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09090092 - PUBFile Edit Actions Details Links Favorites Help Permit Information Permit Number ` 09090092� l Status x C - Closed vJ Master Number Notes Project Q Apply Date' F0_9/1 4/2009� Operator Ipatg Permit Issue Date 110/05/2009 Operator patg Certificate Issued F10/2712009 Operator PALM Certificate Type Certificate Number Permit ` Property II Zoning Applicant II Contractor' `j Defined Fields Permit Details - — - Permit Type " SOLAR-RES [C1 Location Information Address 21050 CANYON OAK WAY i City/State/Zip iCUPERTINO CA 95014 APN 54261004.00 j Unit f----._ . F1�,lner Entity Inforrnation Owner Name STUART MENAKER Use Default Address Home - 21050 CANYON OAK WAY v City/State/Zip 'CUPERTINO CA '95014 RESIDENTIAL SOLAR PANEL Usage Class " N/q _ 9� NON APPLICABLE Applied Value ` 1 30000 SQUARE FT. Calculated Value 041 US C-404 Type 434 IALT: RESIDENTIAL Permit Form JAUTOPERM -PERMIT v Ownership 1 -Private —=�] Project Size EXPRESS - EXPRESS Permit issued 10105j2009 Enter the purpose or any special conditions for this permit Purpose/Special Conditions FIE-7—STALLA-TION OF PHTOVOLTAIC SYSTEM ROOF MOUNTED, -7KW SYSTEM FILMED- 2011 h Add Default T v I > OK Back Contractors Wees [gr�', Plan Reviews OL Inspections Print Permit laAdjustments J if r Holds lEO Copy Permit Close Permit l u Overrides Supplemental Fields l Notes 11 Attachments r CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 21050 CANYON OAK WAY I CONTRACTOR: AKEENA SOLAR, INC PERMIT NO: 09090092 OWNER'S NAME: STUART MENAKER 116005 LOS GATOS BLVD I DATE ISSUED: 10/05/2009 1 OWNER'S PHONE: 6506250810 1 LOS GATOS, CA 95032 1 PHONE NO: (408)867-0558 1 ❑ LICENSED CONTRACTOR'S DECLARATION License Class 14 Lic.# S>05--773 Contractor rZKO L/a,✓ Date %D� `j 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. 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. 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 I certify that 1 have read this application and state that the above information is correct. 1 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 ,,,,�� Date ❑ 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). 1 hereby affirm under penalty of perjury one of the following three declarations: 1 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. 1 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, 1 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 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. BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: INSTALLATION OF PHTOVOLTAIC SYSTEM ROOF MOUNTED, 3.7KW SYSTEM Sq. Ft Floor Area: I Valuation: $30000 APN Number: 34261004.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LA T-eA�yLLED INSPECTION. Issued by: L 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. I 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 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. O ner or au o ' d ent: Date: rz/S`/6 �l 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Signature Date /D oq cqc)6qf z .:� t CITY OF CUPERTINO CITY OF CUPERTINO SOLAR PANEL PERMIT APPLICATION FORM APN # Date: Building Address: a I�� n o ✓� da �- L✓a Owner's Name: Phone #: M .5)TICIJ / t-ekir, r Contractor: Phone #: 4d a - yyDO Contractor License #: k.So lar Fax #: 77 3 Contact: I' Phone #: 7v>-�9�-3az3 Cupertino Business License #: ,-c4.J �t�1uoY Fax #: Number of Panels/Units: Kilowatts (Commercial Only): Sd�a{ mne(// 5 Job Description: � NA�b� o p ��1�,:� sys � rv� m064Y,i3;7 )rw sy., X.X" Project Size: Express X Standard ❑ LargeEl Major ❑ Residential ® Commercial ❑ Valuation (cost of project): 3c� 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 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 S-M-1 CITY OF CUPEI�TINO CITY OF CUPERTINO SOLAR PANEL PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group Permit Type 1 PHOTOVRES Photovoltaic System Residential E 1 TRAVDOC Travel & Documentation B 1BUSLIC Business License B i tit, aft OF CUPERTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 2. f dS"d C cn cry PERMIT # o '? ��oa OWNER'S NAME: r,-t-�ae� I PHONE # GENERAL CONTRACTOR FAX # I am not using any subcontractors: 'r' .-' 6q Signa 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 O/Z Owner ontractor Signature /als-lob Date