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B-2016-2032 CITY OF'CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2032 20410 VIA PALAMOS CUPERTINO,CA 95014-6330(316 01 188) SUNRUN INSTALLATION SERVICES INC SAN LUIS OBISPO,CA 93401 OWNER'S NAME: LEE KEVIN F AND SAILESH P TRUSTEE DATE ISSUED:05/25/2016 OWNER'S PHONE:408-252-5401 PHONE NO:(888)657-6527 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-46 Lic.#750184 Contractor SUNRUN INSTALLATION SERVICES INC Date 06/30/2016 X BLDG _ELECT _PLUMB MECH X 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: (N) 18-PANEL ROOF-MOUNTED PV SYSTEM(3.84 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 K,C-.opensation,as provided for by Section 3700 ofthe Labor Code,for the anc'ofthe work for which this permit is issued. e 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. Sq.Ft Floor Area: Valuation:$8000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN information is correct.I agree to comply with all city and county ordinances Number: Occupancy Type: 316 and state laws relating to building construction,and hereby authorize 316 O1 188 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 r source regulations per the Cupertino cipal Code,Section 9.18. 180 DAYS FROM LAST A E INSPECTION. Signature Date 5/25/2016 Issued by:Alex Vallelunga Date:05/25/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am 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 r. 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:5/25/2016 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,Sections 25505,25533,and 255 Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revolted. Owner or authorized agent: APPLICANT CERTIFICATION Date:5/25/2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for 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 Date5/25/2016 ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 ' +CUPERTIN4 (408)777-3228• FAX(408)777-3333 o building(i)cupertino.org PROJECT ADDRESS ( A—1`0l��` ? 65 7APN# ,3t/O oL 109 a9 OWNER NAME Ve � Pigs, E-MAIL STREET ADDRESS iJ�, �V v 71 yk D� CITY,STATE,ZIP FAX i e.uP_C,4M Pro C& 9 CONTACT NAME.8124W —r91 Win- P ONE YJM IF/ �� Q EMAI 6 �(J�f STREET ADDRESS �!� CITY,STATE,ZIP FAX 23 U® Z � i 'O s ❑OWNER . ❑.OWNER-BUILDER- ❑ OWNER AGENT VCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER .❑TENANT CONTRACTOR NAMESLICENSE NUMBBE_R LICENSE TYPE BUS.LIC# COMPANY NAME <+„A'f©_7 T f r N^ E-MAIL �+ FAX d V^� �1J� STREET ADDRESS CITY,STATE,ZIP PHONE• ZA-nr eil 1o,std f�- 5-ko ca5 G4 1'57-a l 4 35 ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF FD or Duplex .❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ No SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUA N: !V DESCRIPTION OF WORK f RECEIVEDBY" By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the propefty o er's beh 1. I havIlKad this application and the information I have provided is correct. I have read the Description of-Work and verify it is accurate. I agree to comply With all applica a local ordinances and state laws relating to building coon�stracction-kauthorize representatives of Cupertino to enter the above-id ntifieedd p operty for inspection purposes. Signature of Applicant/Agent: ] Date: !.