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B-2016-2536 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR:- PERMIT NO:B-2016-2536 10599 NATHANSON AVE CUPERTINO,CA 95014-1330(326 43 077) SOLARCITY CORPORATION SAN MATEO,CA 94402 OWNER'S NAME: NATARAJ BINDIGANANALE SAND NAGAMANI TRUSTE DATE ISSUED:08/17/2016 OWNER'S PHONE:408-372-8574 ! PHONE NO;(650)963-5100 LICENCED CONTRACTOR'S DTi C A u ATrnrT BUILDING PERMIT INFO: License Class;G-1 Q Lic.#888104 Contractor 9QLARCITY 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 htESIDENTIAL_COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCR$PTION: I hereby affirm under penalty of perjury one of the following two declarations: (N)26 PANEL ROOF MOUNTED PV SYSTEM(6.76kW) 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. a/ 3 2. ;'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:$15000.00 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 326 43 077 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 e cCc]ar I w of the granting all this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant under tfond a tl will comply with all non-point source regulations per the CupAino, nicipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature / / Date 08/17/2016 ISS �iSS�AN � Date: 08/17/2016 OWNER-BUILDER DECLARATION ARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOD following two reasons: All roofs shall be inspected pri6r 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 ofApplicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:08/17/2016 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. L have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 5.95 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 Qua'ty]anagement District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Muni ,c.4e,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 255`d:25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shalli� be deemed revoked. Owner or authlorized agent: APPLICANT CERTIFICATION Date:08/17/2076 I certify that I have read this application and state that the above information is CONSTRUC>a 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. Licensed Signature Date 08/17/2016 Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDINGDIVISION 10300 TORRE AVENUE•CUPERTINO, GA 95014-3255 CLIPERT; O (408)777-3228-FAX(408)777-3333•building@cunertino.orq j� J3r- Z(Jo 1 - 2 APN# 3( PROJECT ADDRESS I i Ol✓t I Q OWNER NAME AAAA 1,,t 0Ly1aV 1 e C, A /a4C�,f PHONE E-MAIL STREET ADDRESS CITY,STATE 21P FAX CONTACT NAME Marjan Javanmard PHONE 650.477.6430 E-MAILmjavanmard@solarcity.com _T STREET ADDRESS 391 Foster City .Blvd CITY,STATE,ZIP Foster City, CA 94404 FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENr ❑ CONTRACTOR 9 CONTRACTOR AGENT Q ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMESolarCity Corporation LICENSENUMBER88810 LICENSE TYPEr+10 BUS.LIc9288A, COMPANYNAMESolarCity Corporation E-MAIL mjjavarll�n`tjard@solCarcity..COm PAX ()U`t � STREET ADDRESS 391 Foster City Blvd CITY,STATE,ZIP Foster City, CA 94404 PHONE 650.477.6430 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 INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ No ❑/SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEFTING ❑ OTHER: _ FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: C '00n ,dC DESCRIPTION OF WORK Installation ,"'I, P rooftop flush mounted solar panel 6. 6 kW RECE_ By my signature below,I certify to each of the following: I am the pro�ertyper 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 De ription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I'a'u'thari'z- e e/entatives of Cupertino to enter the above-identifie roperty f5/inspection purposes. Signature of Applicant/Agent: .' Date: SUPPLEMENT Ay J�T&FORMATIONREQUIRED o"' USE ONLY A-QI -THE-COUNTER- - / 17 F ❑.EXPRESS �"s- U ❑ STANDARD_. _. - S a ❑ LARGE G ❑. MAJOR- PVApp 2011.doc revised 03116/11 SMOKE I CAMON E s p q CfO+�}g y Y«pUR g�;;,` ¢w�`(MMW Dr ,'.(h�$'W. S �,gSU} )R\.V-DII S,i ON 77-3228 f 77 j P Tds af fU e vit is�t l : rt'ifir t n for thm, 1 ' gilre d Smo .?o d CAf m . .j. rj for Carbon al-Al ans. the valuationd",Additidt*Ata 1, 'r AMA _ K- � CMAtAPM Chile c vicinity ; l [. r It is unit Indui WIN mim" .