B-2017-1636 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1636
20805 SCOFIELD DR CUPERTINO,CA 95014-2922(359 12 005) SOLARPARK USA INC
SAN RAMON,CA
94582
OWNER'S NAME: YANG STEVE AND BARBARA L TRUSTEE DATE ISSUED:09/21/2017
OWNER'S PHONE:408-694-1618 PHONE NO:(510)483-7200
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class SOLAR Lic.#930425
Contractor SOLARPARK USA INC Date 03/31/2019 X BLDG _ELECT _PLUMB
MECH X RESIDENTIAL_COMMERCIAL
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. JOB DESCRIPTION:
(N)16-PANEL ROOF MOUNTED PV SYSTEM(5.28 KW)
I hereby affirm under penalty of perjury one of the following two declarations: REV#1-REVISE LAYOUT-ISSUED 9/28/2017
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.
4
r 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. Sq.Ft Floor Area: Valuation:$17297.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 359 12 005
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 PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,-t • ..plicant understands and will comply with all non-point
rce regulations ser he Cupertino M '.'.al Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
1gnat141° t \` •ate 9/28/2017 Issued by:ABBYAYENDE
Date:09/21/2017
ilk • AL I D RD eL
I hereby'affirm tliat 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,Busiriess&Professions Code)
2. I,as owner of the property,,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/28/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will.maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air i.:lity Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance wit 'no Munici. 1 Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health afety Code,Sect'. s 25505,2-533,an. 534.
Labor Code,I must forthwith comply with such provisions or this permit shall ,:
_.R• 1►.r �-'' '
be deemed revoked.
,axe ner or authorized agen :
APPLICANT CERTIFICATION
Date:9/28/2017
I certify that I have read this application and state that the above information is I►-T' T I Et.Dh. ' E Y
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section.9.18. I understand my plans shall be used as public records.
Signature Date 9/28/2017 Licensed
Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
tto, 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
..'44:6'.. . g `zQ "�- Iv
(408) 777-3228 • building(tncupe'rtino.orb PEMIT#B-� 1
CUPERTINO REV/I 1 DEFE
❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.1. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA
PROJECT ADDRESS�� ^ (15 c l& : \E z,xm APN A -.7:76q, `2- 005
OWNER NAME , Imo/ PHONEIT' `5 CA'`f,}Lt
— i D () MAIL
STREET ADDRESS 1 ?...Q CITY, STATE,ZIQm
❑CONTRACTOR NAME ❑OWNER-BUILDER COMPANY NAME LICENSE NUMBER _LICENSE TYPE
ISTREET ADDRESS CITY,STATE, ZIP
E-MAIL PHONE BUS.LIC#
❑ARCHITECT ❑OWNER ❑OWNER) AGENT 0 CONTRACTOR AGENT 0 ENGINEERbDEVELOPER 0 TENANT
'
CONTACT
g NAME� F- k-1 VF (,.4v1:7- --EE-MAIL .g
STREET ADDRESS �l CITY,STATE,ZIP PHONE
DECRIPTON
Ir ? S 1cc r
❑SINGLE-FAMILY/DUPLEX ❑MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL
EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5)
REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED
BATHROOM SF SF SF SF 0 DETACHED
EXISTNG ❑YES EICHLER El SECOND STORY ADDITION DYE'
FIRE SPRINKLERS 0 NO 0 NO 0 NO
DWELLING SECOND DWELLING ❑YES ❑ATTACHED DETACHED OTHER
UNITS a UNIT ADDITON: ❑NO S F
PO OA ❑FIBERGLASS 0 VINYL-LINED 0 GUNITE ❑PREFABRICATED
POOL-SF SPA-SF I SPA ATTACHED El YES 0 NO I TOTAL-SF
RECEIVED BY: TOTAL VALUATION:
Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Healh approval 1/v\A- .an '.....----_
RE-120 OF'EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES ElWOOD SHAKES ElWOOD SHIN ES❑TI E OTHER(SPECIFY)
REMOVE/REPLACE❑NO IF NO PLYWOOD ❑1„ ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS
❑yEs I<OF LAYERS THICKNESS❑5/8" OTHER ❑OSB ❑CDX OTHER •12 A
PROPOSED ROOF TYPE:❑BUILT-UP ROOF DASPHALT SHINGLES ❑WOOD SHAKES❑WOOD SHINGLES ❑OTHER
*Provide a signed copy of the Cupertino's Tear-Off Policy SF _ Fof SQUARES
By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I
have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree
to comply with all applicable laI ordin. ces and sta - aws relating .. building construction. I authorize representatives of Cupertino to
enter the above-identified proper for in..ectio e rpose I acknowle.;1 and authorize all information contained on this application form
to be made available for public r- o:r,, I � , �-A„ ,�+ Z ,
Signature of Applicant/Agent: ilA�b IS -A„
SUPPLEMENTAL INFORMATION REQUIRED
*New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction.
