Loading...
13110165 CITY OF CUPERTINO BUILDING PERMIT (BUILDING ADDRESS: 19161 LOREE AVE CONTRACTOR:SOLAR LIGHTWORKS PERMIT NO: 13110165 INC OWNER'S NAME: CARRIE&MARTIN O'LEARY 300 PLUM ST STE 18 DATE ISSUED: 11/25/2013 OWNER'S PHONE: 4087173104 CAPITOLA,CA 95010 PHONE NO:(408)767-5341 �r LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL LI License Class 2. INSTALL 20 PANEL ON GARAGE ROOF,3.98KW Contractor `L& I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Codeandthat my license is in full force and effect. I eFi rf6y 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. Sq.Ft Floor Area: Valuation:$16406 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the perfonnance of the work for which this APN Number:37507031.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 have read this application and state that the above information is PERMIT E IRES IF WORK IS NOT STARTED correct.l agree to comply with all city and county ordinances and state laws relating WITHIN 8 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY M LAST CALLED INSPECTION. 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 Issued by: with all non-point sourc u tions per the Cupertino Municipal Code,Section 9.18. ? RE-ROOFS: Signatur DateAll 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. ❑ O DER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Secti y A 25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized Date permit is issued. m I certify that in the perfonance 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 CON ST ENDING AGENCY become subject to the Worker's Compensation provisions of the.Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I 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, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION WAPN: DDRESS: 19161 loree ave DATE: 11/25/2013 REVIEWED BY: Mendez BP#: Z1&2 2 'VALUATION: 1$16,406 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION SOLAR-RE USE: PERMIT TYPE: WORK install 20 panel on garage roof, 3.98kw SCOPE ,,Wch. Plan(.'hec-k Phunb. Platt Check Elec.Plan Check A4ec,h. Penni!Fee: Plumb.Permit Fee: Elec. Perrnir Fee: Other rllech.Insp. Other Plumb Insp. Other Elee.Insp. Li zlkch.hisp. Fe c: Plumb. Cnsp. Fee: Elce.Insp, Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Alternative Energy System Suppl. PC Fee: Q Reg. OT 0.0 hrs $0.00 $229.00 IPHOTOVRES Photovoltaic System PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Cons7rztc:tion :Tax. T_ Administrative Fee: Work Without Permit? Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Travel Doevihentalion Fees: Building or Structure ©� Strong Motion Fee: IBSEISMICR $1.64 0 # Revisions Bldg Stds Commission Fee: IBCBSC $1.00 $0.00 IREVCOMNElf Commercial New SUBTOTALS: $2.64 $229.00 TOTAL FEE: 1 $231.64 Revised: 10/01/2013