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B-2016-2883
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2883 11647 CEDAR SPRING CT CUPERTINO,CA 95014-5139(366 54 071) SOLARCITY ' CORPORATION SAN MATEO,CA 94402 ' OWNER'S NAME: LIAW HAI-PYNG PETER AND YU C TRUSTEE DATE I SUED:10/07/2016 OWNER'S PHONE:408-472-2796 PHONE 0:(650)963-5100 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C10.C-46 Lic.#888104 Contractor SOLARCITY CORPORATION Date 12/31/2016 X BLDG X 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)12 PANEL ROOF MOUNTED PV SYSTEM(3 ARRAYS)(3.78kW); I hereby affirm under penalty of perjury one of the following two declarations: (N)SUB PANEL(125AMP) 1. I have and will maintain a certificate of consent to self-insure for Worker's REV#1-ADD 2 PANELS TOTAL PANELS(14);ADJUSTED TOTAL KW Compensation,as provided for by Section 3700 of the Labor Code,for the (3.71 KW)AMPS REMAIN SAME-ISSUED 12/19/2016 performance of the work for which this permit is issued. • 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: Valuatio :$5594.00 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 366 54 071 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 c,,,//9-1---- Date 12/19/2016 Issued by:MELISSA NAMES Date: 10/07/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the BE-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:12/19/2016 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 IJIATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous mate 'als 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 Co e,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cu ertino 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 8z Safety Code,Section 5532(a)should I store or handle hazardous material. Additionally,should I u e 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 th 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 Co e,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall 7-7 be deemed revoked. ("Owner or authorized agent: APPLICANT CERTIFICATION Date:12/19/2016 I certify that I have read this application and state that the above information is CONSTRUCT ON L NDING 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 ARC TECT'S DECLARATION Code,Section 9. . I understand my plans shall be u ed as public records. 7% /! Licensed Signature I Date 12/19/2016 Professional ALTERNATIVE ENERGY PERMIT A. Q rak • IENI COMMUNITY DEVELOPMENT DEPARTMENT•B D SII / AE ' 't'sr 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildinqAcupertino.orq 201 - `2,43(3 ; PROJECT ADDRESS 1 f V 4R. C etol ^ n APN# )f ill OWNER NAME _ �. l 61, �V9Sd� � ---t Oe - Le��'`27" 6 L c �N STREET ADDRESS 1 7 / 7 CITY, STATE ZIP FAX ` CONTACT NAME PHONE E-MA L STREET ADDRESS CITY,STATE,ZIP • FAX ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT rJ CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT L ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAMELICENSE NUMBER LICENSE TYPE BUS.LIC s G.6` <. .m -7--)).5- cC,(C 1.0 C-4Oi �CtC,t ✓ / 2.-- CC L4 Ce( COMPANY NAME E-MAIL‘ vl� FAX S c5 .rrt2..c t i`--( cam--(/ - i q �v. be, i.isc..t �([/ STREET ADDRESS / CITY,STATE,ZIP �" y P CX—C.,-.-rt\2.I1 i 51&-.). wyrii s' f-1-6-6, `�q e-ccP `Z.- PGS ,?- 9°- 1-€ Z ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE.OF .,..1fr-SFD or Duplex 0 Multi-Family PROJECT IN WILDLAND PROJECT IN • STRUCTURE: 0 Commercial URBAN INTERFACE AREA 0 Yes 0 No FLOOD ZONE ❑ Yes 0 No 'u SOLAR PANELS 0 ELECTRIC VEHICLE CHARGING STATION 0 SOLAR WATER HEATING 0 OTHER: FOR SOLAR PANELS: NUMBER OF PANEIitS/UNITS: 'y KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK 1474)6_giLet.4. - gfrto U 1&) .C31---14V\.-. OA ti3e-f2-5. 3. .74 Vy..3 ) 1t �G1rtrz_ Sur € - P a , (( mac c_tr- r2.. p -,-Q 14 (Pi`vov2_c, 1z..tiL.) a ., -�C, I C .? I E :) RECEpDX BY�" lira , By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on tiie prope 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 a ee to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identi ed poperty for inspection purposes. / Signature of Applicant/Agent: Date: I 1 (7•( ( SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE OI .Y , , a "❑ OVERTHE-COLI',TER v. 0 "EXPRESS U ❑.STANDARD El MAJOR i - PVApp 2011.doc revised 03/16/11 DocuSign Envelope ID:97808BC7-01CC-491E-8FD9-2CCC22665085 WATER-CONSERVING PLUMBING FIXTURES 0 o OWNER CERTIFICATE OF COMPLIANCE QST res COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUP E RTI NO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildiric ictinertino.or_q Owner Name HAI-PYNG Liaw Permit No. I Address 11647 Cedar Spring Ct, Cupertino, CA 95014, US (SANTA CLARA County) PERMIT CANNOT BE Il ALED AND CO LETED Ui TIL THIS:CERTIFICATE HASS BEEN Smf NF lAntD JZETT .1TO TUE BUILDING DIVISION 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 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. —DocuSigned by: Owner'Signature: eat—pqN, (jaw Date: 10/21/2016 ® No Go to Question 2. "t '-719B20EB2CD24C7..- 2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the properly 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. El The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. r—Docusigned by:. Owner'Signature: WQ(—p(,p11G GqW Date: 10/21/2016 1:21 No Go to Question 3. `-719620EB2CD24C7... 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. r—DocuSigned by: Owner'Signature: Rai—p(iNa Gaw Date: 10/21/2016 l No Go to Question 4. "ll •-719B2DEB2CD24C7-.- 4. Is your real property built and available for use or occupancy on or before January 1,1994? • 0 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. Doe/Mood by: Owner'Signature11—P"tNG Date: 10/21/2016 Yes El 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. Refer to the attached. 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). 0 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. 3B407 2014.doc revised 03/18/14 DocuSign Envelope ID:97808BC7-01CC-491E-8FD9-2CCC226B5085 o ❑ ❑ SMOKE!CARBON MONOXIDE ALARMS - rit4 OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUP RTIN NO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228 FAX(408)777-3333•huildinqOcupertino.orq Permit No.13----12-64 11 —2 "c Address 11647 Cedar Spring Court Cupertino, CA 95014 (#Of Alarms(Smoke l 7 (Carbon Monoxide:) 2 . PERM•IT CANNOT BE FINALEI)-AND CO.MPL.I UNTIL THIS.CER,TIFICAT • i` �:S:BPT�ItS1'GN lrAlg E-T[IRNI:D'TO TT�Eio-trz 1NG vnti Ulf aosaVempa -- -- - - - - - -- ::sem - - - -- aztaiYZ 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-familydwellings 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 theremoval 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. I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: ,--oocusiened by: rsianat� .. lkQi G�NG (,law (Draw f HAI-PYNG Liaw — Zo/21/zo 6 Contractor Name: '-7191320EB2CD24c7.. Signature tic.# Date. Smoke and form.doc revised 03118/14