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B-2016-3085CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3085 1154 SCOTLAND DR CUPERTINO, CA 95014-5026 (362 28 009) SOLARCITY CORPORATION SAN MATEO, CA 94402 OWNER'S NAME: NARRAVULA SRIDHAR AND ARCHANA TRUSTEE DATE ISSUED: 11/09/2016 OWNER'S PHONE: 408-859-6768' PHONE NO: (650) 963-5100 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C -10:C -46:B Lic. #888_104 Contractor SOLARCITY CORPORATION Date 12/31!2016 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) 14 PANEL ROOF MOUNTED PV SYSTEM (3.64 KW) I hereby affirm under penalty of perjury one of the following two declarations: 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 of the work for which this permit is issued. /'performance have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the for U , performance of the work which this permit is issued. Sq. Ft Floor Area: Valuation: $6000.00 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 362 28 009 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 Cupertinoagainstliabilities, 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. Additionally, the applicant understands and will comply with all non -point 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 11/9/2016 Issued by: AbbyAygnde OWNER-BUI]LDER DECLARATION Date: 11/09/2016 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 (Sce.7044, Business & Professions Code). Date: 11/9/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER x. 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. gwmer or authorized agent: APPLICANT CERTIFICATION /'Date: 11/9/2016 I certify that 1 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 Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 11/9/2016 Si 9 Professional. CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.ora U4 PVApp_201 I. doc revised 03116111 j9 PROJECTIr S � Q J G� A� IAPN# 3(,0 %,_7, (_Y .OWNER NAME PHO6NgEl, ® J ��. E-MAIL{ STREET ADDRES CM1. 54d �t�TY I$$�'�l�✓' �pd/-.' P T "Ain 2 c? o I� FAX CONTACT NAME Gerry Igtanloc PHONE 650-759-8042. EMAIL gigtanloc@solarcity.com STREET ADDRESS 391 Foster City Blvd. CITY, STATE, ZIP Foster City FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT I CONTRACTOR ❑CONTRACTOR. AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER. ❑ TENANT CONTRACTORNAME SolarCityCorp. LICENSE NUMBER 888104 LICENSETYPE C10,C46 B BUS. LIC# 2 COMPANY NAME SolarCity Corp. E-MAIL gigtanloc@solarcity.com -- FAX STREET ADDREss 3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 PHOS 650-759-8042 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF [X SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes a NO PROJECT IN FLOOD ZONE ❑ Yes KI No IR SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION TO SOLAR WATER HEATING ❑ OTHER: " FOR SOLAR PANELS. NUMBER OF PANELS/UNITS; KILOWATTS (COMMERCIAL ONLY): - TOTAL VALUATI N: DESCRIPTION OF WORK Install 144 roof mounted. Solar panels. Gq-)KW. ' REC BS By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf 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 propertyforinspection purposes. Signature of Applicant/Agent: Date: 1 , C9 SUPPLEMENTAL INFORMATION REQUIRED I3I iCE usi4'oNi " w � a i �1 ovl,;x rB�.cbulvxi� . L� rxPi�ss �LAROE' MAJOR'. PVApp_201 I. doc revised 03116111 DocuSign Envelope ID: 709F6CBE-8AOA-42A4-8EOC-2OA9118AOFB3 SMOKE f CARBON MONOXIDE AI ARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPER7lNC3 10300TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408)777-3333 • but1ding0cupertino.c►rg Address PURPOSE 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 4.20.6 and 907,2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-fatnily.dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314 and CBC 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 bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have 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 Supply: Ili 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 riot 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 trust 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 accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the farms and conditions of this statement Owner (or Owner Agent's) name: S' ed by: Sridhar Narravula .(,DOC �s; �a,tu �� ,NAVYOIUtU�A Date: 11/18/20 ........................................................ Contractor Name: 83C40A1223C049A._. Signature.. tic.# . Date: Smoke and COform.doc t evised 03118114 6 DocuSign Envelope ID: 709F6CBE-8AOA-42A4-8EOC-2OA9118AOFB3 WATER -CONSERVING PLUMBING FIXTURES a 0 OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVEWPMENT DEPARTMENT • BUILDING DIVISION ClUPERTI MQ 10300 TORRE AVENUE • CUAERTINO, CA 95614-3255 (408) 777-3228 • FAX (408) 777-3333 • huildina0_)cuDertino.org Owner Name Sridhar Narravula Permit Na -D) 30 Address 1154 Scotland Dr, Cupertino, CA 95014, US (SANTA CLARA County) Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification farm. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. DoouSigned by: Owner' Signature-ViNAWAW" IN No Go to Question 2. E63G40A1223C049A Date: 11/18/2016 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. Sign below and skip the rest of the form. ocuSigned by: owner' Signature: E�Y:c,�11gV1rgVu{p pare: 11/18/2016 No Go to Question 3.0A1223C049A... 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do -not apply. Sign below and skip the rest of the form. Es.3.4,A,223CMA... DocuSigned by: Owner' Signature: Vi ^,Wr mate: 11/18/2016 No Go to Question 4. 4. Is your real property 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. Sign below and skip the rest of the form. D—Sigurd by: 7''q�� Owner' Si;nature�n AAr Nawm �'" Date: 11/18/2016 'J Yes 63-- 123C049A... L My teal property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached. ® My property is a single-family residential real property. See Civil Cade 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 naulhfamily residential real property: See Civil Code Section 1101.5. On and after January 1, 2014, specified. building -alterations or improvements shall require non- couppliant 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 whetherproperty 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. SB407 201 4 riot revised 03118114 DocuSign Envelope ID: 709F6CBE-8AOA-42A4-8EOC-20A9118AOFB3 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). 1A Ve, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced 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 plumbing fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's)Si na#ure:j we r nwa. 11/18/2016 Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usagelflow rate is equal to or Lower than the figure shown, it is not required to be upgraded. SE4072014.doc revised 03118114 Non -Compliant Water -Conserving Plumbing f=ixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPG Ch. 4 2013 CPC Ch. 4 20'13 CPC Ch. 4 /Flow hate 2013 CALGreen Div. 4.3 20'13 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 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, avers a flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 4.5 gallops/flush Gallons/flush Showerheads Exceed 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 serving 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 psi; 20 psi minimum G.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.5 gallons per minute 1.8 gallons per minute Qa 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily Increase Maytemporadly up to 2.2 gallons per increase up to 2.2 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 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 plumbing fixture water usagelflow rate is equal to or Lower than the figure shown, it is not required to be upgraded. SE4072014.doc revised 03118114