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B-2016-2499 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2499 10640 FLORA VISTAAVE CUPERTINO,CA 95014-1607(326 08 039) SOLARCITY CORPORATION SAN MATEO,CA 94402 OWNER'S NAME: LIN CHENG YU AND PENG STEPHANIE YU TING DATE ISSUED:08/12/2016 OWNER'S PHONE:510-364-5098 PHONE NO:(650)963-5100 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class.C-10 Lie.#888104 Contractor SOLARCITY CORPORATION Date 12/31/2016 , X_BLDG —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)23 PANELS,ROOF MOUNTED PV SYSTEM(5r98kW) I hereby affirm under penalty of perjury one of the following two declarations: 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 tlr y performance of the work for which this permit is issued. z. 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:$13000.00 APPLICANT CERTIFICATION I 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 08.039 representatives of this city to enter upon the above mentioned properly 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 and rstand`and will comply with all non-point source regulations per the C rt i 'Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 08/12/2016 Issued by:Kim Dunbar Date:08/12/2016 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 r. 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) z. I,as owner of the property,am exclusively contracting with licensed Signature ofApphcan�,_, contractors to construct the project(Sec.7044,Business&Professions Code). Date:08/12/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER r. 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. I will permit is issued. maintain compliance with the Cupertino Municipal Code,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 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 QualV M gement District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Nfinici Co Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections125505 53• and 25534, Labor Code,I must forthwith comply with such provisions or this permit shall l` be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:08/12/2016 I 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 Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date 08/12/2016 Licensed Si 9 Professional — ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CtJPERTIN® (408)777-3228•FAX(408)777-3333,buildingCcDcuperlino.org PROJECT ADDRESS f a ' i OWNERNAME Is PHONE 1� E-MAIL _7 STREET ADDRESS66 �, CITY,STATE,ZIP (yg r FAX cA CONTACT NAME Marjan Javanmard PHONE 650.477.6430 E-Imjavanmard@solarcity.com STREET ADDRESS 391 Foster City Blvd CITY,STATE,ZIP Foster City, CA 944041FAX ❑OWNER. ❑ OWNER-BUILDER ❑OWNER.AGENT ❑ CONTRACTOR N CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME SolarCity Corporation LICENSE NUMBER 88810 LICENSE TYPE C10 BUS.LIC#2884 COMPANY NAME SolarCity Corporation E-MAIL mjavanmard@solarcity.com FAX STREETADDRESs391 Foster City Blvd CITY,STAT E,ZIP Foster City, CA 94404 PHONE 650.477.6430 ARCHITECT/ENGBNEERNAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS j CITY,STATE,ZIP PHONE USE OF ® SFD Or Duplex ❑ Multi-FamilyPROJECT IN WILDLAND PROJECT IN STRUgfURE: El Commercial 7 URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ NO SOLAR PANELS I ❑ ELECTRIC VEHICLE CHARGING STATION - ❑ SOLAR WATER HEATING OTHER: FOR SOLAR PANELS: NUMBER OF PANELSIUNITS: 9131 KILOWATTS(COMMERCIAL ONLY): 5,!-l'' 8 VIAL VALUATION o: co DESCRIPTION OF WORK Installation (L- ) rooftop flush mounted solar panel (5`-1f? ) kW ,RECEIVE By my signature below,I.certify to each of the following: I am the pro.'rty 07 or authorized agent to act on the property er's behalf. I have read this application and the information I have provided is correct. I have read t e Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize 3ap;re Vntatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: l Dater !�l�S .9—f� r SUPPLEMENTAL' KORMATION REQUIRED _ oFFzcE USE oNI Y Y� 101141.9-V/1! --75 ;4 > R THE-CO.II_T_ER ❑. EXPRESS ❑ STANDARD ❑ LARGE El MAJOR PVApp_201I.doc revised 03/16/11 i WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCEF3 I L-101 L COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION . 10300 TORRE AVENUUj P E Ont I N�0 1 E•CUPERTINO,CA 95014-325 ' (40 28•F (408)777-3333•buildin g+7a cuaertino.org Owner Name Permit Nod Address ' 1. Is your real p operty a registered historical site? ^� � Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. �o Go to Question 2. 2. Does your re 1 property have a licensed plumber certifying that,due to the age or configuration of the property or its plumbing,in,,;tallation of water-conserving plumbing fixtures is not technically feasible? ❑ Yes Ci it 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. MXo 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 form and sign bottom of form. 1 o Gc to Question 4. 4. Is your real p operty 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'l, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. I t2 Yes My real property is built and available for use or occupancy on or before January 1, 1994. Ci it Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bo o..of form.. 5. P1�Xse check ONE of the following: j fid' Myprope is a single-family residential real property. See Civil Code Section 1101.4. On and a er January 1, 2014,building alterations or improvements shall require all non-compliant plumbing fixtures to be repla ed 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 improve. nts). My property is a commercial real property. See Civil Code Section 1101.5. On and a r January 1,2014,specified building alterations or improvementsshall require non-compliant plumbing tures 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 ixtures throughout the building(regardless-of whether property undergoes alterations;or improvements).. 1,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 11018,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation r quirements,and that the water-conserving.plumbing fixtures comply with the requirements as indicated in the table on the following page. e. Owner or Own r Agent's,Signature' Date: 1 t �A Upon comm leti-ng and signing this Certificate,please return it to the Building Division in order to,finall your building permit.. 584072015.doe revised 08/26115 I' - '0 1�CA ON"M OXIDE ALARMS r M KE OMER IC F C3E'LIANC;� COM MUNITY DEVEL="O'PMENT.DEPrARTMENT`BUILDING'DIVISIOt ���ll�T"�. ,[ 10300 TORRE AVENUE CUPRTINO CA 95014 3255' (408)777-3228 .FALX(408)777-3333► building.(c�ciaperkno.org oft t 1 ---------- FURPOSE In affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for cornpliax ce with 2013 CXc Section 8314,2013 CBC Sections 42:0.6 and 907.2.11.2 where no interior access.for ' inspections are required. G>�I'�°ERAIL,M-F 7 .tl ATION RXIStin g.siri ., le=:fat.g " ily arcd multi-family dwellings shall be prodded with Smoke Alarms and Carbon Mo wxide alarms W,hen the Valuation of additions, alterations,or repairs to existingdwelling ixnits exceeds $111,1M.-M ClKC Se,trod,8314 w-id CBC Sections 907.2.11.5 and 420.6eq*ei that Smoke Alarms and/or Carbon MbTnoxide Atlarnn be installed in the following location-as: AMA SWORE CO ALARM Out side of eac`°separate sleeping area iri the imtrtedia.te vicinity of the Ont c�reY leve-1 6f a,dwelling.,unit tncludiri base�erg, GV'ith�iril eacl'�t s'1 e tri roorirt - � i Carbon IYTori©yid alarms are not required iii:dwellings which.clo=izot contain.fuel burring appiliances ani�F.ftha�t dto nrot l'lave axi attached arae Carborimoi-ioxrcle alar = 1' g g irns combined witlil smoke ala m- s'Nall comply with CDC Sickowi�4}2;0' aitd sllal;be app ove by the.Off