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B-2016-1833
i CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: -F ONTRACTOR: PERMITNO:B-2016.1833 10580 S FOOTFALL BLVD CUPERTINO,CA 95014-3914(357 05 072) SANTA CRUZ WESTSIDE ELBCri1IC INC SANTA CRUZ,CA 95060 OWNER'S NAME: KOPALLE MADRUN AND 7AYA C DATE ISSUED:041262016 OWNER'S PHONE:408-829-9627 PHONE NO:(931)469-8898 LICENSED CONTRACTOR'8 DECLARATION BUILDING PERMIT INFO: License Class ELECTRICAL Lic.#846294 X BLDG X ELECT _PLUMB Contractor SANTA CRUZ LaUESTSIDE ELECTRIG INC Date 04/30/2017 r MECH X RESIDENTIAL`.GONIA ERCiAi. 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 license is in full farce and effect. JOB DESCRIPTION: INSTALL 29 ROOF TOP,FLUSH MOUNTED PSP MODULES(7.395 kW) I hereby affirm under penalty of perjury one ofthe following two declarations: AND INSTALL(N)60 AMP SUB PANEL 3. 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 04 erformance ofthe work for which this permit is issued. have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 ofthe Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$25883.00 APPLICANT CERTIF`ECATiM 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 357 0S 072 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 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 9.16. 180 DAYS FROM LAST CALLED I PECTION. Signature Date 0412612016 esus ISSANAMES Date:04(26/2016 OWNER-BUILDER DECLARATION 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 i. 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.7044,13usiness&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construettho project(Sec.7044,Business&Professions Code), bate:041261201 I hereby affirm wider penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS 14A"OR 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. 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 California Health&Safety Cade,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 a. I certify that in the performance of the work far 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 Maria ement District I Worker's Compensation(anus of California. If,after malting this certificate of will maintain compliance with the Cupertino Municipal Code, hapter 9.12 and exemption,I become subject to the Worker's Compensation provisions ofthe the Health&Safety Code,Sections 25 05,2 33 a 53+Ir f` Labor Code,I must.forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: A.ppl ICANT CERTIFICATION Date:0.4126/2016 COPTS i RIJCTION LRNn C ACFSLOY I certify that I have read this application and state that the above information is ng(hereby affirm that there is a construction lendidiagency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit issued(Sec. ng a Civ C.) relating to building construction,and hereby authorize representatives of this city 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, 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 AR MTVCTIS DL,CLA—RA 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 j Signature Date 0412612.016 ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 55014-3255 CUPERTINO (408)777-3228 FAX(408)777-3333•buildina a@cuperlino.ora g- PROJECT ADDRESS 10580 S. Foothill Blvd - APN6 357-05.1— Q7 OWNERNAME L MI Madhu Kopalle 2 7 E 7 ___ STREET ADDRESI0580 B. Foothill Blvd CITY,STATE,ZIP Cupertino, Ca 95014 FAX 11TNAA4E PHONE E-MAIL Kristi Cassetta 831-226-9363 kcassetta@a sandbarsc,com STREETADD_RESS CITY,STA E.Z1P FAX 831'515'5098 2119 Delaware Avenue Santa Cruz Ca 95060 8 ❑OWNER ❑ OWNER-BUILDER ❑OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITBCT ❑ENGINEER 11DEVELOPER ❑TENANT CONTRACTOR NAME LICENSENUMIIER LICENSE TYPE BUS.LIC# S ndbar 846 94 C-10 — 23' I Vau nn z Westside Electric dba Sandbar E-M�cIL cassetta sandbarsc.com FAX 831-515-5098 STREET ADDRESS - -CITY,STATE.ZIP PHONE 2119 Delaware Avenue Santa Cruz Ca 95060 831-469-8888 ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC it Sun evit COMPANYNAME I;MAIL Sam FAX -sholing@sungevity,com STREET ADDRESS CITY,STATE,ZIP PHONE. 66 Frariklin Street Ste, 310 Oakland CA 94607 I SFDorDuplex ❑ Multi-Fatuily PROJECT I�,tWILDLAND PROJECT IN USE OF Yes 11 11 No SyTRUCTURE: CI COMMCreitll URBAN INTERFACE AREA ❑ Yes }� NO FLOOD ZONE ❑ I[R SOLAR PANELS. ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑' OTHER: I'ORS01.ARFAMELS. NUMBER OFPANELSIUNITS: rT 3 ICILOWA'LTS.(COMI4ERCIALONLY):^�- 7 � TOTAL VALUATION: $25,88 DESCRIPTION OF WORK t (-- % OJ Installation of a 7.395kw grid tied photovoltaic solar array roof mount RE By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the prdpffy b af. I have read this application and the information I have.p ide is Cor rt, I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relalin o b ng o t Ic ion. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 4126116 SUPPLEMENTAL INFORMATION REQUIRED GFRICKUSE ONLY _; .❑ OVER-THE-COUNTER. F El EXPRESS . STANDARD. . -. ©.LARGE .. (�. MAJOR P V4pp_201 1.doc revised 03/16111 SMOKE f CARBON MONOXIDE A OWNER CERTIRcATE of COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300'TORRE AVENUE o CUPERTINO,'CA 95014-3255 (408)777-3228 FAX(408)777-3333 building(a.cuperti'no.ord` Por it T1o, B-2016-1833 Addren 10580 S.Foothill Blvd #6f AIRr s &irioke , C`atbat�Iti�anaxide•2, PFRI IT CANNOT EF ll WALED AND COMPLETED UNTIL TMS CERTIiMCATE HAS DL"EN RUNJUI AND RUM' MM, TO THE BUMI)ING DIVISION 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 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 $1000.00,CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On every level of a dwelling unit including basements ?C )( Within each sleeping room _X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6,and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply,alarm(s)may be solely battery operated,. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and-ceiling finishes or there`is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes.The alarms have been tested and are operational,as of the date signed below. i I [have read and agree to com,ply with the terms.and conditions of thi's statement W7r. [F14v-�ee`/g�t�'€'s)iarrl:c; t4-- ............ .. . ... .. ...... ... ........... t.P. i Gory{racfor Name: 3�$ � Sigitafure.�. ........Lic.# pafe. . Smoke mid CO for imdoc revised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE ] COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 / (408)777-3228•FAX(408)777-3333•building (a)cupertinobrq '® 11 6 ,' Owner Name � // e ° iA ¢. a Permit No. t Address �/`"�� 'C. 1. Is your real property a registered historical site? f4❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. rr °9�o 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 1161.1 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. '�No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101,1 through 1101.8,domot apply. Skip the rest of the form and sign bottom of form. - <❑a..No 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 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. -- -' s. 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 'M—M—y-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). ❑ 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 Signature: `Date: Upon completing and signing this Cerfificafe,please re m i o t e Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15