Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
14090107 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22285 CARTA BLANCA ST CONTRACTOR:SOLARCITY PERMIT NO: 14090107
OWNER'S NAME: HAN YONG-GYU AND MOON SAM-LYEON 3055 CLEARVIEW WAY DATE ISSUED:09/17/2014
OWNER'S PHONE: 6504776430 SAN MATEO,CA 94402 PHONE NO:(650)638-1028
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL E]
INSTALL 23 PANEL PV SYSTEM ON SFDWL ROOF TOP
License Class C(0 c.# L( 5.86
Contractor Date KW
1 hereby affirm tI, am licensed on er the provisions of Chapter 9
(commencing wi h 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
Compensation,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:$12000
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 APN Number:32613051.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 ERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FR LAST CALLED INSPECTION.
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 e applicant understands and will comply Issued by: Date:
with all non-point source regulation per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date ! j r All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,1 agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,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)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area ' Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertinu ' ipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505, 33;��nd 25534.
Section 3700 of the Labor Code,for the performance of the work for which this -
Owner or authorized agent: Date:0-iltiliq
permit is issued.
I certify that in the performance of the work for which this permit is issued,l 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,f CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must 1 hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct. 1 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, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the l understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
ALTERNATIVE ENERGY PERMIT APPLICATION
12 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION n(l
o
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 �(\ ,�
8)777-3228• FAX (408)777-3333• building f cuper ino.orq 1 v
CUPERTINO (40
PROJECT ADDRESS A i- {, e r le" B'a�C,{� L. "�,� APN# COO
O
OWNERNAME ]O`/� `�JY� 1 "PIHOtvsa�t 4' '�,�,r/ `JE-MAILvv
STREET ADDRESS ` q r �f `j)ICITY, STATLE,�ZIPOt,,iJl n�l C, n q5 C{ FAX
CONTACT NAME �J-(a ei� rvVCuV1W1C"rC� PHONE /�C � -I�`,�0/E-MAIL �C�r1V✓LUIVj
STREET ADDRESS 3Cf f rp 5Icy Ct Q l V C,(, CITY,STATE,ZIP P' {-�Y l7 ; , ,C A (,.(Ako FAX
❑OWNER ❑ OWNER-BuiLDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME ��i0.y LICENSE NUMBER yF f kC)Lj LICENSETYPEGLI BUS.LIC#
_QS
COMPANY NAME 1 �A E-MAIL, C b FAX
0IC411 A m nVCL1NVV\C r �l C' So10.+(C'i,.C�I\
STREET ADDRESS OS r �i t ,� 1 Je_�. CITY,STATE,ZIP ,�C� �, ' PHONE
ARCHITECT/ENGINEER NAME l_ LICENSE NUMBER BUS.LIC#
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 )CNO FLOOD ZONE ❑ Yes XNO
SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS: NUMBER OF PANELS/UNITSd KILOWATTS(COMMERCIAL ONLY): /� TOTAL VALUATION:
DESCRIPTION OF WORK
RECEIVED BY:
By my signature below,I certify to each of the following: I am thVthecrniption
caer or authorized agent to act on fit-PIS. e Is
application and the information I have provided is correct. I hav ofWork and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I orntatives of Cupertino to enter the above-identife property for inspection purposes.
Signature of Applicant/Agent: 1 Date:
SUPPLE L INFORMATIO UIRED OFFICE USE ONLY
W ❑ OVER-THF-COUNTER
a
Ell EXPRESS
k
U
x ❑ STANDARD
U
a ❑ LARGE
w
❑ MAJOR
PYApp_2011.doe revised 03IWII
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 22285 carta blanca DATE: 09/17/2014 REVIEWED BY: Mendez
APN: BP#: O ''VALUATION: 1$12,000
PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION SOLAR-RES
USE: PERMIT TYPE:
i
WORK install 23 panel pv system on sfdwl roof top 5.86 kw
SCOPE
F-1 Ll -L_
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School
District,etc. . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resoltidion 11-053 Eff ,17TI- 1 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 L—L-1 # Alternative Energy System
Suppl. PC Fee: ) Reg. 0 OT 1 0.0 1 hrs $0.00 $236.00 IPHOTOVRES Photovoltaic System
PME Plan Check: $0.00
Permit Fee: $0.00
Supp/. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
0
Work Without Permit? 0 Yes ) No $0.00 0
Advanced Planninw Fee: $0.00 Select a Non-Residential
Building or Structure
A
Strone Motion Fee: IBSEISMICR $1.56 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $2.56 $236.00 TOTAL FEE: $238.56
Revised: 08/2012014
ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES
A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A FLASHING WILL BE PAINTED TO MATCH EXTERIOR
AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER.
BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. plOT'
CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTINGDA CgEC�D'4Ns
DC DIRECT EGC EQUIPMENT RRENT GROUNDING CONDUCTOR COMPLIANCE ANCE WITHATORY LL LIST ART. 110.3 EQUIPMENT IN ECEI VFED
(E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING P f✓
EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION,
FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE 4 �YG SEP 17 2014
GALV GALVANIZED HAZARDS PER ART. 690.17. '� �P?•
GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE
GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY Sx
HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5.
I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL
Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B),
Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER
kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR '` rY DEVELOPMENT DEPARTMENT
kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC 'S TNG DIVISION - CUPERTINO
LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). APPROVED
MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN sef of plans and,specifications MUST be kept at the
(N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY site during c
NEUT NEUTRAL UL LISTING. oRsfruction. Itis unlawful to make an
`' nmss. or aI(erations on same, or to deviate �~
NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE ,;erefrom, wiChout approval y. . f9 Ci�PERTiNt�
OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE pp oval from the Building Official: '�-' Building Departrlient
PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING hStamping o, this plan and specifications SHALL NOT
e ,eld.to
POI POINT OF INTERCONNECTION HARDWARE. f any
permi r to e an approval of the violation F SEP 1 7 2014
PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE y' provision of
SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. 9y y City ordinance or State Law...
S STAINLESS STEEL SATE - / REVIEWED FOR CODE C0►V P ANCE
STC STANDARD TESTING CONDITIONS 'ERN1,IT #. f
TYP TYPICAL • - --- �/ O Reviewed By f��
UPS UNINTERRUPTIBLE POWER SUPPLY
V VOLT
Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX
Voc VOLTAGE AT OPEN CIRCUIT
W WATT
3R NEMA 3R, RAINTIGHT PV1 COVER SHEET
PV2 SITE PLAN
• PV3 STRUCTURAL VIEWS
• PV4 UPLIFT CALCULATIONS C�
LICENSE GENERAL NOTES - PV5 THREE LINE DIAGRAM +�
Cutsheets Attached
CA # 888104 1. ALL WORK TO BE DONE TO THE 2013
C-10 CALIFORNIA BUILDING CODE AND THE 2013
CALIFORNIA RESIDENTIAL CODE. ? , FFICE
C
2. ALL ELECTRICAL WORK SHALL COMPLY WITH
THE 2011 NATIONAL ELECTRIC CODE AS AMENDED BY
THE 2013 CALIFORNIA ELECTRIC CODE.
MODULE GROUNDING METHOD: ZEP SOLAR
AHJ: Cupertino r REV BY DATE COMMENTS
A NAME DATE COMMENTS
•
UTILITY: Pacific Gas and Electric Company
CONFlDENTIAL — THE INFORMATION HEREIN JOB NUMBER:
JB-9503673 0 0 PREMISE OWNER: DE'u°PTON: DESIGN:
CONTAINED SHALL NOT BEUSED FOR THE HAN, YG HAN RESIDENCE Kevin DoSolarCity.
BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:
NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 22285 CARTA BLANCA ST 5.865 KW PV ARRAY �/. '��� •
PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: CUPERTINO CA 95014 �i
ORGANIZATION, EXCEPT IN CONNECTION PATH 3055 CleaMer Way
THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PA05.18
SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REk DATE: San Mateo,CA 94402
PERMISSION OF SOLARCITY INC. INVERTER 408 314-5472 PV 1 9/11/2014 (Beaj SOOLL(988)—SOL—CITY(7s58-2 89)www.50) solarcity.com
ABB PVI-5000—OUTD—US—Z—A � ) COVER SHEET
PITCH: 18 ARRAY PITCH:18
MP1 AZIMUTH: 179 ARRAY AZIMUTH: 179
MATERIAL:Comp Shingle STORY: i Story
PITCH: 18 ARRAY PITCH:18
MP2 AZIMUTH:89 ARRAY AZIMUTH:89
MATERIAL:Comp Shingle STORY: 1 Story
PITCH: 18 ARRAY PITCH:18
Un-Locked Gated MP3 AZIMUTH:269 ARRAY AZIMUTH:269
MATERIAL-Comp Shingle STORY: 1 Story
I
I
I
I
I
I
I
I
I
3 FSB col
r - - =a- - - - - - - I LEGEND
rilI N
- a I
�� �►% m O (E) UTILITY METER & WARNING LABEL
LCh
12 � INVERTER W/ INTEGRATED DC DISCO
& WARNING LABELS
I0 C DC DISCONNECT & WARNING LABELS
/ I� ' `D\, w B Inv © AC DISCONNECT & WARNING LABELS
Ln I� I
A L--D J O DC JUNCTION/COMBINER BOX & LABELS
B
D� DISTRIBUTION PANEL & LABELS
3' NIV17
O
Lc LOAD CENTER & WARNING LABELS
' FSB O `
&—FeTua7eEr
CUPER "d O DEDICATED PV SYSTEM METER
Eluilclinq Dep117
rtmt. 4
Un-Locked Gated O STANDOFF LOCA11ONS
CONDUIT RUN ON EXTERIOR
Front Of House _�, S 7 014 — CONDUIT RUN ON INTERIOR
(E)DRIVEWAY GATE/FENCE
i VI y�1�C FOR CODE �C m"Pa r'�dC: Q HEAT PRODUCING VENTS ARE RED
22285 Carta Blanca St RevlC,-'e'a E, _»r: �rT- L_J INTERIOR EQUIPMENT IS DASHED
TOTAL ARRAY AREA (SF): 414 SITE PLAN N
TOTAL ROOF AREA (SF): 3699 Scale: 3/32" = 1' w E
TOTAL ARRAY AREA IS a 11.18 01' 10' 21'
PERCENT OF TOTAL ROOF AREA S
CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: JB-9503673 O O PREMISE OWNER: DESCRIP110N: DESIGN:
CONTAINED SHALL NOT BE USED FOR THE HAN YG HAN RESIDENCE Kevin Do .4a\`t?
BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: x,11,SolarCity
NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 22285 CARTA BLANCA ST 5.865 KW PV ARRAY ���
PART OTHERS OUTSIDE THE RECIPIENT'S MODULES CUPERTIN0, CA 95014
ORGANIZATION, EXCEPT IN CONNECTION WITH
THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PA05.18 3055 p°0"1°"9"4'4°0y
SOLARCITY EOUIPMENT, WITHOUT THE WRITTEN INVERTER PAGE NAVE SHS: � DATE SonT:(650)638 Mateo,028C(9 68-1029
PERMISSION OF SOLARCITY INC. ABB # PVI-5000—OUTD—US—Z—A (408) 314-5472 SITE PLAN PV 2 9/11/2014 (6W6)—SOL-CITY(765-2489)ww.sdQcitycom
(E) 2x6 S 1
(E) 2x4
S1
—2" 9,_8„
„
—2„ ,_7„ ,_1„ (E) LBW
(E) LBW SIDE VIEW OF MP2 NTS
SIDE VIEW OF MP1 NTS B
A MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES
MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 72" 24"
LANDSCAPE 72" 24" PORTRAIT 48" 20"
PORTRAIT 48" 20" RAFTER 2X6 @ 24" OC ROOF AZI 89 PITCH 18 STORIES: 1
ARRAY AZI 89 PITCH 18
RAFTER 2X6 @ 24" OC ROOF AZI 179 PITCH 18 ARRAY AZI 179 PITCH IS STORIES: 1 C.J. 2x6 @24" OC Comp Shingle
C.J. 2X6 @16" OC Comp Shingle
PV MODULE
5/16" BOLT WITH LOCK INSTALLATION ORDER
& FENDER WASHERS
LOCATE RAFTER, MARK HOLE
ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT
ZEP ARRAY SKIRT (6) HOLE.
