B-2016-1865CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-1865
22408 BALUSTROL CT CUPERTINO, CA 95014-3948 (356 03 019)
PERRYBUILT
CONSTRUCTION INC
SOQUEL, CA 95073
OWNER'S NAME: KINNEY EDWARD E IR AND KAY B TRUSTEE
DATE ISSUED: 05/02/2016
OWNER'S PHONE: 408-252-1956
PHONE NO: (831) 359-6891
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class SOLAR Lic. #988549
Contractor PERRYBUILT CONSTRUCTION INC Date 11/30/2017
X BLDG _ELECT _PLUMB
—
MECH XX 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 13 ROOF TOP, FLUSH MOUNTED PV MODULES (4.251 kW)
I hereby affirm under penalty of perjury one of the following two declarations:
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
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
Sq. Ft Floor Area:
Valuation: $15000.00
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 ordinances
APN Number:
Occupancy Type:
and state laws relating to building construction, and hereby authorize
356 03 019
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 expenses which
PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally, the applicant understands and will comply with all non-point
source regulations pe ertino Municipal Code, Section 9.18.
180 DAYS FROM LAS PECTION.
Signatu Date 05/02/2016
Date: 05/02/2016
OWNER-BUILDER DECLARATIO
I hereby affirm that I ant exempt from the Contractor's License Law for one of the
RE-ROOFS:
following two reasons:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
t. I, as owner of the property, or my employees with wages as their sole
installed without first obtaining an inspection, I agree to remove all new materials for
compensation, will do the work, and the structure is not intended or offered for
inspection.
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 05/02/2016
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
performance of the work for which this permit is issued.
HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code, for the performance of the work for which this
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
permit is issued.
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued, I
Health & Safety Code, Section 25532(a) should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If, after making this certificate of
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, Se and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
7Z21533,
be deemed revoked.
Owner or authorized agent: 7-7
APPLICANT CERTIFICATION
Date: 05/02/2016
I certify that I have read this application and state that the above information is
CONSTRi
correct. I agree to comply with all city and county ordinances and state laws
I hereby affirm that there is a construction lending agency or the performance
relating to building construction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
Lender's Address
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9.18.
1 understand my plans shall be used as public records.
Licensed
Signature Date 05/02/2016
Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
12 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPF_RTINO, CA 95014-3255
CUPERTINO (408) 777-3228 • FAX (408) 777-3333 , buildingCaD-cupertino.org
13-Z_ot6-11965
PROJECT ADDRES
n '
APN
o I
✓ E7
OWNER NAME
PHONE
E-MAIL
STREET ADDRESS
1W_
z � L -� S. _
CITY, STATE, ZIP
, c
FAX
FAX
C CT' NAME ^
�/ 3
I
DRESS
f O7VL ►
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENTCONTRACTOR
❑ CONTRACTOR AGENT ❑ 'ARCHITECT ❑ ENGINEER ❑ DEVELOPER ElTENANT
ONTRACTOR NAME✓C
LICENSE NUMBER
LICENS$,I'YPE�
BUS. LIC # / J32-
`
C✓
E- L
es` b
c
FAX
t
� t
Q
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ❑ SFD or Duplex ❑ Multi -Family
PROJECT IN WILDLAND
PROJECT IN
STRUCTURE: ❑ COmrrierCial
URBAN INTERFACE AREA ❑ Yes ❑ NO
FLOOD ZON1-. ❑ Yes ❑ NO
SOLAR PANELS
❑ ELECTRIC VEHICLE CHARGING
STATION
E SOLAR WATER HEATING
THER: _ _ _ _
❑ OTHER:.----
FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: 1
FOR
KILOWATTS (COMMERCIAL ONLY): Y.
TOTAL VALUATION: OO
DF,SCRIPI'ION OF WORK
_ VED BY•
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the pro r s behalf. I have read this
application and the information I have provided is co
ve read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws rel construe 'on. I au ze representatives of Cupertino to enter the above-ide 'fled p for inspection purposes.
Signature of Applicant/Agent:_
7��
/perty
___ _Date: �� G
SUPPLEMENTAL INFO RMAT REQUIRED
OFFICE USE ONLY
❑ OVER-THE-COUNTER
C6
E'
:C
❑ EXPRESS
U
w
❑ STANDARD
U
Z
❑ LARGE
a
❑ MAJOR
P VApp_201 1. doc revised 03116/11
:JD "-1
Central Inverter -Ungrounded
(Transformerless Inverter)
OM Meter & Main Panel (`� I Interior
SP Subpanel AC AC Disc.
EV Electric Vehicle Service Equipment
Inv
0 Inverter / DC Disc / Secure Power / Monitor
ROOF MOUNT STATEMENT OF WORK
Install standoffs and rails on roof.
Mount inverter.
Run counduit from array to inverter.
Install solar modules.
Run DC conductors and equipment ground.
Route AC wire from inverter to the POC.
