B-2016-2228 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: CONTRACTOR; . PERMIT NO:13-2016-2228
20697 GARDEN GATE DR CUPERTINO,CA 95014-1905(326 33 017) SOLARCITY
CORPORATION
SAN MATEO,CA 94402
OWNER'S NAME: ZHANG HE AND HU FANG TRUSTEE DATE ISSUED:06/29/2016
OWNER'S PHONE:510-585-6618 PHONE NO:(650)963-5100
LICENSED CONMCTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C=10 Lic.#BBQIQ4
Contractor 90LARCITY CORPORATION Date 12/31/2016 X BLDG X ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH X RESIDENTIAL_COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
ROOF MOUNTED SOLAR SYSTEM(48 PANELS)(12.48 kW);NEW
I hereby affirm under penalty of perjury one of the following two declarations: SUBPANEL(125 AMP).
i. 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. Sq.Ft Floor Area: Valuation:$27500.00
APPLICANT CEBMEICATION
certify that 1 have read this application and state that the above
information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 32633017
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 understan nd will comply with all non-point
source regulations per the Cu ertin, unicipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 6-29-16 Issued by:SEAN HATCH
Date 06/29/2016
OWNER-BUILDEIDECL.AR TION
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 be'ag installed.If a roof is
t. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to rem ve 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 ofApplicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:6-29-16
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A" R BETTER
i. 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 unde r 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 Cod 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 vices which emit hazardous
air contaminants as defined by the Bay Area Air���ality nagement District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertinocipl de,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections r5(I., 53 ,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent•
i
APPLICANT CERTIFICATION Date:6-29-16 w. f
I certify that I have read this application and state that the above information is CONSTRUCTI LENDINA EN"Y
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a con`ruction 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 .)
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 Date 6-29-16 Professional
ALTERNATIVE ENERGY PERMIT P IC TI
I
rO,'VRAIJN"'l Y DE FLOP ENT U£;PA T'i`u9ENT-�.r'..==..E.tsNG 0 1VIS h
,13 TURRE AVENUE: CUPERTeNO,CA 95014-32155
UPERTM
G6 r'�'r_„2 FAX t408- r'-4 �:lc31xcs, ctt lea o .
PROJECT ADDRESS 2O (.�f r ��
L9 ! l N 6� —T -
OWNER NAME j l� z kcky l c PHONE p�yy ,p j�^p EMAIL /
��V-50�"S2`z=t t
STREET ADDRESS C r CITY,STATE,7IP FAX
e �rrtf?a 41519 iii
CONTACT NAME j PHONE E-MAIL
Marjan Javanrnard 650.477.6430 mjavanmard@ olarcifiy.com
STREET ADDRESS CITY,STATE,ZIP FAX
391 Foster City Blvd Foster City, _ 94404
❑OWNER ❑ OWNER-BUILDER ❑OWNER AGENT ❑.CONTRACTOR 19 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DFVELC PER ❑TENANT
CONTRACTOR NAME �+
SolarCity Corporation LICENSENUIvIBER$$g104 LRENSETYPEl�10 BUS.LICk28 iB
COMPANY NAME E-MAIL . V® lies FAX GQ3 `i
SolarCity Corporation mjavanmard@solarcity.com
STREET ADDRESS CITY,STATE,ZIP
391 Foster City Blvd Foster City, CA 94404 PH°`�650. Roy 3
ARCMTECT/ENGINEER NAME LICENSE NUMBER BUS.LIC k
COMPANY NAME E-MAIL
FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF D/SFD Or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN
TgGy Lr ❑ Commercial URBAN INTERFACE AREA ❑ Yes Fl No FLOOD ZONE 1:1 Yes 11 NO
S UC
SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑TSOLAR WATER HEATING '❑ OTHER:
FORSOLARPANELS. NUMBER OF PANELSAJNITS: KILOWATTS(COMMERCIAL ONLY): - °� TOTAL,V UATIDNN:
DESCRIPTION OF WORK
Installation (4flg ) rooftop flesh mounted solar panel i kW
RECEIVED BY:,
By my signature below,I certify to each of the following: I am the pr, perty o or authorized agent to act on the property owner's behalf. I havered this
application and the information I have provided is correct. I have read tfie De yption of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. T ufatlat�. sentatives of Cupertino to enter the above identified property for inspection purposes.
