Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
B-2016-2371
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2371 7420 BARNHART PL CUPERTINO,CA 95014-5208(366 15 043) SKYWAY ELECTRIC SAN JOSE,CA 95113 OWNER'S NAME: RAYNAL ROGER W AND CHARLENE TRUSTEE DATE ISSUED:07/25/2016 OWNER'S PHONE:408-253-0169 PHONE NO:(408)418-4607 LICENSED CONIRACTORIS pE_CLAgATION BUILDING PERMIT INFO: License Class ELECTRICAL Lic.#387957 Contractor SKYWAY ELECTRIC Date 03/31/2018 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: NEW 25 ROOF TOP PV PANELS;7.5kW 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 in')-, Section 3700 of the Labor Code,for the performance of the work for which this 1 permit is issued. Sq.Ft Floor Area: Valuation:$22500.00 APPLICANT CERTIFICATION 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 36615 043 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 all this permit: WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source reg ns pe th C ertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 07/25/2016 Issued by:MELISEA Date:07/25/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RF-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed If a roof is t. 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) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:07/25/2016 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. I 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 3. 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 be deemed revoked. Owner or authorized agent,`,F-r , A K-, APPLICANT CERTIFICATION Date:07/25/2016 I certify that 1 have read this application and state that the above information is CONSTRUCTION TENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction tending 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 FC RATION Code,Section 9.18. l understand my plans shall be used as public records. Licensed Signature Date 97/25/2016 professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 ' A CUPERTI NCS (408)777-3228 a FAX(408)777-3333•'building(a)-cupertino.org `Q r - PROJECT ADDRESS APN# 3���1J OWNERNAME err vl. P — o"3-0 i& E-MAIL STREET ADDRESS a i s iLj CITY,STATE,ejxwi/,h I,P �,.,�ec FAX CONTACT NAME 5 � a tog- qoD - WM �1 Y � //J s 33 PHONE ,o r(jJ�� E-MAIL STREET ADDRESS a / f CITY,STy�TEI ZI ,rl �vim'—0 FAX ❑OWNER ❑ OWNER-BUBAER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT s❑ ARCH rECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NA LICENSE NUMBER) �� LICENSE�YPEj� BUS.LIC# g COMPANY NAME J `'7 E-MAIL ( d FAX STREET ADDRESS ARCHITECT/ENGINEER NAME 'r `1f/ Y� LICENSE NUMBER 'L BUS.LIC# l{ \( COMPANY NAME g,MAR, 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 ❑SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION FO SOLAR WATER HEATING ❑ OTHER: FOR SOLARP,4NELS: NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIA -NLI_: TOTAL VALUATIONi DESCRIPTION OF WORK �. By my signature below,I certify to each of the follo I am the property owner or authorized agent to act on the pro owner's alf. I e rea application and the infonnation I have provided is orrec I have read the Description of Work and verify it is accurate. I agree to ulpl all applicable local ordinances and state laws relating to building cons tion. I authorize representatives of Cupertino to enter the above-i�d`e-ntt fie for in ection purposes. Signature of Applicant/Agent: A k1 Date: �/ SUPPLEMENTAL NVORRATIONREQUIRED ,w yu � OFFICE USE ONLY . .�'ONE$THE COUNTER [�- 0EXPRE^$ . 5 � LARGE �' mAr07[t= PVApp 2011.doc revised 03116111 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE al a 776 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 _ 408)777-3228-FAX(408)777-3333•building a)cupertino.or Owner Name�7 Rte' �Permit No. 1. Is your real property a registered historical site? ❑ res Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. LT 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,installation of water-conserving plumbing fixtures is not technically feasible? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. El The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.1 G [7, o Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 11 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. Skip the rest of the form and sign bottom of form. LI Yes 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.. 5. Pease check ONE of the following: 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). 1,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 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-conserving niumbing fixtures comply with the requirements as indicated in the table on the following age. Owner or Owner Agent's Signature: ! ffnem 4<��, �m4 Date: ,X a Upon completing and signing this Certificate,please returA it to tL Building Division in order to final your building permit. SB4072015'.doc revised 08126115 MODE /CAR"M NO [), E ALARM ' . FILE COMMUNITY D�EVEL`OPMENTiDEPARTMENT•BUILDING DIVI510N �Ff-1 LEI 10300 TORRE AVENUE CUPERTIND,CA 95014-3255 (408)777-3228 FAX;(4'08)777-3333 a'building(a�GuRertino oro I C� y l(d' a . —77- _•l TAR , s PUR-P S _. U"Is affidavit is a self-certification for the inkallat oxl of al_1 required Smoke and Carbon Monoxide Alarms for corMphance with 2013 CRC Section 1314,2013 CBC Sections 420.6 aT�d 907.2.11.2 where no interior access-for inspections are required.. Existing;single-family and Multi-family dwellings shaft be provided with Smoker Alarms and Carbon Monoxide alarns. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds $100000 CRC Section 83.14 and CBC Sections 907 211.5 and 420.6 require that Smoke Alarms and/or Carton 11onoxide Alar ebe installed m the followug;locatos: At21 A Smolia ALAR, W AtAkM Out`siide of each separate sleeping area in the itnrnediate vicinity of the X'e X b�dKoom rs f 0n fiver level of a dwellrn unit includin basernezuts X VI,,each gfeeping rooimt X X —f Carbon.Monoxide aI are not required in dwelliings which do zlot contain fuel burning appliances and that do not lna�e an attafilledi gal age. Carb'om znonoscide alarirns eoi iBined with srmolke alarms shall camply with CtC Secflm420.6,a d sllal I be approved by the Office of the State Fire Marshal. Power SutppL',-In "welling;unrnts with no,eon :.ercial power supp•ty,.,,alarm(s)maybe solely beeIIy operated. Inm exist tng d =eltsirrg,with , Aar MIS are permfited to be solely battery operated where repairs or: aheratj- C1 i o resuT the removall o>f wall and veil �g fi t t'isl�es ox there is ruc,,access by in s of attic,biasement 0,r+crawl space Referta,CRE See,tioIR3r14 and CBC Sec - ttoins 9'07.2"..T1.4 a=ncl;4�20r 6.,2..An eZeetrrcal per i r i t is,require k t for alarms.�vl icl4 must be coin e.cted to the hud ung wirhig. As owTter o.the ahove refereiitced prop-erty,I Ilerelby certrf that:tine alari (s)referenced ab=®; e lias ave b;eeir ir�,stalfed,ih ac'eordamce with. instruction&amid in conupT$ance wath.the California}Buzldazlg and Caleonda+Res dierutzall Codes,The alarms leave beerzt tested a rtd are operational„as,of the date sjgized Below., w., bane reads andi a lee to co 1 t�h,ft; ,tern ,,s an .condif�ons;©f fJiis>st teme F' ate .. .. —— I So