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B-2017-0395CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0395 11229 STAUFFER IN CUPERTINO, CA 95014-5150 (366 09 050) SOLARCITY CORPORATION OWNER'S NAME: LO WILLIAM AND ELAINE W TRUSTEE OWNER'S PHONE: 408-206-6986 LICENSED CONTRACTOR'S DECLARATION License Class C10: C46 Lie. #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. I 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 regulaf%p�ns p the u rtino Municipal Code, Section 9.18. Si nature ✓ g Date 3/16/2017 OWNER -BUILDER DE LARATION 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) z. I, as owner of the properq} 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: r. 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. 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. s. 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 I Date 3/16/2017 SAN MATEO, CA 94402 ISSUED: 03/16/2017 NO: (650) 963-5100 PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) 24 PANEL (7 ARRAYS) ROOF MOUNTED PV SYSTEM (7.56 kW) Sq. Ft Floor Area: Valuation: $14000.00 "N Number: Occupancy Type: 366 09 050 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby A eY nde Date: 03/16/2017 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: 3/16/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Co SONDING 05®25533, and 25534. Owner or authorized agent:Date: 3/16/2017 CONS NAGENCY I hereby affirm that there is a construction lending 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 90300 TORRE AVENUE - CUPERTINO, CA 95014-3255 AE (406) 777-3228 - FAX (408) 777-8333 - bLd1d€ g5_cu@grdno.oro F3�Z�(_�3�� PROJECT ADDRESS ` , , APN f! / � —65-0 OWNERNAME PHONEO _ V ✓- g- . ArMAIL (,%A-. �p Cl c STREET ADDRESST" STATEA:.( J& `-a -. JFMA1Lglgtanloc@solarcity.colrl FAX CONTACT NAME Gerry Igtanloc PHONE 650+-1759-8042 STREET ADDRESS 391 Foster City Blvd. CITY, STATE, ZIP Foster City, CA, 944041 FAX ❑ OWNER ❑ OWNER -BUILDER © OWNERAGENT IN CONTRACTOR ❑CONTRACTORAGENT ❑ ARcwrwT ❑ENaw'ER CJ DSVBLOPER ❑ TENANT CONTRACTORNAMESolarCity Corp. LICENSENUMBER888104 LICENSE TYPE C10,C46 BUS.LICO28844 COMPANYNAMESOIarCity Corp. "`M"ILgigtanloc@solarcity.com FAX 811RE11TADDRESs3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 PHGm650-759-8042 ARCWTECT1ENGINEERNAME LICENSENUMBER e BUS. LCC# COMPANYNAME E-MAIL $ FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD Or Duplex ❑ Multi -i~ aiDily STRUCTURE: ❑ Commercial PROJECT M WILDLAND URBAN INTERFACE AREA ❑ Yes ❑ NO 1 PROJECT IN FLOOD ZONE ❑'Yes EI D SOLAR PANELS —7 ❑ ELECTRIC VEHICLE CHARGING STATION 1:1 SOLAR WATER HEATING ©OTHER; FOR SOLAR PANELS. • NUMBEROFPAMLSNMTS; s ( KILOWATTS (COMMERCIAL ONLY). ! TOTALVALUATION: DESCRIPTION OF WORK Install ( 'Ztf ) rooftop mounted soiar panels,( ,$� } KW By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the prop a read this application and the information I have provided is correct, I have read the Description of Work and verify it is mourate. I agree to comply with all applicable local ordinances anti state laws relating to building canstru on. I authorize representatives of Cupertino to enter the above -identified property f r inspection purposes. Signature ofApplicantiAgent: �- - �"" �' Date; L7 ` o, � SUPPLE NTAL INFORMATIQN ItEQUI1tED .OFFICEUSE.ONLY .� '�❑ OVER -THE_ -COUNTSR ❑ ExPRFsa ❑ STANDARD ©, LARGE ❑ MASOR PYApp OI Ldoc revised 03116111 ki DocuSign Envelope ID: F44A9Al2-4BC8-4B65-BDD6-DB6D8BODEDFC 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 • buildirgPcunertina.ora Address 11229 Stauffer Lane 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 INFORMAUON Existing single-family and multi-familydwellings 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 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carron Monoxide Alarms he installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in th.e immediate vicinity -of the bedroom(s) X X On every level of a dwelling unit including basements X X Within 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: Iii 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. Art electrical permit is required for alarins 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 agree to comvty with the forms and conditions of this statement Omer (or Owner Agent's) Name: oocusigmd by: William Lo I (Sinatu .. ___ D - 2/13/201 ..................................... Contractor Name: AE5840c6a004415... Signature .. .tic.