14010057BUILDING ADDRESS- 21647 RAINBOW DR CONTRACTOR: REAL GOODS SOLAR PERMIT NO: 14010057
OWNER'S NAME: PATIL SURAS S AND JAYASHREE S 1968 JUNCTION AVE DATE ISSUED: 01/08/2014
OWNER'S PHONE: 4152863306 SAN JOSE, CA 95131 PHONE NO: (408) 529-0989
A4. LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL []
7 -ADD 35 ROOFTOP, FLUSH MOUNTED PV PANELS (8.75
License Class Lic. # n— KW)
& INSTALL (N) 125AMP SUB PANEL
Date
44
Contractor t
1 hereby affirm that I am licensed under the provisions of C apter 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:
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.
49e and will maintain Worker's Compensation Insurance, as provided for by
ction 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 sour%–XA0ationsjWJ the Cupertino Municipal Code, Sectio
9.18.
Signature
— Date
0 OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
L 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)
1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
Sq. Ft Floor Area: I Valuation: $35000
I APN Number: 36637002.00 1 occupancy Type: I
I hereby affirm under penalty of perjury one of the following three
declarations:
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.
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 CERT—IFICATION,
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
Signature Date
W
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:
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. Iwill
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 Muni 'pal Code, Chapter 9.12 and
the Health & Safety Code, Sections 2550 3 ndd 25534.
Owner or authorized agent: Date:
-7♦-4
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
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
ALTERNATIVE ENERGY PERMIT APPLICATION�
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION — I \
1O3OOTDRREAVENUE ^CUPERTNO.CAA5O14-3255
(400) 7T7-3228^FAX (408) 777-3858~ ~
PROJECT ADDRESS z
TAPN 4 r
2
OWNERNAME
E-MAIL
STREET ADDRESS
FAX
CONTACT NAM"�
E-MAIL
STREET ADDRESS
CI&TATE, ZIP
AX
OWNER OW14ER-BUILDER 171 OWNER AGENT [YCONTPLACTOR 11 CONTRACTOR AGENT 13 ARCHITECT ENGINEER DEVELOPER TENANT
CONTRACTOR NA LIVCV6Fe, LICErZf
S C 0 1"
COMPANY NAMER
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/FNGINEER NAME
LICENSE NUMBER
BUS. LIC 0
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF 0 SEDorDuplex C) Multi-Farni
PROJECT IN WILDLAND
PROJECT IN
STRUCTURE: 0 Commercial
URBAN INTERFACE AREA 171 Yes F& NO
FLOOD ZONE C3 Yes,'rNO
13 SOLAR PANELS
C3 ELECTRIC VEHICLE CHARGING STATION
SOLAR WATER HEATING
OTHER:
FORSOIARPAJVEL�.- NUMBER OF PANELS/UNITS: 9 KILOWATTS: &.1W
TOTAL VALUvktW4—
DESCRIPTION OF WORK >
ehu
ias
By my signature below, I certify 'to each of the f ing' a� roper-ty ovmer or authorized zt on the property owner'q 44aW<.ha-e read this
�
".t. ve 'e.'
application and the information I have pro_vid i cor ve read the Description of Work and verify it is accurate. I a ree I I I a
0—�—'C"' o/ompywih 11 applicable local
-ide ified
ordinances and state laws relating to buit±�On�. I authorize representatives of Cupertino to enter the above operty for inspection purposes.
oe
Signature ofApplicant/Agent: Date:
W17LEM�r=17MMI-A I ION REQUIRED
OFFICF, USE ONLY
EXPRESS
_E1 STANDARD.
