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B-2017-1329] CITY OF CUPERTINO BUILDING PERMIT l BUILDINGADDRESS: 10348 S TANTAU AVE CUPERTINO, CA 95014-3544 (375 08 034) OWNER'S NAME. PAI RAGHUNANDAN KAND SAHANA OWNER'S PHONE: 626-272-7120 LICENSED CONTRACTOR' D . L4RATLON License Class G 10: C26 Lic. #88810it 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. (z. 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 1 certify that 1 have read this application and state that the above information is correct. 1 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 pej4hp Cupertino Municipal Code, Section 9.18. Signature Date18/ 1/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following 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 iexclusively 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: 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. z. 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 CERTIFICA'(SON 1 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 8/1112017 NO: B-2017-1329 SOLARCITY CORPORATION SAN MATEO, CA 94402 ISSUED: 08/11/2017 NO: (650) 963-5100 BUILDING PERMIT INFO: BLDG —ELECT —PLUMB MECH Y RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) 41 -PANEL ROOF MOUNTED PV SYSTEM (12.3 KW) Ft Floor Area: I Valuation: $24000.00 APN Number- Occupancy Type: 375 08 034 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION by Jasmine Archbold 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 ofApplicant: Date: 8/] 1/2017 TO BE CLASS "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 Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 8/11/2017 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95:0143255 (408) 777-3228 FAX (408) 777=3333 • bufl&n%Sct a#IIIG.,orQ 04 PROJECT ADDRESS \ n APN # OWNERNAME I� Vt PH NE r J4 o Z�f9 E �A #b!- STREETADDRESS ��yi�� / ex of JC)Atil CITY,S�AfT ZI� / FAX CONTACT NAME Gerry IgtanlOC PHOS 650-759-8042 F-mILgigtanloc@solarcity.com STREET ADDRESS 391 Foster City Blvd. CITY, STATE, ZIP Foster City,CA,944041 FAX ❑ OWNER ❑ OvwNERBuILDER ❑ OWNER AGENT © CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMESOIarCltyCOrp. LICENSENUMBER88810/I LICENSETYPEC 0,C46 "us"ZIA® �+y CONIPANYNA'SolarCity Corp. E-MAILgigtanloc@solarcity.-com FAX STREETADDRESS3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 :, PHONE'650-759-8042 ARCHITECT/ENGINEER NAME - _ LICENSE NUMBER t BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF VSFD Or Duplex ❑ Multi -Family STRUCTURE: [3 Commercial PROJECTIN WILDLAND URBAN INTERFACE AREA ❑ Yes P ``0 PROJECT IN � �T FLOODZONE El Yes 1v0 SOLAR PANELS ❑ ELECTRICVEHICLE'CHARGINGSTATiON ❑ SOLAR WATER HEATING OTHER: -J FOR SOLAR PANELS: NUMBER OF PANELSIUNITS: KILOWATTS (COMMERCIAL ONLY):. ` ^ 1 [s TOTAL VALUATION 00 DESCRIPTIONOF WORK Install (41 ) rooftop mounted solar panels,( �_ ) KW RECEIVED EY; - ..-- B m signature below, I cern to each of the following-, I am the roe owner or authorized agent to act on the property owner's behalf. l have read this Y Y $n certify g property rt3' g P PertY application and the information I ha ovided ' correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t : u din g Ruction. I authorize representatives of. Cupertino to enter the above-idntifi d property for inspection purposes: Signature of Applicant/Agent: Date: )>i - I SUPPLEMENT INFORMATION REQUIRED _ oF1 rCE USE ANLX` W ❑ OV1:R-TH>•iCOUNTER , XPRi, 'STANDARD a0 a I:ARGE MAJOR PYApp 201Ldoc revised 03116111 fid_ SMOKE I CARBON MONOXIDE ALARMS • OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION FEL `j. CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildinq(o�cuoertino.orq PERMIT CANNOT BE FINALEI)t7NTIL TIllS:CERTIFICATE HAS BEEN COMPLETED,SIGNE)) ANIS RETURNER TO Tflt IIVILDING.TAVISION PURPOSE .- - .,. This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 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 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 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 X X the bedroom(s) 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'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 907.2.114 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 to 54-fB � Permit No ' yA-1 Specify Number of Alarms: #Smoke Alanns. � #Carbon Monoxide Detectors. ' I have read and d agree to co, w y with the terms and conditions of this statement Owner(or Owner Agent's)Name: Signature Date: 191111 Contractor Name: Signature .� ' <— Lic.# Dater=G�l— Smoke and COfonn.doc revised 12/15/16