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B-2017-0472CITY OF CUPERTINO BUILDING PERMIT I BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0472 19445 PHIL IN CUPERTINO, CA 95014-3429 (375 05 036) SOLARCITY CORPORATION SAN MATEO, CA 94402 OWNER'S NAME: YANG BEE HONG AND PARK KYOUNG JAYANG OWNER'S PHONE: 408-914-1732 LICENSED CONTRACTOR'S DECLARATION License Class 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: 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. 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. 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 regula i ns pq the upertino Municipal Code, Section 9.18. Signature Date 03/23/2017 OWNER-BUE DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the two reasons: 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) 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. 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 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 03/23/2017 ISSUED: 03/23/2017 PHONE NO: (650) 963-5100 BUILDING PERMIT INFO: X BLDG —ELECT _PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) 15 PANEL ROOF MOUNTED PV SYSTEM (4.425kW) Sq. Ft Floor Area: I Valuation: $8000.00 APN Number: Occupancy Type: 375 05 036 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST 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: 03/23/2017 "A" OR 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 Codeections 25505, 25533, and 25534. Owner or authorized agent: Date: 03/23/2017 CONSTRUCTION LENDING AGENCY 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 ARC'HITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTIiNO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin 0cupertino.org rJ n O PROJECT ADDRESSI C� JS G� 4iL zw®"7 OWNERNAMB j1 L Na ll �rt Y �— FHONE ( CITY, STATE, ZIP Ax j a L nlF CONTACT NAME1,11 PHONE g. STREETADDRESS CITY,STATB ZIP gAy ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ACONTRACTOR ❑ CONTRACTOR AGENT ❑ AR.CHrIECT D ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ��Ofr ®� /� / LICEN p LIC SE E BUS. LIC rVCf COMPANYNAMB f `� rt Cj( �L\{-� � 5PL/�(n G1%` FAX STREET AD ST TE. ZIP �y C QA F-1 C� A lam' C0 ARCHITSC (ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial- URBAN INTERFACE AREA ❑ Yes $1_NO FLOOD ZONE ❑ Yes 14 -No OLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOL4R PANW. - NUMBER OF PANELSAR,11TS: C XMOWATTS (CON&JERCIAL ONLY): l 2 C /"- l t TOTAL VALUATION:Cj (i�j DESCRIPTION OF WORK 50 (-Aft PA.4i& CS t1q. q Z5`1 � alg �^ S '' .may F.Tx3.'Y•4 _ .u.tg .:viS ht y'e-�', 9' YT•CM1�P '.1va3"M By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on rty owner's behalf. I have read this application and the information I have provided is cogect. I have read the Description of Work and verify it is I accurate. agree to comply with all applicable local ordinances and state laws relating to build' co 'T auifiarize representatives of Cupertino to enter the above-ld�entified roperty for inspection puiposes. Signature of Applicant/Agent Date: C1 2—t SUPPLEMENTA INFORMATION REQUMD --� „— a!C'i�d trW t� ` PYApp 2011.docrevised 03116/11 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 DE�EISOA EPa "' PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING SO LO IG 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 IND Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT W WATT PV1 COVEIR{SHEET 3R NEMA 3R, RAINTIGHT PV2 SITE PLAW ` PV3 STRUCTURAL VIEWS _ PV4 UPLIFT CALCULATIONS PV5 THREE LINE DIAGRAM LICENSE GENERAL NOTES Cutsheets Attached CA # 888104 1. ALL WORK TD BE DONE TO THE 2016 C-10 CALIFORNIA BUILDING CODE, 2016 CALIFORNIA a PLUMBING CODE, AND THE 2016 CALIFORNIA RESIDENTIAL CODE. f r 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 NAME DATE COMMENTS I! UTILITY: Pacific Gas End Electric Company DESCRIPTION: DESIGN: YAN -f Heehong Yang RESIDENCE Anthony Ortiz �, r \\`4 SolarClty PHIL L - CONFIDENTIAL —THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE N I ANYONE % A I Y INC.. JOB NUMBER: JB-9508548 00 PREMISE DWNER: HEEHONG MOUNTING SYSTEM: 19445 NO SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing-Insert i =ing D part e ,425 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH C MODELES. CUPERTINO, THE SALE AND USE OF THE RESPECTIVE (15) TRINA SOLAR # TSM-295DD05A.18(II) }055 Cleory e� Woy SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN -L" O , C 11t�- ANPACE NAME: SHEET: REV: DATE: Son Note., CA 94402 ) 836 1029 INVERTER: SOLAREDGE SE38DOA-US-ZB-U PERMISSION OF SOLARCITY INC. 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