LARGE
MAJOR
PVA(ppLMldocrevised o&120112
CITY OF CUPERTINO
VVIVITT 6,9r`400 — WTIUTIWV_
'Linc hPlan (_'heck
'.Vh"ch. 1, e'-ndl Fee,
I O'h-er AV1Cx'h' ln'�fx
IA*,�r;h, lnsp�. Fee:
Phimb, Plan 'hcck LL
rlh'rmb' 11�rmlt Fee:
Other Phimb Insp Ll
fllul�lb' NypF Ile,,
Elec. Plan Check 0.0 hrs $0.00
Elec. Permit Fee: IEPERART
Other Elec. Insp. F0.0 hrs $47.00
NOTE. This estimate does not inctuaefees aue to ornervepartmems (i-e-,rtunrung, 1-1— rrurna, - —, ulsrzoaasry ---.1
. I - -.-,y ___ _-1.. __ --i- fhDf f— "df" 'I
".strict,ew-J.
FEE ITEMS (F, e? Resolution 11-053 Eff 711113)
fit
QTYIFEE
MISC ITEMS
Plan Check Fee:
$0.00
PLAN CHECK TYPE: Alteration Repair
32,31
P TAMATION SOLAR -RES
PERMITTYPE: A;
11111=0
hrs
$0.00
PME Plan Check:
,ADD 35 ROOFTOP, FLUSH MOUNTED PV PANELS (8.75 kW) & INSTALL (N).125AMP SUB-PANE..L—,
$0.00
125 amps
$47.00
Electrical
IBELEC2oo Services
'Linc hPlan (_'heck
'.Vh"ch. 1, e'-ndl Fee,
I O'h-er AV1Cx'h' ln'�fx
IA*,�r;h, lnsp�. Fee:
Phimb, Plan 'hcck LL
rlh'rmb' 11�rmlt Fee:
Other Phimb Insp Ll
fllul�lb' NypF Ile,,
Elec. Plan Check 0.0 hrs $0.00
Elec. Permit Fee: IEPERART
Other Elec. Insp. F0.0 hrs $47.00
NOTE. This estimate does not inctuaefees aue to ornervepartmems (i-e-,rtunrung, 1-1— rrurna, - —, ulsrzoaasry ---.1
. I - -.-,y ___ _-1.. __ --i- fhDf f— "df" 'I
".strict,ew-J.
FEE ITEMS (F, e? Resolution 11-053 Eff 711113)
FEE
QTYIFEE
MISC ITEMS
Plan Check Fee:
$0.00
1 #
$229.00
Alternative Energy System
Photovoltaic System
Suppl. PC Fee: (D Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
125 amps
$47.00
Electrical
IBELEC2oo Services
Permit Fee:
$0.00
Suppl. Insp. Fee'0 Reg. 0 OT
ro.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$47.00
Administrative Fee: ]ADMIN
$44.00
0
Work Without Permit? 0 Yes i& No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
I Building or Structure
0
r vel Documentation Fee: 1TR4VD0C
Travel
$47.00
Strong Motion Fee: IBSEISMCR
$3.50
Select an Administrative Item
Bid& Stds Commission Fee,: IBCBSC
$2.001
SVIR'VOTALS-
$143.501
$276.00
OTAL FE
T -Y W.
$4% 501
Revised: 01/01/2014
t CONSTRUCTION
es
Scope of Work:
Real Goods Solar will install a 8.75 kW Grid -tied Photovoltaic System totaling
(35) Canadian Solar CS6P-250P modules with (1) Power -One
PVI-4.2-OUTO-S-US-A Inveder(s) and (1) Power -One PVI -3.6 OUTD-S-US-A
Inverter, flush mounted on a Composition Shingle roof and directly
Interconnected via line side tap.
Equipment Specifications:
Module: (35) Canadian Solar CS6P-250P
Inverter 1: (1) Power -One PVI-4.2-OUTD-S-US-A
Inverter 2: (1) Power -One PVI -3.6 OUTD-S-US-A
Racking: UnlRac SolarMount
Attachment Flashing: Eco -Fasten Green -Fasten with
CP-SOlotted Bracket and Aluminum Flashing
PWT PLkNS
CIIECKFD Ily
DATE,
Site Specifications:
Occupancy; 11- Single Family Dwelling
Design Wind Speed: 105 Mph
Exposure Category: B
Roof Height: 25 Ft
Ground Snow Load: 40 Pat
All Work to be in Compliance with:
City Of Saa-lQw Building Code
City Of Swrd&m Mechanical Code
City Of Ssw4m Electrical Code
City Of 69"-dvm Plumbing Code
City Of Saa4aae Fire Code
2011 National Electrical Code
ASCEtANSI 7-05 Minimum Design Leads for Buildings and Other
Structures
Grid -Tied Photovoltaic System
DC Rating: 8.75 kW
Patil, Jaya & Suhas
21647 Rainbow Drive
Cupertino, CA 95014
Jurisdiction: City 311 8444nae.
