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B-2017-0134I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO- B-2017-0134 10148 PRADO VISTA DR CUPERTINO, CA 95014-2622 (342 14 093) SOLARCITY CORPORATION SAN MATEO, CA 94402 OWNER'S NAME: PARVATHANENI CHAKRAVARTHY AND LANKA RAJITHA OWNER'S PHONE: 408-393-3645 LI£ENSED CONTRACTOR'S DECLARATION License Class C10. C46 Lic. #$3$1_94 Contractor SOLARCITY CORPORATION Date 1213112018 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. I hereby affirm under penalty of perjury one of the following two declarations: t. 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. JI 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. 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 construction, and hereby authorize 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 may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature,' _ Date 01/26/2017 hereby affirm that I am exempt from the Contractor's License Law far ane of the following two reasons: 1. I, as owner of the property, or my 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: s. 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3. 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 Compensationprovisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 construction, and hereby authorize representatives of this city Ito 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 may accrue against said City in consequence of the granting of this permit. 'Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 01(26/2017 DATE ISSUED: 01/25/2017 PHONE NO: (650) 963-5100 PERMIT INFO: BLDG _ ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: 15 PANEL (3 ARRAYS) ROOF MOUNTER PV SYSTEM (4.725kW) Sq. Ft Floor Area: I Valuation: $8000.00 APN Number: Occupancy Type: 342 14 093 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAMA LLD-iPECTION. Issued by: RF ROOFS All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: Q1! 62 12017 "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 equipment or devices which emit hazardous 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 the HealthLaqent�: od ti ' s 5505, 25533, and 25534. Owner or authorizDate: 01/26/2017 INGAGENCY 1 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ° BUILDING DIVISION 90300 TORRE AVENUE ° CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 ° building&cupertino.org PROJECT ADDRESS 4 ' " 1 APN # (,� �f _ ( - a 3 OWNER NAME 2 (a L /l G� PHuv• —4+IVim 1100%,hi 4( TT ®G ST1 EvTADDRESS C CITY, S AT ZIP 'rV'O LI JMT1 FAX CONTACT NAME Gerry Igtanloc P1HONE650-759-8042 I I EMAILgigtanloc@solarcity.com STREETADDRESS391 Foster City Blvd. CITY, STATE, ZIP Foster City,CA,944041 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 0 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMESoIarCity Corp. LICENSE NUMBER 888104 LICENSE TYPE C10 C46 BUS. LIC #28844 COMPANY NAMESoIarCity Corp. EMMLgigtanloc@solarcity.com FAX STREET ADDRESS 3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 PHONE650-759-8042 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF FD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes ❑ NO PROJECT IN FLOOD ZONE ❑ Yes ❑ NO �OLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): 1 ` �� It TOTAL VALUATION: vo DESCRIPTIONOF WORK Install rooftop mounted solar panels,(Lf,724) KW 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 qqnstruction. I authorize sentatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INF RMA ON REQUIRED OFFICE USE ONLY OVER-THE-COUNTER - o, E" ❑ -EXPRESS U W x ❑ STANDARD U a _ `❑ LARGE_ a ❑ MAJOR PVApp 2011.doc revised 03/16/11 DocuSign Envelope ID: 82D78D33-30E9-43DB-9276-9EFAD1B5E433 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO 10300TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • butiding(a)_cuoerlina.oro Address 10148 Prado Vista Avenue Cupertino, CA 95014 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 420.6 and 907.2.11.2 where no interior access for inspections are required.. GENERAL INFORMATION Existing single-family and multi-fa><nily.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 bedroonn(s) X X On every level of a dwelling unit indudiU basements X X Within each slee in t 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: ha dwelling units with no commercial power supply, alarms) may be solely battery operated. Inexisting 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 alcove has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and Califomia Residential Codes. The alarms have been tested and are operational, as of the date signed below. (have read and aaree to cnmoty with the terms and conditinns of this statement Owner (or Owner Agent's) Name: Docuftned by: Chakra Parvathaneni tsr nature..... bate: 1/21/201 ................................................................................. Contractor Name: FDF31E45056701... Signature....— .Ltc.# ...................................... Date: Smoke and CO forrn.doc revised 03118114 DocuSign Envelope ID: 82D78D33-30E9-43DB-9276-9EFAD 1ti5E433 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVE49PMENT DEPARTMENT • BUILDING DIVISION CUPERTIhEQ 10300TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildina(tunertino.ora Owner Name Chakra Parvathaneni Permit No. Address 10148 Prado Vista Ave, 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 form. - 1. is your real property a registered historical site? © Yes Civil Code Sections 11011 through 1101.8 do not apply. Sign below and skip the rest of the form Dmuftned by: Owner' Signature:�� Bate: 1/21/2017 ® No Go to Question 2. FDF31E4505674D7... 2. Roes 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. Do¢uSigned by: Chvner' Signature: Date: 1/21/2017 No Go to Question 3. FDF31E4505674D7... 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. DocuSigned by: Owner' Signature: Date: 1/21/2017 Z(v No Go to Question 4. E� FDF31E4505674D1... 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 zest of the form. Docuftud bb3r Owner' Signatura�Y]Date: 1/21/2017 FDRIUSOW4D7 Yes ... El Y 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. Refer to the attached. ® 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 bnilding. On or before: January 1, 2017, all non-eoinpliant 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 whetherproperty undergoes alterations or improvements). CI Myproperty 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 }dumbing fixtures to be replaced with water -conserving plumbing .fixtures. SB4072014.doe revised 03118114 DocuSign Envelope ID: 82D78D33-30E9-43DB-9276-9EFAD1B5E433 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 properly undergoes alterations or improvements). TAVe, the owner(s) of this property, certify under penalty of perjury that non compliant plumbing fixtures have been rep [need with water -conserving plumbing fixtures in accordance Kith Civil Code Sections 1101.1 through 1101.&, the current California Plumbing Code and Califomia Green Building Standards Code, and Manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the tab[e below. C3wnsr's (or Owner Agent's) Si na#ure; [late; 112112017 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 usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072014.d©c reviser! 03118114 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Maximum Water Lisa elFlow Rate Water Usage CPG Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 !Flow Bate 2013 CALGreen Div. 4.3 20'13 CALGreen Div. 4.3 20'13 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 gallonslflush effective flush volume (the composite, avers a flush volume of two reduced flushes_ and one full flush Urinals Exceed 1.0 Gallons/flush0,5 gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute cri 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 x@ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 80 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute Qa 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase Maytemporarily 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 usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. 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