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15050018J1 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10541 WUNDERLICH DR CONTRACTOR: SOLARCITY PERMIT NO: 15050018 OWNER'S NAME: PING WANG 3055 CLEARVIEW WAY DATE ISSUED: 05/05/2015 O ER'S PHONE: 9494393939 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] INSTALL 10 ROOF TOP, FLUSH MOUNTED PV MODULES License Class Lic. # 0 y (2.6KW) Contractor o i Date 0 5 /0.5 � �5 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: 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 Sq. Ft Floor Area: Valuation: $5500 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 APN Number: 37533020.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 ERMIT 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 ROM L LLED 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. Addition applicant understands and will comply :I;s;sued with all non -point source regulat s e the Cupertino Municipal Code, Section 9.18. r �� Signature Date �� 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of 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 Cuperti u ipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505 553 nd 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date:A6 O5 15 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 CONSTRUCTION LENDING 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. 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, 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 BUILDING PERMIT BUILDING ADDRESS: 10541 WUNDERLICH DR CONTRACTOR: SOLARCITY PERMIT NO: 15050018 OWNER'S NAME: PING WANG 3055 CLEARVIEW WAY DATE ISSUED: 05/05/2015 n7ER'S PHONE: 9494393939 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL Q License Class i n C Lie. # 1 (t (- INSTALL 10 ROOF TOP, FLUSH MOUNTED PV MODULES (2.6KW) Contractor , jI i , Date t a w I hereby affirm that I am licensed under the provisions of Chapter 9 REV#1 - REDUCE THE NUMB R OF PANELS TO 9 SOLAR ( ) (commencing with Section 7000) of Division 3 of the Business & Professions PANELS - ISSUED 115116. 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. Sq. Ft Floor Area: Valuation: $5500 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. APN Number: 37533020.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF M ORK IS NOT STARTED 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 WITHIN Igo DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses whichmay age a against said City in consequence of the granting of this permit. Addition ly, t pplicant understands and will comply Issued by: Date: with all non -point source regul ` ons r e Cupertino Municipal Code, Section 9.18. Signature Date ARE -ROOFS: Q All roofs shall be inspected prior to any rooi mgmaterial being installed. If a roof is installed without first obtaining an inspectio inspection. , I agree to remove all new materials for OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 MATE IALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requ rements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Section maintain compliance with the Cupertino 25505, 25533, and 25534. 1 will unicipal Code, Chapter 9.12 and the declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) s material. Additionally, should I use equi tould I store or handle hazardous ment 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 A ea it Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupert It Mum�pal Code, Chapter 9.12 and ' I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, Sections 25505 S33,. nd 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: r (% Date:(� i t 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction leading 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. 097, 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. 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 ARCHITECT'S ECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 ( �,\ � ae- A �lr\ � v\ (05 / k� II 1 'I b k(�cte-Y Q-� - I n c� C2 -A 95019 S © YC- a.Y 1 1 i - t I� \�e. �C-1-wCkA n ��S Y A V5!-�V-\ I� W `— ck,'( A \ Y\, I� i ? YN k o5 1 � r►�1 II II II�o V v� ���� Y ,� (o II S q1 n fckj IIS lil II eA q Li C) II IHI pppp'I1 II� 11 4 1 ww\ 1 av 0� YA vv�Ck C (2- noq . II i ui @i 4 CITY OF CUPERTINO FFF. FV%T1MATn1D —RTTTT "TXT1'1 71Tn7TC\Tl1hT Afech. Phn Clreck Plumb. Plan Check Elec. Plan Check Mech. Permit Fee: Plutnli. Permit Fee: Elec. Permit Fee: L11th Xlech. Insp. Other Phimb Insp. Other Elec. rzsp. ED -L-- . Irrsp. Fee: Plumb. lnslr. Fe.e: Elee. 111sp. I e: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, nitary Sewer District, School Dictrirt_ote_)_ Tl+ocofoot—b,00dn 'ff.. /:.«, fu :/ r/ i. _r.. n .r_ n_ �_ _�,_.it FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) ADDRESS: 10541 Wunderlich Dr ZI✓1Vl DATE: 01/07/2016 \ REVIEWED BY: Phuong -' APN: 375-33-020 BP#: *VAL TION: $0 -� *PERNIIT TYPE: Building Permit PLAN CHECK TYPE; PRIMARY SFD or Duplex PENT USE: - P PE WORK I Rev#1 - Reduce the number of panels to 9 anels Iteration /'Repair TION T TYPE: i SCOPE hrs $0.00 Afech. Phn Clreck Plumb. Plan Check Elec. Plan Check Mech. Permit Fee: Plutnli. Permit Fee: Elec. Permit Fee: L11th Xlech. Insp. Other Phimb Insp. Other Elec. rzsp. ED -L-- . Irrsp. Fee: Plumb. lnslr. Fe.e: Elee. 111sp. I e: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, nitary Sewer District, School Dictrirt_ote_)_ Tl+ocofoot—b,00dn 'ff.. /:.«, fu :/ r/ i. _r.. n .r_ n_ �_ _�,_.it FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE IM ISC ITEMS Plan Check Fee: $0.00 Select a Misy Bldg/Structure or Element of a Building Suppl. PC Fee: Reg. 0 OT rO.01 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (F) No $0.00 Suppl. Insp. Feer Reg. 0 OT p 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: T-1 Administrative Fee: Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 A Travel Documentation Fees: I Strong Motion Fee: $0.00 2.0 hrs Inspecti In ns pection, Hourly Bldg Stds Commission Fee: $0.00 $286.00 Is7ZNsP SUBTOTALS.: $0.00 $286.00 TAL FEE ^: $286.00 Revised: 07/02/2015 WIN CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NULL: I his estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are ha.ced on the nreliminary infarmatian availahlo and are nnh7 an octimata_ Cantart tho Wont Fn. adds �/ in Fn FEE ITEMS (Fee Resolution 11-053 Eff: 711113) ADDRESS: 10541 wunderlich dr DATE: 05/05/2015 REVIEWED BY: melissa APN: 375 33 020 BP#:� VALUATION: 1$5,500 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION SOLAR - USE: hrs PERMIT TYPE: PME Plan Check: WORK INSTALL 10 ROOFTOP, FLUSH MOUNTED PV MODULES 2.6k SCOPE NULL: I his estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are ha.ced on the nreliminary infarmatian availahlo and are nnh7 an octimata_ Cantart tho Wont Fn. adds �/ in Fn FEE ITEMS (Fee Resolution 11-053 Eff: 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: jE3 # $236.00 Alternative Energy System IPHOTOVREs I Photovoltaic System 77 El 0.0 hrs NULL: I his estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are ha.ced on the nreliminary infarmatian availahlo and are nnh7 an octimata_ Cantart tho Wont Fn. adds �/ in Fn FEE ITEMS (Fee Resolution 11-053 Eff: 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 # $236.00 Alternative Energy System IPHOTOVREs I Photovoltaic System Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 E) Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Q i Strong Motion Fee: IBSEISMICR $0.72 Select an Administrative Item Bldg_Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $1.72 $236.00 TOTAL FEE: $237,72 Revised: 04/01/2015