B-2016-2492 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS CONTRACTOR: PERMIT NO:B-2016-2492
10199 E ESTATES DR CUPERTINO,CA 95014-3303(369 08 006) SUNRUN
INSTALLATION
SERVICES INC
SAN LUIS OBISPO,CA
93401
OWNER'S NAME: NAPPOLY CLEMENT AND APARNA DATE ISSUED:08/11/2016
OWNER'S PHONE:4083074183 PHONE NO:(415)580-6900
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C46 Lic.#750184
Contractor SUNRUN INSTALLATION SERVICES INC Date 06/30/2018 X BLDG —ELECT PLUMB
_
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTLAL_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 hereby affirm under penalty of perjury one of the following two declarations: (N)21-PANEL ROOF MOUNTED PV SYSTEM(5.56 KW)
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.
I have and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$11700.00
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 369 08 006
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 er the ups o Municipal Code,Section 9.18. 1$0 DAYS FROM LAST CALLED INSPECTION.
J
_-
Signature Date•08/11/2016 Issued by:PAULO'SULLIVAN
Date:08/11/2016
R-B DER DEC
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 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 of Applicant:
contractors to construct the project(See.7044,Business&Professions Code). Date:08/11/2016
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, 1 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
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 defined by the Bay Area Air QualibLManagement District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Mumckial Gode,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code-,Se ti s'2 ,25 3,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:08/11/2016 _
certify that I have read this application and state that the above information is CONSTRUCTION LENDD(G AGENCY
correct:I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction le4ding 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.
Licensed
Signature Date 08/11/2016
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
UPERTINU
(408)777-3228 FAX(408)777-3333 51
building cupertino.org ►�'/ ,a
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PROJECT ADDRESS y �� _.�--�-�•� � � APN# ®1�
OWNERNAME PHONE 90(� � U E-MAIL
STREET ADDRESS1 0 CITY, STATE 2 �o O �a � FAX
AIL
CONTACT NAME PHONE'
o`� 1 73 E SSV I J� J 'VM L,&"1-1STREET ADDRESS 0 w a� r 1 CTTY TIITE"�ZIIPJ ( FAX
❑ OWNER ❑ OWNER-BUILDER ❑�ON,NERAGENT CONTRACTOR ❑-CONTRACTORAGENT ❑ ARCHITECT l aj❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME 5 ( LICENSE NTJMBER 3G/ �` LICENSE TYPE BUS.LIC n
COMPANY NAME i l t� E-MAIL W-V5 J nJy� FAX
O�
STREET ADDRESS H}--y�^`/1 CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: ❑ Commercial URBAN INTERFI ACE AREA ❑ Yes ❑. No FLOOD ZONE E] Yes E] No
L ,
OLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
(FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: � � \� KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION:
DESCRIPTION OF WORK (E r C5(J- (
- (V 1 W )± f C-^ -)
M 0 0` 'j uc —F uS
0 M 1i
By my signature below,I certify to each of the following: I am the property owner or authorized anent to act on the property o4ner's behalf. I have read"this `
application and the information I have pro Ided is end the Description of Work and verify it is accurate. I agree to Comply with all applicable local
ordinances and state laws relating to bui ing con do . orize representatives of Cupertino to enter the above-ide tiified Jroperty for inspection purposes.
SignatureofApplicant/Agent: Date: �� 4
Sq PLEMENTAL TtFORMATION REQUIRED
a \1 4 � STAi 10`R
MEN
PV4pp_2011.doc revised 03/16/11
DocuSign Envelope ID:E768AC45-C598-4CFA-87E2-ODE904FE96C8
WATER-CONSERVING PLUMBING FIXTURES
OWNER. CERTIFICATE.OF COMPLIANCE'
CQMMUNITY DEVELOPMEiVT DEPARTMENT BUILDING D1VlSlON
CUPERTIi�lES 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255`
(408)777=3228-FAX(408)777-3333 building(aycuoe_rtino.org
Owner Name
Permit No.
