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12070009CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18880 HOMESTEAD RD CONTRACTOR: BORREGO SOLAR PERMIT NO: 12070009 SYSTEMS INC OWNER'S NAME: CUPERTINO OFFICE PARTNERS LLC 5005 TEXAS ST STE 400 DATE ISSUED: 11/02/2012 OWNER'S PHONE: 4157834137 SAN DIEGO, CA 92108 PHONE NO: (888) 898-6273 ❑ LICENSED CONTRACTOR'S DECLARATION License Class_ Lic. # Contractor dilate 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: 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION l 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 sourc er the Cupertino Municipal Code, Section 9.18. Signatur Date �l ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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) 1, 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: 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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. BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: APPLE -ROOF TOP MOUNTED SOLAR PV SYSTEM CONSISTING OF 840 SHARP ND-240-QCL 240 WATT MODULES MOUNTED USING SUNLINK'S CORE RMS TRACKING SYSTEM AND Sq. Ft Floor Area: I Valuation: $584500 APN Number: 31609037.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 D YS FROM LA S CALL- EJD INSPECTION. Issued by: ' v / Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material berg installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS 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 1 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 & Saft4LCAdetiSections 25505, 25533, and 25534. //1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Aork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO F,m-,7 FEE ESTIMATOR — BUILDING DIVISION lidADDRESS: 18880 Homestead St DATE: 07/02/2012 REVIEWED BY: Sean APN: BP#: "VALUATION: $584,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: PENTAMATION SOLAR-COMM PERMIT TYPE: WORK Roof top mounted solar PV system consisting of 840 sharp ND-240-QCL 240 watt modules mounted SCOPE using sunlink's Core RMS racking system and connected to an advanced Energy PV 100 kW inverter 0 '.7, r�+7. ..�.., 1. C;s '-�:i •1'l:: S^�';'-; ..... i;`: s..�:,.• r� � mil:..;:z't't..;;;.;;s;=;;::;:t;;•;=>-,:;..;tr.;-;..; .n, 1 � :.:7;. . . i . .. ��1;!f . l•.. 1. �.f ! t ri �.r. . �'�n��.;:; V. ��.`:'f"xf.+"I :'i'i �'r . ii.!.. 1'{•,'/ri 1 f'NC--.':-; •. C�;-r-��.. r <� ..•./'ii"'r....:%rig' •1;lnsp. NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer Distric4 School District, etc). These fees are based on the preliminary information available and are only an estimate- Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-053 ff. 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-2027 kW $2,278.00 Alternative Energy System ]PHOTOVCOM Photovoltaic System Suppl. PC Fee: Q Reg. © OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 _r_T �.•ii;l. r:.j r'CJti lf't lcl.t: POP: A$0.00 0 0 Work Without Permit? 0 Yes 0 No Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Q 0 ±�O['7{I)?En7�!(7�l?74 1'_'�'S': Strong Motion Fee: IBSEISMICO $122.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $24.00 k• f .'1 :iLii i Jar i./%."l.'i: �i• >i:j<?i' 1..: � h• •fri - titi�.r y ,i. T x:'i -`;.; :> > 146.75 2 278.00 •\\titirriitiM1r nM1 �.:�-•:--•=ii';:F.::•`.+,.;: 2 424.75 Revised: 07/01 /2012