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B-2017-0808CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1515 POPPY WAY CUPERTINO, CA 95014-5306 (366 15 028) OWNER'S NAME: NARAYANAN SRIDHAR AND NARASIMHAN NIRANJANA CONTRACTOR: PERMIT NO: B-2017-0808 SANTA CRUZ WESTSIDE ELECTRIC INC SANTA CRUZ, CA 95060 DATE ISSUED: 05/22/2017 OWNER'S PHONE: 408-836-0154 1 I PHONE NO: (831) 469-8888 RTi�FY�Zi KI7i;llY7LNI1C�131.� 71t[�1�17YiL(�l�l License Class CC -10 Lic. #846294 Contractor SANTA CRUZ WESTSIDE ELECTRIC INC Date 04/30/2019 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: I have and will maintain a certificate of consent to self -insure for Worker's BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) 10 -PANEL ROOF MOUNTED PV SYSTEM (3.30 KW) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. `A 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: $12210.00 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 Municip I Code, Section 9.18. Signature Date 5/22/2017 I hereby affirm that I am exempt from the Contractor's License Law for one 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: 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. 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 Compensation provisions 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 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. Sig APN Number: Occupancy Type: 36615 028 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende Date: 05/22/2017 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:/225 /2017 ALL ROOF COVERINGS TO BE CLASS "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(x) 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 Cod , Chapter 9.12 and the Health & Safety Code, Sections 25505, 533, d 25534. Owner or authorized agent V — Date: 5/22/2017 CONSTRUCTION LENDINGA N Y I 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 Date x_/2017 CUP RTINO R)-�01_4-CW ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingncupertino,org PROJECT ADDRESS 1515 Poppy Way, Cupertino, CA 95014 APN9 366-15-028 OWNER NAME Sri/d'�har Narayanan PHONE (408) 836-015 4 E -MAILsridhar_chee@yahoo.com STREET ADDRESS \ , CITY, STATE, ZIP FAX CONTACT NAMEK\,risti Cassetta PHONE831-226-9363 E-MAIL kcassetta@sandbarsc.com STREET ADDRESS 2119 Delaware Avenue CITY, STATE, ZIP Santa Cruz Ca 95060 FAX 831-515-5098 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELO.P�ER,. ❑ TENANT CONTRACTOR NAME Sandbar LICENSE NUMBER 846294 LICENSE TYPE C-10 BUS. LIC # J `Nnp YerAu Westside Electric dba Sandbar E-MAKristi - kcassetta sandbarsc.com FAX 831-515-5098 STREET ADDRESS 2119 Delaware Avenue CITY, STATE, ZIP Santa Cruz Ca 95060 PHONE 831-469-8888 ARCHITECT/ENGINEER NAME Same as Contractor LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL Stu - sdavis@sandbarsc.com FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF yoJ SFD Or Duplex El Multi -Family STRUCTURE: F-1CommercialURBAN PROJECT IN WILDLAND77��,, INTERFACE AREA El Yes y�7 NO PROJECT IN FLOOD ZONE ❑ Yes ❑ NO ICI SOLAR PANELS El ELECTRIC VEHICLE CHARGING STATION El SOLAR WATER HEATING El OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS. KILOWATTS (COMMERCIAL ONLY). TOTAL VALUATION: $ 1 2,210 DESCRIPTION OF WORK Installation of a 3.30kw grid tied photovoltaic solar array roof mount 10 modules RECEIVED BY: L)AL Q:�4wv,� By my signature below, I certify to each of the following: application and the information I have provided is correct. ordinances and state laws relatin o b i c stru ion. Signature of Applicant/Agent: I am the property owner or authorized agent to act on the property owner's behalf. I have ad tis I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Date: 5/19/17 LEMENTAL INFORMATION REQUIRED ` _, n ��\�� OFFICE USE ONLY W ❑ OVER-THE-COUNTER F' ❑ EXPRESS U U ❑ STANDARD ❑ LARGE a ❑ MAJOR PVApp 2011.doc revised 03/16/11 CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT bEP.ARTMENT . BUILDINO'DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95094-3255 (408)'T77-3228 . FAX (408) 777-3333 building@cupettino.ora PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, 8315, 2016 CBC Sections 420.6 and 907.2.11.2 where no .interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family 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 R314, R315, 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) — (Smoke alarms shall not be located within 3 feet of bathroom door) X . X On every level of a dwelling unit including basements and Habitable attics 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: 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 accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: 1515 Poppy Way Cupertino 95014 Permit No. B-2017-0808 Specify Number of Alarms: # Smoke Alarms: =# Carbon Monoxide Detectors: :Z I have read and agree to compty.with thq terms and conditions of this statement Owner (or Owner Agent's) Name: �® J�J�.eD�%�"i Z /Y /�!�pA iA A Si nature ...................... �.............................�....................... ........................ .......... Date�.� .. �1 Contractor Name: Signature...................................................................... Lic.#........................................ Date:................... Smoke and COfornr.doc revised 01/10/2017 17 "CUP)ERTINO Owner Name COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING NV1810N 10300 TORRE AVENUE % CUPERTINO, 'CA 96014=3255 (40'$) 777-3228 FAX '(408) 777=3333 buildinaZcDcuportino.oro C !' Wlxd� Permit No B-2017-0808 Address _1,-15 PnQ V ZjaV C't�nPrtho 9 014 1. Is your real property a registered historical site? ❑Yes Civil Code Sections 1101.1 through 1101.$ do not apply. Skip the rest of the form and sign bottom of form. Vo Go 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? 0 -Yes Civil Code Sections ,1101.1 through 1101.8 do not apply: ❑ The licensed plumber's ceitification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. dNo Go to Question 3. 3. Is water service permanently disconnected for your building? Ves Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of foam. n. 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. Skip the rest of the form and sign bottom of form. O 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 bottom of form.. Ple�se check ONE of the following: . C' My property is a single• fainily residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or nmprovernents shall require all non-compliant plumbing fixtures to be replaced with water-conseiving plumbing fixtures throughout the building. On or before January. 1, 2017, all non- compliant plumbing fixtures shall be replaced with water-conseiving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My propertyis 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 whether property 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. 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, 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 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-conservinygg plumbing fixtures comply with the requirements as indicated in the table on the following Page. 1 J A G / - Owner or Owner Agent's Signature: _ Al Dater 0-6 / p, / J 7 1 Upon completing and signing this Certifiie ti, please return it to the Building Division in order to final your SB407 2015.doc revised 01105117 v wo N 3 a a 1 0 a 0 3 bLO �,HO Ofd}j, df1O�aI. fo 2b0 Q:f 4 U I.. 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