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CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7737 HUNTRIDGE LN
CONTRACTOR: VIVINT SOLAR PERMIT NO: 14070088
DEVELOPER LLC
OWNER'S NAME: HSU HENG-FU AND CHAI HAI -LING TRUST
1939 HARTOG DR DATE ISSUED: 07/21/2014
OWNER'S PHONE: 4088921991
SAN JOSE, CA 95131 PHONE NO: (855) 877-2974
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E]
INSTALL ROOF MOUNTED SOLAR (17 MODULES) (4.25
�y
License ClassC4 p Lic. # 7 7� 7 10
KW).
Contractor ViAnt p jar pew o r DC 2! 1
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: $21250
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: 35906022.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
1 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 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 DAYS FROM 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
Issued by: /� / r/LG Date:
granting of this permi . Additionally, the applicant understands and will comply
with all non -point s ce regu do r the Cupertino Municipal Code, Section
RE -ROOFS:
9.18.
Signature ate
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.
❑ VoNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm t t 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)
1, 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 equip 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 ea Air Qu lity Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cu rtino Mu pal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 505, 255 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date: 2J
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
CONS RU N LENDING AGENCY
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
I hereby affirm that there is a onstruction 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
ARCHITECT'S DECLARATION
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
P�,OM7 �r,�,, CITY OF CUPERTINO
I�'.,.�.'Yll�I FEE ESTIMATOR - BUILDING DIVISION
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 relimina in ormation available and are onlv an estimate. Contact the Dept or addn'l info.
FEE ITEMS (Fee Resolution 11-053 71%13)
ADDRESS: 7737 Huntridge Ln
DATE: 07/21/2014
REVIEWED BY: Sean
APN:
BP#: l_
VALUATION: 1$21,250
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
USE: SFD or Duplex
/7/X i?h lnxv,
PENTAMATION
PERMIT TYPE: SOLAR -RE i
WORK
Install roof mounted solar 17 modules 4.25 KW).
SCOPE
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 relimina in ormation available and are onlv an estimate. Contact the Dept or addn'l info.
FEE ITEMS (Fee Resolution 11-053 71%13)
FEE
f'f' oi?fs llf""o (. het°t.
1120:. 1'i"m f. h :ek
Plan Check Fee:
$0.00
0 #
$236.00
Lj
/7/X i?h lnxv,
Eli(. Fr
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 relimina in ormation available and are onlv an estimate. Contact the Dept or addn'l info.
FEE ITEMS (Fee Resolution 11-053 71%13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
0 #
$236.00
Alternative Energy System
IPHOTOVRES I Photovoltaic System
Suppl. PC Fee: (E) Reg. Q OT0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee: Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0
Work Without Permit? Yes No
$0.00
Advanced Planning? Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
0
,lion Fccs
Strom Motion Fee: IBSEISMICR
$2.76
Select an Administrative Item
Bldg Stds Comtniss on Fee: IBCBSC
$1.00
SUBTOTALS:
$3.76
$236.00
TOTAL FEE:
$239.76
Revised: 07/10/2014