(4) (2) SEAL PILOT HOLE WITH
POLYURETHANE SEALANT.
ZEP COMP MOUNT C
ZEP FLASHING C (3) (3) INSERT FLASHING.
(E) COMP. SHINGLE (4) PLACE MOUNT.
(1)
(E) ROOF DECKING (2) (5) INSTALL LAG BOLT WITH CUPF'RT11 q._
-
5/16" DIA STAINLESS (5) SEALING A HER.
3ai1ding Depa r5-nr:nf
STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH
WITH SEALING WASHER (6)
BOLT & WASHERS
(2-1/2" EMBED, MIN) . 4t i
S 23-4
(E) RAFTER STANDOFF
S1 REVIEtiVEG SOF? CODE si;or,'F't:p,P4GE
Scale: 1 1/2" = 1I
fsevievred B�
CONFIDENTIAL - THE INFORMATION HEREIN IDB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN:
CONTAINED SHALL NOT BE USED FOR THE J B-9503673 0o HAN, YV \\`, slarCito
HAN RESIDENCE Kevin Do �_ a
BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 22285 CARTA BLANCA ST 5.865 KW PV ARRAY 12� y.PART TO OTHERS OUTSIDE THE RECIPIENTSMoouLEs CUPERTIN0 CA 95014 ^
ORGANIZATION, EXCEPT IN CONNECTION WITH 3055 Clearview Way
THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PA05.18
SOLARCJTY EQUIPMENT, WITHOUT THE WRITTEN INVERTM PAGE NAME SHS: �' DATE T:(650)638-1028 CA
(650)638-1029
PERMISSION OF SOLARCITY INC. ABB # PVI-5000—OUTD—US—Z—A (408) 314-5472 STRUCTURAL VIEWS PV 3 9/11/2014 (898)-SCI-CITY(765-2489) www.soIQcty.Lam
UPLIFT CALCULATIONS
`, *3&9`",,�lr;SOIarGty. SleekMountTM PV System Version
Structural Desion Software
R151c -
-le
i
O:.
PV S�rsGem Module Odentatlo_nLandsaPorM
Noduli Wldlh 3V
"Mp6myt Hardware Two
RiOOf_ S"1101N'1a08N)S
QouW slww Load pg ASCE Ta61t 7-1
PV'" OA ad ASCE r=7.4=1
Wind Wde 1
Wind V 110 mph tiq 26 S-L1
1 ff :
Effedlyt
Roof Slyk__„ ...r Gable Roof � a6:aWHcaA/s
NAn 1 I A 1 17.6 sf JQC 15131.7.1
VAnd Premm bpow_r_a R= fable 303-1
T - Vim!
Wind Olredforlailtr Factor Kd 0.85 SKtlon 76.6-1
Veloc"Pfem.1re qh qh=0.00256 QW,(Kzk)M(V^2) 30.3-1
R4 psr
tit.pkthwe a e+Tt NI? _ W. -o It-a0-A41A a C4"
a.. _
w.
sEMAMON 30.4-1
Mex Avowable Standoff 5padn0 lSrTdsr pe7r 3V
Lan NOt
Z -- W.P, : CUPEPTNry
= Building DePntnet
0 of StendWf T-allow 50065
Hft Avow"Stan Spacing s&Port7 Za�
KKA Stan"QaUpft- > EVt M TOR COIDE C011�1PLANC
Hot
.py Ass ►bty 19eed uwd._ W-FV a Review_ d By
Upillt of
Standoff T-allow 500 ts,
CONFIDENTIAL- THE WORMATM� FP\A-5000—OUTD—US—Z—A
X503673 00 P�°� DEWW . DEM
�,,►� HAN, YG HAN RESIDENCEVM
I�TALL�I OSEDANYONE T OLEONR IN22285 CARTA BLANCA STS&drCftY.
