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15110084Z/ CITY OF CUPERTINO BUILDING PERMIT BUILDIIV�G ADBRES5' +:1426'•120SEGARDEN LN CONTRACTOR: REC SOLAR, INC. PERMIT NO: 15110084 OWNER'S NAME';] "ZHOGPEI CHEN ' 775 FIERO LN STE 200 DATE ISSUED: 11/13/20,15 OWNER S P Fiii 65059135 '' '; '..ONI SAN LUIS OBISPO, CA 93401 PHONE.NO: (888)657 -6527 } ' ' f� "" sI '' ' { ` ❑ HCENSE>� CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ! lhM.l �� INSTALLATION OF ROOF MOUNTED SOLAR (10 I ' icense Class, Lrc.# �"1 MODULES)(2.7KW). Contraeto" ; r, Date I hereby affirm.thatI amYliceused 'under the. provisions of Chapter 9 (commending:vvithl5ection 7,Q60) of Division 3 of the Business & Professions Code and that m Acense ►s'm full force and effect. ' '�t�RF; °�'4;?a�6':.�•'4,i,u Vii' ; •. •. I hereby affiru,;under:'peualty of perjury one of the following two declarations: • I have aril 1*17 1 a cerhficate,of consent to self - insure for Worker's 1 �,, vtii 4 (i�4 11 � ComitensFattor►� aa,pxpVtCci f�r iy, Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $5700 perf0rniatice of the "Fork for wlti011ils permit is `issued. I have and:wrII maintain Workers Compensation Insurance,, as provided for by Section 3700 of thw abor Code foi' the performance of the work for which this permrtts- i�$ued4 'a!rl fv APN Number: 36617036.00 Occupancy Type: ,i',I�� , N�,v li'';i ?';�,ii.;;,1­' 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 tot;compiywith all city and county ordinances and•statd'Paws relating to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upow the above ;"" mentionedproperty 'for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. inderpnify'and keep harmlesslthe Ciy of Cupertino against liabilities, judgments, costs; landicxpenses which may accrue against said City in consequence of the ,J Issued by:, S��'lv 4 Date: granting ofth is- pernut: ; Addiitonally; the applicant understands and will comply /G�(. • : with', II non point soiirce;regulations pei the Cupertino Municipal Code, Section RE- ROOFS: 9.18. ,, Ill i i t,1 S lr. �'I+ Signatur I ' '; t 'lr�' Date, I _ All roofs shall be inspected prior to any roofing material being installed. If a roof is >t'�r installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER'•BUILDER DECLARATION I hereby'aftirm'that.I am exempt !from the Contractor's License Law for one of Signature of Applicant: Date: the following t}yo r'easonss ,r i'j .r I, as 6, yrref of theproperty','grimy employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER will do tlie;.work,,,anfd.the!stiuctute is not intended or offered for sale (Sec.7044, i. Business &.Pro"fessio"ns, odeJ 4'r :��., "�U -.: 1, as . owner of the'property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct "tlie pro�ec ,(Seg >,7,A44 Business & ProfessionaCode). I have read the hazardous materials requirements under Chapter 6.95 of the .California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty bf perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations ' 'lil'i jttr tr' `I''i I '� ' !; Health & Safety Code,.Section 25532(a) should I store or handle hazardous I have and will maintain a Cettrfroate'of Consent to self - insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation;las provided for by Sec'tion'3700 of the Labor Code, for the air contaminants as' defined by the Bay Area Air Quality Management District I I, ,, ,I• .y,.y i ". i,% j ni• , perforrriance,of the ,wo&for which this permit is, issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 1 have and will rrlat�,} fVl�orl,&!s Compensation Insurance, as provided for by the Health &Safety Code, Sections 5505, 25533, and 25534. Itatt� Se-,tlon'3700 ofthe'LaborCode foe the performance of work for which this �. �� i. permit is is'sugd;.q;r;,' j •y „ . Owner or authorized en Date: f d' ,, 1 ' I certify that'in;the performance, Qf the work for which this permit is issued, I shall not elirplo,aiiylpeiotl