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B-2016-2925To whom it may concern: Sunrun Inc. 1.8SSAS NRUN sunrun.com This is to verify that 1, 3,e5s�_- �0soe5 owner/ contractor hereby authorize the cancellation of the building permit or application for the following projects. I am also requesting a refund of fees as allowed by the California Building Code. ProjectAddress: es ? CA OiSO14 Project Number: Date Issued: ID t it [t�_ Amount Paid $: Ll GL, 0A Return Refund To: vim' �,\ ry A Address: 575 D.J,,-, 5— San ..50 C,,t, g543t Phone#: )'6� 79-7 1 Reason for Cancellation: OAW_ E)wV"Qr ii A ryvi _0 lir`;( � I D I7 SidWature Date � aA� ,CITY OF CUPERTINO BUILDING PERMIT 7916 AUGUST LN CIJPERTINO, CA 95014-4113 (362 12 018) OWNER'S NAME; COLEMAN JANICE E'TRUSTEE PHONE: 408-257-4725 License Class JQA6 Lic. #750184 ContractorSUNRUN 1N TAl i aTintir ccoylCES INS Date 06l30/20i8 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theBusiness & Professions Code and that my license. is in full force and effect. hereby affirm under penalty of perjury one of the following two declarations: a. I have and will maintain a certificate of consent to self insure for Worker's Compensation; as provided for by Section 3700 of the Labor Code, for the ,'performance of the work for which this permit is issued. ;i. I have and will maintain Worker's Compensation Insurance, as provided for by (� Section 3700 of the Labor Code, for the performance of the work for which this permit is issded. APP7, N'P' ,R^i'�i ATION I certify that I have read this appiicationand state that the above information is correct. I agree to comply with all city.and.county ordinanc qd and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned prop for inspection purposes. (We) agree to save indemnify and keep he . less the City of Cupertino against liabilities, judgments,. costs, and exp as which may accrue against said City in consequenceo. f the grantin f this permit. Additionally, the applicant understands and wilt comply wi all non -point source regulations per the Cupertino Municipal Code, - etion .9.18, -Date CONTRACTORPERMIT NO: &1016-2925 SUNRUN INS..TALLATION t SERVICES INC SAN LUIS. OBISPO, CA 93401 DATE ISSUED: 10/17/201 F$ONE NQ: 15)5.80- 00 BUILDING PERAUT INFO: X BLDG X ELECT _ PL — MEC$ X RESIDE COMMRCIAI JOE DESCRIPTI (N) 31 -PANEL F MO-MIE P _ SYS n2AIIQ PANE 2()t) AMP) 9ZAND B Sq. Ft Noor Area, i Number: 12 01$\ Type: REPLACE N SAME [iT XPTRES TF WORK. IS NOT STARTED [IN 180 DAYS OF. T SSUANCE OR k,YS FROM LASTPC D INSPECTION. AbbyAym--& V z innac I hereby affirm that /megs t from a Contractor's License E w for/he of the R EROOFS: following two reasonAll roofs shall be inspected prior to. any ,roofing material being installed If a roof is a. I, as owner ,. or my employees with wages as their sole installed without first.obta ring an inspection, I agree to remove all new materials for compensate work, and the structure is not intended or offered for inspection. sale (Sec,7ss .& Professions Code) z. I, as ownerrty; am exclusively contracting with licensed Signature ofApplicant: contractors the project (Sec,7044, Business & Professions Code). Date: 1 / 712016 eby affirm u er penalty of perjury one of the. following three de. elarations: i. I hay, and willmaintain 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. 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. s. 