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B-2017-0391CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0391 1342 ROSE GARDEN IN CUPERTINO, CA 95014-5231 (366 17 042) SOLARCITY CORPORATION SAN MATEO, CA 94402 OWNER'S NAME: KAO CHIA SHUN MICHAEL AND JOY CHIUYUEH OWNER'S PHONE: 408-425-2789 LICENSED CONTRACTOR'S DECLARATION License Class B C10 C46 Lic. #888104 Contractor SOLARCITY CORPORATION Date 12/31/2018 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 full force and effect. hereby affirm under penalty of perjury one of the following two declarations: 1. 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. 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 regulatJeps perAheipupp4ino Municipal Code, Section 9.18. • - .���C.�1��[�� a - - �k7ilrlfRditl .sIm t: II 0 I ywk4 DATE ISSUED: 03/10/2017 PHONE NO: (650) 963-5100 BUILDING PERNHT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (I) 27 PANEL (2 ARRAYS) ROOF MOUNTED PV SYSTEM (7.02kW) Sq. Ft Floor Area: I Valuation: $14000.00 "N Number: Occupancy Type: 36617 042 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS F�I SSUANCE OR 180 DAYS SSPECTION. Issued by: MELI AN Date: 03/10/2017 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 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 (Scc.7044, Business & Professions Code). Date: 03/10/2017 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 Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i. 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 03/10/2017 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 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 C Bruno Municipal Code, Chapter 9.12 and the Health & Safety Co ,, ectio s 25 5, 25533, and 25534. Owner or authorized agent: Date: 03/10/2017 CONSTRUCTION GAGENCY I hereby affirm that there is a construction l6hding agency for the performance of work's 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 Professional CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX {408) 777-3333 - bu;fdisttlAgagetno.Ora' 6- Zo / 3 -0 3-91 PROJECT ADDRESS 2 GtAV-jQ8i\Jn i APN# OWNER NAME •®" A V�PHONE a �ts✓py ^y ,`� J G E-MAIL STREETADDRESS - CITY, STATJq ZIP y� FAX CIA' "Gerry Igtanloc PHGNE650-759-8042 E-MAILgigtanloc@solarcity.com STREET ADDRESS 391 Foster City Blvd. CITY, STATE, ZIP Foster City,CA,94404 FAX I ❑ OWNER ❑ OwNERBumDER ❑ OWNERAGENT © CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAMESolarCity Corp. LICENSENUMBER888104 F7SETYPF C10,C46 BUS- LIC #28844 COMPANYNAMESOIarCity Corp. E-MAILgigtanloc@solarcity.com FAX `ADDRESS 3055 Clearview Way CITY. STATE, ZIP San Mateo, CA 94402 PHONE650-759-8042 ARCHTTECTIENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF K SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes �CNO PROJECT IN FLOOD ZONE ❑ Yes ❑ No SOLAR PANELS, 0 ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELSRINITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: j DESCRIPTION OF WORK .Install ( Z`+ rooftop mounted solar panels,(' Q-2-) KW RECE By my signature below, I certify to each of the following: I am the property owner or authorized agent to act oniffe property owner's behalf.a read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. l agree to co with all applicable local ordinances and state laws relating to building c traction. I authorize representatives of Cupertino to enter the above -identified property for mppection purposes. Signature of Applicant/Agent: — . Date: Cr( SUPPLEMENTAL INFORMATION REQUIRED 174- ��.,J oFFICE USE ONLY W ❑ OVERTHE=COUNTER W pq ❑ EXPRESS _ - ❑ .STANDARD U a a ❑ LARGE ❑ MAJOR PVApp 2011.doc revised 03/16/11 x ry ca �w O z e CK fir. ay N F7 wQ� U1 U Q � aMrl2� H - I1 U 111 y�y1� NlAI W >- U Q Q Z [If W Cof H cn W > W -., Of S N Z [if = Y W W W rU-i O c �r U Zr, ¢ CL Z oud O coo z U .I 0 � 4 z C� U r1 v2 Q N O Y � W vi W ¢ O z o0 �¢ >wzz� v"iz� Woz wwo.