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09070113 - PUBFile Edit Actions Details Links Favorites Help � la m C�p RR, Ila 0 rl Permit Information Permit Number x j 09070113 Status ' C - Closed v . Master Number [C Notes 1 Project Apply Date' 07/13/2009 Operator SylviaM Permit Issue Date _ 07/22/2009 Operator patg , Certificate Issued 08/10/2009 Operator CALM Certificate Type Certificate Number Location Information Address " 10394 BRET AVE City/State/Zip',CUPERTINO CA 95014 APN 37510031.00 --� Unit Oaarier Entity Information Owner Name" BOB HOOSE — Use Default El Address Home -10394 BRET AVE y City/State/Zip CUPERTINO `CA 95014 rPermit Property Zoning �' Applicant ii Contractor' !' Defined Fields Permit Details — Permit Type " SOLAR-RES RESIDENTIAL SOLAR PANEL {Jsage Class"_-- iNON APPLICABLE Applied Value " 17000 SQUARE FT. Calculated Value 0 (al US C-404 Type 434 ALT: RESIDENTIAL Permit Form AUTOPERM- PERMIT Ownership 1 - Private,] Project Size JEXPRESS -EXPRESS y1 Enter the purpose or any special conditions for this permit Purpose/Special Conditions ROOF MOUNT PHOTOVOLTAIC SYSTEM ' FILMED- 2011I [GoAdd Default T v 3 :OK::-- Back .r Contractors IFN Fees � Plan Revie� Inspections Print Permit Adjustment: f^yr Holds C Copy Permi 10 Close Perm Overrides Suppiemen Notes tl Attachment CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10394 BRET AVE CONTRACTOR: RENEWABLE POWER PERMIT NO: 090701 13 SOLUTIONS INC. OWNER'S NAME: BOB HOOSE 2029 O'TOOLE AVE DATE ISSUED: 0722/2009 OWNER'S PHONE: 4082505811 SAN JOSE, CA 95131 PHONE NO: (408) 998-7400 CONTRACTOR'S DECLARATION ELECT PLUMB /LICENSED BUILDING PERMIT INFO: BLDG License Class Lic.ff 4 r ContractoroweWJ 6i! 02VA162 Date 7,lA%105' MECH RESIDENTIAL COMMERCIAL 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:ROOF MOUNT PHOTOVOLTAIC SYSTEM (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 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: $17000 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: 37510031.00 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless t City of Cupertino against liabilities, judgments, costs, and expenses which m y ru gainst said City in consequence of the granting of this permit. Add , the applicant understands and will comply Issued b Date: with all non -point source r s per the Cupertino Municipal Code, Section -9.18. F �j "Nvature Date Z` RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. if a roof is ❑ OWNER -BUILDER DECLARATION installed without first obtaining an inspection, I agree to remove all new materials for inspection. 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: Signature of Applicant: Date: 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) ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). HAZARDOUS MATERIALS DISCLOSURE 1 hereby affirm under penalty of perjury one of the following three I have read the hazardous materials requirements under Chapter 6.95 of the declarations: California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain I have and will maintain a Certificate of Consent to self -insure for Worker's compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Compensation, as provided for by Section 3700 of the Labor Code, for the Safety Code, Section 25532(a) should 1 store or handle hazardous material. performance of the work for which this permit is issued. Additionally, should I use equipment or devices which emit hazardous air 1 have and will maintain Worker's Compensation Insurance, as provided for by contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Section 3700 of the Labor Code, for the performance of the work for which this Health & SAtycections 25505, 25533, and 25534. permit is issued. I certify that in the performance of the work for which this permit is issue II Owner or aent: not employ any person in any manner so as to become subject to the Wor 'er's Date Compensation laws of California. If, after making this certificate of exem on, 1 become subject to the Worker's Compensation provisions of the Labor Code, st CONSTRUCTION LENDING AGENCY forthwith comply with such provisions or this permit shall be deemed revoked. 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.) APPLICANT CERTIFICATION Lender's Name 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 Lender's Address 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 CUPEkTINO CITY OF CUPERTINO SOLAR PANEL PERMIT APPLICATION FORM ()q6-70)13 APN # 375 () ()31-6b Date: Building Address: Owner's Name: Pho e #: ,jontractor: C �isl� Phone #: d9ffl-,79-% k9 Contractor License #: kf /T" A P �,�o� /DNJ Fax #: 8C O 49B©S Contact: Phone #: Cupertino Business License #: ,U Fax #: Number of Pane s/Units: Kilowatts (Commercial Only): J2 Job Description: Project Size: Exfress 0 Standard ❑ Large Major Residential Er Commercial ❑ Valuation (cost of project): Green Points: 1.2 KW — 6 Points ❑ 2.4 KW — 12 Points ❑ 3.6 KW — 18 Points ❑ Quantity Fee ID Fee Description Fee Group Permit Type 1 SOLARPANL Commercial Solar Panel E SOLAR-COMM 1PHOTOVCOM Photovoltaic System Commercial/Multi-family E 1BSEISMICO Seismic Commercial E 1 ELCPLNCK Plan Check Fee E / S Jrn.Z (Z� 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES COMM & RESID 1 SOLARRES Residential Solar Panel E SOLAR-RES Revised 07/06/09 aut,. CITY OF CUPEkTINO CITY OF CUPERTINO SOLAR PANEL PERMIT APPLICATION FORM Quantity • Fee ID Fee Description Fee Group' Permit Type 1 PHOTOVRES Photovoltaic System Residential E 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B CITY OF CUPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: o �� e. PERMIT # ��6lt� OWNER'S NAME: PHONE # 2—_S�/ GENERAL CONTRACTOR E €w —<o . FAX # I am not using any subcontractors: 7 D a e Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ontractor Signature 6ate