09090002=ile Edit Actions Details Links Favorites Help
t of C�p X a=) rls' • '�
Permit Information
Permit Number '
! 09090002
Status"
I �J
Master Number
�Q I Notes 1
Project
Apply Date' , 09/01 /2009 Operator patg
Permit Issue Date 09/17/2009 Operator patg
Certificate Issued 1 O/19/2009 Operator PALM
Certificate Type j
Certificate Number
Permit " Property ji Zoning I{ Applicant Ii Contractor' I defined fields
Permit Details - -- -- -
Permit Type SOLAR-RES
Location Information
Address x 10211 COLBY AVE
City/State/Zip'CUPERTINO I
APN 31628041.00
Unit
Owner Entity Information
Owner Name " FELIX KWOK _
Use Default
Address Home -10211 COLBY AVE �+
City/State/Zip ICUPERTINO CA i 195014-4719
(RESIDENTIAL SOLAR PANEL
Usage Class"
N/A
NON APPLICABLE
Applied Value x
60000
SQUARE FT.
0
Calculated Value
0121
US C-404 Type
434
ALT: RESIDENTIAL
Permit Form'
AUTOPERM - PERMIT
0 wnership
1 - Private v
Project Size
jS� TANDARD -STANDARD v
'ermit issued 09/1712009
Inter permit status
Purpose/Special Conditions
ROOF MOUNTED SOLAR SYSTEM
FILMED- 2011
950 44
[MAdd Default T
V 0 K
�4w Back
a Contractors
I Fees
lam, Plan Reviews J
lalnspections
la,Print Permit
lev
10i Holds
1190 Copy Permit
10 Close Permit
11.0verfides
lrt�Supplemental Fields
111 Notes
[LIAttachments
0'vi R.
I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10211 COLBY AVE I CONTRACTOR: AKEENA SOLAR, INC I PERMIT NO: 09090002 1
OWNER'S NAME: FELIX KWOK 116005 LOS GATOS BLVD I DATE ISSUED: 09/17/2009 1
OWNER'S PHONE: 4088886887 1 LOS GATOS, CA 95032 1 PHONE NO: (408)867-0558 1
U LICENSED CONTRACTOR'S DECLARATION
License Class �1G 1�� Li.. # �O
4 r�' 1
Contractor � 1 U r 4'3 J. r Date %' 7 09
I hereby affirm that I am licensed under the provisiofr// �s 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.
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
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
permit is issued.
APPLICANT CERTIFICATION
1 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
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.
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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.
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
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
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
forthwith comply with such provisions or this permit shall be deemed revoked.
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 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
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.
BUILDING PERMIT INFO: BLDG r ELECT T_ PLUMB T_
MECH T_ RESIDENTIAL F COMMERCIAL r
JOB DESCRIPTION: ROOF MOUNTED SOLAR SYSTEM;AKEENA
SOLAR BUS LIC
GOOD THRU 9/30/09
Sq. Ft Floor Area: I Valuation: $60000
APN Number: 31628041.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued Date: ��i firc
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, 1 agree to remove all new materials for
inspection.
Signature of Applicant:
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.I2 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owr r or authorized agent:
Date 9
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
Signature
Date
SM.
CITY OF
CUPERTINO
CITY OF CUPERTINO
SOLAR PANEL
PERMIT APPLICATION FORM
APN # � ? � ai ko
l r, � . O 0
`C
Date:
Building Address:
t}vC
a;?- H Cot-B
Owner's Name:
Phone #:
LtX [/-
Yog 8B& 6S2
Contractor, Phone #: 408 40 2-T f,0b
AfZa;NA Sot,itc� i NL. Fax #: fa 395 -/ 77
Contractor License #:
$05773
C ntact: Phone #:,Vog �fjg&¢6 Z
Cupertino Business License #:
j�.Lr ttr> (LvJI�7 Fax #:
Number of Panels/Units: Kilowatts (Commercial Only):
y5 et5 S
Job Description:
/2�0� yvl,oun�T".� S�G� 5y5�tav�
Project Size: Express ❑ Standard Large Major ❑
Residential Commercial ❑ V luation (cost of project):
Apo
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
I SOLARPANL
Commercial Solar Panel
E
SOLAR-COMM
IPHOTOVCOM
Photovoltaic System
Commercial/Multi-famil
E
1BSEISMICO
Seismic Commercial
E
IELCPLNCK
Plan Check Fee
E
1BCBSC
Cal Bldg Standards
Commission Fee
B
ALL PERMIT TYPES
COMM & RESID
1 SOLARRES
Residential Solar Panel
E
SOLAR-RES
Revised 07/06/09
-l�
CITY OF
CUPEkTINO
CITY OF CUPERTINO
SOLAR PANEL
PERMIT APPLICATION FORM
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PHOTOVRES
Photovoltaic System
Residential
E
1TRAVDOC
Travel & Documentation
B
1BUSLIC
Business License
B
CITY OF
CUPERTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:
2 / / 6
PERMIT #
D' 09 o 0 0
O R'S NAME: Q o
PHONE # ttPa 4OZ 9 O()
GENERAL CONTRACTOR: ot^� � N L
FAX # 510
I am not using any subcontractors: 14:�Z-0
Signature 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
Owner/ Contractor Signature
Date