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B-2016-2501 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2501 20686 RODRIGUES AVE CUPERTINO,CA 95014-2965(359 11 014) HIGHLIGHT SOLAR INCA CALIFORNIA CORPORATION SAN JOSE,CA 95117 OWNER'S NAME: ONER KORAYAND YANG EMILY S DATE ISSUED:08/12/2016 OWNER'S PHONE: PHONE NO:(408)489-9273 LICENSED CONTRACTOR'S DECLARATION ATION BUILDING PERMIT INFO: License Class SOLAR Lic.#960376 Contractor HIGHLIGHT SOLAR INC A CALIFORNIA CORPORATION Date X BLDG X ELECT _PLUMB 04/30/2017 MECH X RESIDENTIAL_COMMERCIAL 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 JOB DESCRIPTION: license is in full force and effect. (I)28-PANEL ROOF MOUNTED PV SYSTEM(8.96) I hereby affirm under penalty of perjury one of the following two declarations: )EV#1-INSTALL 2 NEW OUTLETS(40&75 AMPS) 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 IF P"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:$33700.00 permit is issued. APPLICANT CERTIFICATION 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 359 11 014 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 PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code,Section 9.18. Issued by:Kim Dunbar r% Signatures Date Date:08/12/2016 OWNER-BUILDER DECLARATION R F ROOFS:. 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 1. I,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,Business&Professions Code) Signature of Applicant: 2, I,as owner of the property,am exclusively contracting with licensed Date: contractors to construct the project(Sec.7044,Business&Professions Code). 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,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 3. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous air contaminants as define shall not employ any person in any manner so as to become subject to the d by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Code,Sections 5505,25533,and 25534. exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall Owner or authorized agent be deemed revoked. - Date: APPLICAN T CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that 1 have read this application and state that the above information is Ihereby affirm that there is a construction lending agency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.) relating to building construction,and hereby authorize representatives of this city Lender's Name to enter upon the'above mentioned property for inspection purposes. (We)agree 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 ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally,the applicant understands 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 Professional Signature Date CONSTRUCTION PERMIT APPLICATION. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinaC@cupertino.org CUPERTItitt El NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS LC) yy �l �Q APN# .5 () I / , I ,r OWNERNAME �CNG PHONEJ-10 8 373 111 o E-MAIL - ;fsQsly STREET ADDRESS' CITY, TAT ,zIP FAX V A`� + lIn0 CONTACT NTAME1 PHONE Iya �I,a E-MAIL Algq STREET ADDRESS S.S CITY,STATE,ZIP{°aan FAX ❑ OWNER ❑ORRdER-BUIIDER ❑ OWNERAGEAT CONTRACTOR ❑CONTRACTORAGENTr ❑ ARCHITECT ❑ENGLKEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME AILICENSE NUMBER LICENSE TYPE c BUS.LIC# Ct COMPANY NAME {_� E-MAIL , FAX STREET ADDRESS CITY,STATE,ZIP PHONE r ARCHITECT/ENGINEER NAME I LICENSE NUMBER BUTS.LIC4' COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK I / - fWQ ma re Cts T l EXISTING USE - - -- PROPOSED USE CONSTR TYPE V STORIES - - USE TYPE OCC, SQ.FT. VALUATION(5) EXISTG NEW FLOOR DEMO TOTALAREA AREA AREA NET AREA , BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA. PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGEAREA: DETACH - - - ❑ATTACH -DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES - BEING.ADDED? []NO ADDITION.? ❑NO PRE-APPLICATION ❑YES. IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES R,l CEI17E 'B '°' TOTAL V TION: PLANNLNGAPPLt, MNO PLANNING APPROVAL LETTER EICHLERHOME? NO By my signature below,I certify to each of the following: I am the property owner or authorized agent 0 act,on khe property owner's behalf. I have read this application and the information I have provided is come I have read the Description ofWork and verify itis accurate. I agree to comply with all applicable local ordinances and state laws relating to building con ction. au rize repr ntatives of C ei lino to enter the above-identified property for yinspection purposes. Signature of Applicant/Agent: * Date: / �t✓/�i SUPPLEMENT ORNIATI REQUIRED PIS CHECKTYPEROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for 