PART M OTHERS OUT"THE KCPIENTS e C 5.865 KW PV ARRAY �ORGANIZATION, EXCEPT N CONNECTION WITH CUPERTIN0, CA 95014THE SALE AND USE OF THE RESPECTIVE LAR TSM-255PA05.18 3osa°eQI°"W0SOLARCITY EQUIPMENT. WnHOUT THE WRITTEN PAGE NATE SHFEL RY DATE T:(850)838-,028 '((880)638 102e
` ' 10N of sa aTYro PM
(408) 314-5472 UPLIFT CALCULATIONS PV 4 9/11/2014 (=)-sa-=(T6s-2�).... x—
GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE
BOND (N) #8 GEC TO (N) GROUND ROD Panel Number:GE MAIN, SQUARE D SU13 Inv 1: DC Ungrounded INV 1 —(1)ABB # PVI-5000—OUTD—US—Z—A LABEL- A —(23)TRINA SOLARTSM-255PA05.18 CA C 888104
AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:1005990892 FCI Inverter; Zigbee 5000W, 240V, 96.5% PV Module; 5W, 232.2W PTC, 40MM, Black Frame, MC4, ZEP Enabled
Underground Service Entrance INV 2 Voc: 37.7 Vpmax: 30.5
INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER
E 200A MAIN SERVICE PANEL (E) Distribution Panel 1 SolarCit
E 200A/2P MAIN CIRCUIT BREAKER ADJUST MIN. ACTIVATION VOLTAGES. Y
B (E) LOADS Inverter 1 IND
2{�G'�J2P— _ 6 $ ABB 4 A 1 DC+ DO NOT ADJUST MIN.ACTIVATION VMLTAGE
^�/ PVI-5000-OUTD-US-Z-A pG 1 String(s)Of 11 On MP 1
(E) LOADS 30A/2P 2.1 r————————— ------------ ------ EGC
L7
-— 7 - t? pp+ I 2 DC+ SET M N.ACTIVATION VOLTAGE TOfR10OA/2P NEl1T N I 3 G__ _ ----------- _ EGC/ DCn 2Srnng(s)Of6On MP1------------------A I GEC T D(cc 8 I GND EGC --------- ------------ --- �----------------
I I
15A/1P I
(1)Conduit Kit; 3/4* EMT
N
I I
I
EGCIGEC _ 7
-- ---
Z Z
I � C
—_ GEC N
TO 120/240V N
Lz
SINGLE PHASE I
UTILITY SERVICE L_ __ _ ____a_ __ CT SENSOR
INPUTS
I
I
1
3UIIdin9 Da
partr>lent
SEP
REV4EWED �:pR CODE GOMPL,ANCE
Voc* = MAX VOC AT MIN TEMP -Reviewed
f,?c.
Ol (1)Ground Rod; 5/8' x 8', Copper (1)SQUARE D H T1515 30 PV ACKFEED BREAKER (1)Sola�ty/4 STRING JUNCTION BOX
B Breaker, 1 A 1P-30A32P-15A�P, 2 Spaces, Quad Tandem AC 2x2 STRINGS, UNFUSED, GROUNDED DC
C (')ESun%Aware PoeerBlost CTs' Meter
1 AWG 14, THWN-2, Black =� 1 AWG E10, THWN-2, Block 1 AWG /8, THWN-2, Black Voc* =250.09VDC Isc =17.84 ADC (2)AWG/10, PV WIRE, Black Voc* =458.49VDC Isc =8.92 ADC
(1)AWG/4, THWN-2, Red (5)k(1)AWG /10, THWN-2 Red O�(1)AWG/8, THWN-2, Red Vmp =183 VDC Imp=16.72 ADC O (1)AWG/10, Solid Bare Copper EGC Vmp =335.5 VDC Imp=8.36 ADC
II��LL(1)AWG/4, THWN-2, White Vmp =240 VAC Imp=23 AAC ISL(1)AWG /10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=23 AAC IIIIII����LLLLLL(t AWG X1.0, THMM-2,.Green EGC. . . . . . . .
