGHLIGHT SOLAR PERMIT NO: 15100142 OWNER'S NAME: PIEB WOLFGANG P AND ESPINOSA-PIEB C 3554 PARKLAND AVE DATE ISSUED: 10/19/2015 OWNER'S PHONE: 4083482490 SAN JOSE, CA 95117 PHONE NO: (408) 489-9273 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL El _ License Class C 41 Lic. # INSTALL 20 ROOFTOP 100AMP MAIN PANEL SOLAR PANELS (5.7KW); (N) Contractor. [ Date a d I hereby affirm t at 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: Sq. Ft Floor Area; Valuation: $25230 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 APN Number: 32641105.00 Occupancy Type: performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by PERMIT EXPIRES IF WORK IS NOT STARTED Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that I have read this application and state that the above information is 180 DAYS ST CALLED INSPECTION. 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 Issued by: Date: ( (° 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 pe Additionally, the applicant understands and will comply with all non -point sourc' gulations per the Cupertino Municipal Code, Section 9.18. All roofs shall be i RE -ROOFS:. Wected prior to any roofing material being installed. If a roof is Signature Date) tR1 installed without fist obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: i Date: I ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: j HAZARDOUS MATERIALS DISCLOSURE 1. I, as owner of thero e p p rty, 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 have read the hazardous materials requirements under Chapter 6.95 of the 2. I, as owner of the property, am exclusively contracting with licensed contractors to California Health Safety Code, Sections 25505, 25533, and 25534. I will maintain construct the project (Sec.7044, Business & Professions Code). compliance with t e Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally, should I use equipment or devices which emit hazardous air i. I have and will maintain a Certificate of Consent to self -insure for Worker's contaminants as Jefined by the Bay Area Air Quality Management District I will Compensation, as provided for by Section 3700 of the Labor Code, for the maintain compliance Health & Sa ty ,ode, with the Cupertino Municipal Code, Chapter 9,12 and the Sections 25505, 25533, and 25534. 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 Owner authorijed agent: j , Date: 10Z/ / xo i ` permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shalli CONSTRUCTION LENDING AGENCY not employ any person in any manner so as to become subject to the Worker's hereby affirm tha there is a construction lending agency for the performance of work's Compensation laws of California. If, after making this certificate of exemption, I for which this perm it is issued (Sec. 3097, Civ C.) become subject to the Worker's Compensation provisions of the Labor Code, I Lender's Name must forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Address) I APPLICANT CERTIFICATION i ARCHITECT'S DECLARATION I certify that I have read this application and state that the above information is ' I understand my plans shall be used as public records. 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 Licensed Professional 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. Signature Date ALTERNATIVE ENERGY PERMIT'APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinana.cupeitino.ong PT14pp 201 Ldoc revised 03116111 O 12 PROJECT ADDRESSM � � OWI tRNAME Ck vi l PHO E � EI (� C.�-mac e STREET ADDRESS / CITY, STATE, ZIP FAX CONTACT NAME �yq¢ ) \4 PHONE i /y E -MP IL )AL g STREET ADDRESS l CITY, STATE. ZIP t� _4.w 11 c.T m L FAX ❑ OWN'ER ❑ ow-NER-BUILDER ❑ OWN'ERAGEW. ..CONTRACTOR ❑ CONTRACTOR AGENTI 1 ❑ ARC=CT ❑ ENG -]NEER ❑ DEv-LOPER ❑TENANT CONTRACTOR NAME f ; LICENSE NU7 4HER� LICENSE TYPE BUS. LIC COMPANY NAME Qt �!n ALL 11 is '� 1. � s� Cca�e FAX STREET ADDRESS ( Cg;:STATE, ZIPI ICA t i PH 4,BONE f j 81— �i ARCMTECT/ENGII�'EER NAME LICENSE NUMBER ( BUS. LIC 1 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family PROJECT IN WILDL.AND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ I Yes ❑ No FLOOD ZONE ❑ Yes ❑ NO SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: � � KILOWATTS (C91t4Iull= IA--afgi I : � d � TOTAL VALUATION: