B-2016-2708 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2708
10270 SCENIC BLVD CUPERTINO,CA 95014-2726(357 08 048) CLEAN SOLAR INC
SAN JOSE,CA 95112
OWNER'S NAME: GUPTA VISHU AND NIKITA DATE ISSUED:09/12/2016
OWNER'S PHONE:650-644-7680 PHONE NO:(408)217-8876
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-10:C-46 Lic.#910849
Contractor CLEAN SOLAR INC Date 02/28/2018 X BLDG _ELECT —PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
(N)29-PANEL ROOF MOUNTED PV SYSTEM(10 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
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$48899.00
APPLICANT CERTIFICATION
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 357 08 048
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 in consequence of the granting of this permit. WITHIN 180 DAYS OF 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 9/12/2016 Issued by:Abby A,esnde
Date:09/12/2016
OWNER-BUILDER DECL .—I
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-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. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/12/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials 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 Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. 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
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
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: / hLw U—
APPLICANT CERTIFICATION Date:9/12/2016
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 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
ON
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S public
records.
Code,Section 9.18. I understand my plans shall be used as public records.
Licensed
Signature Date 9/12/2016 Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
CUPER lI INt7 (408)777-3228• FAX(408)777-3333•building@cupertino.org
PROJECT ADDRESS 'I(� O sc V '( , j d 1APN#
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OWNER NAME , I ,^ ` ` P N �qq- IP� E-MAIL ��tJ✓^ t /C
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CONTACT NAME P 0 E C' E-MA, (�
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❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 27`1ONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME*1, (�jVck
l� RavFLL LICENSE NUMBER q ("(/ LICENSE TYPE� I�7� /, BUS.LIC# 3 j 3 3
COMPANY NAME�i S� v EMAILI�r/ GCr
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COMPANY NAME E-MAIL FAX
STREET.ADDRESS CITY,STATE,ZIP PHONE
USE OF 6SFD or Duplex ❑ Multi-Family PROJECT INWTLDLAND PROJECT IN
STRUCTURE: E] Commercial URBAN INTERFACE AREA ❑ Yes )Q No FLOOD 70NE ❑ YeS P�':No
SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION -FO-SOLAR WATER HEATING ❑ OTHER: _
FOR SOLAR PANELS: NUMBER OF PANELS/UNITS:F WORK
YM
� KILOWATTS(COMMERCIAL ONLY): 1 T �(l A TOTAL VALUATIONly
DESCRIPTION O (/J, 6���
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RECEIVED BY: (�Q
By my signature below,I certify to each of the following: 1 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 agree to comply with all applicable local
ordinances and state laws relator building c nstruction. I auth ' e representatives of Cupertino to enter the above-ide tified pro for inspection purposes.
Signature of Applicant/Agent: (Q L't-" Date:_
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WATER-CONSERVING PLUMBING FIXTURES _
its OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
UPERT1No 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•building&-cupertino.org
Owner Name e)'.�31,� -� Permit No (3- 016-774
Address '-O b S RJ_
(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.
jVNo Go to Question 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.
El The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
VNo Go to Question 3.
4 Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
VNo Go to Question 4.
4 Is your real property built and available for use or occupancy on or before January 1, 1994?
I
❑ 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.
' l�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 check 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 alter
improvements).
❑ 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-complia
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).
1,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 wate -conserving plumbing fixtures comply with the requirements as indicated in the
table on the following page. __
Owner or Owner Agent's Signature: I w u1M 1 Date: -19-j6
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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On-Compllant Water-Conserving Plumbing Fixture
Plumbnq Flxturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type Maximum Water Usage/Flow Rate
Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch. 4
/Flow late 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div.5.3
Siegle-Family 11 ulti•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
Urinais 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 irate 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
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
I per minute @ 20 psi
1 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 i 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
i reduction. other means maybe
used to achieve
reduction.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded..
SB4072015.doc revised 08126115