System Size
4.251
1 kW stc
AHJ
Cupertino City
SHEET INDEX
A-1: COVER & SITE PLAN
F-1: FIRE SETBACKS & MODULE LAYOUT
L- 1: LABELS & CALCULATIONS
E-1: ELECTRICAL SINGLE LINE
M-1: STRUCTURAL DETAILS
P-1: SOLAR PANEL SPEC SHEETS
I-1: INVERTER SPEC SHEETS
CURRENT CODES
2013 California Electric Code (CEC)
2013 California Residential Code (CRC)
2013 California Fire Code
CSMMUNTY D%ECOPMREfIv'T JURISDICTION
NOTES
BUILDING DIVISION - CUPERTINO
APPROVED
This Got of pians and specifications MUST be kept at the
job sit, -3 during construction. It is unlawful to make any
c o$ eggs or alterations on same, or to deviate
VW rc l:r'om, Without approval from the Building Official.
The . -tamping of this plan and specifications SHALL NOT
L�^ h� - ri to permit or to b_,am approval of the violation
of ' ,1 I Y I tW riarm or State Law.
�� 4 t7; i.[+n
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
8
Ln N Ln U
C ,1 Q1
U xa1�
is
J mU O
a
�C_=
CO
•�
W i
�--
. tilt z
uJ
Co
Vi
L
O
.�
U
V
M! z
a°
u
L
0�
U�L�.on�
Myo
oQ,-Io
_
_�7ULNnxo
0NLr)
m 1� 00
i 00 O Z
Q
N
N U
4 L."4 r,-,:
,
CUSTOMER SYSTEM SUMMARY
MODULES I Sunpower SPR -E20-327 I QTY 13
Balustrol Court
PLANNING DEPT
CUPERTINO
B Perspective View
A-1
C Electrical E ui ment
A-1 Scale: 1/2" : 1 `
D South Elevation
A-1 Scale: 1/16" : 1'
Installation by PerryBuilt Construction, Inc. , a California THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION 61.4"
Licensed Contractor, License Number 988549: B, C-46 CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
This design follows the guidelines set forth in the PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED, iv
Expedited Permit Process for PV Systems . REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
P Y ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN
for more information see www.solarabcs.org AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbs. per module
C
0 0
U
U
LnC)0
Ln N Ln U
C ,1 Q1
U xa1�
is
J mU O
a
�C_=
CO
•�
W i
�--
. tilt z
uJ
Co
Vi
L
O
.�
U
V
M! z
a°
u
L
0�
U�L�.on�
Myo
oQ,-Io
_
_�7ULNnxo
0NLr)
m 1� 00
i 00 O Z
Q
N
N U
O
Of
,
o
L0
ro
a
r
U
o.
>Lu
ovt
a
a F
z
�
e
�
N
N
�
6
6
Template R7.0 I I x_32015
Drawing No.
DO 162
Sheet No.
A-1
n I.......4__ _t A -_:—. 1 O
3' Edge
Setback
Standoffs and Rails
F-1 Scale: 3/16" : 1'
3' Ridqe Setback
Chimney
Ridge
Module Layout
F-1 Scale: 3/16" : 1'
Roof Slope
4:12
Layouts on this page are shown Junction Box (Located under Array) THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION1.
f 61.4"
; JB CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
,'
using parallel projection normal to Transition from PV Wire to THWN-2 PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
the roof surface on which the REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
array will be mounted This solar array layout conforms to the 2013 California Fire Code. ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN a
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
Kickers Support Midspan
Load Bearing Wall
Roof Type: Composition Shingle
Rafter Size: 2 x 4
Rafter Spacing: 24" OC
Wood: Doug Fir #2
Maximum Allowable Span: 8'
Maximum Actual Span: 8'
+rMf
�`y P/AI0
REc: •� '� ' � rig
Jr"
Re
rpL.lq�C
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbs. per module
C E
0 0
Z (J
U M C
J, Lr) cD .O
O
cn N D) U
U oa n
J
J G° U o
O
cc a o
W
W �
O
a
th�m
U
M
,
V/
U
W
l a
'�
•—
LL
r
` �
z
0
U
L
--1
U�Liroia
(Mrn ,
o Q,� cn
_ U
0
Lq
o N Ln
■ — mi:+
OD
oe'-oz
Q
N U
N
o
Lno
0
O
L)
°
U')
25
L °
a
w
LG..
a
I
(T
.F
E
�
r
J
Q
of
0
r
O
15_"i
Z
N
N
N
G
R
TmplmC R'.0 11123'2015
Drawing No.
DO 162
Sheet No.
F-1
er SUNNY BOY 38DOTL Te.
String Sizer Results
Number of Modules I 13 Phase L1 - L2 • I ±
1x3+2.x5
1x5+1x8
1x.5+2x4.
1x7+1x6
1xi+2x3
1X,8+1X5
2 x 3 + 1 x 7
2x4+1x5
2x5+1x3.
