B-2016-2394 a
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2394
10234 MANN DR CUPERTINO,CA 95014-1153(326 19 013) WEST COAST SOLAR
INC
BRENTWOOD,CA
94513
OWNER'S NAME: WANG STANLEY S AND ALICE H TRUSTEE DATE ISSUED:07/27/2016
OWNER'S PHONE:408-891-2931 PHONE NO:(925)516-3900
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class ROOFING Lic.#908549 X BLDG _ELECT —PLUMB MECH X RESIDENTIAL—COMMERCIAL
Contractor WEST COAST SOLAR INC Date 12/31/2017 —
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. JOB DESCRIPTION:
(N)17 PANEL ROOF MOUNTED PV SYSTEM(4.42 kW)
I hereby affirm under penalty of perjury one of the following two declarations:
1. I have andwill 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 Area: Valuation:$15000.00
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 326 19 013
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 regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature/ 7 �_Date 07/27!2016 Issue y:
Date:07/27/2016
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1. 1,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 ofApplicant:
contractors to construct the project(See.7044,Business&Professions Code). Date:07/27/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
i. 1 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 ofthe work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
z. 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
maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued.
Health&SafetyCode,Section 25532(a)should I store or handle hazardous
a. 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 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:
APPLICANT CERTIFICATION date:07/27/2016
1 certify that i have read this application and state that the above information is CONSTRUCTION LENDING AGENCY
correct.i agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending 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 DECLARATION
I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed
Signature Date 07/27/2016 Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
CUPRT INf3 (408)777-3228•FAX(408)777-3333•building{cr7cupertino.Grg
9
PROJECT ADDRESS rl �f l _O
1�23�( Mown � v� APN#
OWNER NAME
PHONE f1C ' 19 E-MAIL
STREET ADDRESS ? CITY, STATE_iZIP L `j
�� _r+Inc CA q577I`f FAX ..
CONTACT NAME PHONEt � E-MAI
925 'lC-��iQr� 116 tV'C, c
ens cc/c,5j1cw-
STREETADDRESSPST El1'Iso �a �,4, E CTTY,STATE,ZIP-y,�_h�t'u J C— 9w-o FAX
11 OWNER ❑ OWNER-BUILDER 11 OWNER AGENT El CONTRACTOR LJ CONTRACTUfOR AGENT �}❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME SLICENSE NUMBER,nLICENSE TYPE J BUS.LIC# �+'�
COMPANY NAME E-MAILry ` I_e -C L - FAX -
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_ C. Cal d'- L`Gl 7
STREET ADDRESS ' E " way
c�I p � CITY,STATE,ZI PHONE
i1k)s IN J E rerl�w C-Q 84513 2,3 ,,S)t-25oo lit
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex [(Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: E] Commercial URBAN INTERFACE AREA El Yes El No FLOOD ZONE ❑ Yes El No
L/SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION 1 ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS:. NUMBER OF PANELS/UNITS:17
KILOWATTS(COMMERCIAL ONLY):I�n '1 r' 1 €l u TOTAL VALUATION:
DESCRIPTION OF WORK "'— i �# '4 W �
�Ct'f'1. /"Io mT �C� G V'
7i P IJ60' W P MC IIZIS e Ih E hpLsc- n
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property o s e a 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 to building construction. I authorize representatives of Cupertino to enter the above-identified
property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
.. >
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PVApp_2011 doc revised 03116111
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUi ;RT14 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildingp_cupertino.org
� �Permit No.'1�_-�1
Address , ._ ✓- p r • #of Alarms Smoke: Carbon Monoxide: /
j PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDINGDMSXON
PURPOSE m 2u
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 ire required.
GENERAL INFORMATION
Existing sin'le-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide arms. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds
$1000.00, C C Section R314 and CSC 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 X X
bedrooi:n(s)
On ever level of a dwelling unit including basements X X
Within ach sleeping room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not havei 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 Sup�ly: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 ccordance with the manufacturer's instructions and in compliance with the California Building
and Califor#ia Residential Codes.The alarms have been tested and are operational, as of the date signed
below.
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1 have read and agree tojpan3jq1y wit he terms and conditions of this statement
q 0 ner(o[Owner Agent's)Name: / LL
c'{ t01./(it
Signature.....,. ..........................".Date. ? .........
Contract rName:
i
Signature....................... ......................................Lie.#......................................Date: ...................
Smoke and CO form"doc revised 03118114
3
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WATER—CONSERVING PLUMBING-FIXTURES.
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
C:tIII=ER tt4 10300 TORRE AVENUE CUPERTINO,CA 95014-3255
(408 797-3228•FAX(408)777-3333•build ingP-cupertino.orq
Owner Name 11 V1 10,1l Permit No. -_20id -2 3-P'7
Address {'1 to Dx
. i
1. Is your real 'roperty a registered historical site?
ElYes Civil Code Sections 1101.1 through 1101.8 do not apply.'Skip the rest of the form and sign bottom of form."
, No. Gp 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?
❑ 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.
No Go to Question 3. -
3. Is water service permanently disconnected for your building?
❑ Yes C vil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
ISY No
G to Question 4.
4. Is your real�roperty built and available for use or occupancy on or before January 1, 1994?
❑ 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.
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
b ttom of form..
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5. Please check OHNE of the following
My property is a single-family residential real property. See Civil Code .4.
Section,1101
On and ater 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.Ori or before January 1,2017,all non-
compliant plumbing fixtures shall be 'replaced-with water-conserving plumbing fixtures (regardless of whether
propertyndergoes alterations or improvements).
El My,property is a multifamily residential real property. See Civil Code Section 1101.5.
On and ater 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 al er January 1,2014,specified building alterations or improvements shall require non-compliant
plumbing)fixtures to be replaced with water-conserving plumbing fixtures.
On or b fore 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
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 110.8,the current California Plumbin Code and California Green Building Standards Code,and manufacturer's
installation rquirements,and that the wat r- se g plumbing fixtures comply with the requirements as indicated in the
table on the followinga e.
Owner or Ow er Agent's Signature: Date:
Upon completing and signing this Certificat ,please ret to the Building Division in order to final your building permit.
i
SB407 2015.doe revised 08126115
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ll{il0- 11
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Non-Compliant Water-Conserving Plumbing Fixture
Plumbing:Fixture (Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture'type I2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4
Water Usage
2013 CALGreen Div.4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div.5.3
/Flow Rate 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 gallons/flush
Showerheads lExteed 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 sewing 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 psis
20 psi minimum 0.8 gallons
per minute @ 20 psi
i
In common and public
use areas: 0.5 gallons
per minute @ 60 psi
j 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 iper minute 60 psi @ 60 psi psi
Faucets May temporarily increase May temporarily
up to 2.2 gallons per increase up to 2.2
i
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
j 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. If the existing Olumbing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded.
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SB4072015.doe revised 08126115
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