-(1)AWG /4,.TIiWN-2,Green . EGC. . . .-(1)Conduit.Kit_1'.EMj . . . . . . . . . . . . . . . . . .-(1}AWG /8, THWN-2.Green EGC/GEC.-(1)Conduit.Kit;.3/4'.EMT. . . . . . . . . . (1 AWG /l0, THWN-2. Black Voc* =458.49VDC Isc =8.92 ADC �'�'(4)AWG/10, PV WIRE Black Voc* =250.09VDC Isc =8.92 ADC
(1)AWG /12, THWN-2, Black ® (1)AWG /l0, THWN-2, Red Vmp =335.5 VDC Imp=8.36 ADC O L I (1)AWG/10, Solid Bare Copper EGC Vmp =183 VDC Imp=8.36 ADC
O (1)AWG /12, THWN-2, White LJ
7 ���LLL �1)AWG X1.0, TIiWN-2..Green. . E�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(1)AWG /12, THWN-2, Green EGC Vmp =240 VAC Imp=N/A N/A AAC . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .-(1)Conduit Kit;.3/4'_EMT. . _ . . . . . . .(ti)CT Leads./18 AWG THWN-2 MINIMUM
CONFIDENTIAL — THE INFORMATION HEREIN J08 NUMBER: JB-9503673 0 0 PREMISE OWNER DESCRIPTI011. DESIGN.
CONTAINED SHALL NOT BE USED FOR THE HAN YG HAN RESIDENCE Kevin Do ���`�
NEOREFIT OF SHALL IT"BE"E EXCEPT DISCLOSED N wHcITY oLE ORCIN MOUNTING '' 22285 CARTA BLANCA ST , 'i„SolarCity.
PART TO OTHERS OUTSIDE THE RECIPIENTS Comp Mount Type C 5.865 KW PV ARRAY
MODULES: CUPERTINO CA 95014 3oss aeaw way
ORGANIZATION, EXCEPT IN CONNECTION WITH s
THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PA05.18
SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE San Mateo,CA 94402
PERMISSION OF SotARCITY INC. '"`B 408 314-5472 PV 5 9/11/2014 888T{s�a�aTY(765-2489)38-1028 �wwwWarcit9corn
ABB PVI-5000-OUTD-US-Z-A � ) THREE LINE DIAGRAM (888T) SOL-CITY c r�
Label Location: Label Location: Label Location-
WARNING:PHOTOVOLTAIC POWER SOURCE
•
_ Code: PV SYSTEM WARNING
PerCode:
CRC R331.2UTILITYOPERATION ELECTRIC SHOCK HAZARD CEC .
THE DC CONDUCTORS OF THIS
Label Location: PHOTOVOLTAIC SYSTEM ARE • BE USED WHEN
PHOTOVOLTAIC DC UNGROUNDEDWN] NVERTERIS
DISCONNECTPer Cocle.- MAY BE ENERGIZED UNGROUNDED
CEC .•+,
.14.C.2 Label Location:
WARNING Code:Per
ELECTRIC SHOCK HAZARD
CEC''° ' ' DO NOT TOUCH TERMINALS �.0
MAXIMUM POWER- TERMINALS ON BOTH LINE AND
POINT CURRENT(Imp)_A
Per ..- LOAD SIDES MAY BE ENERGIZED
MAXIMUM POWER- CEC 690.53
IN THE OPEN POSITION
POINT VOLTAGE(Vmp)_V
MAXIMUM SYSTEM_V
VOLTAGE(Voc)
SHORT-CIRCUIT_
CURRENT(Isc) A
Label • _
WARNING Code:Per
CEC 705.12.D.7
INVERTER OUTPUT
CONNECTION
Label Location: DO NOT RELOCATE
(CB)
Per THIS OVERCURRENT
_ •• DEVICE
ELECTRICAL SHOCK HAZARD 690.17
DO NOT TOUCH TERMINALS
TERMINALS ON BOTH LINE AND
LOAD SIDES MAY BE ENERGIZED
IN THE OPEN POSITIONLabel L• •
DC VOLTAGE IS PHOTOVOLTAIC POINT OF '•
Per ALWAYS PRESENT WHEN INTERCONNECTION
SOLAR MODULES ARE ••
EXPOSED TO SUNLIGHT WARNING:ELECTRIC SHOCK 690.54; ,.
