B-2016-2504 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2504
7510 DE FOE DR CUPERTINO,CA 9501414307(359 24 032) CLEAN SOLAR INC
SAN JOSE,CA 95112
OWNER'S NAME: KIM JINPYO AND MIN AEJUNG DATE ISSUED:08/15/2016
OWNER'S PHONE:408-515-5760 PHONE NO:(408)217-8876
LJCENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-1 0 Lie.#910849
Contractor CLEAN SOLAR INC Date 02/28/2018 X BLDG —ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH X RESIDENTIAL—COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
I hereby affirm under penalty of perjury one of the following two declarations: (N)16 PANEL ROOF MOUNTED PV SYSTEM(4.24Kw)
1. 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.
2. 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. Sq.Ft Floor Area: Valuation:$13250.00
APPLICANT CERTIFICATION
1 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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 359 24 032
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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence l the granting l this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
'Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
j Signature 1 V Wi:M._.•_ Date 08/15/2016 Issued by:Kim Dunbar '
Date:08/15/2016
OWNER-BUILDER DEC LARATIO
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
z. I,as owner of the property,am exclusively contracting with licensed Signature ofApplicant:
contractors to construct the project(See.7044,Business&Professions Cade). Date:08/15/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL•ROOF COVERINGS TO BE CLASS"A"OR BETTER
1.. 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. HAZARDOUS MATERIALS DISCLOSURE
2. 1 have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall n n�
be deemed revoked. j Owner or authorized agent: � ��'�`—
APPLICANT CERTIFICATION Date:08/15/2016
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 I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C,)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. i understand my plans shall be used as public records.
Licensed
Signature Date 08/15/2016 Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTI NO (408)777-3228• FAX(408)777-3333•buildinge.cupertino.org.
PROJECT ADDRESS
10
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CAWNiRNAhl,E PHO?. E-MAIL ajin
STREET ADDRESS '75( k' CITY, STATE,ZIPO-ow it e/ a FAX
CONTACT NAME2dfphM
V P �� 1 E-h2AIL
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STREET ADDRESS Ct r C$ q5712- I W &24 01_7
® ElOWNrR-BULTDER ❑ OWI.°ERAGENT ❑ C011IRACTOR XONTFRACTORAGENT ❑. ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME k LICENSEMIMBER LIC ' E ct?AaBUS. 31
COMPANY NAME COE-MAIL M62±KOW
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C larC-4 r' C. c�C(U r l�725
L� :15P/0
STREET ADDRESS CITY,STATE
AR=FC T%tNGR\:,EER N Ah4E LICENSE NUMBER BUS.LIC'
COMPANY NAME E-MAI IL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE,OF SFD or Duplex ❑ h1ulti-Family PROJECT IN WILDLAN'D PROJECT IN
STRUCTURE: [] Commercial URBANINTERFACEAREA ❑ Yes Li'l 0 FLOOD ZONE ❑ Yes (�O
!a SOLAR PANELS ❑ ELECTRIC VEHICLE CK4RGING STATION ❑ SOLAR.WATER DATING ❑ OTHER:
FORSOUR FAXELS. NUMBER OF PANELSILTNITS: KILOWATTS(COh'A4ERCIAL ONLl�: {/, �J �® , TOTAL VALUAT;O.Z
DESCRIPTION?OF WORK
- �RECEn�ED s�
By mTsi�.' lre below,I certify to each of the following: I am the property owner or authorized agent to act'on the property owners behalf. I have read this
application and the information.I have provided is correct. I have read the Description of Work and verity it is accurate. I agree to comply with all applicable local
ordinances and state laws relatiAbuild' g construction. I authorize representatives of Cupertino to enter the above;denti d prope ty for inspection purposes,
ignatureofApplicant/ASent: Date: (�J/
SUPPLElvIE VITAL IIF Z T 0 REQUIRED
.. ._ - OFFICE-IiSEOnZY. -�s.
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PT,44pp_2011.doc revised 03/16111
ONUONOXIDEALIARMS
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COMMUNITYIDEVVELQRMENT,,D�EP�ARTMENT•BUILDI,NG.DIVISfON f
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10300 TORRE:AVEN.UE CUPEiRTt�NO,+CA 9501 -3255
(4,06)777-3226-''FAX`(408)777-3333= uu(Ii, ;l :c�t�Rnor4
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PURPOSE
T113s aft c a zt i a s If-cert-'fication for the instailafiioil of all.required Srnol e and Carbon Monoxide Alarins for
co xiphance with 2-013 C-RC Section 1314,2013 CBC Sections 420.6 a!-td 907.2.11.2 where no inferior s access for
zlZsp-CHO are req-tired.
