B-2016-2408 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2408
10410 IMPERIAL AVE CUPERTINO,CA 95014-5930(357 19 093) WEST COAST SOLAR
INC
BRENTWOOD,CA
94513
OWNER'S NAME: CHEN CHAMPION CHENG-PING AND CINDY CH[UNG-H DATE ISSUED:07/28/2016
OWNER'S PHONE:408-529-1188 PHONE NO:(925)516-3900
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class ROOFING Lic.4908542
Contractor WEST COAST SOLAR INC Date 12/31/2017 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:
(I)24 PANEL ROOF MOUNTED PV SYSTEM(6.24 kW);INSTALL
I hereby affirm under penalty of perjury one of the following two declarations: SUB PANEL(125 AMP)SIDE YARD
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.
2\, I have and will maintain Worker's Compensation Insurance,as provided for by
1>6 Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$19000.00
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 357 19 093
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 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,f 3 c Date 07/28/2016 Issued by:MEL
Date:07/28/2
OWNER-BUH.DER 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 roofmg 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 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:07/28/2016
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 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 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 25505,25533,and 25534. 1 will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s. 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 devices which emit hazardous
air contaminants as defired 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 25505,25533,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:07/28/2016
1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY
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,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 ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed
Signature Date 07/28/2016 professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
C13PEftTINO (408)777-3228•FAX(408)777-3333•buildir�c�J cu�Jerlillo.(arg
PROJECT ADDRESS 'I 1e-i ed Ave. APN# y0 /1
`
OWNER NAME PHONE v5xE-MAIL
STREET ADDRESS. , CITY, STATE,ZIP FAX
1d�116 .1 VP, °�, 1 Vii C� erfjno 61- 95-01W
CONTACT NAME ,/' PHONE 614 E-MAIL
J .
i^Cncooks �7�CI 1`6 a�� Cscilar_ , yw,
STREET ADDRESS it 9S-
E l 41�S. '-A A CITY,STATE,ZIP�Ye� WC®� A ��c_ FAX
❑
OWNER ❑'OWNER-BUILDER •c ❑ OWNEfdRAGENT ❑ CONTRACTOR .CONTRACTOR AGENT 11ARCJHiTI ECT r�❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME&G � � LICENSE NUMBERq o �l I LICENSETYPE
r TYPEBUS LIC#
C a V3q
COMPANY NAME rr..� (' 6 C "I' C.e E-M 1 FAX
WeS}- s J 1 1r �
STREET ADDRESS ' CITY,STATE,ZIP PHONE
Et�t)v�S X10a� r� w �� CA 132smSt��3�Gcl
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME. E-MAIL FAX
STREET ADDRESS �,, CITY,STATE,ZIP PHONE
USE OF ElSFD.or DUpleX Eg/M.Itl-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑.. No FLOOD ZONE ❑ Yes ❑ No
IJ SOLAR PANELS ❑. ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING OTHER:
FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: c KILOWATTS(COMMERCIAL ONLY): �j TOTAL VALUATION:6. I ,�
(j s
DESCRIPTION OF WORK s
12 s�- Awp S
LA b
EFVED
By my signature below,I certify to each of the following: I am the property owner or authorized agent to a roperty own e alf. I have read this
application and the information I have provided is correct. I have read the Description of Work and veri it is agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: 7Z-2- 0
SUPPLEMENTAL
/ -
SSUPPLEMENTAL INFORMATION REQUIRED nG> U$ v
• � � � .� t+iXP�`SS
1-5k_
rn�Io�t
PVApp_2011.doe revised 03116/11
SMOKE /CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
cUPER'�',n C) 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228 FAX(408)777-3333•building(U-)cugertino.org
Permit No. -'� 1 2
Address Acy/o LY11, otf_o #of Alarms Smoke: Carbon Monoxide:
PERMIT CANNOT B IN ED Al D?COMPLETED ITNT L THIS CER�IFICATE�
BREN AND RFTNF� H BTJILD G D �SO�
D ?O T
�. e� h
PURPOSE
This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance xith 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 X X
bed roo (4
On ever level of a dwelling unit including basements X X
Within ach sleeping room X
i
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have Ilan 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 inithe 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 whic 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.:
have read and agree to complZ with the terms and conditions of this statement l
Owner(or Owner Agent's)Name: 01 V
��0 (i'��2.� Si nature........... ................................................................Date: ...................
......... . .. ........
Contracto me:
Signature...................................................................Lic.#......................................Date: ....................
Smoke and COform.doc revised 03118114
f
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CITP 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
_ (408)777-3228- FAX(408)777-3333•building(�D_cupertino.org
Owner Name o^^ Permit No.
Address YNN 0,e Y-0a.
1. Is yourreal p operty a registered historical site?
❑ YesCi '1 Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
E 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.
The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
,S4 No Gd to Question 3.
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
V No Gc to Question 4.
4. Is your''real prroperty built and available for use or occupancy on or before January 1, 1994?
❑ No Mreal property is built and available for use or occupancy after January 1, 1994.
Ci '1 Code Sections 110 1.1 through 110 1.8 do not apply. Skip the rest of the form and sign bottom of form. -
V Yes Mreal property is built and available for use or occupancy on or before January 1, 1994..
Ci '1 Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign
bo� om of form..
5. Please check ONE of the following:
My property is a single-family residential real property. See Civil Code Section 1101.4.
Ori and af!er January 1, 2014,building alterations or improvements shall require all non-compliant plumbing fixtures
to;be replayed 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 proper is a multifamily residential real property. See Civil Code Section 1101.5.
On and aft r 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 prope is a commercial real property. See Civil Code Section 1101.5.
On and aft�r January 1,2014, specified building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
On or bef bre January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving.
plumbing ixtures throughout the building(regardless of whether property undergoes alterations or improvements).
I,as the ovine or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be
replaced prio to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1
through 11011'8,
r-8,the current California Plumbing Code and California Green Building Standards Code, and manufacturer's
installation
on the following ements,and that the w serving plumbing fix mply with the requirements as indicated in the
table
Q1 o win page.
Owner or Own�r Agent's Signature: Date:
Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB4072015.do,erevised 08126115
i
i
i
i
6
(�U1 Ly�I �E 1< �L�D D ''MPLE -,D V'IL�1 S'
-�� � - - .,w.�rnwxrscns.roraw ., iar�.i;�rrvr.�ansn;�•r� Mumm s.�s�..r�--��''
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fi?'urel (Fixture Complying with Current Code Applicable to New Construction)
�'y
Fixture pe
Maximum Water Usage/Flow Rate
2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4
Water Usage e
/Flaw Rate
2013 CALGreen Div.4.3 2013 CALGreen Div. 3 2013 CALGreen Div. 5.3
t Single-Family Multi-Family Commercial
Residential Residential
Water Closets j 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 @ CO psi; minimum Maximum 1.5 gallons psi
Faucets 0.8 gallons per minute @ per minute @ 60 psi;
20 psi minimum 0.8 gallons
j per minute @ 20 psi
I
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
j 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.
I
I
SB4072015.doc revised 08126115