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B-2016-2971CITY OF CUPERTINO BUILDING PERMIT 10312 E ESTATES DR CUPERTINO, CA 95014-33.75 (369 07 021) OWNEiR'S NAME: CHOU CION S1iLWGAND YEH SHU-CHEN TRUSTEE OWNER'S PHONE: 415-505-5329 � � � i�Y :.• is �_ t► License Class C46 Lic. #750184 Gontractor% NRUN 1NSTA r ATfC+N SERVICES INC Date 06/90/2018 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 fail force and effect. I hereby affirm under penalty of.perjury one of the following two declarations: I• I have and will maintain a certificate of:consent to self -insure for Worker's Compensation, as provided for by Section3700 of the Labor Code, for the -performance of the'Work for which this permit is issued. —f -have and will maintain Worker's Compensation Insurance, as provided for by ✓� Section 3700: ofthe Labor Code, for the performance of the work for which tbi! permit is issued. APPI.I ANT CF.RTIFf A U I certify that 1 have read this application and state that the above information Is correct, i agree to comply with all city and county ordinance and state laws relating to building construction, and hereby authorize representatives of this city enter upon the above mentioned prope or inspection purposes. (We) agree to save indemnify and keep harmr s the City of Cupertino against liabilities, judgments, costs, and expensehich may accrue against said City in consequence of the granting of th permit Additionally, the applicanjATdaystands and will comply with all n -point source regu1JtlonyFpe0a wpertino Municipal Code, Secfiron .18. I hereby affirm tha" exempt from/tha ntractor' 'cense Law for one of the following two reasons: Las owner of the property, or ployee tli wages as their sole compensation, will do the worthe cture is not intended or offered for sale (See.7044, Business & Prns de) 2. I, as owner of the property, amio p contracting with licensed contractors to construct the pr.7044, Business & Professions Code), I hereby affirm under penalty of perjurof the following three declarations: I have and willmaintain a cerof Consent to self -insure for Worker's Compensation, as provided fortion 370.0 of the Labor Code, for the performance of the work for wis 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. 3. I certify that.in.the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of 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. G PPi,T( ANT CERTmRrC ATION I .certify that I have read this application and state that the above information is correct.I agree to complywith all city and county ordinances and state laws relating to building construciion, 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 City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18.. SUNRUN SERVICES INC SAN LUIS OBISPO, CA 93401 10/24/2016 (415)580-6900 13UMDING X BLDG _ EL _ CT _ FLUM76 MECO X SIDENTIAL o CPE"M I JOB DE RIPTIUN: � 18- L ROOF MOUNTED (4.1 KW), Ft Floor Ar luatiou: $9900.00 aWA'Num er: r I Occupancy Type: V 369 07 024 IMMIT EXPIRES IF WORK IS NOT STARTED CHIN 180 DAYS OF PERMIT ISSUANCE OR DAPS FROM LAST CALLED INSPECTION by: Abby 4=_& RE -ROOFS: All roofs sballbe inspected prior to any roofing material being installed. If a roof is installed without first Obtaining an inspection; I agree to remove all new materials for- inspection. orinspection. Signature ofApplicant: Date: 10/24/2016 ALL ROOF COVERINGS TO BE CLASS "A" HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code,Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal. Code, Chapter 9.12 and the Health & Safety Code, Section 26532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices: which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain, compliance with the Cupertino AWelpal Code, Chapter 9.12 and the Health & Safety Code, ectio SS 5,25533 2553.4. Owner or authorized agent: )ate: 10/24/2016 CONSTR TIO � I hereby affirm that there is a constrOc9A lending agency for the performance of work's for which this permit is mss . (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHIMI'S DECLARATION I understand my plans shall be used as public records. Date 10/24/2016 1 Licensed y ALTER lATIVE ENERGY PERMIT APPLICATION Ak COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95044-3255 CUPERTI r[O (408) 777-$228 FAX:(4:08) 777-3333.6uildirig0cupertino orp PROJECT ADDRESS OWNERNAME PHONE STREETADDRESSCITY 3TATE, ZIP CQp ty, - u- 1 1 FAx CONTACT NAME PHO STREET ADDRESS CITY, STA E OWNER ❑• OWNER -BUILDER ❑ OWNERAENT Lri'OON17tACIOR 'CONTRACTORAGENT ❑ Ag' CT ❑ ENGINEER [� DEVELOPER .