Cif` IMI L�_ A ION
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9xis s� gle frarrtiLy and multi-fairly dwellings shall be provided with Smolae Alarms ms and Caifboj,t
lvfo io i e allalms epi the valuation of additions,alteration,or repairs to exim f, g dwell n' urirts exceeds
1ovo6o,CRTC Se)c i'o7 1314 and C-SC Secti"ms 907.275-N aiticl 420.6 r:egtzn�e That Smoke Alarrmm arid{oo-1 CaIrto2
l ro o d Alia ns e installed in the fo�ljowml locat osis:
5-mom AtARM0-41 Ylde,Of each setrarafe area in the ii rkediiatte vicmity alf the
00 ee�e llevet,of a Wtvd`.int basenteiits
ihnz eaA,sl;ee i noomil Y J _
Carbon IVTJ 6,1,i f,@,Ade =laare not re q uirecl in ��welfn 4'� ,
q whnch.dg u�o�t comtaisn fuel-burning apy&Rjce&and t�iia
dog muf,Ina e a EDUadl"Ied a0ra e Carto oino icle alarrr�
b � � s c'o�n�.:b�nned w4Mt}srmo}l�e allaxm 5 shql4I coo,gTjy
CBC Beech M-11®;6 -=ltd%sba,11 be a+�pro-v d by the(Diffee o the State°dire !Iarsl al„
kower S A Tim j ,elil{ung u:-njits with M)eo 4 ere', �§ I
�� y' .� ial 's 1.• alarrrc s i�ai be s�,,el�yh-. _
1�ext�sE;� � }' d �1 � y l � exp arera'ted'.:
d�elli��,u�mits, al�a�rmnFs acre �errnn�te�d to b�a�iz' t =
�g p" s Iel r h tery op eraked Where repoirs.of alltejjag),o7l+s
not resifid mI Mee rei �o al o wall;antd ce l
i �,firtns�lnes®�thtere i�ino access. �y rrie #t�o�a�it�rc,b.�a+seen�o�crap
st ace Reezr toy CR,�Seetiak11-31,14 mit i CDC SectsaiRs 9%0 .211.4 a._ ;.0 2 An el`ectrrcal' e=s>s i
nd42€�6j L �,i llp tgis,r=eq�le ,k
awlazints wJZrcl1 naszs�t lie co.elected to tllie L'vil idimg,w i+int
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r ,
e cern �t=at tete alarant s> referemcecl a�oeltas, eve bee
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azul Calfs, Ret,HeCodfes.Tke altamm G Blame bi'enk tested mrcd ame a3{erat of alp, as of the diate sigvzed
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WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
Cl/t'ER IN4 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building
(a)cuaertino.orct r
Owner Name VA ?Wo Permit No() 1
Address I I �s o Pe. F 13t,- CU e too eN Alm I
1. Is your real property a registered historical site?
❑ Yes Ciivil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
No Go to Question 2.,
2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the property or its
plumbing,in;tallation of water-conserving plumbing fixtures is not technically feasible?
Yes Civil Code Sections 110 1.1 through 1101.8 do not apply.
0 The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
t iNo
Go to Question 3.
3. Is water service permanently disconnected for your building?
Yes 'Ci il Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
CVNo G to Question 4.
4. Is your real pi�operty built and available for use or occupancy on or before January 1, 1994?
El No My,real property is built and available for use or occupancy after January 1, 1994.
Ci it Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
Yes Myr real property is built and available for use or occupancy on or before January 1, 1994.
C1 i1 Code Sections 110 1.1 through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
5. P71 ase check�NE of the following:
� iI L�' My properly is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014,building alterations or improvements shall require all non-compliant plumbing fixtures
to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017,all non-
compliant iplumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether
property undergoes alterations or improvements).
Q My property is a multifamily residential real property. See Civil Code Section 1101.5.
On and after January 1,2014,specified building alterations or improvements shall require non-compliant
plumbing f�xtures to be replaced with water-conserving plumbing fixtures.
On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water-
conserving',plumbing fixtures throughout the building;(regardless of whether property undergoes alterations or
improvements).
My proper is a commercial real property. See Civil Code Section 1101.5.
On and after January 1,2014,specified building alterations or improvements shall require non-compliant
plumbing f tures to be replaced with water-conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
plumbing fixtures throughout the building(regardless of whether property undergoes alterations orimprovements).
I,as the ovine or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be
replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1
through 1101 ,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's
installation rejuirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the.
table on the fdllowing page.
Owner or Owner Agent's Signature; _t r�� �AN^ Dated i /2
Upon comp`eting and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB407 2015.doe revised 08126115
BI7ILDIN 'EgNIIr`T ChINDTFINLED ANDCONIQ'LX3' D VNTIL THIS
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�R IfL E BN.. $ DI �IVIy pm
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Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type 2D13 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4
Water Usage
/Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div.5.3
Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush
(Toilets) Gallons/flush Dual flush toilets: 1.2a gallons/flush effective flush volume (the composite,
average flush volume of two reduced flushes and one full flush
Urinals Exceed 1.0
Gallons/flush 0.5 gallons/flush
Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of
gallons per minute U.S. EPA WaterSense Specification for Showerheads
(A hand-held shower.is considered a showerhead.)
For multiple showerheads serving one shower,the combined flow rate of all
showerheads and/or other shower outlets controlled by a single valve shall not
exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to
allow only one shower outlet to be in operation at a time.
Faucets- Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60
Lavatory per minute. minute @ 60 psi; minimum Maximum 1.5 gallons psi
Faucets 0.8,gallons per minute @ per minute @ 60 psi;
20 psi minimum 0.8 gallons
per minute @ 20 psi
in common and public
use areas: 0.5 gallons
per minute @ 60 psi
1.8 gallons per minute
60 psi
Faucets- Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @'60
Kitchen per minute 60 psi @ 60 psi psi
Faucets May temporarily increase Maytemporarily
up to 2.2 gallons per increase up to 2.2
minute @ 60 psi, and must gallons per minute @
default to maximum 60 psi, and must
1.8 gallons per minute @ default to maximum
60 psi 1.8 gallons per minute
Where faucets meeting @ 60 psi
the above are unavailable, Where faucets meeting
aerators or other means the above are
may be used to achieve unavailable,aerators or
reduction. other means may be
used to achieve
reduction,
1. If the existing I lumbing fixture water usage/flow rate is equal to or lower than the figure'shown,it is not required to be upgraded.
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SB407 2015.doc revised 08126115