LABELS FOR CENTRAL INVERTERS (UNGROUNDED)
VVP%FN,1 l'11 V'—LJUiLrvvv=m7Vum%..0 Q
SECOND SOURCE IS PV SYSTEM Label Main Service: CEC 705.12(D) & CRC 331.2.2
Inverter Information V
�•9aitinium, Continuous AC Power 3,840 W
Recommended Maxiniuni DC Power zi,370 W
Total nuiiiber of`i»odules
System Power DC (STC)
Sizing Factor
Sunpower
13
4,251 W
N 9710
SPR -E20-327
MPPT 1
MPPT 2
Pluniber of. StrinUs:
1
1
Number of Modules
6
7
ImP STC:)
5.98 A
5:98 A
I"(STC)
6.46 A
6.46 A
IStringFuse_
10.08- A
lb,08-A
v«(.0.0°C}
415.89 V
485.21 V
vniP(32,Oo-G)
283.7 V
330.98 V
THIS SYSTEM UTILIZES A TRANSFORMERLESS
UNGROUNDED INVERTER
MARKING NOTES PER 2013 CALIFORNIA FIRE CODE
Marking is required on interior and exterior direct-current (DC) conduit, enclosures, raceways,
cable assemblies, junction boxes, combiner boxes and disconnects.
The materials used for marking shall be reflective, weather resistant and suitable for the
environment. Marking as required in 2013 CFC Sections 605.11.1.2 through 605.11.1.4 shall
have all letters capitalized with a minimum height of 3/8" white on red background.
The marking shall contain the words "WARNING: PHOTOVOLTAIC POWER SOURCE"
The marking shall be placed adjacent to the main service disconnect in a location clearly
visible from the location where the disconnect is operated.
Marking shall be placed on interior and exterior DC conduit, raceways, enclosures and cable
assemblies every 10 ft, within 1 foot of turns or bends and within 1 foot above and below
penetrations of roof/ceiling assemblies, walls or barriers.
AAA 8 0
O -
(N) Inverter
UO Fo�
fa —
J (N) Monitoring
QLabel AC Disconnects: CEC 690.14(C)(2)
0 3
Label AC Disconnect or Point of Interconnection if
breaker is used as AC Disconnect: CEC 690.53
QLabel on Point of Interconnection breaker if OCPDs
exceed 100% of bus rating: CEC 705.12(D)(7)
QLabel DC Disco -C 690.17Building DApartrnenl
awyo
REVIEWED FOR CODE COMPLIANCE
Reviewed gy�
QLabel DC Disconnect or Inverter if DC Disconnect is
inverter integrated: CEC 690.53
Me
CRC 331.2.4 and 2013 CFC 605.11.1.4
A Label DC Disconnects: CEC 690.14(C)(2)
{n DC Inv
C
NFAVA
TA7"A
101
0 8
Label DC Disconnects, Junction Boxes and devices
in Ungrounded Systems: CEC 690.35(F)
THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION 61.4"
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED, iv
(E) Meter & Main Panel REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR r
ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 Ibs. per module
CE
0 0
U ro C
n
Ln p ,0
Ul N Lr) U
C—i0 Q�
Ln
~coU o
_JN
V
rD C) 7
m
°
a �
O
LV
Z
,,�'
Z
C
U
U�L�r)�
(1)2Q�o
i �U
LNn�p
p N Lr)
•_ fu C .-. M
co Z;
Y. cc) C)
N �vQ
N U
o
�
Ao
z
Y o
w
o
x
a
a
A�
i
0
N
N
O
� �
N
c
c
Template R7.0 [P'21 '21 015
Drawing No.
DO 162
Sheet No.
L-1
O
MODULE MODEL
EQUIPMENT SCHEDULE
MAX POWER -POINT CURRENT (IMP)
5.98 A
Q
CONDUIT AND CONDUCTOR
DESCRIPTION OR CONDUCTOR TYPE
COND.
GAUGE
SCHEDULE
NO. OF
CONDUCTORS
CONDUIT
TYPE
CONDUIT
SIZE
TACE
DESCRIPYION
PART NUMBER
NOTES
TAG
1
SOLAR PV MODULE
Sunpower SPR -E20-327
Positive Ground not Required, 20 A Fuse
1
PV Wire
#10 AWG
4 Black
N/A
N/A
2
JUNCTION BOX
Taymac SB575S
2 Gang Box, Wet Location, UL Listed 64NW
BARE CU Eq. Ground Cond. (EGC)
#10 AWG
1 Bare CU
N/A
N/A
3
COMBINER
with inverter
integral with inverter, strings combined at inverter
2
THWN-2
#10 AWG
5
EMT
3/4"
4
DC DISCONNECT
with inverter
Standard with inverter, Complies with NEC standards
3
DC Grounding Electrode Conductor
#8 AWG
1 Bare CU
N/A
N/A
5
DC/AC INVERTER
SB 380OTL-US-22
Transformerless, Dual MPPT, AFCI, 20 A
4
THWN-2
#10 AWG
3
EMT
3/4"
6
SERVICE PANEL
Square D
(E) 200 A Panel, 200 A Main Disconnect
Insulated EGC
#10 AWG
1 Green
O
PV MODULE RATING @ STC
MODULE MODEL
Sunpower SPR -E20-327
MAX POWER -POINT CURRENT (IMP)
5.98 A
MAX POWER -POINT VOLTAGE (VMP)
54.7 V
OPEN -CIRCUIT VOLTAGE (VOC)
64.9 V
SHORT-CIRCUIT CURRENT (ISC)
6.46 A
PTC RATING
.301 kW
VOC TEMP COEFF
mV/ K
- 176.6
Basic NEM SLD? YES PV1 = 20 A
Main Breaker = 200 A PV2 = 20 A
INVERTER RATINGS
MODEL SB 380OTL-US-22
CEC RATING 3.67 kW
NOMINAL AC VOLTAGE 240 V
MAX AC CURRENT 16 A
MAX OCPD RATING 20 A
Tn\/prt"pr
All conductors are copper.