General Notes*
1. System follows any/all Fire Code Setbacks per Ordinances of the City 04o ¢
.W9L__
2. All projects shall comply with the Ordinances of the City Of
3. Construction Hours: lam -bpm Monday -Friday, gam-8pm Saturday, No time
on Sunday or legal Holidays.
4. Product Data Sheets shall be included.
5. Rooftop penetrations shall be completed and sealed per code by a licensed
contractor.
6. No Roof, Plumbing or Mechanical vents will be covered or floated by, or
routed around the Photovoltaic modules, unless specifically allowed by the
AHJ, and performed in compliance with applicable codes.
7. All Photovoltaic modules shall be tested and listed by a recognized laboratory.
8. Certifications shall include ULI 703, IEC61646, IEC61730.
9. PV array ungrounded per Article 690.35.
10. DC Wiring shall be run in metal conduit or raceways within enclosed spaces in
a building.
11. Conduit, Wire systems and Raceways shall be located as close as possible to
ridges, hips, and outside walls.
12. Conduit between Sub Arrays and to DC Combiners/Disconnects shall be
minimized by taking the shortest path, to reduce voltage drop.
13. Space Requirements for electrical equipment shall comply with NEC Article
110.
14- Modules, Racking, Conduit and other metallic materials and equipment shall
be bonded to Ground.
15. Equipment grounding shall be sized in accordance with Table 250,122.
16. Connectors that are not readily accessible and that are used in the circuits
operating at or over 30V AC or DC shall require a tool for opening and are
required to be marked "Do not disconnect under load" or "Not for current
interrupting", per 690.33 (c) & (e),
17. AAI signage to be placed in accordance with local building code.
18. Signs or Directories shall be attached to the electrical equipment or located
adjacent to the identified equipment.
19. Signs shouldbe of sufficient durability to withstand the environment.
20. Any plaques shall be metal or plastic with engraved or machine printed letters,
or electro -plating, in a red background with white lettering, a minimum of 3/8"
height and all capital letters, and attached with an approved fastening method.
21. All inverters, motor generators, Photovoltaic modules, Photovoltaic panels, AC
Photovoltaic modules, source circuit combiners, and charge controllers
intended for use in a Photovoltaic power system shall be identified and listed
for the application per 690.4 (d).
22. The discharge of pollutants to any storm drainage system is prohibited. No
solid waste, petroleum byproducts, soil particulate, construction waste
material or waste water generated on construction site or by construction
activities shall be placed, conveyed, or discharged into the street, gutter, or
storm drain system.
23. Fine stranded cables shall be terminated only with terminals, lugs, devices or
connectors that are identified and listed for such use per the 204Q -CEG 690.31
(f) and 690.74. Ze. 1'5
24. Smoke and CO Alarms to be retrofitted per CRC 8314, 8315
FF1
pll�
Sheet No.
Sheet Title
PV -000
COVER
PV -A01
SITE PLAN
PV -A02
SYSTEM LAYOUT
T
1968 Junction Avenue
San Jose, CA 95131
Fax (408) 904-5477
ucense# 840934, C-46
GRID -TIED
PHOTOVOLTAIC SYSTEM
8.75kw Dc @ STC
PATIL, JAYA & SUHAS
21647 RAINBOW DRIVE
CUPERTINO 'CA 95014
Project # 95014
PV -A03
DETAILS
V1
7'_'J@&*QNQDIAGRAM
E01
RW
aijilding T),§y)§firW&LCSTE
2013-12-19
Pv_ G01,
SIGNAGE
REVISIONS
Date
Notes
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