Loading...
15110193CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS 7423 PROSPECT RD CONTRACTOR: SOLARCrry PERMIT NO: 15110193 OWNER'S1yAME DU1"It VIVEK B AND MANJARI L)tCENSED'CONTRACTOR'S DECLARATION License Class Q: 5— Lic. # t (} Contractor.: t (, Dateit j 1,1Z I hereby affirm that'I amaic'e se der the provisions of Chapter 9 (commencing with;Sect,on;7000) of Division 3 of the Business & Professions Code and that my Icense is in full force and effect. I hereigy affirm ander penalty of perjury one of the following two declarations: I have andiwrllmamtam 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 mamtam 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 I certify that I have "read this application and state that the above information is correct. Iagree 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'apove mentioned'.property for inspection purposes. (We) agree to save indemnify. .and keep barmless'the City of Cupertino against liabilities, judgments, costs; and'expensss which in a against said City in consequence of the < granting of this permit Addition y,� plicant understands and will comply �. with all no�i-point source regula onser e Cupertino Municipal Code, Section 9.18 ' 5 Signature' DateAV-3 L5 OWNER=BUILDER DECLARATION 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 • ormy 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 protect (Sec 7044,. Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations. + + I have andwilI maintain a Certificate of Consent to self -'insure for Worker's Compensation i asprovided 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 Co4e, for the performance of the work for which this permit is $sued. ` ! I certify that in the performanee.of the work for which this permit is issued, I shall not employ any person iri any manner, so as to become subject to the Worker's Compensation laws `.o`f California. If, after making this certificate of exemption, I become subject to the Workgi• Fs Compensation provisions of the Labor Code, I must forthwith, comply with such provisions or this permit shall be deemed revoked. , , z! 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 constmc6ri, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmlessahe'City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this pertnit. Additionally; the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Signature ! -. Date 3055 CLEARVIEW WAY DATE ISSUED: 11/30/2015, SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL INSTALL 8 ROOF TOP, FLUSH MOUNTED PV MODULES, 2.08 KW Sq. Ft Floor Area: I Valuation: $4500 ' APN Number: 36615045.00 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS SSUANCE OR 180 DAYS LED INSPECTION. Date: 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: 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 I use equipnWbt or devices which emit hazardous air contaminants as defined by the Bay Are` Air. ality Management District I will maintain compliance with theCuper, Ni cipal Code, Chapter 9.12 and the Health & Safety Code, Sections 255, , and 25534. Owner or authorized agent: Date: 0 /15 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional ALTERNATIVE ENERGY PERMIT APPLICATION E COMMUNITY DEVELOP,% -!ENT DEPA TNIENT - BUILDING DIVISION ( 10300 "f'C RRE A`JI<t UE • Gi.lPE '3 IIS , C -A 95014-3255 CUPERTINO {�08} 777-3228 , FAX (433 `7-3333 buflydimg cllperiino.ore PROJECT ADDRESS# P X _eJ APN # ► 4 OWNERNAMEj g O �ry E-MAIL STREET ADDRESS CITY STATE 71P FAX CONTACT NAME Marjan Javanrnard PHOS 650.477.6430 E-MAIL mjavanmard@solarcity.com STREET ADDRESS 391 Foster City Blvd CityIA i1 it ®it CITY, STATE, ZIP Foster City, C A 944041 City, X7`1:1 FAX � OWNER ❑ OWNER -BUILDER ❑d.Ov AGENT '❑ CONTRACTOR 0 CONTRACTOR AGENT ARCHITECT EENG`-fINE, ER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SolCarCityCorporation LICENSE NUMBER 88810 LICENSE TYPE C10 BUS. LIC#28840 UU�t COMPANY NAME SolarCity Corporation E-MAIL mjavanmard@Solarcity.com FAX STREETADDREss391 Foster City Blvd CITY, STATE; ZIP Foster City, CA 94404 ARCHITECT/ENGINEER NAME LICENSE NUMBER "650.477.6430 BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD Or Duplex ❑ MUlti-Familly PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ NO El SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS!UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: .. O . p DESCRIPTION OF WORK Installation O rooftop flush mounted solar panel '. kW shy By my signature below, I certify to each of the following. I am the property orr or authorized agent to act on the pro owner's read this application and the information I have provided is correct. I have read Des' tion of Work and verify it is accurate. I agr�p y with all applicable local ordinances and state laws relating to building construction. I authorize rep$e entatives of Cupertino to enter the above -identified property for inspection purposes. µice® ... �1 Signature of Applicant/Agent: / ,�- Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE VSE ONLY ❑ OVER-T$E-COUNTER F ❑ .EXPRESS w ❑ STANDARD -LARGE w El MAJOR PVApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION r. - ADDRESS: 7423 PROSPECT RD DATE: 11/3012015 REVIEWED BY: MELISSA APN 366 15 045 BP# *VALUATION: $4,500 -� *PERMIT ,TYPE Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY USE::.' ,SFD br Duplex JPENTAMATION PERMIT TYPE: SOLAR -RES WORK 'INSTALL 8 ROOF TOP FLUSH MOUNTED PV MODULES 2.08 kW SCOPE 32, FEE AfeeII � firo;iRY{2„',:Is. ixt t{£. t`. Is&'ZF2 ���c'z'�:. 1-.L ... <}r'}L-T:f i..FIE't' $0.00 1 # Alternative Energy System $236.00 IPHOTOVRES Photovoltaic System Suppl. PC Fee: � � ( Reg. 0 OT0.0 hrs $0.00 {{ ((%L'I i. 2=1 f)££a r ;F{rr3., z{.,sfs. � f£r Dec. r1 ��oib, bf1e:YS . {.Fi. 1t'L='{�, NOTE., This'estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School 1)ictrirt- otr: )_ `Thoco foot tyro hacod an iho nroliminary infnrmatinn mynilahlo find aro nnPo an octimato- Tnntart tho vont for addn'l info_ FEE `ITEMS (Fee Resolution 11-053 Ef.. 7/1/13,) FEE QTY/FEE MISC ITEMS Plan Check Fee $0.00 1 # Alternative Energy System $236.00 IPHOTOVRES Photovoltaic System Suppl. PC Fee: � � ( Reg. 0 OT0.0 hrs $0.00 PME:Plan,,Check: , $0.00 Permit Fee. , :. $0.00 Suppl. Insp. �FeelS Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 Fee: �� $0.00' tt!!PM/}}Egg-yP�e//rJm�yi{tp t./Yi.3TT �3.y1l u"(0iot %YjJY: � ficlriz t2r:�il cia tc� d 'e. . Work:Without Permit? 0 Yes iq No $0.00 Advanced Planning_Fee. $0.00 Select a Non -Residential G Building or Structure Strom Motion Fee: IBSEISMICR $0.59 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 �� M.x W-0010111; SiTOLSt ., _....