B-2018-0897 (2) CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-0897
10640 TUGGLE PL CUPERTINO,CA 95014-3628(375 34 067) SUNPOWER
CORPORATION
SYSTEMS
RICHMOND,CA 94804
OWNER'S NAME: DATE ISSUED:05/25/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B'C-107C-46:A Lic.#B90895
Contractor SUN POWER CORPORATION SYSTEMS Date 02128/2019 2J BLDG—ELECT—PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH X RESIDENTIAL_COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
(N)11 PANELS ROOF MOUNTED PV SYSTEM(3.96 KW)' _
I hereby affirm under penalty of perjury one of the following love 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.
` j I have and will maintain Worker's Compensation Insurance,as provided for by
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 375 34 067
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 p i�unudperstands and will comply with all non-point
source
�-� Date 5/25/2918 Issued by:Abby Ayende
Date:05/25/2018
O -B IDECLARATION
I be epy affrm th t I am exempt from the Contractor's License Law for one of the RE-ROOFS:
follmvin two-re sons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
r. I,n owner of the property,or my employees with wages as their sole installed without fast 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:5/25/2018
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
z. 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
z. 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 Cade,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 Cade,Chapter 9.12 and the
s. 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
Worker's Compensation laws ofCalif ocia.If,after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I
P 8 will maintain rnmp4parmitued
Cupert o Mu blind
Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Healthde,
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm thatst uchon lending agency for the performance
relating to building construction,and hereby authorize representatives of this city Of work's for which ued(Sec.3097,Civ C.)
to enter upon the above mentionedproperty 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
Cade,Section 9.18. 1 understand my plans shall be used as public records.
Licensed
Signature Date 512512018 Professional