B-2016-2200 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2200
605 PHIL CT CUPERTINO,CA 95014-4654(375 42 017) NEXUS ENERGY
SYSTEMS INC
CAMARILLO,CA
93012
OWNER'S NAME: KEDILAYA SHASHI AND SUBRAMANYA SUMANA DATE ISSUED:06!23/2016
OWNER'S PHONE: PHONE NO:(805)748-5607
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class WARM-AIR HEATING.VENTILATING AND AIR-CONDITIONING
Lic.#359060 X BLDG X ELECT _PLUMB
Contractor NEXUS ENERGY SYSTEMS INC Date 07/31/2017 _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 JOB DESCRIPTION:
license is in full force and effect. (I)17 PANEL ROOF-MOUNTED PV SYSTEM(4.25 KW)&PANEL
UPGRADE 100 AMP TO 125 AMP
I hereby affirm under penalty of perjury one of the following two declarations:
m. 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.
z 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:$17000.00
permit is issued.
APPLICANT CERTIFICATION
certify that I have read this application and state that the above APN Number: Occupancy Type:
information is correct.I agree to comply with all city and county ordinances 375 42 017
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 PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 184 DAYS OF PERMIT ISSUANCE OR
may accrue against said City in consequence of the granting of this permit. -
Additionally,the applicant understands and will comply 'th all non-point 180 DAYS FROM LAS INSPECTION.
source regulatio er the Cupertino Municipal C Section 9.18.
Issued by:MELISSAN /
Signature Date 09/06/2016 Date:06/23/2016
OWNER-BUILDER DECLARATION RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
m. I,as owner of the property,or my employees with wages as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(See.7044,Business&Professions Code) Signature ofApplicant:
z. I,as owner of the property,am exclusively contracting with licensed Date:09/06/2016
contractors to construct the project(Sec.7044„Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
m. 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 HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534.I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Health&Safety Code,Section 25532(a)should I store or handle hazardous
permit is issued.
s. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code,Chapter .12 and
Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Cd ections 25505,25533,and
exemption,hbecome subject to the Worker's Compensation provisions of the Al
Labor Code,I must forthwith comply with such provisions or this permit shall Owner or authorized agent: '
be deemed revoked. Date:09/06/2016
APPLI NT RTIFICATION -
I certify that I have read this application and state that the above information is I hereby affirm that there is construction lending agency for the performance
correct.:I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address
judgments,costs,and expenses which may accrue against said City in ARCHITECT'S DECLARATION
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed
Professional
Signature Date 09/06/2016
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2200
605 PHIL CT CUPERTINO,CA 95014-4654(375 42 017) NEXUS ENERGY
SYSTEMS INC
CAMARILLO,CA
93012
OWNER'S NAME: KEDILAYA SHASHI AND SUBRAMANYA SUMANA DATE ISSUED:06/23/2016
OWNER'S PHONE: PHONE NO:(805)748-5607
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class WARM-AIR HEATING,VENTILATING AND AIR-CONDITIONING
Lic.#359060 X BLDG X ELECT _PLUMB
Contractor NEXUS ENERGY SYSTEMS INC Date 07/31/2017 _MECH X RESIDENTIAL_CONBIERCIAL
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 JOB DESCRIPTION:
license is in full force and effect. (I)17 PANEL ROOF-MOUNTED PV SYSTEM(4.25 KW)&PANEL
UPGRADE 100 AMP TO 125 AMP
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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:$17000.00
permit is issued.
APPLICANT CERTIFICATION
certify that I have read this application and state that the above APN Number: Occupancy Type:
information is correct.I agree to comply with all city and county ordinances 375 42 017
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 PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR
may accrue against said City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply_with all non-point 180 DAYS FROM LAS INSPECTION.
source regulatio er the Cupertino Municipal C _ ,Section 9.18. —
fiAIssued by: LI A N
lt
Signature Date 09/06/2016 Date:06/23/2016 °{ U GJ*
OWNER-BUILDER DECLARATION RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1. 1,as owner of the property,or my employees with wages as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business&Professions Code) Signature of Applicant:
2. I,as owner of the property,am exclusively contracting with licensed Date:09/06/2016
contractors to construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 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 HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
z. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous
3. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants pl defined h the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code,Chapter .12 and
Worker's Compensation laws of California. If,after making this certificate of the Health&Safety C tions;25505,25533,and
exemption,hbecome subject to the Worker's Compensation provisions of the !
