The URL can be used to link to this page

B-2017-0603CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10516 MANZANITA CT CUPERTINO, CA 95014-6579 (342 61 027) OWNER'S NAME: LIGIER SLAWOMIR AND WU PEILIN OWNER'S PHONE: 650-417-4963 LICENSED CONTRACTOR'S DECLARATION License Class C-10: C-46: B Lic. #888104 Contractor SOLARCITY CORPORATION Date 12/31/2018 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing 'ith Section 7000) of Division 3 of the Business & Professions Code and that my cense is in full force and effect. CONTRACTOR: PERMIT NO: B-2017-0603 SOLARCITY CORPORATION SAN MATEO, CA 94402 DATE ISSUED: 04/17/2017 PHONE NO: (650) 963-5100 BUILDING PERMIT INFO: X BLDG X ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: INSTALL BATTERY BACK UP hereby affirm under penalty of perjury one of the following two declarations: 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. I have and will maintain Worker's Compensation Insurance, as provided for by 4 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulation,§ per, the Cupertino Municipal Code, Section 9.18. Date 4/17/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project(Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. z. 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. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 4/17/2017 Sq. Ft Floor Area: I Valuation: $5000.00 APN Number: Occupancy Type: 342 61027 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbAyende 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. Signature of Applicant: Date: 4/17/2017 ALL ROOF COVERINGS TO BE CLASS "A" HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sectio 25505, 25533, and 25534. Owner or authorized agent: Date: 4/17/2017 AGENCYCONST CTION LE G I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional ?), z0 n _DGo3 GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO g ❑ PLUMBING ❑ MECHANICAL I RI ELECTRICAL ❑ MISCELLANEOUS (408) 777-3228 •FAX (408) 777-3333 •building aC�.cupertino.or PROJECT ADDRESS O / S rJ � -l. 9 - ,I % / \/�, (� -'PHOI�O APN # OWNER NAME , (� �1EMASL^,J fC7 V `"I�N L, STREET ADDRESS V f �� I TTY, STATE, ZIP �� )1 ` J )� Vgii(gtanloc@solarcity.com FAX CONTACT NAME Gerry Igtanloc PHONE 650-758-8042 E-MAIL STREET ADDRESS 3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 FAX ❑ OWNER ❑ OWNER BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SolarCIty Corp. LICENSE NUMBER 888104 LICENSE TYPE C46 B BUS. LIC # 28844 COMPANY NAME SolarClty Corp. E-MAIL gigtanloc@sloarcity.com FAX STREET ADDRESS 3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 PHONE 650-759-8042 ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ® SFD or DUPLEX ❑ MULTI FAMB.Y BUILDING: ❑ COMMERCIAL PROJECT IN WB,DLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK TOTAL VALUATION: DO� RECEIVEDBY:By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner'Aehalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t uildi copstruct I authorize representatives of Cupertino to enter the above-iden led pro4%erty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY OYER-TIIE-COUNTER F O. EXPRESS" ❑ STANDARD U PA . ..� LARGE. .MAJOR MEPMiscApp 2011.doc revised 06/21/11 W SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO14 CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (448) 777-3228 •FAX (408) 777-3333 • huildinagDcuoertino.orq 7 Permit No. 2y t �"� (D � U3 Address 1.0 5� 16 In" 0 ''l a i � -r ( 4 4 of AIarms Smoke: E Carbon Monoxide: PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section 8314, 2013 CBC Sections 420.6 and 9072.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.211.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I haves rRad and aoree to comniv with therterms and conditions of this statement Owner (or Owner Agent's) Name: ( Ui t r� yL (' L_ lG %ri` Si nature .......................................................................... Date......1 ..1... . .. Contractor Name: Sinature................................................................... LicA ...................................... Date:................... Smoke and COforni.doc revised 03118114 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERT NO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX 5408) 777-3333 • buildincAcuoertino.orn �U G'7 �� Owner Name �W A I,tt0.1/-1A1 e L (G J Permit No `— Address 1 c>t H S ( Ctrl ,"Qe cc k\-� )e j 1. 1yor real property a registered historical site? ❑ es Civil 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. noes your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. 2/No NGo to Question 3. :1 t 3. Is water service permanently disconnected for your building?� A 7 ❑ JYes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. / M No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? Q/' No ❑ Yes My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. -7Z7 \- t S. Pl se check ONE of the following: 1 My property 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 plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ 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 fixtures 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 property 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 fixtures 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). I, as the owner 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 110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-conservipg pl mbing fixtures comply with the requirements as indicated in the table on the followine Dap - e./1 / Owner or Owner Agent's Signature: 1a\0 /-,� Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your buil ing permit. SB407 2015.doc reused 08/26/15