�✓ 1 SUPPLEMENTAL INFORMATION REQUIRED w �_: � "�ER-THE-COUNTER r i RXPRESS" ; STANDARD � ,,, 'IS U � D LARGT:< r 1vrA roI% PVApp_2011.doc revised 03116111 )cuSign Envelope ID:8317D9D9-CB94-4DCD-8BDF-257A8284675B SMOKE 1 GARBON MONOXIDE ALARMS f COMMUNITY DEVELOPMENT DEPARTMENT r BUILDING DIVISION '�� �l7IR 1 't'tI C� 10300'TORRE AVENUE•CUPERTINO,CA 95014.3255 I" (408)777-3228•FAX 40S 777-3333 buildlrr curi+ rt�no oro r PAIP 7. Tv PURPOSE n--lis affidavit is a self-certification for the installation of all required Smoke and Carbon 4onoxide Alarms for compliance with 2013 CRC Section 8314,2013 CBC Sections 420,6 ar d 907.2.11.2 where i to irtterior 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 $1 ilQ.Qa,CRC Section R314 and CBC Sections 907,2,11.5 and 420.6 require that Smoke Idarms and/or Carbon Monoxide Alarms be installed in the following locations- A,RE ocations:ARE SMOKE A-LA. CO ALARM rbedroom(s) utside off separate sleeping area in theirnmediate vicinity of the X n ever level of a dwellin unit inclodin basements Within eacl-t sleeping room X Cn arbo Monoxide alarms are not required in dwellings which do itot contain fuel-bu �ing appliances and that do not have an attached garage, Carbon monoxide.alarms combined with smoke.alar. s shall comply with C13C Section 420.6 and sl-tall be approved by the Office of the State Fire Marshal. Power SjYpply:In dwellixtg units with no commercial power supply,alarm(s)may be olely battery operated. In existing dwell-19 units,alarms are permitted to be solely battery operated where r airs or alterations do not result i1a the reM- oval of wall and;ceiling finishes or there is no access by means of �Lttic,basement or crawl; space.Meier. to CRC Section 8314 and CBC Sections 907.2.11.4_and:420.6.2,An electricd penmi t is required for ala:rins whi cit must be comi'tected to the building wising, As owner of the above-referenced property,I hereby certify that the alann(s)refererti d above has/have been installed in accordance with the m:anufacturer's instructions and in corn-pliar►.ce with he Ca:li€omla-Building and Calif on-da Residential Codes.The alarms have been tested and are operational,a, of the date-signed:. below. t hate read and a ree to cornply f with the terms and conditions of this '1 atament • t ft .}e. oocusigned by. 6/13/2016 t 0 PM PI § 1 - ...... .,,., ............ � .. 314 Ti,B 2181 1 y iy 'wLic` .^}0 E J, Grata, � �..f••.•. 1'1�-4 vi Iti3�UF DocuSign Envelope ID:8317D9D9-CB94-4DCD-8BDF-257A828467BB OWNER- C5-RTIFICATE2 OF COMPLIAlI I CE ; tviMtJ CITY DE ELMENTIO.EPA TMF-N-* UILOIN,�0-IV,! it 10300 TORRE AVENUE`S CUPFRTINO,OA;9.5014-325 °6 .. P 11.E E�tTIN (4681.777 3228 FAX(40$)777 X333 Wltlinii cup iYmo M 1. isnyot eal°prop rt r a,r ist r histtrrival site? vu 'Seojj zis 1.l thr u i 1 D 1.8: O notJa 1 . ' g the• t of the.for �sigh bDUOr ..0 onn, o 00 Ato Question 2, 2. Does yourseal property l ave a l oenged plumber=certif*g that due to iea�e or+�c�nfi t'i n ofthe .ro "e , p' p y ur its plumbing,installation of water coris'rving,plumbin fixlu'es is not tecllnically feasibi#? vile c grts_ tl.l ttarugli 1I ?l. duct a1?ly. O �e licertsecl plttt2l�,er's.e�rtifioa�tiz�.has. eec,pr"t� i���.tra the�ulding]�ivisii�i Skip threst.o f the.fbou and sign.bottom of form.; Cl ,o Co to uestion3, is water service faei7na eptly dis ? ected for your building? M ® Y civilgde sections 1it1t1 through 1181,$do. t apply; skip the rest of:the forrh anti sigh b-Ononi of form. o Cxoto question . 4. Is.wor real property,built:and available foru,se or-"occupancy on or before Januar ®; leo My Teal property is built-and available for use or1 1994, Ciel Code ectiOzas,11111,1 through 1141.8.dq not apply Skip the rest cf the#ori7i and sigh, t -of fonn. 50 es lvly real property is 1 and available for use or,Odpvtpmgy:inn or"before January 1 199 , Civil, bre esti ins 111 1.1 tl rc ugli 11,01.8 apply, lzeu otic of"tl- tht e: allow ng statements,= ± 'sign bottom of Toirq, 5. pllieck.tIv ofth 'fc�Ilowing Ivlyprciperty is a site?e: nitl t t itt�c?real property sec d oil it Section 1"101.4; n d a or u 1, O14,til a- attous of!hipro`�erients'sbal teq.411 non.:oinpliazit plumbing fixtures _ to e��0.0ed with*ater eon,cervi"ng.plutn i