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. APPI ICANT CERTIFICATION certify that I have read this application and state that the above information is ;orrect. i agree to comply with all city and county ordinances .and state laws elating to building construction, and hereby authorize repre of this city o enter upon the above mentioned property for inspection purposes: (We) agree o save indemnify and keep harmless the City of Cupertino against liabilities, .idgments, costs,, and expenses which may accrue against said City in ;onsequence of the granting of this permit. Additionally, the applicant understands ind will comply with all non -point source regulations per th pertino Municipal ;ode, Section 9.18. ALL ROOF HAZARDOUS MATERIALS01A. OSU I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534, 1 will. maintain .compliance with the Cupertino MunicipalCode, Chapter 9.12 and the Health & Safety Code, Section 25532(x). should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defured 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 , 25533,. and 25534. Ir . .i owner o. r authorized agent: Date: 10/17/2016. I hereby affirm that there Is a constructiM lendingagency for the performance of work's for which this permit is issued (Sec, 3097, Civ .G,) Lender's Name Lender's Address )AR('EM T'6DECL RA3= understand my plans shall be, used. as public records. Date 10/17/2016. I Licensed ALTERNATIVE ENERGY PERMIT APPLICATION AIL COMMUNITY DEVELOPMENT DEPARTMENT + BUILDING .DIVISION ANAN M 10300 TORRE. AVENUE - CUPERTINO, CA 95014-32$5 AUMEM UPERTiNO (408) 777-3228 • FAX (408) 777-3333• building@cugert'irlo ora PROJECT ADDRESS 7�(IL AP119 OWNERN AME jam, i 1�1 i r PITON£ STREETADDRESS c. ILe � - p a Cr! Y; STATE, ZIP F 1/! ;y Cl AX CONTACT NAME J�(�-'jp STREET ADDRESS CTTTE ZIP 03 ?)__ FAX ❑ OWNER ❑OWNERBUIIDER �. 04V1 ER AGENT O11T1L1CTOR 13CONTRAc AGENT ❑ ARCHITECT El ENGINEER D DEVELOPER ❑ MIANT CONTRACfORNAME LICENSE IT�2BER f r �.[ LICEItSE TYPE BUS. LIC COMPANY NAME FAX STREETADDRESS' ` STA 'ZIP PHONE ARCHITECT7ENGINEERNAME By my signature below, I certify to each of the application and the information I havg Provide ordinances and state fans relating to U ild- g Signature of Applicarit7Agent: I am the property owner or authorized agent to act on the property _owner's beh lf. I have read this I have read theDescription of Work and verify it is accurate. I agree to comply with all applicable local I authorize representatives of Cupertino to enter the above �-identif e-roperty for inspection purposes. . Date. l 0 � I f (I PTJ.pp_2011.doc revised 03116111 s ENSE NUMBERBUS. LIC g COMPANY NAME EMAIL FAX STREET ADDRESS CITY, STATE IP PRONE USE OF ❑ SFD or Duplex p Mut amity PROJECT IN WILDLAND PROJECT IN ` STRUCTURE; 0 COMMerCial _ URBAN INTERFACE AREA p Yes [p No FLOODZONE D Yes p No SOLAR PANELS D ELEC C VEHICLE CHARGING STATION I] SOLAR WATER HEATING D OTHFR F®RSOL4RP4hBLS: NUMBEROFP 1UNITS: ( KILOWA7TS(COM7`4ERCIALON47): CY TOTAL VALUATION. DESCRIPTION OF WORK i liL Vvf n { - ' 1 V V ✓ /�.J 1J 1i10� t Ll% i `� 1.+ ` By my signature below, I certify to each of the application and the information I havg Provide ordinances and state fans relating to U ild- g Signature of Applicarit7Agent: I am the property owner or authorized agent to act on the property _owner's beh lf. I have read this I have read theDescription of Work and verify it is accurate. I agree to comply with all applicable local I authorize representatives of Cupertino to enter the above �-identif e-roperty for inspection purposes. . Date. l 0 � I f (I PTJ.pp_2011.doc revised 03116111 s CITY OF CUPS RTINO BU LDINGPERMIT INSPECTION CARD BUILDINGADDRESS 7916 AUGUST IN 7916 AUGUST I 95014 4113 CONTRACTOR SUNRUN INSTALLATION SERVICES