B-2016-2253CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS;
CONTRACTOR:
PERMIT NO: B-2016-2253
21555 ADDINGTON CT CUPERTINO, CA 95014-4847 (356 22 03 1)
BAY AREA SOLAR
SOLUTIONS INC
PLEASANTON,CA
94588
OWNER'SNAME: SHAH ASHWIN AND NILA TRUSTEE
DATE ISSUED: 06/30/2016
OWNER'S PHONE: 925-344-5890
PHONE NO: (888) 888-0711
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class B Lic. #928652
Contractor BAY AREA SOLAR SOLUTIONS INC Date 02/28/2017
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:
(N) 17 PANEL ROOF-MOUNTED PV SYSTEM (4.6
5 KW); (N) SUB
I hereby affirm under penalty of perjury one of the following two declarations:
PANEL (100 AMPS) - SIDE YARD
r. 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.
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: $16000.00
permit is issued.
APPLICANT CERTIFICATION
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
356 22 031
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 N
T 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
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
�
Signature ` e'-��Date. 06/30/2016
Issued by: PAUL O'SULLIVAN
Date: 06/30/2016
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 be'
g 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 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 ofApplicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 06130/2016
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
performance of the work forwhich this permit is issued.
HAZARDOUS MATERIALS DISCLOS
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, 2553
3, and 25534. I will
permit is issued.
maintain compliance with the Cupertino Municipal Codi,
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
material. Additionally, should I use equipment or device
or handle hazardous
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
anagement 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 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner or authorized agent:
APPLICANT CERTIFICATION
Date: 06/30/2016
1 certify that i have read this application and state that the above information is
CONSMUCTION LENDING AGE
I hereby affirm that there is a construction lending agency
CY
for the performance
correct. I agree to comply with all city and county ordinances and state laws
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
AR HITE T' DE LARATI
Code, Section 9.18.
1 understand my plans shall be used as public records.
Licensed
Signature Date 06/30/2016
Professional
r
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 • building(akupertino.org
0
PROJECT ADDRESS 21';55 > D +® G
APN # o c' 1
OWNER NAME G P t (A t� 5� L t p
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PHONE 2S _ o f j_
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B MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
CONTACT NAMEW l �` i
PHONE
E-MAIL
STREET ADDRESS L /^ ) i -to CITY, STATEP n
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FAX
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❑ OWNER ❑ OWNER -BUILDER 11OWNER•AGEENT^ ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELO
ER ❑ TENANT
CONTRACTOR NAME
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LICENSE NUMBER
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LICENSE TYPE
- 1s
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS-
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CITY, STATE, ZIP A'
2� 3
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ARCHITECT/ENGINEER N LICENSE NUMBER
BUS. LIC ft
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
USE OF ❑ SFD Or Duplex ❑ Multi -Family PROJECT IN WH.DLAND 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: S KILOWATTS (COMMERCIAL ONLY): 1� � TOTAL VALUATION: 'I I D D J f [!
DESCRIPTION OF WORK n —7L) m -D JA
L ` e 5 VVX 0 U m
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V MY
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 d this
application and the infonnation 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 relating to building aonstru 6 tion. I authorize representatives of Cupertino to enter the above -identified property for inspectionpurposes.
Signature of ApplicantlAgent: Qy� � Date: --sL
SUPPLEMENTAL INFORMATION REQUIRED o Us
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FICE
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PVApp_2011.doc revised 03116111
Address 1 PS_
SMOKE / CARBON MONOXIDE: ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DI
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 building(a-cupertino.org
a'
AREA
SMOKE A
ARM
COALARM
Y�
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
ate: ...................
Contractor Name:
X
On every level of a dwelling unit including basements
X
Signature...................................................................Lic.#.....................................
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -
do not have an attached garage. Carbon monoxide alarms combined with smoke
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
applianes and that
shall comply with
Power Supply: In dwelling units with no commercial power supply, alarm(s) may le 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 f attic, baseme rit or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electi ical 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) referei iced above has have been
installed in accordance with the manufacturer's instructions and in compliance Wit] the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I haves raarl and anraa to rmmr)ly with tha farms and rnnrlitinns of
Owner (or Owner Agent's) Name:
S lnii Yl �J (
S
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Y�
... .. .... . ...r ...... .... ....
Signature...... ... —..
ate: ...................
Contractor Name:
Signature...................................................................Lic.#.....................................
ate: ...................