HAZARD.DO NOT TOUCH
TERMINALS.TERMINALS ON
BOTH THE LINE AND LOAD SIDE
MAY BE ENERGIZED IN THE OPEN
0.17
POSITION.FOR SERVICE
•-l Location: CUPERTDE-ENERGIZE BOTH SOURCE
AND MAIN BREAKER. f'
WARNING ,,_ PV POWER SOURCE , ,-, _
nt
Per ELECTRIC SHOCK HAZARD MAXIMUM AC _ A
IF A GROUND FAULT IS INDICATED 690.5(C)
OPERATING CURRENT ,
17 2014
NORMALLY GROUNDED MAXIMUM AC _ V
CONDUCTORS MAYBE OPERATING VOLTAGE
UNGROUNDED AND ENERGIZED
Reviewed By
Label • •
Label Location:
PHOTOVOLTAIC AC -• CAUTION (POI)Per _ Disconnect
PHOTOVOLTAIC SYSTEM • •
DISCONNECTPerCEC 690.14.C.2
690.64.B.4' 4 CIRCUIT IS BACKFED
Combiner :.
Conduit(D): Distribution Panel
(DC): DC Disconnect
(IC): Interior Run
Label Location: Label Location: (INV): Inverter -
ct
_ q P• CAUTION •• •-• Center
OPERATING CURRENT
Per ••- DUAL POWER SOURCE Per Code
Meter
MAXIMUM ACSECOND SOURCE!S
OPERATING VOLTAGE V PHOTOVOLTAIC SYSTEM (POI): Point of Interconnection
• 17 •' • 1 3055 Cleaview Way
• 71 ` 1 1 Y
1 1 7 1 '• 1' ` 1 . 1 1San Mateo,CA 94402
•1 1' • / 1 i' SC CA 638-1028 1 `1 1' •
1 • 1 •• I ,
SolarCity SleekMountTM - Comp SolarCity SleekMountTM - Comp
The SolarCity SleekMount hardware solution •Utilizes Zep Solar hardware and UL 1703 listed Installation Instructions
is optimized to achieve superior strength and Zep CompatibleTM modules
aesthetics while minimizing roof disruption and ,� Drill Pilot Hole of Proper Diameter for
labor.The elimination of visible rail ends and •Interlock and grounding devices in system UL Fastener Size Per NDS Section 1.1.3.2
mounting clamps, combined with the addition listed to UL 2703
of array trim and a lower profile all contribute •Interlock and Ground Zep ETL listed to UL 1703 Seal pilot hole with roofing sealant
to a more visually appealing system.SleekMount as"Grounding and Bonding System" \ Insert Comp Mount flashing under upper
utilizes Zep CompatibleTM modules with -Ground Zep UL and ETL listed to UL 467 as layer of shingle
strengthened frames that attach directly to grounding device
Zep Solar standoffs,effectively eliminating the � Place Comp Mount centered
need for rail and reducing the number of •Painted galvanized waterproof flashing upon flashing
standoffs required. In addition, composition \ 5, Install lag pursuant to NDS Section 11.1.3
•Anodized components for corrosion resistance
shingles are not required to be cut for this with sealing washer.