in;an� 'iriatiner'so as to become subject to the Worker's -,1 . I •i• ....' i l Compensaiip r laws,of California:'•If, ,after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject 4 tt}e, or or s Compensation provisions of the Labor Code, I must .' �' I hereby affirm that there is a construction lending agency for the performance of • GA' ` " ' forthwith comply;wrth such`provrsions or this permit shall be deemed revoked. work's for this permit is issued Sec. 3091, Civ C. P ( ) Lender's Name Lender's Address li i} II' 11` X11 j{f lfir l! APPLICANT CERTIFICATION I,. Ir �;�a_ 5SI•,.f1;!f, , I certify thi}t 4 iraVe,r ad =th" `! piicatiori and;state that the above information is correet'I'agreeitg' comply withiall; city and county ordinances and state laws relating to building con'stiQ"tion and Hereby authorize representatives of this city to enter , ' upon e.above'me tinned for inspection purposes. (We) agree to save ' : " property .f I inderl�nify land,keep the City of Cupertino against liabilities, judgments, ARCHITECT'S, DECLARATION harm),gss costs and, xpenses;�yi"ich'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,oer the Cupertino Municipal Code, Section Licensed Professional 9.18. c ' , tl��' Signatures', lI I r ,! :il , I ,, h't t Date K, IF , A7 "cam- ��9J.r • ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildingacupertino.org u. Y� PROJECT ADDRESS % . L .L � ��� ��( \ e� LQ "Y G1 APN # 3 co w i Q -3 OWNERNAME 110• e:� CV°2v� PHONE E -MAIL (o S�-`��113 STREET ADDRESS 1� a t _ �C-e �O� ` -� ,O C CITY, STATE, ZIPS, �� µ �) FAX Cam`! CONTACT NAME PHONE �GGlcJ E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMES e� A ^ LICENSE NUMBER %) _ V . LICENSEE TYPE BUS. LIC 9 ` COMPANY NAME Yom^ \ E-MAILA 6e,-A E? FAX STREET ADDRESS �J �r CITY, STATE, ZIP ARCMTECT/ENGINEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or Duplex [3 Multi-Family Lr PROJECT IN WILDLAND PROJECT rN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes I NO FLOOD ZONE El Yes C�(No AR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: A O KILOWATTS (COMMERCIAL ONLY): -� li . _ , TOTAL VALUATION: DESCRIPTION OF WORK w tl4io Ur - -�' but" 7 �u�'}" -�� P •.�"<`'°T *fu i ] L � +� REGEj� s i F Sig °y4,�LiUr sari. {p,$Y t By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I aeree to comply with all applicable local ordinances and state laws relating to building construction I authorize representatives of Cupertino to enter the above- identifiel property for inspection purposes. Signature of Applicant/Agent: 2 Date: ! 13 SUPPLEMENTAL INFORMATION REQUIRED yam �3.. ID r.tN ;D Yu, F�'r a� jt*-4 2'L: r,. Ana. i5 ""..t�.: teit BOX �UI��iEI2i,s ME3��� 1 ' w1^ vSL .iYii ai[��vh�T�qq����t�� x � lkx 5 F H =.�,tla`?��e: ,,.. �i�: �70R} z�~ fi; ���` �'.'' �� '•"?�+i,e`�z °a?1= ?rT;;a' }i�.�. PIlApp_2011.doc revised 03116111 CITY OF CUPERTINO j FEE ESTIMATOR - BUILDING DIVISION . ADDRESS: 1426.ROSE GARDEN LN DATE: 11/13/2015 REVIEWED BY: SEAN APN; `.' `" BP #: *VALUATION: 1$5,700 *PERMIT ;TYPE':' ° . Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY.' 'SFD or, Duplex USE:' ' ' ''`' PENTAMATION I PERMIT TYPE: SOLAR -RES WORK 11 INSTALLATION OF ROOF MOUNTED SOLAR 10 MODULES 2.7k . SCOPE �; '' Revised: 10/0112015 8 , •, �1 , :1i ech. 1'1)�n f.�lreE:1C ' i i ' �^ •.I Ai�£'C.fl. „ /;1 °?i�ti. ', Oih .tR;I(SL'1t.�M'spj l;'`is6e I �' .. < �.D7,t3; L`. �'�LffzR e'e?k h ,l Y ?cYdz ?ih. , rurliur?d IV. P+1wnb, .1'l,Sj'. fi'ee: s g Y , .. 1'i %C. Per"}:-lt fi`ee: 0"'-ie ins1,5. NOTE:',: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.: � °These ees are based on the relimina in ormation available and are onl an estimate. Contact the De t or addn'l in o, FEE, ITEMS (Fee Resolution 11 -053 Eff. 711113,) FEE QTY /FEE MISC ITEMS Plan Check Fee :: $0.00 = # $236.00 Alternative Energy System IPHOTOVRES Photovoltaic System S.uppl. PC.Fee: '(E) Reg. 0 OT 0,0 1 hrs $0.00 PME �P1an Check :'' `;;' $0.00 Permit Fee:'� $0.00 SuppL In'sp.'Fee: Reg. Q OT To 07 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work.Without Permit? 