� �,.,u� =.e. �. ..., — �.. $'1.59 $236.00 fiOTALEE _ s ..,.. $237.59 Revised: 10/01/2015 04 Alf �Q m x O Ln 40t Q Y ~ W z �� w e {1� Ja �� U _ WO Z� Cd 3 U W DZ py g¢¢ p E Cid ZW v=5�<=o w o = ��=mow¢ N qtr muj Cb N M n c « « � W ` « « « `o .- r o r } t I - - � � S Elf Ld m s= 0 ■ s W LU O w o�.� �_�� �a ■. {- O {y 7 Z Z V r N g N ■ ■ C moi r a�Fa c a i O 23 Fly � s s e,` �r iy ri ?' 1= ■ � � U •a 7 s L `o Y a W S F W d p zm x m m�Na-<C 00 z vi 00 mo 4 �m�'�� ¢ a Z Lu gi d Z OOw �� ¢ w¢ �s W Z =n� r JOw �OnCi W w .".�..� O Q cn v` O �2ui �- ¢ ¢ tyj F-Z�I-O- 2�pU' W �O mZUm 500¢ LL�I- W Z UmO� N p N (n r O _I z000�MJz� J z¢oYc�� �t=lZ o¢oZooi,.o?¢o rnzrr~iWmw xo �p oo�ow c90I v)w~ Nwowc.�=rn �a z `nom= z z wow3ww vi O=Si ��w��5�z�� z o��w �¢>- wap w� mUFgw¢ N r J¢ F- W O = w O w I L� vr�o,v}�> �wmmWZ��oF=od�z�� wow ww W om a¢ O �'iQ _� ai W ZU ¢ W so=zoo � v¢�¢�� ��z�¢z0 0 0 �zz4=-2 O N �Nr¢¢�J :a,R--WU JOZo z"cw N� i¢.. �w ¢ooacmv civ °n J pa ZC.�q � I m 4(n J¢ } U U S JZa' Z W W I .� ¢O � W II U a 3 'O M ~ O O E OZ z z Z w N p I— z O W wo p 3� Z z a J z U d a U = w _' �z ¢ 0 � x�� � op z M—wj m CD, �p �mFaN�zZ�aa¢J>�3w<_I�cZ.iZ�ZcdizO�cwiaa aza� wcU.i]NrU-1 ~In =r}¢¢7¢}¢ ow<ww m pmzzoo vc�xJw Is-�oozwWJb UMHmoo ¢UnWWOU0 0L) ion 80 ¢Imoow�wWmc�c�c.�=_ "zzon-an-cn°ncnr=»>�r� o ¢ =c �gg^¢c�cvwm�oo>oa ¢ I E clI < < <0 < q LLI x < < 9z (U cr �P V) uj Q 4xt, `3� LU (D 0 Lu biiM U P= 2n 8 0 " - - - - - — = 2, C, < E55��- 0 iv < - M <==-< H LU mom go 0000HO O'K,", CN E p CD Er 00 OQ LLJ a- ck:: F--rl-)LIJ a- =).,I - CD Lc-) CD LO m m D .86 l Xa a ngffiR I - �. O clI < < <0 < q p CD Er 00 OQ LLJ a- ck:: F--rl-)LIJ a- =).,I - CD Lc-) CD LO m m D .86 l Xa a ngffiR I - �. O Ln UJ N W mm m u 0, as 'S CS E c CL C CIL C, W m w Lu U- F- 7 O >. As 1-4 0 F azo W F LU < > LU EL Gf 00 110 I---- C) 9 (j C3 �6 crf o '01 > W Of LL 0 U) Ln UJ N W mm m u as 'S E c CL C O m Z m C, W m w CL U- F- 7 O 0 Ln UJ N W mm m u as E c U- O 0 LU > LU 00 110 I---- Min 9 (j >. 9 4-J P 5' Oat 0 a- I Jai51 > 00 A 32 75 rt > 1 0ti C, pl- Lu A 0 a) L 0 C) �2 LU (EXE cn4, 11 0 (D : : 2- x o C12 Ln Ell Lo L) w CL Ln u LU LU D 0 06 W Ckf uj I II O UJ Li Li ui cl� 0 < .1 rn —00 WZ C, CL m C'I 0--- N 0, > CL) > 21 >z < 4-J 7 II - LOD 00 CCn LJ C-) -,C) Cn ui V) 4-7 > 1: > 1: CY) 'o L'i .0 N mi w. T -LU 65, Z >i I tOft loft CD C) < LO ui LF) UJ z CD Lc-) u E Ef --------- LLJ :2 C-) 'E mw Lim _'SCJ g S: rO "NI 2-3 u u ui N Nz 9 < 0 < ICE w Yaw w OxO�nOw� a.Ztc ���fQb F wZ' FZx=N LD �..� r aw .zO NO¢• wU 7 y:W �w-y. xiY:.R�ff aZR'�' pl-cJt-z�l-w O�YW'!1 d `SY zjU:T W�Y�aw�w©4°w� gozNhu�•oU��w _Q vv p�x-N z'a xom, { *m. Z uai� > ¢.Z wZwQ Omm'NLL'�.� .F 4• 'I -w ff;F mzo mazaa CY z .ww �•oJOS-w_LLwZ� ��xJ 11, ZP->•a �U wayZ.U'ZNO.ZO b�¢W;W F.ZxwF' w �]2z'.z wZzNz_. Gr-" z alx- O•_Nq gt-.w Ow¢LL..=.0 w w i0 � �.�zN J d 2 awUz WwxUAwt7 o, V z wFLOW IM ff_ Q' J'z C. O o�ow>w z eZ�wo, wIw o n�.aa�n4 pZ I (�, aW ao NLOpC, ,'.��J�J.Fc.� i o�'�wwUvax.�. .va¢=,®,., U �,..a .co F't!)xo¢a� a.Q. d Faxzx 1= _ �z 2z 72 W �aoz �•u W Jz�x p ❑ ¢ d O O w r'Q Q 3' a ®N U IP to Q �N irI f` rn d o° m aw E c O J U s w s>a ~y N = s - oo s o a -m m m Q w��� I �.� PER LINO der !�U;Idirc� Dep,�;;TTfen: N>� NOV 3 0 2695 REVIEWED FOR CODE COMPLIAk(-E a Jl� L - - .N o ®le m a �� - oo s o a -m m m Q w��� I �.� PER LINO der !�U;Idirc� Dep,�;;TTfen: N>� NOV 3 0 2695 REVIEWED FOR CODE COMPLIAk(-E a L - - .N o ®le m a �� a s h n -LE �o�z mc�mm n,�p - - og w i o CL 3 E-; E E EE' lJ cr W rr a� W wsu LD ui ui