B-2016-2260 CITY OF CUP_ ERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2260
10555 METEOR PL CUPERTINO,CA 95014-1326(326 44 008) SUNRUN INC
SAN FRANCISCO,CA
94105
OWNER'S NAME: MACINTOSH JOHN AAND FAYA TRUSTEE DATE ISSUED:07/05/2016
OWNER'S PHONE:408-245-7445 PHONE NO:(415)580-6900
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class GENERAL BUILDING CONTRACTOR Lic.#969975 X BLDG _ELECT _PLUMB
Contractor SUNRUN INC Date 02/28/2018
_
I hereby affirm that I am licensed.under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERC
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
I here affirm under penalty of perjury one of the following two declarations: (N) 12 ROOF TOP PV PANELS',3.1 kW
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
Ifperformance of the work for which this permit is issued. -
I have and will maintain Worker's Compensation Insurance,as provided for by
Section3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$7000.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 326 44 008
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 5SUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FR ALHOKSPECTION.
Owl
Signature Date 07/05/20116 Issued by:MEId' 119 z7tt��
Date:07/05/2016
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
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to i emove 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:07/05/2016
1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"All 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
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISC O URE
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, 5533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal C ode,Chapter 9.12 and the
3. 1 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 de ices 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 25505,2 533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. ?
Owner or authorised agent/
��N
APPLICANT CERTIFICATION Date:07/05/2016
I certify that I have read this application and state that the above information is CONSTRUCTION LENDINA EN Y
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, iv 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 DE LA TJON
Code,Section 9.18. 1 understand my plans shall be used as public recor Is.
Licensed
Signature Date 07/05/2016 Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•buildingncupertino.ora
PROJECT ADDRESS gi , {_ Q� o TIL_
APN# '
26b 44
- y 4441111�{��ply^► i,�,y /� �ry C �1i I
OWNER NAME J ' AC 1 -< [..f ob ZL- - - q,5 E-MAIL
STREET ADDRESS // A� CITY, STATE,ZIP ° (fN0 FAX
CONTACT NAME PHONE (` "� E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OwNER-BUH,DER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELO ER ❑ TENANT
CONTRACTOR NAME ( , /� ( / 1 LICENSE NUMBER' r LICENSE TYPE `- BUS.LIC#
COMPANY NAME ` + �J( E-MAIL —7 5 - ` FAX
ST ET ADDRESS CITY,STATE,ZIP ONE
SCO
Z3 i
ARCHITECT/ENGINEER NAME 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 TF-17EJ CTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS: NUMBER OF PANELSIUNITS: KILOWATTS(COMMERCIAL ONLY): a I TOTAL VALUATION:
t �.
DESCRIPTION OF WORKQ '2> t CIZ V P\ /� _ CIO
,
" RECEIV
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 re ad 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 applicable local
ordinances and state laws relatin " ildin cons ction. I autho ze representatives of Cupertino to enter the above-identified property for inspectior purposes.
Signature of Applicant/Agent:_ Date: [ I
SUPPLEMENTAL INFORMATION REQUIRED ,; pFFICESE )NL
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Boa ��THPs PUNTER
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STANDARD
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P VApp_2 011.do c re vised 03/16/11
SMOKE JC O :0''NOXIDE ALARMS
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COMMUNITY DEVELOPMENT DEPARTMENT►BUILDING DIVISION
10300 TORRE AVENUE CUl'ERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333►�_buildiagRcuRertino.oro _
�.._...,�. � _ .ian t+r„ - �.. �✓ y � �_ nom'—•---•..-...:� ..-,.� C
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PURPOSE
This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section 8314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
ilzspections are required. '
GEW1ZAL INPORMATION1
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
$1000.0'0;CxC Section 8314 and CBC Sections907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AMEA SMOKE ALARM CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the X X
bed�rooXn(s}
On eyery level of a dwellin_.unit including basements X
Within each sleeping,room X
Carbon Mlonoxide 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
CIBC Sectimz 420'.6 a nd shall be approved by the Office of the State Fire Marshal.
Power Supply:In dwelling,units with no cont nercial power supply,a larm(s)may be solely battery operated.
In existing dwelling mutts; alarms are permitted to be solely battery operated where repairs or alterations=do,
not result ir%the removal of wall grid ceiling,finishes or there is no access by means of altic,basement or crawl
space.:Refer to CRE Sectiol11 I�3-14 and CBC Sections 907.2.11.4 and 420.6.2.An electrical permit is required for
alarl,nas.which must be,coiulected to the building wiri7�g.
As owner of the above-referenced property,I hereby certify that the alarms)referenced above has/have beeil
installed n,accordance with the manufacturer s instructions aaa,,d in compliance with the California Ru l kLg;
an,d CahfonFua Residential.Codes.The alarms•have been tested and are•operational; as of the date sigi,ed
below.
. t tzar e.�read and a ree to cop p i,f with,th,e teems and conditions of this statement
......... � Date
NEILE
WATER-CONSERVING 'PLUMBING FIXTURES CA
OWNER CERTIFICATE OF COMP'L'IANCE
COMMUNITYDEVELOPMENT DEPARTMENT-BUILDING DIVISION. 4�
CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•_buildina(cDcupertino.om
1. Is your real property a registered historical site?
011 Yes 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 1101.1 through 1101.8 do not apply.
El The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
,►C�h.No Go to Question 3.
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 11011 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
PJ) No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
El No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
�_,;<_Yes 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. Please check ONE of the following:
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).
El' 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 perjury that non-compliant plumbing fixtures will be
replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1
through 1101.8,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 age.
Owner or Owner Agent's Signatu'm: Date:`
1
Upon completing and signing this ertifrcate,please return it to the Building Division in order to final your uildrng permit.
SB407 2015.doe revised 08126/15