Address
1. Is your real property a registered historicaI site?
❑ Yes Civil Code Sections 1101.1 through 1101,'8 do not;apply. Skip the rest of the,form and;sign bottom of:form>
Dkl\To 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 certificationhas 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 do not apply. Skip the rest of the form and sign bottom of form,
tR-No Go to Question 4.
4. Is your real propertybuilt and available for use or occupancy,on or before January 1, 1994?
❑ No Myreal 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 1101.1through 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 realproperty, See Civil Code Section 1101.4:.
Ori 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 1,201Tx 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 mult family 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 cotnmercial real property, See Civil Code Section 1101;5.
On and after January 1,2014,specifxed..'building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conservingplumbing 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 improv=ements);.
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 page. ?-u3'g-d by:
Owner or Owner Agent's Signature: Date: 8/23/2016
Upon completing and signing thise_ p e se return it to the Building Division in order to final your building permit:
S,0447 2015.doc revised 08126115
]3U D T B .�L) A;L' OT 8E FIN D t D OMP ,T�ETEI)TJX SIL� I
t { � BUIIIIi�N
Ij Non-Compliant Water-Conserving Plumbing Fixture
j
Plumbing Fixture? (Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch. 4
Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013. CALGreen Div. 5.3
/Flow Rate Single-Family Multi-Family Commercial
Residential Residential
UVater Closets 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
r Urinals Exceed 1.0
Gallons/flush 0.5 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
j (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 @ 60 psi;minimum Maximum 1.5 gallons psi
Faucets 0.8 gallons per minute @ per minute @ 60 psi;
1 1 20 psi minimum 0.8 gallons
1 per minute @ 20 psi
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 gallonsper 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
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.
SB40 7 2015.doe revised 08126115
DocuSign Envelope ID:E768AC45-C598-4CFA-87E2-ODE904FE96C8
SMOKE 1 CARBON,MONOXID"E ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY'DEVELOPMENT DEPARTMENT•BUILDING DIVISION
C..UREEtI'{NO 90300 TORRE AVENUE CUPERTINO,GA 95014=3255
(408)777-322;8 FAX(40$)777-3333-buildiha(d)-eunertind.otd
Permit No
Address_ -�� #of Alarms Smoke_ `Lr Carbon Monoxides
PERI't CAl\'1�TOT BE F1'�TALED AI4�D COMPLETED [311 T)1 THI5 CERTIFICATE
4� � `CTAS BEEN��'Ah�D 7�ETIiRNFn'Tfl THE.Si1IL�II�G DTYISI�IIT = 4
PURPOSE
This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section'R314,2013 CSC Sections 420:6 and 907:211.2 where no interior access for
inspections are:required.
GENERAL INFORMATION
Existing single-family and multifamily dwellings shall be provided with Smoke Alarmsand Carbon
Monoxide alarms, When the valuation of.additions,alterations,or repairs to.existing dwelling units exceeds
$1000.00,CRC Section 8314 and'CBC Sections"907.2.115 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA SMOKE ALAW CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)
On every level of a dwell na'unit induding basements a X
Within each slee in-room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have an attached.,--arage. 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 dwel h-t-units with no commercial powersupply,alarms)may be solely battery operated.
In existing dwelling units,alarms are permitted to be solely battery operatecly"'here'repa rs 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 Sections907.2.11 A and 420.6 9.An electrical permit is required.for
alarms wltich must be connected to the building wiring.
As owner of the above-referenced property,I hereby certify that the,alarms)referenced above has/have been
installed in accordance with the manufacturers instructions and in compliance with the California Building
and California Residential Codes.The alarins have been tested and are operational,,as of the-date signed
below.
1 have read and agree to c m i ivifh the terms and conditions of this statement
Owner(or Owner A,g+enfs)Name:
8/23/201
Sinature.................. ..... ....................... ........................:..Date
Contractor Name:
Signature......... .. ....,.>Lic. ,_..... bates . ,,
Sniok-e grid CO forni.doc reused 01118114