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B-2017-0394CITY OF CUPERTINO BUILDING PERMIT BUILDIN AD RESS: CONTRACTOR: PERMIT NO: B-2017-0394 901 COTTONWOOD DR CUPERTINO, CA 9$014-4666 (369 17 040) SOLARCITY CORPORATION SAN MATEO, CA 94402 OWNER' N : DING XIAOMING AND ZHANG XIAOHUI DATE ISSUED: 03/10/2017 OWNER' PHONE: 408-219-7109 PHONE NO: (650) 963-5100 LICENS DCONTRACTOR'S,DECLARAXION 1 4 Lic. #888104 Cjate 12/31/2018 BUILDING PERMIT INFO: X BLDG X ELECT = PLUMB License C Contracto ass B MECH X RESIDENTIAL COMMERCIAL " I hereby firm t at I am licensed under the provisions of Chapter 9 (commencing with Secti n 700) of Division 3 of the Busin ss &Professions Code and that my license is in full rce and effect. JOB DESCRIPTION: (N) 15 PANEL ROOF MOUNTED PV SYSTEM (4.425kW); (N) SUB I hereby affirm tinder penalty of perjury one of the following two declarations: PANEL (125 AMP) r. have and will maintain a certificated of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the perfon nance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by Sectio 13700 of the Labor Code, fort, the performance of the work for which this Sq. Ft Floor Area: Valuation: $11000.00 ermi is issued. I certify th informatio it I he i is correct. APPLICANT CEJiTIFICATION read this application and state that the above I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state aws lating to building construction, and hereby authorize 369 17 040 represent tives of this city to enter upon the above mentioned property for inspectior purposes. (We) agree to save indemnify and keep harmless the City of Cu ertin 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 regulatic per a upertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 03/10/2017 Issued by: MELISSA NAMY I am exempt from the C!ontractor's License Law for one of the Date: 03/10/2017 FR�-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is I hereby a ffirm that following m. ore I, as o sons: er 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 comp nation, will do the work, and the structure is not intended or offered for inspection. sale ( ec.7044, Business & Professions Code) i. I, aser of the property, am excltisively contracting with licensed Signature of Applicant: contactors to construct the project (Sec.7044, Business & Professions Code). Date: 03/10/2017 I hereby ffirm ander penalty of perjury oni0 of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER m. I havc and will maintain a Certificate of Consent to self -insure for Worker's Com ensation, as provided for by Section 3700 of the Labor Code, for the z. perfoi 1 have mance of the work for which this permit is issued. and will maintain Worker's compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLOSURE 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 Code, Section 25532(a) should I store or handle hazardous 3. I cer fy that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall of employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Work,il 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, Sectill 25505, 25533, and 25534. Lai Code, I must forthwith coin;ly with such provision or this permit shall be de med revoked. Owner or authorized agent: APPLICANT CZ IRTIFICATION Date: 03/10/2017 I certify tl iat I h ave read this application and state that the above information is CONST46TIONAGENCY I hereby affirm that there is a construction ending agency for the performance correct. I agre to comply with all city and'jcounty ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating t buil ing construction, and hereby authorize representatives of this city Lender's Name to enter pont the above mentioned property for inspection purposes. (We) agree to save i dem ify and keep harmless the Pity of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands A_RCHITECT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 03/10/2017 Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 950143255 (408) 777-3228 o FAX (408) 777-3333 . buliding(3b),cupertlmorg. CUPERTINO ®�- ' A;L PROJECT ADDRESS _^--, (,�� 7APN # OWNER NAME PHONE �y r Ggg _4 .- E C',fo®_ _ C f A STREET ADDRESS d f �lr \,j�,/� P(L �T 'Y J CITY, STATE�Pbb�u� 7 0 e FAX CONTACT NAME Gerry Igtanloc PHONE 650-759-8042 I E-MAIL g�gtanloc@solarcity.0 17l STREET ADDRESS 391 Foster City Blvd. CITY, STATE, ZIP Foster City,,CA,94404 FAx ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ EN`GMEER ❑ DEVELOPER TEN CONTRACTORNAMESoIarCity Corp. LICENSENUMBER888104 LICENSE TYPE CIO,d46 BUs.LIC428844 COMPANY NAME Sol arCity Corp. E-MAILgigtanioc@solarcity.com,, FAX STREETADDREss305.5 Clearview Way CITY,STATE,ZIPSan Mateo, CA 94402. "'N"650-759-80 42 ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ COItItilerCial, PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes 11No 1 PROJECT IN FLOOD ZONE ❑ Yes ElN ❑ SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING❑ IOTHER. FORSOLARPANELS. NUMBEROFPANELSAIMTS: KILOWATTS (COMMERCIAL ONLY): TOpLLALVALUATION: DESCRIPTION OF WORK Install ( l) rooftop mounted solar panels,( c/Z,) KW —Z–c1 S P A-0jo'L- 4t 2- 5 4- Y, By my signature below, I certify to each of the following: I am the property owner orafithQrized agent to act on ees 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 urate. I agree to comply with all applicable local ordinances and state laws relating to building construction'. I authorize representatives of Cupertino to enter the above -identified ro erty for inspection purpo es. Signature of Applicant/Agent: , Date: L3 (i— V SUPPLEMENTAL INFORMATION REQUIRED f OFFICE Usk ONT.Y ��'' ❑ OVER-TfMCOUNTER E ❑ EXPRESS W� �} ❑ STANDARD 'U :CI LARGE ' a ❑ MAJOR PYApp2011.doc revised Q3/16�11 �fL, ems( DocuSign Envelope ID: BE25ECD1-FCD3-4AB4-97B6-E5COOE353B6B SMOKE ! CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO 10300TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ingocuaertino.om Address 901 Cottonwood Dr Cupertino, CA 95014 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.dweliings 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 Carron 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 bedroom(s) X X On every level of a dwelling unit indud!U basements X X Within each slee in '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 power supply, alarm(s) may be solely battery operated. In existu-tg 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 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. 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Mame: D 5 d by. Xiaohui Zhang ist....o�iwl ...Date: 3/8/2017 Contractor Name: 14MEWEBUEQ3... 5inature...................................................................Lie.# ...................................... Date:................... Smoke and COform.doc revised 03116114 - _ DocuSign Envelope ID: BE25ECD1-FCD3-4AB4-9766-E5COOE353B6B � `� _' ❑ WATER -CONSERVING PLUMBING FIXTURES �■ • 0 OWNER CERTIFICATE OF COMPLIANCE CUPERTINO Owner Name COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95614-3255 - (448)777-3228 • FAX (408) 777-3333 • buildinciftunertino.org Xiaohui Zhang Address 901 Cottonwood Dr, Cupertino, CA 95014, US (SANTA CLARA County) 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 Cade Sections 1101.1 through 1141.8 do not apply. Sign below and skip the rest of the form. DocuSigned by: (honer' Signature:�� Date• 3/8/2017 129 No Go to Question 2. 14DBE50EBCZE4B3... 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? © 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. DoeaSigned by: Owner' Signature:C.tMEWEB02E4M A.w Date: 3/8/2017 Ci No ro to Question 3. ... 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. Docuftned by: Owner' Signature: "Ai Hate: 3/8/2017 1 No Go to Question 4. EME50EBC2E463... 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 forkn. DoeuSiQned br. jQ� Yes Owner' Signaturez.A_" Date: 3/8/2017 14DBEOEBME4B3 LY ... Iv1y real properly is built acid available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. 0 My property is a single-family rQsidential 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 naa dfifamily residential real property. See Civil Code Section 1141.5. 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 whetherproperty undergoes alterations or improvements). ❑ Myproperty 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. SB407 2014 doe revised 03/18114 DocuSign Envelope ID: BE25ECD1-FCD3-4AB4-97B6-E5COOE353B6B On or before January 1, 2019, all non-cornpliant plumbing futures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). TAVe, the owners) Of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced with water -conserving plumbing fixtures in accordance Kith 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. owner's (ar Owner Agent's)Si nature; z­c­Y--, t74te: 3/8/2017 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 than the figure shown, it is not required to be upgraded. SB407 2014.doc reviser! 03/18114 Non -Compliant Water -Conserving Plumbing Fixture Plumbing,Fixturel (F=ixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usa elFlow Rate 20'13 GPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch, 4 Water daage !Flaw Rattee 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 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 gallonslflush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush (},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 -field 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 o eration 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 80 psi F=aucets — 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 @ 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 than the figure shown, it is not required to be upgraded. SB407 2014.doc reviser! 03/18114