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B-2017-0637CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0637 843 SEPTEMBER CT CUPERTINO, CA 95014-4125 (362 12 009) SOLARCITY CORPORATION SAN MATEO, CA 94402 OWNER'S NAME: LIAW ERIC TRUE -YUAN DATE ISSUED: 04/24/2017 OWNER'S PHONE: 408-218-8536 PHONE NO: (650) 963-5100 i LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-10: C-46 Lic. #888104 Contractor SOLARCITY CORPORATION Date 12/31/2018 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: (1) 18 -PANEL ROOF MOUNTED PV SYSTEM (5.31 KVO I hereby affirm under penalty of perjury one of the following two declarations: ;k 1. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Sectio 3700 of the Labor Code, for the performance of the work for which this�pe is ' ued. G l2. I have and will maintain Worker's Comp ataon Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $10000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 362 12 009 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 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 ap Haant understands and will comply with all non -point source regulations e_ the Cuperti nicipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature D to 4/24/2017 Issued by: AbbyAyende Date: 04/24/2017 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. 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) z. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 4/24/2017 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. 1 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 material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay 4ea)ki Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cup tin Municipal C de, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, S&tiorfs 25505, 25r5, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall ,C- be deemed revoked. be 6Wner or authorized agent: APPLICANT CERTIFICATION Date: 4/24/2017 I certify that I have read this application and state that the above information is C SMJr.TJLN LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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, Lender's Address 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 ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Code, Section 9.18 ----- Jf ' Signature, �_�� a v� /- -__�. Date 4/24/2017 Licensed Professional To ou3T ALTERNATIVE ENERGY PERMIT APPLICATION ,IIICOMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 - FAX (408) 777-3333 • building@cupertino.org r' PROJECT ADDRESS Li,3 e P � ,p V4yJ `,�2 APN # g -ouCAI OWNER NAME f / 0� PHONE E-MAIL 'CAQ?O( .,5 STREET ADDRESS CITYC7S T r—,0CA ° ry ` �1 CJ j FAX CONTACT 'Gerry Igtanloc PHONE650-759-8042 E-MAILgigtanloc@solarcity.com STREETADDRESS391 Foster City Blvd. CITY, STATE, ZIP Foster City,CA,944041 FAX 0 OWNER 0 OWNER -BUILDER ❑ OWNER AGENT IN CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SolarCity Corp. LICENSENUMBER88810 LICENSETYPEC10,C46 BUS.LIC#28844 COMPANYNAMESolarCity Corp. EmmLgigtanloc@solarcity.com FAX S1111SS3055 Clearview Way CITY, STATE, ZIP San Mateo, CA 94402 PH0lIE650-759-8042 ARCHITECT/ENGINEER NAME LICENSE NUMBER P BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑. Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes ❑ NO PROJECT IN FLOOD ZONE ❑ Yes ❑ No 40LARPANELS ❑ ELECTRIC VEHICLECHARGINGSTATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS. NUMBER OF PANELSIUNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: 1' 0, 0® 0 6 K! DESCRIPTION OF WORK _ Install (� ) rooftop mounted solar panels,( •3O KW RECEIVED BY: R 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 hAe.read this application and the information I have prod ed is corre . I have ryd the Description of Work and verify it is accurate. I agree to comply with all applicable. local ordinances and state laws relating to buil 'iI cons ction. I auth Ize representatives of Cupertino to enter the above -id 'tified property for inspection purposes. Signature of Applicant/Agent:``�'� Date: SUPA EMENTAL INFORMATION REQUIRED tor rcE usE'orlLy_ , _ U `, ❑ OVER.=T_AE=COU_ LATER _ ' 'STANDARD, E^ a _ ❑ LARdE d � x . MAJOR PV4pp_2011.doc revised 03/16/11 DocuSign Envelope ID: 8F378079-3AC049F3-A45E-140926D6109F .P WATER -CONSERVING PLUMBING FIXTURES 0 Mal OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION UP E RTI h!9 10300 TORRE AVENUE • CUPERTINO, CA 95614-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingg0cuoertino.org Eric Liaw 7 W27 7 Owner Name Permit No -- `� � � Address 843 September Ct, 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? Cl Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Dmuftned by. Owner' Signature:�' hate: 4/21/2017 ® No Go to Question 2. OE1C6116t€I654E3_. 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 plwnbees certification has beenprovided to the Building Division, Sign below and skip the rest of the form. DocuSigned by - downer' Signature: [L��'1-�..� Date: 4/21/2017 No Go to Question 3. OE1C61161MAE3_. 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, Docuftwd W. Owner-' ,Signature: �� Hate: 4/21/2017 Li No Go to Question 4. OE1C6116106$4E3._ 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. Do a tnedbr: Owner' Signature Date: 4/21/2017 6E10611610651E3... ® Yes My real property is built and available for use or occupancy on oron r_beefore 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 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 nndfifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require noxi 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). 0 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 plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB4072014 doe revised 03118114 DocuSign Envelope ID: 8F378079-3AC0-49F3-A45E-140926D6109F � J 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). I/tVe, 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 ,% ith Civil Code Sections 1101.1 tluough 1101.$, the current California Plumbing Code and California Green Building, Standards Code, and man:ufacturees installation requirements, and that the water conserving lambing fixtures comply with the re uirements as indicated in the table below. Owner's (or Owner Agent's)Si nature: — pate: 4/21/2017 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 Hater usage/flow rate is equal to or dower than the figure shown, it is not required to be upgraded. SB40 7 2 014. doc revised 031.18114 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Lisa a/Flow Rate Fixture type Water Usage 2013 CPG Ch. 4 2013 CFC Ch. 4 2013 CPC Ch. 4 !Flow Rate 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 gallonslflush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallonslflush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallonslflush 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. EFA WaterSense Specification for Showerheads (A hand -field 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 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 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets Maytemporadly 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 Hater usage/flow rate is equal to or dower than the figure shown, it is not required to be upgraded. SB40 7 2 014. doc revised 031.18114 DocuSign Envelope ID: 8F378079-3AC0-49F3-A45E-140926D6109F SMOKE ! CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELQPMENT DEPARTMENT • BUILDING DIVISION CUPI5it71NO 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buitdinq@cuaertina.nrg Address 843 September Court Cupertino, CA 95014 —/Z -O/'7 --06f27 PURPOSE This affidavit is a self -certification for the installation of all required Stroke 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 INFORMATXON Existing single-family and multi-fainily.dweliings 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 R314 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 bedrooms) X X On every level of a dweffing 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: h -v 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 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 mann€aeturer'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. ! have read and aaree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Mame: ooeusipnea by: Eric Liaw �sd nadure.. Dates 4/21/201 ......................................................... Contractor Name: OE1C61161D654E3... signature ...Lic.# ...................................... Date: Smoke and CO forra.doe revised 03118114