The back -fed breaker for the PV system shall be located
at the opposite end of the bussbar from the Main OPCD
REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
Module frames shall be grounded at the
per NEC 705.12(D)(7).
UL -listed location provided by the
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
manufacturer using UL listed hardware.
The DC grounding electrode conductor shall be sized
according to NEC 250.166(B) & 690.47.
Module frames, rail, and posts shall be
bonded with equipment ground
All wires shall be provided with strain relief at all entry
conductors and grounded at main panel.
into boxes as required by UL listing.
THIS DRAWING AND ANY DATA DESCRIPTION AND OTHER INFORMATION
1 61 4"
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
iv
REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
SPR -E20-327
ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN
a
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
43 lbsper module
Standard module outpL4 wi
shall be extended when nece sary
with additional lengths of #10
AWG PV wire which has an MC
connector crimped on to one end.
All crimping of MC connectors is
performed with a certified MC
connector crimping tool.
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbsper module
E
0 o
U
U
LnC:),0
cern ::]
F_j ED o
N U
U
m a B
.r
0
U)
EW
w
U
a °J
CL
LILIF
.j
®��_
G
IL
'
7
0
U
i
7 , 1
Qi
U Ln Ln o
>% rn rn
o Q m
U L0 I'D
p N Lr)
OD ..
i 0 0 0 Z
O a� d
Q
NU
N
O
K
n
„
o
O
<
z
�c
z
E5 r
o
� N
N
� �
a
ti
^
IN
Tcmplaic RZ� IV's^_OIi
Drawing No.
DO 162
Sheet No.
E-1
Sunpower InvisiMount Residential Mount System
Certifications and Listings
The Sun Power InvisiMount Residential Mounting System is UL 2703 Listed. The Listing includes the following
components, which have been evaluated for both mounting and bonding in accordance with UL 2703:
Sun Power InvisiMount-compatible 96 and 72 cell modules
SPR-XYY-### and SPR-EYY-###
mid clamp, rail, rail splice, splice screw, ground lug assembly, L -foot
Fire Classification
This assembly is to be mounted over a fire -rated roof covering rated for the application.
The system achieves a Class A fire rating when installed with the modules < 3" above the roof surface.
The system was evaluated for use on roofs having a pitch > 1/2"/foot (equal to or greater than 1/2:12)
Mid Clamp End Clamp fail & Bail Splice
Ground Lug Assembly
Sunpower InvisiMount Racking System
End Cap
SunModo flashing
Lags into rafter
(22.6 Degrees)
Structural Review of PV Array Mounting System
Is the array to be mounted on a defined, permitted roof structure?
Yes
Is the roof type lightweight?
Component
Material
'Weight
Mid Clamp
Black oxide stainless steel AISI 304
63 g (2.2 oz)
End Clamp
Black anodized aluminum alloy 6663-T6
110 g (3.88 oz)
Pail
Black anodized aluminum alloy 600S -TG
830 g1m (0 oz/ft)
Pail Splice
Alumi.nurn alloy 600.5-T5
830 g/m (3 oJ�}
Ground Lug
Assembly
304 stainless
(/&.2-70 bolt; tin-plated copper lug)
106.Sm (3'75 °�)
End Cap
f3l ick acetal (POM) copolymer
10.4 g {0.37 oz)
Mid Clamp End Clamp fail & Bail Splice
Ground Lug Assembly
Sunpower InvisiMount Racking System
End Cap
SunModo flashing
Lags into rafter
(22.6 Degrees)
Structural Review of PV Array Mounting System
Is the array to be mounted on a defined, permitted roof structure?
Yes
Is the roof type lightweight?
Yes
Does the roof have a single roof covering?
Yes
Standoff and attachment manufactuer
Sunmodo
Standoff and attachment Name and Model #
Barrel Mount Footing
Provide method and type of weatherproofing roof penetrations
Flashing and caulking
Rail Mounting System Manufacturer
Sunpower
Product Name and Model #
Invis'
Is the mounting strure an engineed product design to mount PV
modules with no more than an 18" gap beneath the module frames?SSb
cc Cr j
Maximum spacing between attachment points of a rail
(based on product manual and maximum wind speed of 90 mph).
