B-2016-2577 CITY OF CUPERTINO BUILDING PERMIT
BUH.DINGADDRESS: CONTRACTOR: PERMIT NO:B-2016-2577
10151 WESTERN DR CUPERTINO,CA 95014-2940(359 11 001) HIGHLIGHT SOLAR
INC A CALIFORNIA
CORPORATION
SAN JOSE,CA 95117
OWNER'S NAME: SCHROEDER MICHAEL D AND LESLIE D DATE ISSUED:08/23/2016
OWNER'S PHONE:408-489-9273 PHONE NO:(408)489-9273
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-46 Lic.#960376
Contractor HIGHLIGHT SOLAR INC A CALIFORNIA CORPORATION Date X BLDG _ELECT PLUMB
04/30/2617 _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)15-PANEL ROOF MOUNTED PV SYSTEM(5.175 KW)
I hereby affirm under penalty of perjury one of the following two declarations:
1. 1 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.
2. I have and will maintain Worker's Compensation Insurance,as provided for by
77 Section 3700 of the Labor Code,for the performance of the work for which this
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permit is issued. Sq.Ft Floor Area: Valuation:$23800.00
APPLICANT CERTIFICATION -
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 11 001
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.
'f Issued by:AbbyAygnde
Signature A a e t Date:08/23/23WNER-BXJIIVFR DECLARATION 016
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 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:8/23/2016
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
s. 1 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,Secti ns 25505,25533,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
be deemed revoked. Owner or authorized agent:
Date:8/23/2016
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
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 8/23/2016
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT"BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228 FAX(408)777-3333"buildingp_cupertino.org
PROJECT ADDRESS /j} � APN#
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OWNERNAME HONE E-MAIL m / Ct 41M`L 9')
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STREET ADDRESS ///
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CONTACT NAME A v� PHONE �j q 11 r
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STREET ADDRESSS S-J p r�� CITY,STAT Pp FAy
❑OWNER ❑ OWNER-BUILDER�•7�❑! OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑.ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT ..
CONTRACTOR NAME LICENSE NUMBER r LICENSE TY3E BUS.LIC# (`;�p_�y
COMPANY NAME E-MAIL 6 FAX `� IJ
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STREET ADDRESSf•� CITY,STATE>p4 pOZ
ARCHITECT/ENGINEERNAME W 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 ❑ VCS ❑ NO
SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
,F0A1S0LARPAJVELS. NUMBER OFPANELS/ITNITS: g KILOWATTS(COMMERCIAL ONLY):'J+��� TOTALVALUATION:i 12 000, 0_
DESCRIPTION OF WORK ®
RECELVEI3BY ,"'.
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 11balf. ffihave read this
applicatioli and the information I have provided 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 buil ' g construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQ RED "% oFFic>`us'E'oNI
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PVApp_2011.doc revised 03116111
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SMOKE t CARBON,MONOXMDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
UPRTl1�1t 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333 building(aDcupertino.org
ii i Permit No.XsI6-X5-27
Address #of Alarms Smoke:14 Carbon Monoxide:
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS'CERTIFIGTE
HASS BEEN iD uF l ZTf2NEDCQHE BLTILDtbSfONggw
�.x _ __ter _<,;�, •..., rz,. ��� �><.._,. _. ,;*>u . .. ._ . ..,
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 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-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,CRC 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 IX X
bedroom(s)
On ever level of a dwelling unit including basements X X
Within each sleeping room X �
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have an attached garage. 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.l,'
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Power Supply:In dwelling units with no commercial power supply, alarm(s)maybe 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 Nall 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 el',lectrical permit is required for
alarms which must be connected to the building wiring.
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As owner of the above-referenced property,I hereby certify that the alarm(s)referenced above has/haye 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 Nith the terms&d conditions of,this statement
�Owner(or Owner Agent's)Name: 7 0/J6
{ ', , x k f �;6",V� Si nature............ 1.nate. ....... .. ........
Contractor me: /
-r ~edVl Sig
P ......:............................. ...........Date: ..:®...c.
Smoke and CO form.doc revised 03/18/14
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WATER-COC S ERVIN G PLUMBING FIXTURES
OWNER CERTIFICATE CSE COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
U1' 1T3t 10300 TORRE AVENUE• CUPERTINO CA 95014-3255
(408)777-3228• FAX(408)777-3333•buildingPcupertino.org
Owner Name 011 C_ 6--p— ( Permit N01312101 6 A
Address 0 f j (ji' oq, -r r1 I ) _
1. Is your real property a registered historical site?
i
Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the'form and sign'bottom of form.
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?
El.'Yes Civil 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. j
No 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.
ER"No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?.
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Q No My real property is built and available for use or occupancy after January 1, 1 94.
Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of theform and sign bottom of form.
i& Yes 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
bottom of form..
5. Please check ONE of the following:
My property is a single-family resid6ntial real property. See Civil Code Section 11011.4.
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 1,2017,all non-
compliant plumbing fixtures shall be replaced with water-conserving plumbing j 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
improvements).
❑ My property is a commercial real property., See Civil Code Section 1101.5.
On and after January 1,2014, specified buildingalterations or improvements shall require non-compliant
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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 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 p robing fixtures comply with the requirements as indicated in the
table on the following page.
Owner of Owner Agent's Signature: Date: � ` .,
Upon completing and signing this Certificate,please return it to the Building Division in;order to final your building permit.
SB407 2015.doc revised 08126115
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tion-compliant Water-Conserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type A iaximurn Water Usage/Flow Rate
Water Usage 2013 CPC Cho 4 2013 CPC Ch.4 2013 CPC Ch.4
/Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Civ. 5.3
Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 16 Single flush toilets: 1.28 gallons/flush
(Toilets) Gailons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite,
Urinals
average flush volume of two reduced flushes and one full flush
Exceed 1.0
Gallons/flush 0.5 gallons/flush
Shov�erheads 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 handheld shower is considered a showerhead.) j
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
a 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;
20 psi minimum 0.8 gallons
per minute @ 20 psi
In common and public
use areas: 0.5 gallons j
per minute @ 60 psi
1.8 gallons per minute
1 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 temporadlyincrease May temporarily
up to 2.2 gallons per increase up to 2.2
minute @ 60 psi,a6d must gallons per minute @
default to maximum 60 psi,and must j
1.8 gallons per minute @ default to maximum
60 psi 1.8 gallons per minute
Where faucets meeting . @ 60 psi- J
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.
g plumbing g q figure t required to be upgraded.
1. 1f the existin lumbin fixture water usage/flow e/flow rate�s equal to or lower than the f re shown it is no
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SB407 2015.doc revised 08126115
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