*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
*HOA-Provide a letter of approval from the Home Owner's Association
•
BldgApp_2017.doc revised 08/01/17
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1636
20805 SCOFIELD DR CUPERTINO,CA 95014-2922(359 12 005) SOLARPARK USA INC
SAN RAMON,CA
94582
OWNER'S NAME: YANG STEVE AND BARBARA L TRUSTEE DATE ISSUED:09/21/2017
OWNER'S PHONE:408-694-1618 PHONE NO:(510)483-7200
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-46 Lic.#930425
Contractor SOLARPARK USA INC Date 03/31/2019 X BLDG _ELECT _PLUMB
MECH X RESIDENTIAL_COMMERCIAL
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. JOB DESCRIPTION:
• (N)16-PANEL ROOF MOUNTED PV SYSTEM(5.28 KW)
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
4 Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$17297.00
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 APN Number: Occupancy Type:
and state laws relating to building'construction,and hereby authorize 359 12 005
representatives of this city to enter upon the above mentioned property for
inspection purposes. (V1le)•agree to save indemnify and keep harmless the
City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK ISNOT STARTED
may accrue against said City inconsequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the:applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
tifrature Date 9/21/2017 Issued by:Jasmine Archbold
Date:09/21/2017
OWNER-BUILDER DECLARATION
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. 1,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(Sec.7044,Business&Professions Code). Date:9/21/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with'the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California..If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. • Owne e ' thorized agent:
APPLICANT CERTIFICATION D 12
I certify that I have read this application and state that the above information is ' CONSTRUCTION LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and.keep,harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Licensed
Signature Date 9/21/2017 Professional
N / ALTERNATIVE ENERGY PERMIT APPLICATION AE
15/ COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
4,41,sem 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinq(a)cupertino.orq
CUPERTINO
—Za t1 — Uar5co
PROJECT ADDRESS 20805 Scofield Cupertino, CA 95014 APN# - 5-rt,
1-1-1613
-1 -o o J
/�nnn111 )))
OWNERNAME Steve Yang . PHONE 1J 0s /,�1613E-MAIL
STREET ADDRESS 20805 Scofield CITY, STATE,ZIP Cupertino, CA 95014 FAX
CONTACT NAME E-MAIL
Solarpark USA Inc PHONE 5104837200 sales@solarparkusa.com
STREET ADDRESS CITY,STATE,ZIP FAX
11040 Bollinger Canyon Rd#E192 San Ramon CA 94582
❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT R CONTRACTOR ❑CONTRACTOR AGENT 0 ARCHITECT ❑ENGINEER 0 DEVELOPER ❑ TENANT
CONTRACTOR NAME Solarpark USA Inc 930425
NUMBER 930425 LICENSE TYPE C46 BUS.LIC#
COMPANYNAME Solarpark USA Inc E-MAIL sales@solarparkusa.com FAX 5104837200
STREET ADDRESS 11040 Bollinger Canyon Rd#E192 CITYSTATE, PHONE
San Ramon CA 94582 5104837201
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF 0 SFD or Duplex 0 Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ No
®SOLAR PANELS 0 ELECTRIC VEHICLE CHARGING STATION , ❑ SOLAR WATER HEATING El OTHER: - -
FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: 16 KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION: $17,297
DESCRIPTION OF WORK 5.28KW(STC/DC)photovoltaic system
16 LG 330W Modules
Solar Edge- SE5000A-US,Inverter
`.
RECEIVED BY: A
i
By my signature below,I certify to each of thefollowing: d-am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is 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 to building construction I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Q�._ lam- Date: 09/19/2017
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
0, OVER-TICE-COUNTER
0 EXPRESS
U
❑ "STANDARD •
V —
'„, 0 LARGE •
0-MAJOR , - .
PVApp_2011.doc revised 03/16/11
q.
.1, 7 3 E.
t:-.,,,,,,,..,,,..___.-:_. .. `
SMOKE / CARBON MONOXIDE ALARMS
j fr .
Lo
OWNER CERTIFICATE OF COMPLIANCE --'
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPER'I'INO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinq(a)cupertino.orq.
PERNIIT CANNOi.BE FINALED UNTIL THIS CERTIFICATE HAS:BEAN z
COMPLETED,SIGNED,AND RETURNED TO THE BUILDING DIVISION n
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,R315,2016 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,R315, 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: V
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 sleeping room , X ,V V
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 907.2.11.4 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: .)--l}SDS' `Q >.- • Permit No. z D l z—
Specify Number of Alarms:
I
Smoke Alanns: Ira #Carbon Monoxide Detectors: I I
•
I have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's)Name: -
S'ilt y i Signature Dafe7d
Contractor Na e: (-1.4--
$` 13q 2
x Signature i/�o Pik/ Lic.#; l`7 Date:10" 1 — l!
' Smoke and COform.doc revised 01/10/2017