❑ TENANT CONTRACTORNAME /" LICE'S BERz i�tit LIEYPBUS. -2 � COMPANY RAME E- L FAX STREET ADDRESS CITY, STATE, ZIP PHO ARCHITECT/ENGINEERNAME LICENSE NUMBER EUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS _ CITY, STTE ZIP PHO'£ USE OF ❑ SFD or Duplex Multi -Family OJE IN .L: PROJECT IN STRUCTURE: ❑ CommeIcial URB . T£ FA, E AREA ❑ Yes 0 NO FLOOD ZONE D Yes ❑ NO I] SOLAR PANELS ❑ ELECTRIC VEHICLE CHARow STATION D' SOLAR4VATER IiEATINO ❑ OTHER.. FOR SOLRR PAA'ELS• NUMB OF PANELS/UNTfS: I OWATTS (COn2kgRCIAL ONLY): L4 . / TOTAL VALU ION: DESCRIPTION OF WORK/ � L c� � SGT V`y\ By my signature below, I certify to each of the following: I am the property owner or authorized. agent to act an the property owner's b ha]f. T have read flus application and the information I have provided is correct: I have read theDescription of Work and verify it is accurate, I agree .-io comply Mth all applicable local ordinances and state laws relating to buildi . cons W. o ' e representatives of Cupertino to enter the above-iden'•fied pro]• erty for inspection purposes. Signature of Applicant/Agent: Date: to 210 2 SUPPLEMENTAL INFORMATION REQUIREDL7 UM MN dd1Au`ci e�=?soy Cou7�x PT14ppv�011.doe revised 03116111 �i i CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B .2016-2971 10312 E ESTATES DR CUPERTINO, CA 95014-3375 07 021) (369 SUNRUN INSTALLATION SERVICES INC SAN LUIS OBISPO, CA 93401 OWNER'S NAME: CHOU CHIEN-SHENG AND YEH SHU-CHEN TRUSTEE DATE ISSUED: 10/24/2016 OWNER'S PHONE: 415-505-5329 PHONE NO: (415) 580-6900 LICENSED ONT TOR'S DECLARATION BUILDING PERMIT INFO; T License Class S$8 Lic. #Z52184 Contractor SUNRUN INSTAI LATION SERVICES INC Date 06/30/2018 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: I hereby affirm under penalty of perjury one of the following two declarations: (N) 18 -PANEL ROOF MOUNTED PV SYSTEM (4.7 KW) 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 h performance of the work for which this permit is issued. {� F�4-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: $9900.00 APPLICANT CERMCATION 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 and state laws relating to building construction, and hereby authorize 369 07 021 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 may PERMIT EXPIRES IF WORK IS NOT STARTED accrue against said City in consequence of the granting of this permit. Additionally, the I' derstands and will comply with all non -point WITHIN WITHIN 180 DAYS OF PERMIT ISSUANCE OR source retion per a upertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. t rte} Signature Date 10/24/2016 Issued by: Abby A e& `-` Date: 10/24/2016 I hereby affirm tha m 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. 1, 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: 10/24/2016 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 INECI OSUR 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(x) should I store or handle hazardous shallnot employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I exemption, I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cupertino cipal Code, Chapter 9.12 and the Health & Safety Code, ectio 55 5, 25533 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. C-0 wner or authorized agent: APPLICANT CMIFICATION Date: 10/2412016 1 certify that I have read this application and state that the above information is CONSTRUCT A correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a constr cti lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is iss (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. Signature Date 10/24/2016 Licensed CUPERTINO L� ZTI ALTERNATIVE ENERGY PERMIT APPLICATIONAn am COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - building(Mcupertino.org PROJECT ADDRESS p G - .V JC�a - APN t -3(o� OWNER NAME PHONE Q .. io E-MAIL VI e 1 �a✓ STREET ADDRESS f t CITY, STATE, ZIP FAX C C4 Wil! l�.v CONTACT NAME ji \ 1f4C11%O PHO _ ➢ j, y ^>� 0IAIL E hCa& STREET ADDRESS CTTY,$TATE,� 3 FAX y ,C�z Q OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT M CONIRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑.ENGINEER ❑ DEVELOPER ❑TF NANT CONTRACTOR NAMEL ^ _ LICENSE DUMBER LICENSE TYPE BUS. LIC 9, COMPANY NAME E-MAIL FAX STREET ADDRESS \ CITY, STATE, ZIP/ PHONE ARCHITECT/ENGINEER NAME 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 ❑ Yes ❑ No E3 SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS.• NUMBER OF PANELS/UNITS: ` �` KILOWATTS (COMMERCIAL ONLY): j TOTAL VALU TIION, DESCRIPTION OF WORK /�'_wq-�(ny//�/y/ A r��j 7 RECEI� D skw"'pgo{ 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 b half. 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 buildin const of 0 ' e representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: l 2,,) / 1 SUPPLEMENTAL INFORMATION REQUIRED s 30 OFFICE USE fi \LY js 4 a1 'Ch_ .:fi.'C 0 SHFcCOIiTER n tU V3y STr1NDARDz 5 n POP k �` � �❑2° l+liR�'� �.� ��-i�r�-ice �'Sx 2 5: Pi1,4pp 2011.doc revised 03/16/11