A �I DESCRIPTION? OF WORK �* ewQ • . ` � T � w HE StECEIVE � 2 NO _ By my signature below, I certify to each of the following: I athe property owner or authorized agent m to act on the property ov, ' e al£ I have read this application and the information I have provide is correct. ' I have read the Description of Work and Cupertino Ilto r,erify it is accurate. I agree to comply with all applicable local for inspection ordinances and state laws relating to build' true authorize representatives of enter the above -identified property purposes. S ignature of Applicant/Agent: ` Date: L �� SUPP MENTAL INFORMATION REQUIREDSO � � e - O THP cOIiI�TER - 160 PT14pp 201 Ldoc revised 03116111 O 12 CITY OF CUPERTIT FEE ESTIMATOR - BUILDIN ADDRESS: 21401 Milford Dr DATE: 101 APN: 326-41-105 ---FB-P#- *PERMIT TYPE: Building Permit PLAN CHECK TY] PRIMARY ITSF- SFD or Duplex WORK I Install SCOPE 1 5.7K1M: (N) 100an1D mai Phzffib� Plan Cllecic ()Lber 1k ­,,h_ I j Oiher Plunib lrls'a Alerh. hut". Fee: Plumb- hna l'-ee: NOTE. This estimate does not include fees due to other Departments (i.e. Plamul M.Wrirt- otr-)- Thovo foov ara havod Yin fha nraHmi""Yy i"fArm/ im" "u"MAI, ""d .0 _3'r DIVISION 912015 REVIEWED BY: Phuong *VALUATION: 1$25,230 E: Alteration / Repair PENTAMATION SOLAR -RES PERMIT TYPE: Elec. Plan Check 0.0 hrs $0.00 Elec. Permit Fee: ]EPERMIT Other Elec. Insp. F-001 hrs $48.00 /'__1 I Insp. Vee: Public Works, Fire, Sanitary Sewer District, School FEE ITEMS (Fee Resolution] 1-053 Eff. 7/1/13 FEE QTY/FEET� MISC ITEMS Plan Check Fee: $0.00 F -T-14 $236.00 Alternative Energy System 1 1 PHO To VZ�'Vl Photovoltaic System Suppl. PC Fee: 0 Reg. 0 OT 10.01 hrs $0.00 PME Plan Check: $0.00- = amps $48.00 Electrical IBELEC200 Services Permit Fee: $0.00_ Suppl. Insp. Fee -(j) Reg. 0 OT"00 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Consirvelion Tax: Administrative Fee: 1ADMIN $45.00 G Work Without Permit? Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $3.28 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 TOT�"�' SUB, $146.28 84.90 TOTAL FEE: $430.28 Revised: 10/01/2015 • Owner Name vVCJ C Address �– WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE' COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 Ap - ) (408) 777-3228 ;�(408) 777-3333 - building(a.cupertino.or ✓` , 60A I Lill' 4A 0 . t-- 1. Is your real property a registered historical site? ❑ )1es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 2 No Go to Question 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? ❑Yee Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. L�1'No Go to Question 4. 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. e 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.. Plea ck 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 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 followine naee. Owner or Owner Agent's Signature: __ , � Date: J0/z//A— I Upon completine and sienine this Certificate. please it to the Ruildina l7ivisinn in nrrler to final Vmir }vn;1r1;n r,or..,;r SB407 2015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 1. If the existing plumbing fixture water usageltlow rate is equal to or lower man me ngure snuwu, a is ,AUL , �,yuL, �,u uF61 SB407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa a/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rate 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. If the existing plumbing fixture water usageltlow rate is equal to or lower man me ngure snuwu, a is ,AUL , �,yuL, �,u uF61 SB407 2015.doc revised 08/26/15 CUPERTINO Address y PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE F' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(d)cupertino.or4 L? SSIJ�I Permit No. U t # of Alarms Smoke: 7" Carbon Monoxide: / PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 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 and 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 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. 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: -- - -- , . Date:f Contractor Name: Signature................................................................... Lic.it...................................... 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