B-2016-3290CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1\
CONTRACTOR:
PERMIT
NO: B-2016-3290
6374 CANDLEWOOD CT CUPERTINO, CA 95014-4610 (369 18 033)
SOLARCITY
CORPORATION
SAN MATEO, CA 94402
OWNER'S NAME: TIGHE BRIAN RAND ANITALYNN M TRUSTEE
DATE
ISSUED: 12/19/2016
OWNER'S PHONE: 408-921-7479
PHONE
0:(650) 963-5100
LICENSED CONTRACTOR'S DECLARATION ARATION
BUILDING PERMIT INFO:
License Class C -10:C -46:B Lic. #888104
Contractor SOLARCITY CORPORATION Date 12/31/2018
X BLDG ELECT _ PL
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) 12 PANEL ROOF MOUNTED
PV SYSTEM (3.12 KW)
I hereby affirm under penalty of perjury one of the following two declarations:
t. 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.
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
:$6000.00
APPLICANT CERTIFICATION
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 18 033
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 the granting this permit.
Additionally, the applicant understands and willl comply with all ll non -point
WITHIN 180 DAYS
F PERMIT ISSUANCE OR
source regulati s per th Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST
CALLED INSPECTION.
Signature Date 12/19/2016
Abb A ende
Issued by: Y Ay
L—
OWNER -BUILDER DECLRATION
Date: 12/19/2016
Date:
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 ir
spection, 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:
1. I have and will maintain a Certificate of Consent to self -insure for Worker's
ALL ROOF COVERIN
S 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
i. I have and willmaintain Worker's Compensation Insurance, as provided for by
I have read the hazardous matejLals
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 Cul
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 & Safety Code, Section
5532(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 ufi
e equipment or devices which emit hazardous
Worker's Compensation laws of California. If, after making this certificate of
air contaminants as defined by they
will maintain compliance with the
Bay Area Air Quality Management District I
Cupertino Municipal Code, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Cod
a, Sectio 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: 12/19/2016
-
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 K
sued (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
1 understand my plans shall be used
DECLARATION
as public records.
Code, Section 9.18.
Signature Date 12/19/2016
Licensed
Professional
x
ALTERNATIVE ENERGY PERMIT
: B-zo 1�.
APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.ora
04
PROJECT ADDRESS 114 cA--t3,6 A
APN #
OWNER NAME B , 5 [�
l /j ° � �
PHONE /� Rsv,y 44
E-
Or(J�
STREET ADDRESS�9 `� e ,,
CVV _
CITY, STATE, ZIPCAII��
C
q FAX
CONTACT NAME Gerry Igtanloc
PHONE 650-759-8042
E-MAIL
gigtanloc@solarcity.com
STREET ADDRESS 391 Foster City Blvd.
CITY, STATE, ZIP Foster City
FAx
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT EPENGINEER
❑ DEVELOPER ❑ TENANT
CONTRACTORNAME SolarCltyCorp.
LICENSE NUMBER 888104
LICENSE
C10 C4
B
BUS. LIC#
COMPANYNAME SolarClty Corp.
E-MAIL gigtanloc@solarcity.com
FAX
STREET ADDRESS3055 Clearview Way
cITY,sTATE,zIP San Mateo, CA 9440650-759-8042
650-759-8042
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
1
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF IX SFD Or Duplex ❑ Multi -Family
STRUCTURE: El Commercial
PROJECT IN WILDLANDPROJECT
URBAN INTERFACE AREA El Yes NO
7FLOOD
IN
ZONE ❑ Yes] NO
lk SOLAR PANELS
_T
❑ ELECTRIC VEHICLE CHARGING STATION
❑ SOLAR WATER HEATING
�11 OTHER:
FOR SOLARPANELS. NUMBER OF PANELSMNITS: L -2, KILOWATTS (COMMERCIAL ONLY):
TOTAL VALUATION:(
�j
DESCRIPTIONOF WORK Install (� �) roof mounted solar panels. (g ,` �KW.
I
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the pro
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree
ordinances and state laws relating to build' construction. I authorize representatives of Cupertino to enter the above -identified
Signature of Applicant/Agent: Date: 1 Z
owner's behalf. I have read this
to comply with all applicable local
property for inspection purposes.
f
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE UA olWl
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0 OVER=THE COUNTER'
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PVApp 201 Ldoc revised 03/16/11
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE ML
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
t F'Ei TINS 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)-cupertino org
`PERMIT CANNOT BE FINALED UNTILP THIS CERTIFICATE HAS BEEN.
COMPLETED
> SMUNED.'AND RETURNED�TOT
HE BUILDING DIVISION
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 -family 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 fallowing locations:
Outside of each separate sleeping area in the
the bedroom(s)
On every level of a dwelling unit including b
Within each sleeping room
SMOKE ALARM CO ALARM
vicinity of I X X
X X
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 r10 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 ceding 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 specified below have been tested and are operational, as of the
date signed below.
Address:
Specify Number of Alarms:
# Smoke Alarms:
Permit No.. ' 33RD
# Carbon Mi
P
I have rears anrli'arrraa fn nrrmn7iZ ffh fhn f.,..,,,.
weer nt's Name:
11— «,,,,S .a„u c.vnua1uns v, this srarement
T
TUOntraCtor
Si atur ..............
................................................................................................ Date
g ............................. ..................... I.......................... p,
ame:
.
Signature.................................................................. Lic.# ......................................Date:
Smoke and CO form.doc revised 09127/16
R
Owner Name
Address
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
FAX (408) 777-3333 - buildinana cupertino ora
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.
❑ No Go to Question 2.
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.
❑ The licensed plumber's certification has been provided to the Building Division.
0 &Skip -the rest of the form and sign bottom of form.
to Question 3.
3. Is water service permanently disconnected for your building?
❑ �Yj,5_5 ''Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
Go to Question 4.
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. Skip the rest of the form and sign bottom of form.
�L des 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. Plea e 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 alterations or
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- 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).
I, 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- rving plumbing fixtures in accordance with Civil Code Sections 110 1. 1
through 1101.8, the current California Plumbi g Code d California Green Building Standards Code, and manufacturer's
installation requirements, and that the wate Conserv' plumbing fixtures comply with the requirements as indicated in the
table on the following nape- i
Owner or Owner Agent's Signature:
IJnon comnlPtino nnA �;rt,,;, rl„�----
Date:
_-o ___ ___.___ . , r... --L .L I11G -11 -lig Division in oraer to nnal your building permit.
SB40 7 2015.doe revised 08/26/15
1. 1I «IC; VAIb«IIg Yiuuiouig uXture water usageirjow rate is equal to or lower than the tigure shown, it is not required to be upgraded.
SB40 7 2015.doe remised 08126/15
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Fixture Type
Maximum Water Usage/Flow Rate
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
Water Usage
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
- Single -Family Multi -Family Commercial
Water Closets
Exceed 1.6
Residential Residential
Single flush toilets: 1.28 gallons/flush
(Toilets)
Gallons/flush
Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
Urinals
Exceed 1.0
average flush volume of two reduced flushes and one full flush
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 —
Lavatory
Exceed 2.2 gallons
Maximum 1.5 gallons per
Within units:
0.5 gallons per minute @ 60 ,
Faucets
per minute
minute @ 60 psi; minimum
Maximum 1.5 gallons
psi
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
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.&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. 1I «IC; VAIb«IIg Yiuuiouig uXture water usageirjow rate is equal to or lower than the tigure shown, it is not required to be upgraded.
SB40 7 2015.doe remised 08126/15