0 Yes No $0.00 Advanced'Plannin '&Fee: $0.00 Select a Non - Residential 0 Building or Structure 0 :Ii��ac�l.l3cc €rrrft.res f. °�cs: — Stronla *ion Fee:, IBSEISMICR $0.74 Select an Administrative Item Bldk"Sfds Commission Fee: IBCBSC $1.00 3 = UBTQTALS - $1.74 0 t $237.74 �; '' Revised: 10/0112015 CUPERTIMO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014 -3255 (408) 777 -3228 o FAX (408) 777 -3333 e building(ftupertino.ora FILE �J PERNUT CANNOT DE F WALED AND COMPLETED UNTIL TIIIS CERTIFICATE FIRS .13FW N &LQ_NED AND `1 _ MID TO — 17HE,, B W LD)<1*r G DB71SION PURPOSE 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 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 $1000.00, CRC Section R314 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 ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- bumirig appliances 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) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations 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 R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. l have read and agree to comply with the terms and conditions of this statement ar �e� g=Osj� R D w n .................. ....... .... a Co ilracfor�Nam : Si2LMM fe . Lice . D Smoke and CO farm.doc revised 03118114 1'J WATER- CONSERVING FLIIME @NG FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 ^ FAX �040."8))�777 -3333 ^ building(akupertino.org Owner Name nn� o ya Au 04-jV Permit No. Address /q OSp— Cw� Zq"_P,- cnu_fi w o C� %DSO { 1. Is your real. prop erty a registered historical site? ❑ es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 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 110 1. 1 through 110 1. 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. No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 11 es 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 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. if VYes 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. ase check ONE of the following: V Pl 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 property 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 per jury that non - compliant plumbing fixtures will be replaced prior to date specified above with water- conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 1 through 110 1.8, 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. �. Owner or Owner Agent's Signatur. 4 . Date/ T / /h Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB407 2015.doe revised 08126115 s.''9 -.1 yy iLDING PERMIT CANNOT BE FINALED AND COMPL'ET'ED UNTIL T T3IS , ,„ CERT�IFICA� E TIAS -BEEN ST NE _ AND RFTURIV>FD TO THE BUILDING DIVISION._ 1. If the existing plumbing fixture water usage /flow rate is equal to or lower than the figure shown, it is not required to be upgraded. i�. SB407 2015.doe revised 08/26/15 . Non - Compliant Water- Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate =? Fixture Type 1/ Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /FFlow low Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single - Family Multi- Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons /flush (Toilets) Gallons /flush Dual flush toilets: 1.28 gallons /flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons /flush Gallons /flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria'of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand -held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and /or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons.per minute 1.8 gallons per minute @ 60' Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are maybe used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage /flow rate is equal to or lower than the figure shown, it is not required to be upgraded. i�. SB407 2015.doe revised 08/26/15 .