�....Pum in cap. i s r �� 0 'sant h-'--TlZ art v t fF?1 I'm d g Carboo.m— oxdi A. ��cmaved wiffinke., o.. west, Wedfi Mfam. haRbt afpuvedby the Office,vj dw.Std In; c)'pembedwhere:Fep,aim;or do, . . .�� 7u,') t l� 3� = c am fie commerztedtathle buil&hmg wixh* peuty,I lmby a t t tyle axft .r e-r brimme zaft�pe w ' .vista in wr ��€� _a. ._ . . � &s. .1 � A k Iw o: to%te n � 01 t ,� 't�k r �e �� r i WATER-CONSERVING OWNER CERTIFICATeW mta UMV,DEVELOPMENT1, �" f -SUILDING D# 1 N 10 0 TmRE AVENUE-CUPERTINO,C '95014 55, CUPERTMO 777-3228- . �(408)717-3 d�� pu,. E- vacr Name # k.r 1 9t1 1 } 6Z,' —Perzaaat N PTA- Address �� C_/.9 1. Is your.real pro c.rty a registered historical'site? 0 Yes Civil Code Sections 1101.1 through 11 .:8 do not apply. Skip the rest of the form and sign bottom of fonts, �PV b Cot j Question 2. . Does yout real rop arty have a licensed platnnber e . g'tbat,due to the.age.orzontiguration of the property or its plumbing,installatinn.of'water-co-nserving lumbi ng,fixtures is not technically feasible? 0 Yes Civ Cone Scctions 1101,1 through 1 1.8 do not apply. , lie licensed plumber's certification has been provided to the Branding Division. Skip the rest of the fonts and sign bottom of from. No t)Question.3.. .I Is water ser is permanently disconnected for your building, 0 Yes Civil Code Sections 1103.1 through 1101.8 do not,apply. Skip the rest;of the fonaa and sign bottom of form 9a No �o t o,Questibit 4. 4. isoc real property'built,and,available for use or occupancy ren or before.lanae 1,1994? yp y 0 No l °al roporty�is built and available for use rar occupancy after laintax=1, 1994, Civil Code Sebtions 11.01.1 through 1101.8 do not apply. Slip the rest of the forts and sig n. bottom of form. C Yes ley real property is built and,available for use onoccupancy on orbetore January 1,19.94» Civil Cc&Sections 1101.1through 11.0.1.8 apply Check one of the three fallowing statements andsip bot ni,of form., 5. Tease check of the following. MypropbrN is a.single-family residential real property. See ivi1 Code Section 1101 n and aftc .lanuaty 1,2014,building alterations or improvements shall require.all nor-compliant plumbing f xtvres to be replaced with water�cons rvinrg plumbing fixtures throughout the building.On or before January 1,2017,all non- compliant-plumbing on-c mpliant lurnbing fixtures shall be replaeed with: water-conserving plumbing Rxtures {regardless of whether lamp z�ty tau ergpes alterations or iartproverrncnt4 0 "My rope is a mtelt f ley residents tPeal propen-ty. See Civil Code Section,1101.5. On and a", -January 1,2011,specified building alterations or irriprovernents.shall require non-compliant plumbing fictures to be replaced with water-conserving plumbing fixtures. On or ba.foJanuary 1,2f119,all non-compliant phirabing fixtures shall be replaced with water- conserving luanabirag faart ares throughout the,building,(regardless ofwhether property undergoes alterations or inuproveme is)> 0 ley prppe t is a coi4me-ciai real proper See Civil Code Section 110.13. On,and afte .anuary 1,2014, p eified building alteration-,or improvements shall require non-compliant laamb%rel;fioures to be replaced with water-conserving plumb ng fixt�ar s On or befc re January 1, 2019,all U011-compliant plumbing fixtures shall be replaced with water- conserving plumbing it xtures tbrota hout the building(regardless of-whether property undergoes alterations or inrtproverenenns),. 7asthe aas�a� r or nsvn is agent of this prcaperty,cct tify ntaader peaaalt,pf penrrrry that nxon cornpliaaatpinnaabiangtnnres will b d prior o dlate specified above with:wafer-conserving plunnbing fixtures ins a cordaaace with Civil Geode ection 110.1.1 11tH., , (110.current California Plumbing Code and California Green Building Standards Code,and man tfacturer' u1 tallati'an�ren LAgsnLfs8i9natuWI ents,and that the wat - ons ruing plumbing fixtures comply with therequirements ras indicated in the table,tart tlae_fo 1 Curter or owner �l/`'`"�— Data'-" �� Upon as ap eting and sinning dais cehificate,please return it to the Building Division,in order to final your building petntit. B4 7 201 5.cdoc rev€st d 626,',U