Labor Code,I must forthwith comply with such provisions or this permit shall Owner or authorized agent: /
be deemed revoked. Date:0 9/0 612 0 1 6
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is 1 hereby affirm that there is a construction lending agency for the performance
correct..I agree to comply with all city and county ordinances and state laws of work's for which this permitisissued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address
judgments,costs,and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed
Professional
Signature Date 09/06/2016
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2200
605 PHIL CT CUPERTINO,CA 95014-4654(375 42 017) NEXUS ENERGY
SYSTEMS INC
CAMARILLO,CA
93012
OWNER'S NAME: KEDILAYA SHASHI AND SUBRAMANYA SUMANA DATE ISSUED:06/23/2016
OWNER'S PHONE:408-571-8426 PHONE NO:(805)748-5607
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class WARM-AIR HEATING VENTILATING AND AIR-CONDITIONING
Lic.#359060 X BLDG _ELECT —PLUMB
Contractor NEXUS ENERGY SYSTEMS INC Date 07/31/2017 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 JOB DESCRIPTION:
license is in full force and effect. (N)17 PANEL ROOF-MOUNTED PV SYSTEM(4.25 KV)
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.
2. 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:$17000.00
• ✓ permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above APN Number: Occupancy Type:
information is correct.I agree to comply with all city and county ordinances 375 42 017
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 PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR
may accrue against said City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION.
source regulations per the Cupertino Municipal Code,Section 9.18.
Issued by:AbbyA,ende
Signature Date 6/23/2016 Date:06/23/2016
D LARAIIQN RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1. 1,as owner of the property,or my employees with wages as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business&Professions Code) Signature of Applicant:
2. 1,as owner of the property,am exclusively contracting with licensed Date:6/23/201
contractors to construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 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 HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous
3. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the 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
Worker's Compensation laws of California. If,after malting this certificate of the Health&Safety Code,Sectio 505,255. ,and 25534.
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 Owner or authorized a
be deemed revoked. Date:6/23/2016
APPLICANT CERTIFICATION TR TI AGENCY
I certify that I have read this application and state that the above information is I hereby affirm 4ere is a construction lending agency for the performance
correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address
judgments,costs,and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed
Professional
Signature Date 6 3 0
ALTERNATIVE E.YERGY' PERMIT APPLICATION AL
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUI PERTINO, CA 95014-3255
��,IF [iT61+�C7 (408)777-3228. FAX(408)777-3333 2-U- r_gP_cugertin9.Org
PROJECT ADDRESS O r ( i[ O u APN# �j 5 LfZ 0 t 7
O\VNF,R NAME n ` PHONE •7 E-MAIL
Yv9 S71 - -7
STREET ADDRESS CITY, STATE,ZIP L/ FAX
fn Cpm 0i4-- 0
CONTACT NAME PHONE E-MAIL
'sic "frw, ,,3
STREET ADDRESS !!�� J w CITY,STATE,ZIP FAX
�i02 S s. <u/cl1en S4 Iry Fre-sna 2s
❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CON. CTOR IWCONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME L CENSE NUMBER LICENSE TYPE BUS.LIC#
_35770&0 $ ___tjo
COMPANY NAME L E-MAILFAX
STREET ADDRESS CITY,STATE,ZIP _ PHONE
b � S- � �cQrr 4A k '�uJ• I s t,5r t, Gdt 7 S S5� - `f/ • ' S 3 ``�
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LTC#
COMPANY NAME I E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD Or Dupjex ❑ Multi-Family P IOJECT IN WILDLAND PROJECT IN
STRUCTURE: [:1 Commercial
y - I RBAN INTERFACE AREA El NO FLOOD ZONE ❑ Yes ,� NO
__F!�SOLAR PANELS ❑ ELFCTRIC VEHICLE CHARGING STAITION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANEISfUNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VAL ATION:
1'3 o cS
DESCRIPTION OF WORK
Silo T `�• IC W �' rin�S
E EIVE
I? Y:
VY
By my signature below,I certify to each of the following: I am the roperty 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 re d the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to build' cons ction. I authorie re esentatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/A e Date:
SUPPLEMENTAL INRMA ION REQUIRED __OFFICE UsE ON Y ,
W ❑ OVER-THF-COUNTER
x 0 EXPRESS '_
x ❑ STANDARD
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d ❑ LARGE°:.
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❑° MAJOR
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BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS
CERTIFICATE HAS BEEN M URNFn TO THE BUILDING DIVISION
Non-Compliant Water-Conserving Plumbing,Fixture
Plumbing Fixturel (Fixture Complying,with Current Code Applicable to New Construction)
Lre Maximum Water Usa a/Flow Rate
Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4
/Flow Rate 2013 CALGreen Div, 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3
Single-Family Multi-Family Commercial
Exceed 1.6Residential Residential
Single flush toilets: 1.28 gallons/flushGallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
avera a flush volume of two reduced flushes and one full flushExceed 1.0
Gallons/flush 0.5 gallons/flush
Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi.-Also to the performance criteria of
gallons per minute J-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 I 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 I
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 i
Where faucets meeting @ 60 psi
the above are unavailable, Where faucets meeting
aerators or other means the above are
may be 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.
SB407 2015.doc revised 08126115