INC PIIRMIT NO B-2016.2925 OWNER'S NAME COLEMAN JANLCEETRUSTEE 7916 AUGUST IN CUPERTINO, CA 95014-4113 PFRMIP ISSUED: 10/17/2016. OWNER'S PHONE PHONENO: - JOB DESCRIPTION: (N) 31-PANEL ROOF MOUNTED PV SYSTEM (8.21 KW); REPLACE MAIN PANEL (200AMP) AND MAIN BREAKER (150 AMP); SAME LOCATION TYPE INSPECPOR DATE �. ... TO ARRANGEINSPECIION Call 777-3228 between 7:30 am and3:30 pm Mondaythrough Friday, at least 24 hours before required inspection. Job address and Permit Numbers are needed when requesting an inspection.. CUPERTINO SANITARYDISTRLCT Closed circuit tideo inspection of property line cleanout, point of connection and street lateral required prior topassing FINAL CiTYPLUMBING INSPECTION. Call the District (408:253-7071) for an appointment. BUIL,DINGFINALS INS PEMONS UNTIL AT LREQUIRED BUSINESS LICENSES AREOBTAINID PmmrrEXPBRFS wWORKIS NOTSTARTED WITHIN180 DAYS OFPERNIrr ISSUANCEOR 180 DAYS FROM LAST CALLED INSPECTION.. IWORTANT When a permit has expired, a charge totaling one-half the fees to obtain a new permit must be paidin order to reactivate the permit If a permit has been expired for more than one year, a charge totaling the full fees to obtain a new permit must be paid to reaeti4ate the permit, NOTES: f.. nb - ". UNDERGROUND GAS PIPING _ UNDERGROUND WATER UNDERGROUND SEWER UNDERFLOOR ROUGH PLUMBING SHOWER PAN WATER HEATER WATER SERVICE GAS PRESSURE TEST GAS METER RELEASE PROPERTY LINE CLEANOUT _ PLUMBING FINAL- i±ittr'Y'nT UFER UNDERGROUND UNDERFLOOR - - ROUGH ELECTRICAL TEMPORARY POWER POLE SERVICE UPGRADE. ELECTRIC METER RELEASE -. Z/—zNO ELECTRIC FINAL LL =_._'_ mECtiarti c -=r UNDERFLOOR ROUGH MECHANICAL FURNANcr AIR CONDITIONER HOODS..... MECHANICAL FINAL - ftvm�W, PLUMBING ELECTICAL MECHANICAL.. .. BUILDING FIRE REINFORCEMENP. P/M'E ELECTRICAL BONDING ROOFG;.n PRE INSPECTION TEAR OFF. NAILING BATTENS B�s�3a� FcvNnFrolLUIK7B� . AANs�o1= — FOOTINGS SHOWERPAN UNDERGROUND LIFER WATER HEATER HYDROFLUSH _ PIERS .. WATER. SERVICE GRADE. BEAMS.. _ GAS. TEST E _ _ GARAGE SLAB GAS METER RELEASE RIGHT OF WAY_ RROLDhT�E WQlt� � ._,! UNDERGROUND ELECTRICAL= GRADING RETAINING WALL Fi.T+.rxlCAiz .- _ - UNDERGROUND GAS PIPING TEMP POWER. POLE _.,-.: _ UNDERGROUND WATER SERVICE UPGRADE. ef SITE COMPLIANCE UNDERGROUND SEWER _ PV SYSTEM FIRE MAIN SYSTEMS .. NO C+ EV SYSTEM FOOTING - - FIRE SPRINKLERS -ROUGH MASONRY REBARr°irALurCar FIRE SPRINKLER - FINAI, - DRAINAGE... _ FURNANCE FIRE ALARM FINAL CMU WALLS BOILER STANDPIPE SYSTEMS AIR CONDITIONER _ ENGINEERED FIRE TECTIONSYSTEM ... - UNDERFLOOR PLUMBING —°— .... - - HOODS - - -. - - FIRE LIFE SAFEW UNDERFLOOR MECHANICAL DUCT WRAP - - UNDERFLOOR ELECTRICAL - _-- - - - ��13OCU1v3EN1'ATitiN UNDERFLOOR FRAMING I ETBACKCERTIFICATION. ' . T y ,.. UNDERFLOOR INSULATION PLUMBING - RUSSES: Q ELECTICAL SPECIAL INSPECTION REPORTS FLQOR NAIIISHEATHING MECHANICAL SMOKE/CARBON MONOXIDE CERT OF COMPLIANCE- ROUGH PLUMBING C BUILDING WATER FIXTURE CERT OF COMPLIANCE ROUGH MECHANICAL- FIRE - ENERGY COMPLIANCE FORMS - ROUGH ELECTRICAL - - - CALGREEN MANDATORY ITEMS CHECKLIST - ROUGHFRAMINGR. INTERIOR. SHEAR _. EXTERIOR SHEAR REINFORCEMENTtirYPiUR7'ME1vEItNATaS^=- P/M/E PLANNING- CALL 777-3308 WALL INSULATION ,,,,rr ELECTRICALBONDAVG PUBLIC WORKS -CALL 777-3354 CEILING INSULATION DEMOLITION FIRE- CALL 3784010 ROOF NAILING BACKFIIJ/ _.. HEALTH - CALL 408-918-3400 _. INTI T T�Ii1YIS4 jr O SANITARY -CALL 253-7071 - SHEETROCK TILE BACKER UNDERLAYMENT PRE INSPECTION f TILE BACKER ,f TEAR OFF PLUMBING. INTERIOR LATH NAILING ELECTRICAL - LR[O[I"1FS"`: - BATTENS. ' MECHANICAL EXTE_ RIOR LATH . _. -.. - ... . TEMPORARY OCCUPANCY _ .. SCRATCH COAT _. BUILDING SIDING CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: 7916 AUGUST IN CUPERTINO, CA 95014-4113 12 918) CONTRACTOR: PERMIT NO: B-2016-2925 (362 SUNRUN INSTALLATION \ SERVICES INC SAN LUIS OBISPO, CA 93401 OWNER'S NAME: DATE ISSUED: 10/17/2016 OWNER'S PHONE: PHONE NO: (415) 580-6900 LICENSED CONTRAC'TOR'S DECLARATION BUILDING PERMIT INFO: - License Class C-46 Lic. #750184 Contractor SUNRUN INSTAI LATION SERVICES INC'Date 06/30/2018 X BLDG X 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: (1) 31-PANEL ROOF MOUNTED PV SYSTEM (8.21 KW); REPLACE i. I have and will maintain a certificate of consent to self insure for Worker's MAIN PANEL (200 AMP) AND MAIN BREAKER (150 AMP); SAME LOCATION 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. Sq. Ft Floor Area: Valuations $17130.00 APPL.ICA_NT CERTIFICATION certify that I have read this application ,and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 362 12 018 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 this permit. Additionally, the applicant understands and willl comply with all non-point all WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 10/17/2016 Issued by: Abby Ayende Date: 10/17/2016 - _ I hereby, affirm that 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. 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. 1, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 10/17/201 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 z. 1 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. 1 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 Worker's Compensation laws of California. If, after making this certificate of 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 exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 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: 10/17/2016 1 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 I hereby affirm that there is a constructi66 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 (See. 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 Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 10/17/2016. Licensed ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 AL CUPERTI NO (408) 777-3228 • FAX (408) 777-3333 • building acuoertino ora Z9 PROJECT ADDRESS 39 1 I OWp'ER14AME j� s p n �{� C (� AIV i �{� L��sl" M I' \ % `�! PHONE Lj C'R ,a ✓ `l it E-MAIL STREET ADDRESS STATE> ZIIP c, t i v 4y f ply F cl ( (j FAX Y G tF-�M 11 V V Vii" - 1 �� 1. '7. CONTACT NAME (Cl►Ul\i a,}� L STREET ADDRESS �j,3C)� STATE, ZIP {Jj ' �_�T . =FAX ❑ OWNER ❑ OwNER-BUII.DER ❑. OWNERAGENT GON CfOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME y� � � LICENSENUMBER 0 iG ,r 1'�i.J �� l! t (j � LICENSE TYPE t"��.ML►i��J BUS. LIC Ir' � COMPANY NAME FAX STREET ADDRESS 1I (CI STA ,ZIP PHONE ARCHITECT/ENGIA'EER NAME LICEhBE NUMBER BUS. LIC m COMPANY NAME 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 ❑ SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR S0L4R PAA'ELS. NUMBER OF PANELS/UNITS: '� KILOWATTS (COMMERCIAL ONL DESCRIPTION' OF WORK 6WATTS (COA4MERCIAL ONL� TOTAL VALUATION: i o a 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 olvner's beh If. I have read this application and the information I havel pl�rovide as corn�,ect 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 Cld.i�ng o stru-ti I authorize representatives of Cupertino to enter the above-identifi °d property for inspection purposes. Signature of Applicant/Agent: Date: t o f SUP''LEMENTAL INFORMATION REQUIRED PT, 4pp_2011.doc revised 03/16/11