7 Chis
� •was';
Array Loading Calculations
a. Total Number of Modules (Qty)
13 O
b. Total Weight of PV Modules and Rails (module weight x a)
559 lbs D
c. Total Number of Attachment Points (Qty)
18
d. Weight per Attachment Point (b / c)
31 lbs
e. Total Surface Area of PV Modules (module area x a)
228 sq, ft
f. Distributed Weight of PV Module on Roof (b / e)
2.44 psf
THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION 61.4"
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR Ny
ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN a L
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
7
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbs. per module
_U
vE "� c
Y
Ln
C) N Ln O
V
Co ,--1 C"Cn l
Uxo<�
� m o
S�
v
'a
cc Cr j
O
ce
J
ii a.
Oa
_J
Q
Lo
F
�
6)
z
V
v
U�Lk.0nG1
a'
W L <
_ :3 LNn %,o
5 p N Ln
00
ooBoz
CL
�
N = v<
N U
O
A..
2 r
a
=
d
N
z
° o
°
a
�
y
<
O
N
N
�
�
N
d P,
N
co
Templaw R7.0 11123,201.5
Drawing No.
D0162
Sheet No.
M-1
PUT MODULE SERIAL NUMBER STICKERS ON THIS PAGE
T aUd ply
� g QeRal�ent
REVIE�E� F ®`',0c,
Reviewed By. E COMPLl gfyCE
�—�-1
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbs. per module
c
0 0
f Y"7
C
i6
U1 N Lo V
C - u �
�mU o
Z
Z)0 �=
m a
0
L
a
co
®'
_°
�
I V
i i�
i Z
O
U
0 , I
U
�+ uoiLno
,
ornrn
L aI m
_ U Ln �
p,ul
C —m
mi, CO ..
i 0 oz
CSQd a
D vQ
N
N U
it
p
's
�
�
o
r
�
Z
Y
Ll
LA
–
citi
n
Z
c
.2
0
�I
Q
Q
1
N
m
T—pl— R7.0 I I %'31015
Drawing No.
DO 162
Sheet No.
B-1
20.4% -efficiency
Ideal for -roofs wherespace is at a'premium
orwhere future expansion might be
needed
• H ibF performance
Dellvers excellent, performarice in real world
conditions such as high temperatures,
clouds -and ,low fight' = 3
• Proven value,
Designed -for residentidl rooftops,. E -Series
ponels.deliverlhe.featutes, valueand
performance for gny:home.
Marmon® Solar Cells: Fundamentally beft'r
Engineered for performance, designed for durobiltF�
Engineered for p'eace:of mind
Designed to deliver consistent, Irouble-free
energy over a.very long lifetinie,•11
Designed 'fior durability.
The SunPower Maxeon Solar Cell is the
only cell built on a'solid copper foundation.
Vlrtually.impervious to the corrosion and
cracking that degrade Conventional
Panels.",'
N Rcnked in Fraunhofer durability test,"
100% power maintained in Atlas 25'
comprehensive'PVDI Durability lest."
E'C - 227 -ANEL
HIGH EFFICIENCY"
Generate more energy per square. foot
E -Series residential panels convert more sunlight to electricity producing
36% more power per panel,' and 60% more energy per square Foot
over 25 yea rs.3 c
HIGH ENERGY PRODUCTION`
Produce more energy per rated'watt
High year one performance delivers 79% more energy per rated waf1.3
This advantage Increases over time, producing .200% more energy over
the first 25 years to meet your needs."
m
rn
0
c
a
�a
ED
LU
m
r
120°i.
110%
100%
90%
80%
70%
6099
50%
Years
Maintains High
Power al High Temp;
No LirghOndmed
Degrodaiion
1-1i9h Average watts
J Better Low -Light and
Spectral Response
High•Perforrnonre
Anti-RJecSve Gloss
35`:4 more,
Year 25
�i sat•r F<<,
=z
rtroron
SUNPOWER OFFERS THE BEST COMBINED POWER AND PRODUCT WARRANTY j
POWER WARRANTY PRODUCT WARRANTY
iradlSortaf ;
Vitpreoeulr �__ -
d 5 10 75 20 25
Ywo.
More guaranteed power: 95% for first 5 years,
-0.4%/yr. to year 25.8
?' ELECTRICAL DATA
1 Max. System Voltage
E20-327
El 9-320
j Nominol PoPo�w'er12 (Pnam)
Power Tolerance_
327 W
+5/-0"/0
320
`+5/-010 -
_
Avg, Panel Efficiency13 _--
20.4'/0
19.8% j
1_Rated Volta _ _
- --ae NmPpl
I Rated Current (Impp)
54.7 V
5.98 A
54.7 V
_
5.86_A
Open -Circuit voltage (Voc)
Short•Circuit Current (Isc)
64.9 V
6.46.A
64.8 V --
6.24 A i
1 Max. System Voltage
600 V UL & 1000 V IEC.
I Maximum Series Fuse
15 A
Power Temp CoeE
-0.38%/ °C �-i
I -Voltage Temp CoeE
-176.6 mV/ °C
t .Current -Tamp Coef.