0�ER THE COIP�TER ❑ BUII vmt PLAN REl IEVf existing building s). Demolition permit is required prior to issuance of building r ` permit for new building. PLANNING.PL�REQ IEii ' Commercial Bldgs: Provide a completed Hazardous Materials Disclosure I] sTA tII7 ARD ❑ PUBLIc��oRl.s form if any Hazardous Materials are being used as part of this project. LARGE � FIREDEPT' �: Copy of Planning Approval Letter or Meeting with Planning prior to :SANZfARYSER'ERDISTRICT 3�LAJOR vx- submittal of Building Permit application. Q;EN1'IR0NASEhTt1I:'HEALTFIx% BId.gApp_2011.doc revised 06/21/17 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2501 20686 RODRIGUES AVE CUPERTINO,CA 95014-2965(359 11014) HIGHLIGHT SOLAR INC A CALIFORNIA CORPORATION SAN JOSE,CA 95117 OWNER'S NAME: ONER KORAY AND YANG EMILY S DATE ISSUED:08/12/2016 OWNER'S PHONE:408-3731118 PHONE NO:(408)489-9273 LICENSED ONT A TOR' DECLARATION BUILDING PERMIT INFO: License Class C46 Lic,#960376 Contractor HIGHLIGHT SOLAR INC A CALIFORNIA CORPORATION Date X BLDG—ELECT _PLUMB 04/30/2017 _MECH X RESIDENTIAL,COMMERCIAL 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 JOB DESCRIPTION: license is in full force and effect. (I)28-PANEL ROOF MOUNTED PV SYSTEM(8.96) 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 .7 performance of the work for which this permit is issued. f 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:$33700.00 permit is issued. APPLICANT CERTIFICATION 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 359 11 014 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 PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations er the Cupertino Municipal Code,Section 9.18. Issued by:Kim Dunbary� Signature Date 08/12/2016 Date:08/12/2016 �� � ��"' Y.✓ OWNER-B I D R D A TION RE-ROOFS: 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 1. I,as owner of the property,or my employees with wages as their sole inspection. compensation,will do the work,and the structure is not t intended or offered for sale(Sec.7044,Business&Professions Code) Signature ofApplicant: 2. I,as owner of the property,am exclusively contracting with licensed Date:08/12/201.6 contractors to construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three declarations; ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER t. 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. I have read the hazardous materials requirements under Chapter 6.95 of the z. 1 have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,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(x)should I store or handle hazardous 3. I certify that in the performance of the work for 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 Management District I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Code,Se 'ons 25505,25533,and 25534. exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such previsions or this permit shall Owner or authorized agent: be deemed revoked. Date:08/12/2016 -- APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.) relating to building construction,and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We)agree 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 ARCHITECT'S DECLARATION 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 Professional Signature Date 08/12/2016 ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �Ila (408)777-3228• FAX(408)777-3333•build ing(ftupertino.org PROJECFADDRESS 209"10v /�C�C/I1 (' -.Lt°P.., APN# OWNER NAME PHONE ® � � � EMAIL STREET ADDRESSr g r`4 CITY,STATE,ZIP FAX Ck CONTACT NAME�/ ` xLe, PHONE`Z V Z t 1 S. E�1^t �r /s./ IL �J Lv, 6 t STREET ADDRESS CI Y,STATE,ZIP FAX r ❑OWNER ❑ OWNER-BUILDER. ❑ OWNER AGENT CONTRACTOR El CONTRACTOR AGENT ❑. ARCHITECT ❑.ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE�Iu��sER LICENSE TYPE BUS.LIC# ti� r� •-�.. 7 6 f6 L COMPANY NAMEC• , ` Gq �l r FAX STREET ADDRESS CITY,STATE,ZIP PHONE SA to4l ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAMEs _. E-MATT- FAX STREET ADDRESS CITY,STATE,ZIP PHONE - USE OF �FD or Duplex ❑ Multi-Farnily PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ ornmerclal URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE I] Yes ❑ No v, SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑,OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: 2g KILOWATTS(COMMERCIAL ONLY): y s TOTAL VALUAT N: DESCRIPTION OF WORKn Pa 1.e� D D L� - 'REG BY By my signature below,I certify to each of the following: I am the propert)owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provide 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 buildin onstruction. I authorize representatives of