Signature of Applicant/Agent; ifs �Y Date; 12
SUPPLEMENTAIIINFORMATION REQUIRED oFrlcE USE NLY
ya OVER-THE-COUNTER
a.
EXPRESS
Q STANDARD
E] LARGE
El a
MAJOR
PVApp_2011.doc rev'sed 03116111
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SMOKE! CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
CUPERTINO 10300TORRE AVENUE CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildingpcu�aertina.ora
Permit No. �d
Address 20697 Garden Gate Dr Cupertino, CA 95014 ('agAlartnsko 6 Carbon3vlanpxide 1
.:.::_ P�RNIIT CA1�11�IUT BE_�'I�TALEI3AP1D C4MP1C,l1TED I,JIVTII,THIS CERTIPICA`�E
lCV
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-familydwellings 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 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the follow=ing locations:
AREA SMOKE ALARM CO ALARM
Outside of each separate sleeping area in the immediate vicirdty-of the X X
bedroom(s)
On every level of a dwelling unit including basements X X
Within each slee in 'room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning 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,alarms)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 8314 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 Califon-da Residential Codes.The alarms have been tested and are operational, as of the date signed
below.
s have rears and agree to com&with the terms and conditions of this statement
Ovmer(or Owner Agent's)Mame: necosiyned by;
Jie Zhang (Siatur�elt. ................................................ ...(D—jjR 7/5/2016
Contractor Name: B4c2D9EB17CE4B2.:.
Signature.. .LIc.# .Date:
Smoke and COfvrm.doc revised 03118114
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"
is
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY OEVELJPMENT DEPARTMENT•BUILDING DIVISION
C Ut'E RTI hE4 10300 TORRE AVENUE•CUPERTI NO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinnco)- titrertino.ora
Owner Name Jie Zhang PermitN'o.
Address 20697 Garden Gate Dr, Cupertino', CA 95014, US (SANTA CLARA County)
FERMIS CANNOT BE F1NAI,ED Alm C4WLETED IFiwtTIL THIS CERTIFICATE
ARAM
`'R ' 1 ' Ti3'I HE BU11..DIl'd DIYIS iN
Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
!- Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form
ioausigned by:
Owner'Signature: L A bate: 7/5/2016
® NO Go to QuestionB4c2ME817CE482:..
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?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. }
❑ The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form.
Docu5igned by:
,/ Qwner'Signature: L O Date: 7/5/2016
L! No too to Question 3. B4=9EBUCE482_.
3. Is water service permanently disconnected for your building?
F1 Yes Civil Code Sections 1101.1 through 1101.8 do-not apply. Sign below and skip the rest of the form.
E�EDWEWCE4.2
ftned by:
owner'Signature: A Date: 7/5/2016
1f leo 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 Aer January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the Tann.
DwuftnedW.
Owner'Signature 5G """'-d Date: 7/5/2016
YesB4C2BBEB17CE4B2.
Y 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. Refer to the attached.
D 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).
IM My property is a muldfamily msidenturl real property. See Civil Code Section 1101.5.
On and after Jannary 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 whetherproperty undergoes alterations or
improvements).
Myproperty 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-compliaut
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
SB4072014 doe revised 03118114
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On or before January 1, 2019,all non-compliant plumbing fixtures shall be replaced with water-conserving 0
plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
TAVe,the owner(s)of this property,certify underpenalty of perjury that non compliant plumbing fixtures have been:replaced
with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 11011,the current
California Plumbing Code and California Green Building Standards Code,and i anufacturees installation requirements,and
that the water-conserving lambing fixtures compl re ui
with the rements as indicated in the table below.
Owner's(or Owner Agent's)Si nature:15, Date 7/5/2016
Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit.
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type 20'13 CPO Ch.4 2013 CPC Ch.4 2013 CPC Ch.4
Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div.5.3
/Flow Rate Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 1.6 Single flush toilets: 1.28 gallonslflush
(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.(} 0.5 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 desfgned 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 Sgallons per minute @ 60
Lavatory per minute minute @ 60 psi;minimum Maximum 1.5 gallons psi
Faucets 0A 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 L$gallons per minute @.60
Kitchen per minute eo 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
may be used to achieve unavailable,aerators or
reduction. other means may be
used to achieve
reduction.
1. if the existing plumbing future water usagetflow rate is equal to or lower than the figure shown,it is net required to be upgraded.
SB407 2014 doc reviserl 03118114