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B-2017-0668CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0668 7547 DONEGAL DR CUPERTINO, CA 95014-5200 (366 16 066) SOLARCTTY CORPORATION SAN MATEO, CA 94402 OWNER'S NAME: CHANG EN SHU TRUSTEE OWNER'S PHONE: 408-591-4140 LTfFNCF71f(1NTRACTOR'S DECLARATION License Class C10, C46 Lic. # 1 4 Contractor SOLARCITY CORPORATION Date 12/31/2018 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: 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. Sq. Ft Floor Areas Valuation: $6000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 36616 066 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 of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulatiopg per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. DATE ISSUED: 04/28/2017 PHONE NO: (650) 963-5100 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (I) 15 -PANEL ROOF MOUNTED PV SYSTEM (3.9 KW) Signature/ / Date 04/28/2017 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: r. 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. 1 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 0412812017 Issued by: Kim Dunbar 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 ofApplicant: Date: 04/28/2017 TO BE CLASS "A" OR BETTER 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, Sections 25505, 25533, and 25534. Owner or authorized agent.' -' Date: 94/tl 2812017 CONSTRUCTION LENDING AGENCY 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 CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3285 AE (408) 777-3228 - FAX (408) 777-3333 o buiilding48ctlpsrtno.OI•p b7/)I; —0toIn PYApp 2011.doc revised 03116/11 _ wv PROJECT ADDRESS Q N E✓ � L ^ /I- (/J APN # `� _ �J OWNERNAME PHONE E-MAIL STREET ADDRESS lox?- CITY, STATE, z� c -t N �� f I rk v cl! f p q�{ CONTACT NAME Gerry Igtanloc PHONE 650-759-8042 B-MAILgigtanloc@solarcity.com STREET ADDRESS 391 Foster City Blvd. CITY, STATE, ZIP Foster City,CA,944G41 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ® CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER © DEVELOPER ❑ TENANT CONTRACTOR NAME Corp. LICENSENUMBER888104 LICENSETYPEC10,C46 BUS.,LIC#28844 COMPANYNAMESolarCity Corp. E-MMLgigtanloc@solarcity.com FAY STREETADDRESS3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 PH01650-759-8042 ARCHTTECT/ENOWEER NAME LICENSE NUMBER e BUS. LTC # COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or Duplex ❑ Multi -Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ No T2 -SOLAR PANELS ❑ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FORSOLARPANEZS. NUMBER OF PANELSIUNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: / W (p DESCRIPTION OF WORK .Install ( 15 ) rooftop mounted solar panels,( 3 KW REgg!JD BY• i. 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's behalf. I have read this application and the information I have provided 's 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 to bdZAg tru orizeaepresentatives of Cupertino to enter the above -identified property for inspection purposes. � Signature of ApplicanttAgent: Date: UPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY OVEWTA.E=COUNTER 'ExP_RESS x STANDARD a ,0 LARGE j ❑ MAJOR PYApp 2011.doc revised 03116/11 DocuSign Envelope ID: 3F7AAB23-7FE5-43E8-BB87-980E7EE80F69 6/ 0 WATER -CONSERVING PLUMBING FIXTURES 0 2 OWNER CERTIFICATE OF COMPLIANCE COMMUNfTY DEVEI-OPMENT DEPARTMENT • BUILDING DIVISION GUPERTI NO 10300 TORRE AVENUE • CUPERTINO, CA 95414-3255 (408) 777-3228 • FAX (408) 777-3333 • building0cuoertino.ora g ���j�' Owner Name En Shu Chan - - -- Permit Na. Zvi ' Address 7547 Donegal Dr, Cupertino, CA 95014, US (SANTA CLARA County) PERWT .CANNOT BE FINAL 19D AND. COLETE.1?. UNTI. TIIIS' CERTIFICATE . . HAS.B: ` T :.T$E-BUILDING. ; Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? 0 Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Sign below and skip the rest of the form. Docuftned by: Owner' Signature:r'„,',,, Date: 4/27/2017 129 No Go to Question 2. `� ”" Q 9FDAE78FD951411... 2. Does 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? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. DocuSigned by: I� Owner' Signature: S6 664 .U�4 Date: 4/27/2017 1� No Go to Question 3. gFDAE78FD95D411... a 3. Is water service permanently disconnected for your building? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. DocuSigned by: Owner' Signature: �6 �(, „i, „ Date: 4/27/2017 i1 No Go to Question 4. "'^'"'^""D E E78F095D411 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 0 No 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. Sign below and skip the rest of the form. eowsipf" W. Owner' Signaiure�& 56 `�""" � Date: 4/27/2017 ® Yes aFonE,eFossoo,,... 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. Refer to the attached. 0 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). 13 My property is a nitdhfamily msidendal real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plunihing 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 whetherproperty undergoes alterations or improvements). ❑ Myproperty 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. SB4072014 doc revised 03118114 DocuSign Envelope ID: 3F7AAB23-7FE5-43E8-BB87-980E7EE80F69 b�"`" " NI,:Qs . On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving 0 plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). JAVe, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced with water -conserving plumbing fixtures in accordance % ith Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-conservin lumbm' fixtures coTply with the Muirenwrits as indicated in the table below. Owners (or Owner Agent's) Signature: I f1k 56Date: 4/27/2017 Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. 1t the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB40 7 2 014. doc revised 03/18/14 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /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: 1.28 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 gallonslflush 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 psl; 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 May temporarily 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. 1t the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB40 7 2 014. doc revised 03/18/14 I ❑■ DocuSign Envelope ID: 3F7AA623-7FE5-43E8-8687-980E7EE80F69 �- SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPIERTINO 10300TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinpQcunertino.orQ { Permit No. ,— Address 7547 Donegal Drive Cupertino, CA 95014 # ofAlarms CarbonMonoxide: x . Smoke• x � PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-farrdly.dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit includin& basements X X Within each s1nink room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the. removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2..11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and Califon-tia Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and acme to comnty with the terms and conditions of this statement Owner (or Owner Agents) Name: Dmu iWwd W. En Shu Chang sl nature.. fX-... �� 4/z7/2o1 ......................................-.............................. ..--............... Contractor Name: 9FDAE78FD95D411 Sinature................................................................... LIC.# ...................................... Date.................... Smoke and CO form.doc revised 03/1$/14 DocuSign Envelope ID: 08259510-433F-4525-8E69-671F788BA402 �y iff:91 VOn or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving f1m plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). MVe, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures bave been replaced with water -conserving plumbing fixtures in accordance NOth Civil Code Sections 1101.1 through 1 i01.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: 5/24/2017 Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1, It the existing plumbing fixture water usagelflow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2014.doc revised 03118114 Non -Compliant Water -Conserving Plumbing Fixture i?lumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow (Rate Fixture Type Water !!sage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch, 4 !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 gallonsiflush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallonsiflush 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 i 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, It the existing plumbing fixture water usagelflow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2014.doc revised 03118114