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BLD-2020-0214BUILDING PERMIT CUPERTINO CITY HALL 10300 Torre Avenue • Cupertino, CA 95014-3255 PHONE 408-777-3228 WWW.CUPERTINO.ORG BUILDING ADDRESS: 20446 VIA PORTOFINO Cupertino APN: 316 01 151 PERMIT NO: BLD-2020-0214 CONTRACTOR: SUNRUN INSTALLATION SERVICES INC, 225 BUSH STREET STE 1400 SAN FRANCISCO CONTRACTOR PHONE: DATE ISSUED 1 /31 /2020 12:06:16 PM ISSUED BY: HALEYM VALUATION: $8930 JOB DESCRIPTION PV SYSTEM (4.7 KW); (N) SUB -PANEL (100 AMP) (N) 15-PANEL ROOF MOUNTED LICENSED CONTRACTOR DECLARATION B GENERAL BUILDING CONTRACTOR, C39 ROOFING 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full CONTRACTOR: SUNRUN LICENSED C10 LICENSED 750184 EXP 06/30/2020 I hereby force I hereby INSTALLATION SERVICES INC CLASS: ELECTRICAL, A GENERAL ENGINEERING NO: DATE: affirm that I am licensed and effect. affirm under penatiy I have and will maintain for which this permit is issued. I have and will maintain I certify that in the performance laws of California. with such provisions or CONTRACTOR, C46 SOLAR, under the provisions of Chapter of perjury one of the following three declarations: a certificate of consent to self -insure for Worker's Worker's Compensation Insurance, as provided of the work for which this permit is issued, If, after making this certificate of exemption, this permit shall be deemed revoked. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for by Section 3700 of the Labor Code, for the performance of the work for which this permit is I shall not employ any person in any manner so as to become subject to the Worker's I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith V issued. Compensation comply HAZARDOUS MATERIALS DISCLOSURE Chapter 6.95 & Safety as defined by Sections 25505, for this project. of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance I have read the hazardous materials requirements under the Cupertino Municipal Code, Chapter 9.12 and the Health V with equipment Municipal Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use the Bay Area Air Quality Management District I will maintain compliance with the Cupertino 25533, and 25534. Firm Certification No: or devices which emit hazardous air contaminants Code, Chapter 9.12 and the Health & Safety Code, An EPA Lead -Safe Certified Renovator will be responsible Firm Name: No EPA Lead -Safe Certified Firm is required for this project. Certified v CONSTRUCTION LENDING AGENCY lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code). Lender's Address: I hereby Yes affirm under penalty of perjury that there is a construction No V Lender's Name: APPLICATION CERTIFICATION and state that the above information representatives of this city to enter upon against liabilities, judgements, costs, and expenses will comply with all non -point source regulations : have read this application and hereby authorize City of Cupertino understands and Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 365 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 365 days after the time the work is commenced.