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B-2016-2790 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2790 10842 E ESTATES DR CUPERTINO,CA 95014-4534(369 22 006) SOLARCITY CORPORATION SAN MATEO,CA 94402 OWNER'S NAME: SINGHYOGENDRA DATE ISSUED:09/23/2016 OWNER'S PHONE:408-718-3370 PHONE NO:(650)963-5100 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C10.C46&B Lic. 8104 Contractor SOLARCITY CORPORATION Date 12/31/2016 X BLDG _ELECT _PLUMB 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 license is in full force and effect. JOB DESCRIPTION: (N)16 PANEL ROOF TOP PV SYSTEM(4.24kW) 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. 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:$9000.00 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 369 22 006 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 r th Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 09/23/2016 Issued by:MELIS Date:09/23/201 OWNER-BUILDER DECLARATION 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:09/23/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER i.' 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. 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 maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety s. I certify that in the performance of the work for which this permit is issued,I 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 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,S ions 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:09/23/2016 I certify that I have read this application and state that the above information is CONSTRUCTION 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 09/23/2016 Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(Wcupertino.org 2v l.6- Z qd PROJECT ADDRESS APN# 2 /• ) OWNER A S KJ i PHONE J(� E-MAIL v GZ C�ry tl�rlLd} Sl Ca ff o - [� 3 3 STREET ADDRESS 1 0�r'Z �� ��/A�Z� 2071 ^ 9 sa l� FAX CONTACT NAME Gerry Igtanloc �( a 1 r PHONE 645`0-- �7759-8042 E-MAIL gigtanloc@solarcity.com STREET ADDRESS 391 Foster City Blvd. CITY,STATE,ZIP Foster City FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 1i CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME SOlarCl ICENSE NUMBER 888104 .LICENSE TYPE BUS.LIC# �'Corp.rp C 10 C46 B SSLf COMPANY NAME SolarCity Corp. E-MAIL gigtanloc@solarcity.com FAX STREET ADDRESS 3055 Clearview Way CITY,STATE,ZIP San Mateo, CA 94402 PHONE 650-759-8042 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF [X SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ® NO FLOOD ZONE ❑ Yes KI NO U SOLAR PANELS I ❑ ELECTRIC VEHICLE CHARGING STATION 7❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK Install( I Cp ) roof mounted solar panels. (Y Zq)KW. EIVE 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 agree to comply With all applicable local ordinances and state laws relating to build'n construction. I authorize representatives of Cupertino to enter the above-identified property fori spection purposes. Signature of Applicant/Agent: Date: Z 3��C� SUPP MENTAL INFORMATION REQUIRED OFFICE USE ONLY OV -(/ THE-COUNTER ❑ EXPRESS } l x ❑ STANDARD " ' / �" 4 �/ 5 C❑ LARGE.. a MAJOR P VApp_201 1.doc revised 03116/11 i DocuSign Envelope ID:7D6ED6BF-8A3A-472E-9955-FOD7ECC401D8 ' ry SMOKE/ CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPSRTtNO 10300TORRE AVENUE CUPERTINO.CA 950143255 (408)777-3228•FAX(408)777-3333•buildhg@guoertlno.orca ( c� P'ernalt No. 0 C`_ i Address 10842 East Estates Drive Cupertino, CA 95014 (of Alarms 0 7 Carbon Monoxide• 2 PERF CANAi(lT BE r+H ALED AI�iD CUMP�ETE-'I31"1TIE'HIS'--ERTIFICA'FE : .: 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-farnily.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 sleepingg 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 8314 and CBC Sections 907.2.11.4 and 42:0.,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. t have read and agree to comp!y with the terms and conditions of this statement Owner(or Owner Agent's)Name: oocasigmd by: Yogendra Singh rsi nater Aa1---- ..Date. 9/20/201 Contractor Name: 40F2Feo64cA14Fe... Signature.. .ticN. .Date: Smoke and Co form.doc revised 03/18/74 DocuSign Envelope ID:7D6ED6BF-8A3A-472E-9955-FOD7ECC401D8 FILE �- WATER-CONSERVING PLUMBING FIXTURES � OWNER CERTIFICATE OF COMPLIANCE COMMUNITY GEVE1,OPMENT DEPARTMENT-BUILDING DIVISION +CtJPERTI NO 10304 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildina(fcupertino.orcl Owner Name Yogendra Singh Permit No D-klM ��� Address 10842 E Estates Dr, Cupertino, CA 95014, US (SANTA; CLARA County) _.P: ERMIT CA1�NClT BE FINALEI3 Al!ID:COMI.'LETED UNTIL Tl3i$Gh12RTITI+CATE Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form.. 1. Is your real property a registered historical site? 0 Yes Civil Code Sections 110 1,1 through 1101.8 do not apply. Sign below and skip the rest of the form. Docu fined by: Owner'Signature: E�4b a � Date: 9/20/2016 IN No Go to Question 2. 0F2FC064GA94F6., 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,l through 1101.8 do not apply. 0 The,licensed p1mubee s certification has been provided to the Building Division. Sign below and skip the rest of the form. (,Dacuftmd by: Qwner'Signature: b �yp Date: 9/20/2016 l No Go to Question 3. 40FF2FC0s4CA14FE... 3. Is water service permanently disconnected for your building? © Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and-skip the rest of the form, EEko- ned by:Owner'Signature: ��iA„�,_ Date: 9/20/2016 No Go to Question 4. "tT""0B4GA14FE-. 4. Is your rear proper built and available for use or occupancy on or before January 1,1994? O 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. Sign below and skip the rest of the form. Do��c��uS$g-ad����by: ''....rr.. Owner'Signature cy.,4FE*,ba`"-jxo'�4 pate: 9/20/2016 in Yes ltdyanalpropertyuilt acid available for use or occupancy on or be f s>�e January 1,1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. ® My property is a single-family residential real property. See Civil Cade 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 nota-compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures(regardless of whether property undergoes alterations or improvements). Ch My property is a nuiltifamily residential real property, See Civil Code Section 1101.5. On and atter 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 noir-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whetherproperty undergoes alterations or inaprove,nents). ❑ My property is a coinmercial real property. See Civil Code Section 1101.5. On and after Januaiy 1,2014,specified building;alterations or improvements shall require non compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. SB407 2014.doe revised 03118114 DocuSign Envelope ID:7D6ED6BF-8A3A-472E-9955-FOD7ECC401D8 �- On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures throughout the building P g g g {regardless at` whether property undergoes alterations or improvements). I/4Ve,the owner(s)of this property,certify under penalty of perjury that non-compliant plumbing fixtures Dave been 1 eplaced 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-conservingPlumb in fixtures comply with the re uirements as indicated in the table below. t3wner's(or Owner Agents)Signature; y s pts 9/20/2016 Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit. Non-compliant Water-Conserving Plumbing.Fixture Plumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Lisa a/Flow Rate Fixture Type 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch,4 Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div.5.3 /Flow irate 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 '#.€} Gallons/flush 0.5 galtonslfiush. 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 Lavatory per minute minute @ 60 psi;minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute rr per minute a@ 60 ps); 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 80 psi Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons}ger 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 G 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 maybe used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. I. 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. SB407 2014.doc reviser!03118114