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B-2016-2691 CITE'OF CUPERTINO BUILDING PERMIT Bill LDI'tiG ADDRESS. ICC7:ST R yC'kOR— PERMIT NO:13.2016-?691 10153COLIIYAVECGT>CIZTINO,C. 95014-2419(31628 045) tS(f iRU� r JNSTALLATION tSAN LUIS OBISPO CA, ; ....... 93 101 - ._._ :__. ..... ....... ._ _ _..................__ -.: _—-...._-----1C)11'tr R'S NA.Mr- CiC3t'ALS:kNkARANARAYr1`AN, DATE ISSfIl T3 Uit t9,`?Olts #{Sl} Cit S PHONE.408-386-7.310Ott:015)58,0.00n # LICENSED 4SI 13 f(} ` 12dC F't}I 'S DEfJ AR4T10NL BUILDING PERMIT TNl'0: ;License Class SOLAR Lic,#75015A Contractor SUNRUN Ih1STALLATIQ I ERt(It:F iNr Date 0613012018 RLDG _ELECT ^PLUNIB IL'CFF Y RESIlll_NTIAL_CUNI4IEI2CIAL I berehy ifCrm that I am licensed under tete pravisians of Chapter 9(contmentting with Section 7000)of Division 3 of tite Business S Professions Garde anti that my a license Is in full force anti effect. JOB:DESCRIPTION: (N)15 PANEL ROOF NIOUNTED PV SYSTEM(3.9 IOW) I thereby affinn under penalty apetjury one or the follotring tWo ditelarttflons: j t. I have and will tnainra[n ai,certificate of consent to sci€insure for Worker's Compensation,as provided for by Section 3 700 of tile Labor Colic:for rbc. i p rfo iva nce of tits.work for which this perinit is issaed. ,:4, f have and will maintain.Worker's Compensation Insurance.its provided for by Section 3700 of the Labor Code.for the perfortnance.of the Work for svitich this Permit is issited. Sq.Ft Floor Area: Waltration Sal 5T_0€1 APPLICANT CF Rlffl l ' IS2N i I 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 1APN.Number: Occupancy Type, ?and state laws relating to buildingconstruction,and hereby authorize 131628045 i representatives of this city to enter upon.the above mentioned property for' _ .__ inspection purposes. VNe)agree]to save indemnify and keep harmless the Chty of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRESFWORK IS NOT STARTE E may accrue against said City in consequence of the granting of this,permit. $TH i Additionally,the applicant atends nd and will comply with all non-point isource regulations per the C p rtino Municipal Code,Section 9.18. 180 DAYS FROMLAST CALLEDINSPECTION. a ;5igtrature� Date sf f 7 Issued by:Abby�&vt ttde 'I3ztte,19119/2016 i f hereby affirm that I arra exempt from the Contractor's License Law for one of the- following two reasons-. I All roofs shall be insgeeted prior to uttt roofingg material hcinc i lstalletk 11`a 1700fis s. 1,as Owner of the property,or lily employees r•itlt Wages as theist sole =installed without tIrst obtaining an inspection,I agree 16 remove all nein materials for compensation,Will do the cork,unci the,structure is not intended or offered for inspection, j safe(Sec.7034,Business&Protessiints triode) i t 1.as owner of the protiveLy atn exclusively contracting with licensed Signature ofFypplicant: contractors to construct i tiro proIect(Sc1044 t13usincss&Professions Code), Date: � a l I hereby affirn)under penalty orperiuns one of the followingthree declarations: ALL ROOF COVERINGS TO BE CLASS"A"Ofd l3k T"rf l2 j I I have nnt3 will muitsaiu a'CertitiEate of Consent toBelt=insure,for Workers t, Compensation.as provided for by Section3700of file labor Code,for tile' j perfisrtuance of tile a{ork for tvlticb this Ipcnt itis issetcil: HAZARDOUS MATERIAL,'i DISCLOSURE I Irate and will maintain CVorkcr's Compensation lttstirartce,as provided fire by I have rein!,tile hazardous materials requirements tinder Chapter 6.95 of the Section 3700 of rhe Labor Code,for the performance of tile Work for tv=hictt.thrs€ California Health S Satiety Code,Sections 25505,25533,and 25534. twill permit is issued. mhdntnFn compliance with the Cupertino Slunleipat Code,Chapter 9,12 and the s I certifyttat in the performance of the work for which this permit is issued P � Health&Safety Cade,Section 2_5532(a)should I store or handle hazardous nhal,I not employ any persazin any ntanncr's+p as to Gezulue ssiGject to iTtC material.Additionally,should t use equipment ordevices which emit Frost dour all-confatmmtrtts its defined by the Flay Arca Air Quality Management Disti-irt I t1'orkcr's Compensation Igws ofCitbfoutit U,after making this certificate of �telt!nralntafn entnptiattcr ttTtit t}te.f ulsertbtto�i WPM Code Chapter9,12 and j t"xcmptiou,I become subject to the Work-cr's Compensation provisions of'file i the Health B Surety;Code.-Stetions 5,25533,sort 25514I + Labor Code,t roust forthwith cc311tply Willi sur:h provisions or this f ennit shall be<tcenred revoked. Qvmer or a Thor zed agent: APP IC_-AN f C EFUIFIC 1TION Date: C � I certify that 1:have read this application and state that the above information is �' LI"° t NG•G correct.lE i here agree to comply with all city and county ordinances and state laws affirm That there is a canstr cti tending agency for the performance f i relating to building construction,and hereby authorize representatives of this city of work's for which this permit is isJied(Sec.30.97,Civ C,) E Ito enter upon the above mentioned property for inspection purposes, (title)agree ;Lender's Name to save indernriffy 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 Built comply with all non-point source regulations per the Cupertino Municipal, 1 C_HITCT"S DECI AR t I ft)N. lode,Section 9.18. 