Cupertino to enter the-above-id e tified property for inspection purposes. Signature of Applicant/Agent:_ Date: SUPPLEMENTAL INFORMATION REQUIRED ' OFFICE USE'Oiity �;� 01�ER THE COUNTER U F' Q EXPRESS ? d Q TARGE 4 .MAJOR PVApp_2011.doc revised 03116111 SMOKE I DALAR FILE "CATE—OF COMPLIANCE 33' COMNIUNITY DiExV6L'OPMENI DEPARTMENT®BU'IUDING DIVISION I' C�rlp# l In 10300 TORRE AV6-RUE-GUF'ERT'1140,QA 95014-3255 (40-8)777-8,2.2.,8 W FA7C(408)777-3333 4 IL girtai�c o rting.ora This afftdav t i5 a sel&cert�fica"Or'for the installation of all required Srnoke and Carbon Monoxide Alarms for cornphance with 2013 CIBC Section 1314,2013 CBC S-ectiorrs 420.6 at�d 907.2.11.2 where no interior access for nzspectio-ns aXe tegctired. and multi fa r�dy dwellings s-hal+l Tie provided with Smoke Alarms and CarboIrt I o t rde allarzins ' he-rt the valuation of addrtions,alterations,or repairs to existing dwellmg t+trt�its exceeds 0 03©fir C13C See fian X314 al-td C8C, SectFofts 90`7 211.5 aild 420.6 requrtte that S poke Alamg aid/o1 Ca�g> oz I o°in o-Ai e Ala ins be irtstallecl ut tl e fotlto vrrtg loeatio s. AMAN 1 S, O'xm AtANRU, CO �; 0u s d'e©t each e axate_sleeping--rea frt the imlme')Jblte vicLnrty of the , . _ eveg 1yeL®t a dwellim ui%t�irtcIttd=unt basements I W'itA,141 each slee iirt,rood -F Carbone @-A e alarz+n s age not reg,dire? , + . A i d�.tt dwel+ ,gs w'h�ch dog ilm�f coma':=4 =; el-bitr,, g a+p�Batices ait�i flt d>®:nrotln��cc'e axt�a�ta�l�ied ga�ra�ge Ca�rbo�i?r�.ono�ide ala�rnns coin{�inied#with srrto}lie ala�rnns s�ia+ll co�m��I`y w CBfC Sectio3l�42Q;6�a+mct sln+all be a�'p'ro�red��the O'ffrce o�the Sete�i?re�:s=shat. i 1:t R wer S`a K �,1, urt t conte; ,z ' pis with no> _ , + ercial. ; wez�sua7ly�alar„(ski rn. liy h p any be Sole s�er�,.o�eracl� dlw'e�lling,WV�tis,alae+s,aMe permifted t0t be Mlel:batter operated,where S" p repairs og a+ltera�io�,l�do, not resin tftF t�e;rern,o~�al of wAIR and ce lk-ig,fimiukes®�Ate-re,is taa aceesg la: re y me fi��s off attic„b�,aseztneat or ctasw l s7p�,ce= Ne£ez W CRC Section 13,14 amid CDC Se,cfi=orlcsi 9®7'.2..11.4 and 420:6.2..Ani z , , eleehntcasl'per a¢%rl i;srre +u&ed�fog alarms vlz�cl+1 =t ust be co3ulcfed to tln+e bit's id; ,g vYxroktg. As owmer= W thke above-refemmed? ra ert lh ' + p' l' Y, exebyr certzy tlz+at tl-e alarin(s=)j r=ei ezettced above has �e berz. installed'irt�amGrid xic,e with th � a ufactmey's nsit�actrons>a� Zd m conn£I a,nce with t1;te Calvo +Bpd V P rnta3 R:�z+ and CaUom, Restderrh=a I Cotl'.es.` the alatmo,16ave bee-re tested a,11d awe Operational,ao of thke, {. da te stged bel Ijhxe read am .1 cora { ,ith,fhe:tr�rs anal' andifons>of`tirsshagmef �— J n�trre., . . - � ��=� ; e ..... .... ......... ......... ...,.... Lrc. °........... b�ke WATER-CONSERVING PLUMBING FIXTURES I L EE OWNER CERTIFICATE OF COMPLIANCE T� l COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPER7"INU 10300 TORRE AVENUE o CUPERTINO,CA 95014-3255 (408)77 -3228-FAX(408)777-3333 building at7cuaertino org _ Owner Name' f t n,.p Permit N2,42 B A v o Address 1 � Ave. 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 form and sign bottom of form. fD 2-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. r 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? 11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Ej 51 No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑i Na 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. I Yes My real property is built and available for use or occupancy on or before Jan nary 1, 1994 Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom,of form.. S. Please check ONE of the following: Ivlyproperty, 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 improvernents shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January1,2019"all non-compliant plumbing fixturest shall-be replaced with water- conserving plumbing fixtures throughout the building.(regardless of whether properly undergoes alterations or improvements). ❑ Myproperty is a commercial real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require none 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 underpenalty 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.I through 110`1.8,,the current California Plumbing Code and California Green Building Standards Code,,and manufacturer's installation requirements,and that the water-conserving plu k1�bii fixtures comply with tfie requirements-as indicated in the table on the following page.. Owner or Owner Agent's Signature: Upon completing,and signing this Ceitif Bate,pI � rn it to the Building.Division in order to final your building permit. SB407 2015.doc revised'081261,15