SMO e and COform.doc revised 03/18/14
Owner Name
Address
WATER -CONSERVING PLUMBING FIXTURES FIL
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO
10300 TORRE AVENUE CUPERTINO, CA 95014-3255
(40q) 777-3228 • FAX 408) 777-3333 • bullding(a)cupertino.org
Permit No ad
1. Is your real property a registered historical site?
Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the
No Go to Question 2.
2. Does your real property have a licensed plumber certifying that, due to the age or config
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 Di,
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?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the fon
�T0 Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
_0No- 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 fon
7_ Yes My real property is built and available for use or occupancy on or before January
l Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three folio,
bottom of form..
ease check ONE of the following:
My property is a single-family residbntial real property. See Civil Code Section 1101.4.
On and after January 1, 2014, building alterations or improvements shall require all no:
to be replaced with water -conserving plumbing fixtures throughout the building. On or b
compliant plumbing fixtures shall be replaced with water -conserving plumbing fv
property undergoes alterations or improvements).
13 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 requir
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced witl
conserving plumbing fixtures throughout the building (regardless of whether property un
improvements).
0 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 requiu
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replac
plumbing fixtures throughout the building (regardless of whether property undergoes alt
and sign bottom of form.
of the property or its
and sign bottom of form.
and sign botto of form.
51994.
ing statements nd sign
compliant plum ing fixtures
bre January 1, 2017, -- all non-
ires (regardles's of whether
non- compliant
-rgoes alterations or
non- compliant
with water-tents).
erving
it. or impro
I, as the owner or owner's agent of this property, certify under penalty of perjury that non -c(
mpliant plumbing
fixtures will be
replaced prior to date specified above with water -conserving plumbing fixtures in accordan
e with Civil Code
Sections 1101.1
through 1101.8, the current California Plumbing Code and California Green Building Stand
xds Code, and manufacturer's
installation requirements, and that the water -conserving plumbing fixtures comply with the
equirements as indicated
in the
table on the following page.
Owner or Owner Agent's Signature:
Date: 0
Upon completing and signing this Certificate, please return it to the Building Division in ordr to tmal your 0111 icing permit.
SB407 201 .doc revised 08126115
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required tq be upgraded.
SB407 2015.6c revised 08126115
Non-Compliant
Water-Conserving Plumbi
fixture
Plumbing Fixture
(Fixture Complying with Current Code Applic
ble to New Construction)
Fixture Type
Maximum Water Usa e/F
w Rate
2013 CPC Ch. 4
2013 CPC Ch. 4
2013
PC Ch. 4
Water Usage
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div.
3
2013 CAL
reen Div. 5.3
Single -Family
Multi-Family
Cor
rnercial
Residential
Residential
Water Closets
Exceed 1.6
Single flush toilets: 1.28 gal
ns/flush
(Toilets)
Gallons/flush
Dual flush toilets: 1.28 gallons/flush effective
sh volume (thE
composite,
average flush volume of two reduced fluE
Ilies and one full
lush
Urinals
Exceed 1.0
0.5 gallons/flush
Gallons/flush
Showerheads
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also certified tot
performance
iteria of
gallons per minute
U.S. EPA WaterSense Specification for Showerhe
s
(A hand-held shower is considered a showerhead.)i
For multiple showerheads serving one shower, the
ombined 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 shoer
shall be des
ned to
allow only one shower outlet to be in operation at a i
ime.
Faucets —
Exceed 2.2 gallons
Maximum 1.5 gallons per
Within units:
0.5 gallons per
_
rniiiute @. 60
Lavatory
per minute
minute @ 60 psi; minimum
Maximum 1.5 gallons)
psi
Faucets
0.8 gallons per minute @
per minute @ 60 psi;
i
20 psi
minimum 0.8 gallons
per minute @ 20 psi
In common and public1
I�
use areas: 0.5 gallon
1
per minute @ 60 psi
i
1.8 gallons per minut
60 psi
Faucets—
Exceed 2.2 gallons
_@
1.8 gallons per minute ,@
1.8 gallons per mJnUtE
1.8 gallons p
r 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 minut
Where faucets meeting
@ 60 psi
the above are unavailable,
Where faucets meetin
aerators or other means
the above are
may be used to achieve
unavailable, aerators
d r
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 tq be upgraded.
SB407 2015.6c revised 08126115