3.5 mA % °C
REFERENCES:
1 All conpar't•.om are SFR -E20-327 vs, a representative conventional poneL- 250W,
approx. 1.6 m? 15.3% efficiency.
2 PVEvolulion Lobs "SunPower Shading Sludy," Feb 2013.
3 Typically 7-9% more energy per watt, BEW/DNV Engineering "SunPower Yield
Report"Jan 2013.
4 SunPower .0.25%/yr degradation vs. 1.09./yr cony. ponel. Compeou, Z el ol.
"SunPower Module Degradation Rale;" SunPower, while paper, Feb 2013; Jordon,
Dirk "SunPowerTw Repod" NREI, Oct 2012.
5 "SunPower Module 40-Y6ar Uwful Life" SunPowir while paper, Feb 2013. Useful
life is 99 out of 100 panels operating at more than 70% of.roled power.
6, Second highed, after SunPower XSeriss, of over 3,200 silicon solar panels,
Photon Module Survey, Feb 2014
7 8% more energy than the average of the tap 10 panel companies tested in 2012_
(151 panels, 102 companies), Photon Inlemationcd, Feb 2013:
8 Compared with the top 15 manufacturer. SunPower Warranty Review, Feb
2013.
9 Some exclusions apply. See warranty for details.
10 5 of top 8 panel manufacturers from 2013 report were tested, 3 additibnal
silicon solar panels for he 2014. 1`0=0,C., et al. 'Froirnhofer PV Durability
Inifialive for Solar Modules: Port 2'. Photovolloics International, 77-85. 2014,
11 Compared with the non-*ewtested control panel. Ados 25+ Durability lost
report, Feb 2013.from 2013 report were tested, 3 additional silicon solar panels
for the 2014. Ferrara, C., et al. 'Fraunhofer PV Durability Initiative for Solar
Modules: Part 2'. Photovolbic* Intemotional, 77-95. 2014,
12 Standard Test Conditions 11000 W/mz irrodionce, AM 1.5, 25° C),
13 Based on average of measured power values during production
lradf4ettal '
Combined Power and Product defect 25 your coverage
that includes panel replocementcosts. 0
- OPERATING CONDITION AND MECHANICAL DATA'y -4
Temperolure - d0°F fo +1 B5°F (- d0'C to +85°C) -I
Max load Wind: 50 psf, 2d00 Pa, 2d5 kg/m- front & bock
Snow: 112 psf, 5400 Pa, 550 kg/m= kont
_
Impact resistance
_
1 inch (25mm) diameter hail at 52 mph 123 m/s). j
Appearance
Class
Solar Cells
96 Monocrysiolline Moxeon Gen it i
Tempered Glass
High transmission tempered Anti -Ref ocfive
Junction Box_
Connector
IP -65 Rated - y
MC4 Compatible Connectors
-
Frame
Class 1 black anodized (highest AAMA rating)
Weight _
_
Al @r (1'8.6 kg)
�-
�TESTS'AND CERTIFICATIONS j
Standard tests
(Type 2 Fire Rating), IEC 61215, IEC 61730 1
Quality tests
_UL1703
ISO 90014008, ISO 14_001:_2004
EHS Compliance
RoHS, OHSAS 18001:2007, lead free
Ammonia test
IEC 62716
Soft Spray test
FEC 61701 {passed maximum severity)
PID test
Avoilable listings
Potential -Induced Degradation. free: 1000V10
UL, CEC CSA, TW, JET, KEMCCi1CS� -� I
Soohtp://wn ,wnpowsr,com/fo h for mere raiare we h6mwtx n
For m c door,, we covidod dom:hoet.-.mnpovmcom/dotrhoon. Rood afayond imbilelion i tirmsomUl ro vng hi. prod,N www.sunpower.com
=ecornbor 201 ASorPowor Corporofon. Al rights raavod. SUt.POWER, Quo SU WO WER logo, MA)EON, MORE ENERGY- FOR LIFE., end SIGNAIURE are irodomakn or ro&brod
www. su npower. com rodome& pf Sxeowor C«paation. Spoci&ohms bded.d n G. data-Jww We bioctbehonso w4mut notice t)a a.e o'soaseo w a /a3t us
Sunpower SPR -E20-327 Spec Sheets
THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION
61.4"
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
N
m . m
17.6 Sq. Ft.
1046 mm
CD v
J,412 in)
T.r
Yl
Cz
J �_ O
5 0 Z) �_
O
46 mm -+*{ i`t- �-1559
� � �• C)
[1-8 in] 161.41 OCL
c
a n
D M
a
1a
M
(D 0
Soohtp://wn ,wnpowsr,com/fo h for mere raiare we h6mwtx n
For m c door,, we covidod dom:hoet.-.mnpovmcom/dotrhoon. Rood afayond imbilelion i tirmsomUl ro vng hi. prod,N www.sunpower.com
=ecornbor 201 ASorPowor Corporofon. Al rights raavod. SUt.POWER, Quo SU WO WER logo, MA)EON, MORE ENERGY- FOR LIFE., end SIGNAIURE are irodomakn or ro&brod
www. su npower. com rodome& pf Sxeowor C«paation. Spoci&ohms bded.d n G. data-Jww We bioctbehonso w4mut notice t)a a.e o'soaseo w a /a3t us
Sunpower SPR -E20-327 Spec Sheets
THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION
61.4"
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
N
REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
17.6 Sq. Ft.
ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN
a
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
U X Q
o U U.