�`.:�Ow Z o {nom � ON= K Vi w w W O U M O w O N O O O ZO W N w OW O UO U Q J zzmN o M Z pU r N= Q Q d m J V N O U Ed Q O O U J 3 w O J J Z Ow Y w 0 J Q `-^�SYJ�W�>O��UWtr NCO=w Z2� �zz �a W oOz Qw0 ��w�a ��� z �o¢w�Z� U W v 3 n Z=~ J W Q U Z N ¢ O O U w Q~ Z 1 Q W d w O= W Y J w O O 0 U O U U¢ O J Vr1 0(}/ 2 cno cnzo co E o w o m c D O W �"'3wU �OZ d U¢ ESo O O z V I d J Q U¢_ ¢ O (V M J U V Q S L f] d c p U N m W U O] K m S m U d N H m O - LC� O — c0 t0 W V � � � J YO H Z Z Z O W w U sN oN OU Q Z Z N Z w O 0K OU Z o�0 m O z�z3 C ¢ o W w rc�rwwz>3 z ¢ > x� H Jz w xw O Y w Q mo m c-, C) a�dz�•,�cn,,,wJoo���000Q-��� oz�o2c� rz000Q a - wJ�Q��o»SJJoz a¢mc�o WLiUU'USUUVIYY- U U JOU U �2 vi ¢ W ZD � p> 3m Z ZwrU JO>U HYd E O K ¢Qm UO w....ww UUU=--Ns J�vZ ZOdddVl V1 V1HO»>3M M T >. € ova N N N va N OO1 `� OU � � J m J p z�N .� V n.A •V ori O -.0 U' m ¢ Q Q Q Q Z Z Z ¢ Z mU O p '� s^ ,.. 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CI c� rrr -ux Bio i iv rr r� t7 141 Y fS> C,SJ ID, .. . ........ d iU EN.*i, a Bli _ v 6vi ur. �,f " P a a n < a ai V.AA �;i n a 1,-,' SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE ICOMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERT11IN10 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building2cupertino ora PERMIT AtO r ALFD UNTIL T c � ' KATE HAS BEEN COMPLETED, mam. AN,)unx="p fHE �6LDING DIVISION PURPOSE _ r ....... This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with. 2016 CRC Section R314, 8315, 2016 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 lar s;-. When -the -valuation -of adidiiions, alterations; or, repairs to -existing dwelling units exceeds $1000.00, CRC Section R314, 8315, 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) — (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics X X Within each s_l min .room -^ - X - Carbon Monoxide alarnis'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 witl•, 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 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 specified below have been tested and are operational, as of the date signed below. Address: I� It Y K 0 S& Specify Number of Alarms: _ G u p gv,`� 03 GPermit No. �-��� ��'If ` moke Alarms#Carbon-Monoxide Detectors: I7AVA rpnrl nnrl a/YmG fn rn h, 1-411 IFF,n Owner (or Owner Agent's) Name: e :G 4,:' ,� �1 i�iV �l a ti�tu�e.... Q HAN C HAA °contractor Name: ................................................ ......... .................:..... Date:.. , Signature...................................................................... Lic.#.................................:...... Date:................... Smoke and CO form.doc revised 01/10/2017 s„ -_Owner Name Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin-ga—cupertino.org ✓ 's ` 6i" J. Is your real property a registered historical site? ❑ JRes 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. _ __ Skip the rest of theform and sign bottom of form. No Go to Question 3. 3.' Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. IV No 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. Q Yes 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. Check one of the three following statements and sign bottom of form.. 5. P14 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 ixtures,__.-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 -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 requirements as indicated in the table on the following page. 1-11, , Owner or Owner Agent's Signature: 71!!�� _ Date: Upon completing and signing this CertificatC, please return it to the Building Division in order to final your building perm SB407 2015.doc revised 01105/17