B-2016-2487 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2487
20388 GILLICK WAY CUPERTINO,CA 95014-4445(369 36 007) SUNWORK
RENEWABLE ENERGY
PROJECTS
MILPITAS,CA 95035
OWNER'S NAME: IYER SUDHISH K AND SWAPNA V DATE ISSUED:08/11/2016
OWNER'S PHONE:408-768-2297 PHONE NO:(650)520-9918
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-46 Lic.#920732
Contractor SUNWORK RENEWABLE ENERGY PROJECTS Date 08/31/2016 X BLDG —ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERCLAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
(I)15-PANEL ROOF MOUNTED PV SYSTEM(4.2 KW)
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
performance of the work for which this permit is issued.
M/ 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:$11700.00
APPLICANT CERTIFICATION
certify that 1 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 36 007
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 EXPIRESIF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS' F 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 - �' Date 8/11/2016 Issued by:Abby A g
Date:08/11/2016
OWNER-BUH DER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the IE-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. 1,as owner of the property,am exclusively contracting with licensed Signature ofApplicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:8/11/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINC S TO BE CLASS"A"OR BETTER
n. 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 ATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous mater Als 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 Co e,Sections 25505,25533,and 25534. I will
maintain compliance with the Cull ertino Municipal Code,Chapter 9.12 and the
permit is issued.
Health&Safety Code,Section 5532(a)should I store or handle hazardous
s. I certify that in the performance of the work for which this permit is issued,I
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 tht 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: R T oEf_
APP I NT R ATION -CI Date:8/11/2016
certify that I have read this application and state that the above information isCONSTRUCT1 LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is icon sued( 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 AR HITE T' DECLARATION
I understand my plans shall be uE ed as public records..
Code,Section 9.18.
Licensed
Signature Date 8/1112016 Professional
ALTERNATIVE 'ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building@cupertino.org
PROJECT ADDRESS n% APN
OWNERNAME PHONE E-MAIL
SfOI� fSf f /`tRt�—7679—22 9
STREET ADDRESS 2CITY, STATE,�Uf'�,Tl�1ra)1 Gro f.5•a �
CONTACT NAME �j �N PHONE r� � E-MAIL
STREET ADDRESS / CITY,STATE,ZIP FAX
19/CONTRACTOR
-
13 OWNER ❑ OWNER-BUILDER 1:1r/ !i'l OWNER AGENT L=1 CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE _ BUS.LIC#
Aj5war�v t«4 y2':9-7.:3z 40 qct I
COMPANY NAME E-MAIL FAX
STREETCITY,STATE,ZIP PHONE
ADDRE S
77 VAu-1-Y r4,,fr eA114-1017_T c,.* fs vs GsO-3Z-0 9'fl.:f
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS�/ CITY,STATE,ZIP PHONE.
USE OF L1 SFS or Duplex ❑ Multi-Family PROJECT II,WIL DLANDPROJECT IN �/
STRUCTURE: ❑ Commercial URBAN INTERFACE AREA E-1YesdNo FLOOD ZONE El Yes NG
RSOLAR PANELS' ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING OTHER:
FOR SOLAR.PANBLS. NUMBER OF PANELSIUNITS: KILOWATTS(COMMERCIAL ONLY): I OTAL VALUATION ®
DESCRIPTION OF WORK
Pf 1-1atJN7" PV SOZ-AR , 2 f<w IS o vtGr
RECEIVED BY -!"Ah'
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property.owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agre to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identifi d property for inspection purposes.
Signature of Applicant/Agent: rd- °'fLQ+t' Date:
SUPPLEMENTAL INFORMATION REQUIREDti
. ORRICE USE-ONLY'
f Xv
Z OBER-THE-CO,UNT'ER
Z «
N.
�<' �"j ❑ EXPRESS
`�. D STANDr1RD
LARGE
IvrAJORj
PVApp 2011,doe revised 03/16111
SMOKE / CARBON MONOXIDE ALARMSIg
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
GUP R'f11~6t 408)777-3228•FAX(408)777-3333,- building(a cupertino.org
Permit No. WMr
Address CV9 UL-f I rV CD , - CISD #of Alarms Smoke: Carbon Monoxide:
PERMIT CANNOT BE FINALED AND COMPIlETED UNTIL T$IS CERTIFICATE
$A5 BEENI T DANS RFT +D T{ T$E BUILDINDT [SION ,
PURPOSE
This affidavi is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections axe required.
GENERAL INFORMATION
Existing sin le-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, CFC 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
bedroom(s)
On ever level of a dwellin 'urn't including basements X X
Within E adi..sleeping room r X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that-
do
hatdo not'have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Sectio 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 have read and agree to comply with the terms and conditions of this statement
Owner(o Owner Agent's)Name: (98
t
.Daae. ... .............'
r� '� � Si nature..:.....:...°r.., ... ............ ....:...... ......... ........,. ..............
Contract r Name: s
Signature..................................... .........................Lic.#... .............................Date .................
Smoke and CO form.doc revised 03/18114
WATER-CONSERVING PLUMBING FIXTURES F1
w
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUP RTINO 10300 TORRE AVENUE CUPERTINO, CA 95014-3255
(408)777-3228- FAX(408)777-3333•building(cDcupertino.org -34846
Owner Name �U'9;+1S)A Permit No. BOG"'
Address
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 formand sign bottom of form.
G�No Gc 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
pll ing,installation of water-conserving plumbing fixtures is not technically feasible?
t d1 Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
SkLp the rest of the form and sign bottom of form.- -
❑ No Gc to Question 3.
3. Is water service permanently disconnected for your building?
El YesCivil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
No Ge to Question 4.
4. Is;yourreal pi operty built and available for use or occupancy on or before'January 1, 1994?
p 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.
dyes 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
bo om of form..
5. Phase check ONE of the following:
My propertyis a single-family residbntial 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).
❑ Myproperiyis a multifamily residential real property. See Civil Code Section 1101.5.
On and ail- 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).
El My props 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 be re January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
plumbingx- ures throughout the building(regardless of whether property undergoes alterations or improvements). ,
I,as the owner or owner's agent of this properly, certify under penalty of pei ury 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 f llowin page.
Owner or Owner Agent's Signature: Date: it
Upon completing and signing this Certificat ,p ease return it to the Building Division in order to final your building permit.
SB4072015.doc revised 08126115
�UILDlIl�TCr PBRMIT CANl�TOT BE I+'TN�AI.kiD Arq, C Mft TED U1�TIL THIS;
I;RTFICTE IIS BEJ1�I '' AND RETURN
z ED TO THE BUIL�Il�� SO1dT
a
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type Maximum Water Usage/Flow Fate
Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch.4
/Floor Pate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 20'13 CALGreen Div. 5.3
Single-Family Multi-Family Commercial
Residential Residential
Water 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
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
(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
Lavatoryper minute minute @ 60 psi; minimum Maximum 1.5 gallons psi
Faucets 0.8 gallons per minute @ per minute @ 60 psi;
20 psi minimum 0.8 gallons
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 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 ,
may be used to achieve unavailable, aerators or
reduction. other means may be
used to achieve
i reduction.
1. If the existing F lambing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded.
F
SB407 2015.doc revised 08126/15