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B-2016-3113CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3113 10245 LEBANON DR CUPERTINO, CA 95014-2679 (342 14 036) SOLARCITY CORPORATION SAN MATEO, CA 94402 NAME: GOSWAMI MOUSHUMI AND NATH HEMANGAR OWNER'S PHONE: 408-861-0651 License Class C-10: C-46 Lic. #888104 Contractor 5QLARCITY CORPORATION Date 12/31/2016 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. 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.. 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. 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 and state laws relating to building construction, 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 r the Cupertino Municipal Code, Section 9,18 Date 11/14/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044; Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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. 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 and state laws relating to building construction, 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. Signature Date 11/14/2016 DATE ISSUED: 11/14/2016 PHONE NO: (650)963-5100 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL, JOB DESCRIPTION: (N) 16 PANEL ROOF MOUNTED PV (5.04 KVO Sq. Ft Floor Area: Valuation: $10000:00 APN Number: Occupancy Type: 342 14 036 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyAyende RE -ROOFS: All roofs shall be 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. Signature of Applicant: Date: 11/14/2016 ALL ROOF COVERINGS TO BE CLASS "A" HAZARDOUS MATERIALS D135CLOSURE 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 25532(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 Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent:—yam Date: 11/14/2016 CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of works for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, GA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building0cupertino.org _?V(37 PROJECT PROJECT ADDRESS 0 12q4�; 0 '® APN # 20 OWNER NAME. 1+6 tl_. l "i. G -. PHONE 14. &S "SSG '...C,J( E-MA�I• _. 0 C&M47L.. 124 STREET ADDRESS CITY STAT ZIP v -� i Le FAX CONTACT NAME Gerry Igtanloc PHONE650-759-8042 E-MAIL glgtanioc@@Sol.arclty.Com STREETADDRESs3391 Foster City Blvd. - CITY,STATE, ZIP.Foster City,CA,94404 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT X CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER '❑ TENANT CONTRACTORNAMESOlarCIty Corp. 7LICENSENuN4BER888104 LICENSE TYPEC10,C46 `-F`-F BUS.LIC#288AA.COMPANYNAm"SolarCity Corp. EM�gigttanloc@solarcity.com FAX STREET ADDRESS` 37055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402. "650-759-8042 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL _ - FAX _ STREET ADDRESS CITY, STATE, ZIP PHONE �,/ USE OF L- JrD OT Duplex ❑ Multi -Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial. URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑. Yes ❑ NO u SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS. NUMBEROFPANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTALVALUATION: 9 �. DESCRIPTION OF WORK Install { d ) rooftop mounted solar panels,(5, 64) KW r f� fi yRECEIU Mw i / 6/1 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 bet If.. 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 construction. I authorize representatives of Cupertino to enter the above -identified prop e fpor inspection purposes. Signature of Applicant/Agent: Date:___A1 '� j( (4 t� SU LEMENTAL INFORMATION REQUIRED Q 101 / s IN IN ir , wr y% r/f { rrr,P r ! ' f /r 11'l� ir�- PVApp 2011.docrevised 03/16/11 DocuSign Envelope ID: 6BFEB2C8-3262-45A4-B7D7-OB6E6BB82714 �yK.frsr Address 10245 Lebanon Dr SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10304 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building aocupertino.ara Cupertino, CA 95014 12 qtr:. ❑ ❑ f fanaasiam 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 CSC 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 vicirdtyy-of the bedroom(s) X X On every level of a dwelling unit includjU basements X X Withirt 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: hi dwelling units with no commercial pouter 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. I have read and aaree to comply with the terms and conditions of this statement (�wAar (or Owner Agent's) Name: Docusiyned by: Hemanga Nath ��ure_ Date. 3/2/2017 Contractor Name: s7078976F46o475... Signature., ................. Lic # . Date: Smoke and COformdoc revised 03118114 DocuSign Envelope ID: 6BFEB2C8-3262-45A4-B7D7-OB6E6BB82714 CtJPERTiNG WATER -CONSERVING PLUMBING F " E � I 7 q �. 6 - FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY PEVELPPMENT DEPARTMENT • BUILDING DIVISION 10304 TORRE AVENUE • CUPERT1NO, CA 95614-3255 (408)777-3228 • FAX (408) 777-3333 • buildina(ai_cuoertino.orn &k[6Hemanga Na 11 Owner Name Nath Permit Na. Address 10245 Lebanon Dr, Cupertino, CA 95014, US (SANTA CLARA County) PIease refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form. Is your real property a registered historical site? 11 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: 129 No Go to Question 2. s7o7as7sFasDa7s... Date: 3/2/2017 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? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ® The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. DocuSigned by: ,../ Owner' Signature: Ll No Go to Question 3. 5-/o78s76F45o475... Is water service permanently disconnected for your building? © Yes Civil Code Sections 1101.1 through 1101.8 do not apply. DocuSigned by: Owner' Signature: C -� l� No Go to Question 4. 57078976F45D475... Date: 3/2/2017 Sign below and skip the rest of the form. Bate: 3/2/2017 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. Sign below and skip the rest of the form. oa•SWmtl W. Owner' Signature f- Date: 3/2/2017 SIW8976FA5 IN Yes O075... My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached. 0 My property is a single family r esidential 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 nndfifamily 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 plu3nbing fixtures throughout the building (regardless of whetherproperty undergoes alterations or improvements). El Myproperty is a commercial real properly. 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. SB4072014.doe revised 03118114 DocuSign Envelope ID: 6BFEB2C8-3262-45A4-B7D7-OB6E6BB82714 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). FV—e, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced 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 -conserving plumbing fixtures comply with the re uirements as indicated in the table below. C3wner's (or Owner Agent's)$i nature; pate; 3/2/2017 Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower tbau the figure shown, it is not required to be upgraded. SB4072014.doc reviser! 03/18114 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 20'13 CALGreen Div. 5.3 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, avera a flush volume of two reduced flushes and one full flush Urinals 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 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 @ per minute @ 60 psi; 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 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 May temporarily increase Maytemporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute c@r 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 reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower tbau the figure shown, it is not required to be upgraded. SB4072014.doc reviser! 03/18114 AHJ: Cupertino UTILITY: Pacific Gas End Electric Company CONFIDENTIAL -THE INFORMATION HEREIN Boa NUMBER: JB -9508050 00 CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SCLARCITY INC., MOUNTING SYSTEM: NO SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 wFashing-Insert PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: THE SALE AND USE OF THE RESPECPVE (16) LG # LG315N1C-Z4 SOLARCITY EOUIPNENT, WITHOUT THE WRITTEN INVERTER: PERMISSION OF soLARCITr INC. ABBREVIATIONS ELECTRICAL NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A AC ALTERNATING CURRENT UL -LISTED POWER -CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY -RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET -BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 25DV TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DD NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL -LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT LICENSE GENERAL NOTES CA H 888104 1. ALL WORK TO BE DONE TO THE 2013 C-10 CALIFORNIA BUILDING CODE, 2013 CALIFORNIA PLUMBING CODE, AND THE 2013 CALIFORNIA RESIDENTIAL CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2011 NATIONAL ELECTRIC CODE AS AMENDED BY ITHE 2013 CALIFORNIA ELECTRIC CODE. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Cupertino UTILITY: Pacific Gas End Electric Company CONFIDENTIAL -THE INFORMATION HEREIN Boa NUMBER: JB -9508050 00 CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SCLARCITY INC., MOUNTING SYSTEM: NO SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 wFashing-Insert PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: THE SALE AND USE OF THE RESPECPVE (16) LG # LG315N1C-Z4 SOLARCITY EOUIPNENT, WITHOUT THE WRITTEN INVERTER: PERMISSION OF soLARCITr INC. JURISDICTION NOTES FLASHING WILL BE PAINTED TO MATCH EXTERIOR VICINITY MAP HEMANGA NACAPER- Hemanga Nath RESIDENCE 10245 LEBAN tsui aing epartrneA04 KW PV ARRAY CUPERTINO, C REVEW-D CODE CCMPIiANRAA9 NAME: ,_.,. COVER SHEET u3C-. 11;14;15, COMMLIETY DE E CPE 's DEPA.T�E.NT , SU LO IG DIVIS ON - APPROV—D E�fS-z-- ._ 6-4 PV1 COVEIR{SHEET - PV2 SITE i`LAN ` PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS PV5 THREE LINE DIAGRAM Cutsheets Attached REV BY DATE COMMENTS REV I NAME DATE COMMENTS Ryon Woszok PV 1 11/10/2016 1SolarClty 3055 CIe 0v . Woy Son Noleo, CA 94482 T -(65D) 636-1028 E(B5D) 636 1D29 (BBB) -SOL -CITY (765-24119) :om«ly porn SOLAREDGE SE3800A-US-ZB-U JURISDICTION NOTES FLASHING WILL BE PAINTED TO MATCH EXTERIOR VICINITY MAP HEMANGA NACAPER- Hemanga Nath RESIDENCE 10245 LEBAN tsui aing epartrneA04 KW PV ARRAY CUPERTINO, C REVEW-D CODE CCMPIiANRAA9 NAME: ,_.,. COVER SHEET u3C-. 11;14;15, COMMLIETY DE E CPE 's DEPA.T�E.NT , SU LO IG DIVIS ON - APPROV—D E�fS-z-- ._ 6-4 PV1 COVEIR{SHEET - PV2 SITE i`LAN ` PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS PV5 THREE LINE DIAGRAM Cutsheets Attached REV BY DATE COMMENTS REV I NAME DATE COMMENTS Ryon Woszok PV 1 11/10/2016 1SolarClty 3055 CIe 0v . 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