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbs. per module
C E
0 0
(A
t M
L. Ln ^O ,O
O
O0
irA
U X Q
o U U.
Yl
Cz
J �_ O
5 0 Z) �_
O
r�0
LI-
M
a n
1a
'
C
iQ
a
F-
L)
/L/�1
■Y
i
r_
,41L
z
U)
�z
,0
IU
0�
0r.0 �
M0)
w�Ln
W L Q t m
_ �VLLnnuj
ON in
.� rp C .-. rn
Eo
coz
V, v<
5
N U
N
o
Q
�
m
0
z
(n
�,
d
d
o
LU
LL
a
c '�
(D
° w
z
C] N
o _
N
Pq
N 07
Template R7.0 111_317015
Drawing No.
D0162
Sheet No.
P-1
--
- -
Certified Innovative Powerful Flexible
• UL 1 Z4 ,and• 16996 compliant • Secure.Pdwer Supply pray des 97.2% maximum eff cibky •' Two MPP trocket6 provide.
• Inlegratitd"AFCl meets the iequire• daytime.powrsrdpring,grid'outages 'Widb input'voltage ran9e numer"ous•design optloni
menu of NEC 2011 690.11 • Shade management vAth OpfiTtac • Extended operating
Global -Peak 1APP tracking temperature range
ENGINEERED
IN GERMANY
ASSEMBLEDr5N
IN THE USA=
SUNNY BOY 3000TL-US / 38 OTL-US /
4000TL US / 5000TL-US / 6000TL US
Setting new heights in residential inverter performance
The Sunny Boy 3000TL-US/3800TL-US/4000TL-US/5000TL-US/6000TL-US represents the next step in performance for
UL certified inverters. Its transformerless design means high efficiency and reduced weight. Maximum power production
i5 derived from wide input voltage and operating temperature ranges. Multiple MPP trackers and Optirroc"A Global Peak
mitigate the effect of shade and allow For installation at challenging sites. The unique Secure Power Supply feature provides
daytime power in the event of a grid outage. High performance, flexible design and innovative features make the Sunny Boy
TL -US series the first choice among solar professionals.
Sunny Boy 380OTL-US Inverter
More effidanl
Shoda monogemenl
Easier
Brood temperature range
E I
I-
se -re Power Supply
Ficxilda co— anions
Technical'data
Input (DC)
Max. usable DC power (@ cos tp e If
Mox, DC wlloge
Rated MPPT volioge range
MPPT operoting.volloge ropge
Mim DC voltage /'siod volloge -
Max: input current / per MPP tracker
Number of MPP trackers / strings per MPP tracker
Output (AC)
AC nominal power
Max. AC oppmenl poJmr
Nom nal AC voltage /adjustable.
ACpolloge range
AC grid frequency: range
Max. output current " -
Power factor
06put plisses/ line connections
Harmonics.
Efficiency
Max. efficiency
CEC elffciency
Prolection.ddvices "
DCdisconnection device'
DC reversepoloriiy'protedion.
Gtound fauh mopiforng./-Cnid moniloriag
AC short circuit protec.lion
All -pole sensilive residual'culreni monitoring unit
Arc foul] circuit inlerruptei (AFCQ'compliont to UL 16998
Proleclion closs / overvolloge category
General data
D'imension's (W / H / D} in' mm (in)
DC D[sconned d mensions iW / H / D) In min {in)
Pocking dimensions (W / H / D) in mm (in).
D.0 Disconrletl,packing dlmensions (W / H / D) in mm, (in)
Weight / DC Disconnecl weight
Parking weight / DC Disconoed packing weighl'
Operalinfl lemperolure range
Noise urni*n (typical)
Internal consumption at night
Topology
Cooling concept
Elect ronicsprotection ruling
Features
Secure Power Supply
Display: graphic
Interfoces: RS485 %Speedymm/Webwnned,
Warranty; 16 / 15"/ 20 years
Certificates and permits (more avoilabla on request)
NOTE US inveders ship with gray lids
Type.desigpation
Sunny Boy 300016US
20YAC AC 240 V At
3200W_ .
6001Y,
175 - 480V
125 V -'500,V
125.V) 150 V.
18A/ h5A
PA
3000 W'
3000 VA
208 V / ® 240;V% e
1813 -.229 V 211 - 264 V
60 Hz /:59.3,- 40:5 Hz
ISA
L -
1/2
Sunny -Boy 3800TL--US . .
268 V At 240VAC
AC
4200 W
600 V
175 --dsov
125 V -'500 V.
125V/ 150V
24A/ 15'A
3330.W 38d0W.