#. .Date: Smoke and CO form.doc t evised 03118114 DocuSign Envelope ID: F44A9Al2-4BC8-4B65-BDD6-DB6D8BODEDFC CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COD.WUNiTY DEVE40KAENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95614-3255 (408) 777-3228 • FAX (408) 777-3333 • huildina(a_cuoertino.org Owner Name William Lo Permit No.. A01 rj_ 03q-6 Address 11229 Stauffer Ln, 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. Is your real property a registered historical site? © yes Civil Code Sections 1101,1 through 1101.8 do not apply. Sign below and skip the rest of the form. DoeuSigned by: Owner' Signature:�f� I)ate; 2/13/2017 IN No Go to Question 2. AE5840CBA0644i5... 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 plutnbee s certification has been provided to the Building Division. Sign below and skip the rest of the form. DocuSigned by: owner' Signature:�� Date• 2/13/2017 No Go to Question 3. aE5a4ocsaDaa4,s... lib 3. Is water service pennanently 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, DocuSigned by: C7wner, Signature: Date: 2/13/2017 LI' Na Go to Question 4. AE5840C6AD84415__. 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 fonn. Do Sig.d by: Owner' Sibrrahtre��jl% Date• 2/13/2017 IN Yes 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. Refer to the attached. ® 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-eonapliaut plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements), ❑ My property is a nueltifamily 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 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.doc revised 03118114 ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A FLASHING WILL BE PAINTED TO MATCH EXTERIOR 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 HOG 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 DO 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 OC ON CENTER 9. MODULE FRAMES SHALL BE GROUNDED AT THE UL -LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING SU LO IG VDE�EISO EPa"' 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 VICINITY MAP INDEX Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT W WATT PV1 COVED SHEET -----_--_-----__-__-- 3R NEMA 3R, RAINTIGHT PV2 SITE iLW" ` PV3 STRUCTURAL VIEWS PV4 STRUCTURAL VIEWS PV5 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV6 THREE LINE DIAGRAM 1. ALL WORK TO BE DONE TO THE 2016 CA # 888104 Cutsheeis Attached C-10 CALIFORNIA BUILDING CODE, 2016 CALIFORNIA PLUMBING CODE, AND THE 2016 CALIFORNIA RESIDENTIAL CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE AS AMENDED BY THE 2016 CALIFORNIA ELECTRIC CODE. REV BY DATE COMMENTS MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Cupertino REVA CF 2/15/17 Revise layout per customer request REVI3 CF 3/11/17 Revise cut,heets UTILITY: Pacific Gas and Electric Company DESCRIPTION: DESIGN: LO William LO RESIDENCE Cris Flores � r \\`4 SolarClty �•.,,e STAUFF CONFIDENTIAL — THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SCLARCITY INC., JOB NUMBER: JB -9508422 00 PREMISE OWNER: WILLIAM MOUNTING SYSTEM: 11229 NO SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ZEP Mighty Hook i _,ng D part e T .56 KW PV ARRAY PIN C MDDULEs. (24) LG # LG315N1C-Z4 CUPERTINO, ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE 3055 CIe 0r . Woy SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN -L" O , C IMPI J:ANRAACE NAME: SHEET: REV: DATE: Son Mote., CA 94402 T: (650) 636 1028 F(650) 836 1029 INVERTER: SOLAREDGE SE76DOA-US002SNU2 PERMISSION OF SOLARC ITY INC. 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