11 understand my plans shall be used as public records. } I signature Date (Licensed ALTERNATIVE ENERGY PERMIT APPLICATION 0COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 GUPERTtNO (408)777-3228"•FAX(408)777-3333 buiidingOlcupertino:oro Olen '13 PROJECTADDRESS 10153 Colby Ave APN 31628045 OWNER NAME ...:PHONE E-MAIL _ Gopal Sankaranarayanan 408-386-7310 STREET ADDRESS 10153 Colby Ave CITY,`STATE ziP Cupertino, CA 9.5014 FAX CONTACT NAME PHONE E-MAIL Vahre Jason 408-53(JR-Rra 3, vancerason(Wsunrunhomexorn' STREET ADDRESS CITY,STATE,ZIN 2,300 Zanker,Rd Unit San Jose,CA 96131 408-894-9294 Q-OWNER .OWNER-BUILDER 0OWNERAGENT � CONTRA CTOR ❑coNTRACTORAwrr I] .ARCWMCT 13ENOWEER © DEVELOPER ❑TEN1NT' CONTRACTORNAME, Sunrun LICENSENUMBER 750184 LICENSE TYPE C-46 BUS.LIC f# COMFANYNAME E-MAIL FAX Sunrun vance.�ason@sunrunhome.corn 408-894-9294 STREET ADDRESS 2300 Zanker'Rd Unit F CIT Y.STATE,ZIP San Jose,CA 95131 PHONE408-506-3693 ARCHITECV914GINEER NAME LICENSE NUMBER 13tIS.LIC# COMPANY NAME E-MAIL, FAX STREETADDRESS / _ CITY,STATE,-ZIP PHONE LKI USE OF SFD OPDupleX 0 MulthFatIilly PROJECT IN WILDLAND PROJECT IN STRUCTURE: 0 Commercial URBAN INTERFACE AREA D YES 0 No FLOOD ZONE Q Yes ❑ NO IV'SOLARPANELS ❑ ELECTRIC VEHICLE CHARGINGSTATION SOLARSYATERHEATING ❑ OTHER: FOR SOLAR PANELS; NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: 15 $8151.00 DESCRIPTION OF WORK 3.9 KW-15 panel solar PV installation,existing 200A main panel ,17 19P A REC B, By my signature below,I certify to each of the following:4 the property owner or authorized agent to act on the property owner's behalf. I have read this application and the informatiott I haveprovided is c I ve read the Description of Work and verify itis accurate. I agree to comply with all applicable local ordinances and state laws relating to b tld' con on. auth' epresentatives of Cupertino to enter the above4dentified property for inspection purposes. Signature of Applicant/Agent: Date: 09109/2016 SUPPLEMEN FORMATION REQUIRED OFFICE"usE oiviz w ❑ OVER-TAE-COIfiTER ❑" EXPRESS,. a D' STANDARD ❑"LARGE ❑ MAJOR , PVt4pp_2011.doc revised 03/16111 SMOKE I CARBON MONOXIDE ALARMS ` OWNER CERTIFICATE OF COMPLIANCE FILE COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION I tt:L c CUi?t�(iYT[t� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228 FAX(408)777-3333> buildingCa.cugertino.org ,�/ Permit leo. Address ' 6��� h�vG #of Alarms Smoke: 5:'' Carbon Monoxide:/ PERMIT CANNOT BE F:>i'i IALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SJC � +� _AND UJIMED TO TEE E BUILDING DIVISION 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 X X bedroom(s) On every 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. 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. 1 have read and agree to coMply with . tekms and conditions of this statement owner(or Owner Agent's)Name: Signature...... ............................................... ................Date: �..... I . Contractor Name: Sinature...................................................................Lic.#......................................Date: ................... Smoke and CO foriz2.doc revised 03118/14 NATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE FILE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 11� ti v CUPERTlNO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildingCa.cupertino.org Owner Name �1�.�•� �w,,� a„� Permit No. Address 1. Is your real property a registered historical site? VN es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. o 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. ( No Go to Question 3. 3. Is water service permanently disconnected for your building? VN Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. O Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ 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. N�'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. Pl se 661ck ONE of the following: My property 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 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 property 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 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 110 1.1 through 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-cons . g plumbing fixtures comply with the requirements as indicated in the table on the followingpage. Owner or Owner Agent's Signature: Date: Upon completing and signing this Certificate,please return it to the Building Division in order to final your building h=it. SB407 2015.doc revised 08126115