3330VA, 3840:VA
268V/• 240V/•
183''- 229.V 211 -264 V
66 Hz / 59.3 - 60.5 Hz
16A
1/
96;8%0 97.0; 96.8°!, 97.2%
Sunpower
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
96R 965% 969 96:5%
REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
17.6 Sq. Ft.
e
43 lbs. per module
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
C ,-i rT j
m U
_ c;
no 0—
i
.2
.W
�
UJ
a
CL
/IV
C
490,/519/"185 (19:3./20.5/7.3)
M
°.
�= ,..
167/297/ 190 (7,4/11.7/7S) :5'
ri
417/597/266 (242/23.5/10.5) CD
370/.240/286 {14.6/9.4/ 11.0) D
24 kg (53 lb) /3S k9 (8(b)CL`
7-
r.
27 kg" {�0 16) / 3.5 kg (8 Ib)
•r
-
L
a1
0
-40°C...+60"-C (-40°F-,+140'F)'!5
OQ,1C:)
4_
C pNLo
s25dB(A) <25dB(A)
^
Q
N
U
N
Tronsformerless Transform
-
Convedion Convec�
>m
(�EMA3R NFMA'
7—
0
Y j
c
r -
Ln
o/o o/o
=:�
�i)
d
LL 17A]. UL IMUL 146S;kSLr1517, FCC Pm 15 r4k. Ad g1.Cxor!AO1?
IT..�11
F
(D
.SB
SB3000TL•US722 SB3800TWS•22
TecWrd data mmlfiwdon bock
THIS DRAWING AND ANY DATA, DESCRIPTION, AND OTHER INFORMATION
Sunpower
CONTAINED HEREIN ARE CONISIDERED AS PROPRIETARY AND THE EXCLUSIVE
PROPERTY OF PERRYBUILT CONSTURCTION AND SHALL NOT BE PUBLISHED,
�—
N�
REPRODUCED, COPIED, DISCLOSED, OR USED, IN WHOLE OR IN PART, FOR
17.6 Sq. Ft.
ANY PURPOSE WITHOUT THE EXPRESS WRITTEN PERMISSION OF AN
43 lbs. per module
AUTHORIZED REPRESENTATIVE OF PERRYBUILT. ALL RIGHTS RESERVED.
C ,-i rT j
MODULE MAKE
Sunpower
MODULE MODEL
SPR -E20-327
MODULE AREA
17.6 Sq. Ft.
WEIGHT WITH RAIL
43 lbs. per module
C rz
0 0
'Z U
U r 1
n
4JC:)
N LL0 U
C ,-i rT j
m U
_ c;
no 0—
.2
.W
�
UJ
a
CL
7-
IU
-
L
a1
0
U � in o
O� Qi 1
OQ,1C:)
_ utUN�
C pNLo
ru C .-. rv1
•moo/ ED z CO ..
i 00 O z
Q
N
U
N
0
Y j
c
Ln
W
d
i
Q9
:5
:5
F
y
r Q°
Of
}
� N
N
� �
N
� a
�
_F
F1
ILL
Template R7.0 1 1 CY2015
Drawing No.
®0162
Sheet No.
I-1
SMOKE I CARBONMONOXIDE ALARMS
OWNERCE"FICATE OFCOMPLIANC.
E
CO(MMUNITY DEVELOPMENT'DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUFERTI:NO, CA 95014-3255
(408) 777-3226, FAX (408) 777-3383, bui1dioq,(q-)c.upertino.orq
MR -Post
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 1N, FORMATION
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 8314 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 ALA
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(p)
X
X
Gri every level of a dwelling unit including basements
X
X
I! Withi.n each sleeping room
X
Carbon, Monoxide alarms are not required, in dwellings which do not contain fuel burning apphances 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) nay be solely battery operated,.
1,
In, existing dwelling units, alarms are permitted to be solely battery operated where repairs or aftera-tions, 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 R3114 and CBC Sections 907.2.11.4 and 420.6.2. An electrical per mit is.requiredfor
alarin,s, which, must be colux-tected to the building wiring.
As owner of, the above -referenced property,,, Thereby certify that the alarm(s) referenced above has/have been
installed in, accordance with., t, he mna-la-ufactuxer's instructions and in compliance with, the
Building
and Califoritia Residential Codes. The alarms been tested and are operational, as of the date signed
below%
t have= read and agree to. comply v with the terms and conditions of this. s ta ta mme. n t
'44
............... ........................ ........ ............. .......... .......................... t 1W a
6SgnatUge
;.b
..................................................................... 4- ...................... I ............... VAW� ....................
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - buildingAcupertinorg
Owner Name , °` A o./� r l� e r pp��r e �r C Permit No.') �LVI (6— L �
Address
1 Is your real property a registered historical site?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
J9,.No Go to Question 2,
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.
f j1 No Go to Question 3.
3. Is water service permanently disconnected for your building?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
i_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.
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..
5. Please check 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
properly 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 following page. _ 9
[Owner or Owner Agent's Signatures { �� Date:? ZO / �/� Ofd
Unnn rmmntetino and' cionino this Certificate. nlease return it to the Building
in order to final your building permit.
SB4072015.doe revised 08126/13