BLD-2020-1072BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 7453 KINGSBURY PL Cupertino
APN: 362 28 001
PERMIT NO: BLD-2020-1072
CONTRACTOR:
SUNRUN INSTALLATION SERVICES INC, 225 BUSH STREET STE 1400 SAN FRANCISCO
CONTRACTOR PHONE:
DATE ISSUED 7/17/2020 4:12:06 PM
ISSUED BY: haleym
VALUATION: $9690
JOB DESCRIPTION
(N) 15-PANEL ROOF MOUNTED PV SYSTEM (5.1 KW)
LICENSED CONTRACTOR DECLARATION
SOLAR, B GENERAL BUILDING CONTRACTOR, C39 ROOFING
of Chapter 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
06/30/2022
I hereby
force
I hereby
INSTALLATION SERVICES INC
CLASS:
ELECTRICAL, A GENERAL ENGINEERING CONTRACTOR, C46
NO:
DATE:
affirm that I am licensed under the provisions
and effect.
affirm under penatly of perjury one of the following
I have and will maintain a certificate of consent
for which this permit is issued.
I have and will maintain Worker's Compensation
I certify that in the performance of the work for
laws of California. If, after making this
with such provisions or this permit shall be deemed
three declarations:
to self -insure for Worker's
Insurance, as provided
which this permit is issued,
certificate of exemption,
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
under Chapter 6.95
the Health & Safety
as defined
Code, Sections 25505,
of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials requirements
the Cupertino Municipal Code, Chapter 9.12 and
V
with
equipment
Municipal
Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25533, and 25534.
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety
EPA LEAD -SAFE DISCLOSURE
for this project.
Firm Certification No:
project.
An EPA Lead -Safe Certified Renovator will be responsible
Firm Name:
No EPA Lead -Safe Certified Firm is required for this
Certified
v
CONSTRUCTION LENDING AGENCY
a construction 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
No
V
Lender's
Name:
APPLICATION CERTIFICATION
the above information
this city to enter upon
costs, and expenses
-point source regulations
is correct. I agree to comply with all city and county ordinances and state laws relating to building
the above mentioned property for inspection purposes. (We) agree to save indemnify and keep
which may accrue against said City in consequence of the granting of this permit. Additionally,
per the Cupertino Municipal Code, Section 9.18.
I certify that I
construction,
harmless the
the applicant
Signature:
have read this application and state that
and hereby authorize representatives of
City of Cupertino against liabilities, judgements,
understands and will comply with all non
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.