system,allowing for minimal roof disturbance. •Applicable for vent spanning functions
Secure Leveling Foot to the Comp Mount
using machine Screw
7 Place module
Components
B ® 5/16"Machine Screw
® Leveling Foot
Lag Screw
Comp Mount
Aph
C Comp Mount Flashing
0 0®
D
0
TIN
� i O
CUPER
Wt
< VW
u IClinq neaRrtrnert
_ SEP 17 2014
C-�evlewed By
SolarCity. 12, LISTEDSolarCityo January 2013r o January 2013
TSM-PA05.18 TRINAMOUNT II WITH THE UNIVERSAL MODULE
Mono Multi Solutions
DIMENSIONS Of PV MODULE TSM-PA05.18 ELECTRICAL DATA STC TSM-240 TSM-245 TSM-250 TSM-255 TSM-260
PA05.18 PA05.18 PA05.18 PA05.18 PA05.18
941mm Peak Power Watts-PN (WP) 240 245 250 255 260
Power Output Talerance-P,.,.,.t%) 0/+3 0/+3 0/+3 0/+3 014�3
Maximum Power Voltage-VMp(V) 29.7 30.2 30.3 30.5 303
Maximum Power Current-l-(A) 8.10 8.13 8.27 8,36 8.47
TSM = PA05 .18 ,e urnATr -
Open Circuit Voltage-Voc IV) 37.3 37.5 37.6 37.7 37.9
as sx�l
s;nurvc�.�;e Short Circuit Current-fse tAJ 8.62 8.68 8.85 8.92 9100
Module Efficiency rl-(%) 14.7 15.0 15.3 15.6 15.9
£ STC:( ficie 1000Cell 0 C Air Moss AML$accordto EN 60904-3.THE TRINAMOUNT MODULE Average efficiency reduction of 4.5%at 200 W/rn'according to EN 60904-1.
E - o
o 3
ELECTRICAL DATA(q-'NOCT TSM-240 TSM-245 TSM-250 T5M-255 TS'.'.-^60
PA05.18 PA05.18 PA05.18 PA05.18 PA05.18
60 ���� Maximum Power-P.A.(Wp) 174 178 181 184 188
Maximum Power Voltage-V, (V) 26.6 26.8 27.0 27.2 27.4
MULTICRYSTALLINE MODULE A A Maximum Power Current-Iwnov(A) 6.55 6.64 6.70 6.77 6.86
WITH TRINAMOUNT FRAME "°a"""a r Open Circuit Voltage(V)-Voc(V) 34.1 34.2 34.3 34.4 34.6
Short Circuit Current(A)-Isc(A) 7.04 7.10 7.25 7.31 7.37
812mm 780 NOCT:Irradiance o1800 W/m'.Ambient Temperature 20"C.Wind Speed l m/s.
240 26OW Back View
POWER OUTPUT RANGE Our most versitile product 1 MECHANICAL DATA
• Compatible with all major BOS components and system Solar cells Multicrysfalline 156=156 mm(6 inches)
t designs Cell orientation 60 cells(6 x 10)
[}%'J Module dimensions 1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches)
15.9 /O Weight 18.6 kg(41.0 lbs)
MAXIMUM EFFICIENCY Glass High transparency solar glass 3.2 mm(0.13 inches)
One of the industry's most trusted modules Bocksheet White
•.1 Over 2 GW sold across all major global markets Frame Black Anodized Aluminium Alloy with Trinamount Groove
PV1 Field proven performance I-V CURVES OF PV MODULE TSM-245 PA05.18 U'8otc IF 65 or IP 67 rated
T o Cables Photovoltaic Technology cable 4.0 mm2(0.006 inches2),
POWER OUTPUT GUARANTEE 9�W 1100mm(43.3inches)
S. Connector Original MC4
_7 w 800w/m2
Highly reliable due to stringent quality control <b°
P` v 5.fO
As a leading global manufacturer ^( • Over 30 in-house tests(UV,TC,HF,and many more) u 4.m xx TEMPERATURE RATINGS MAXIMUM RATINGS
of next generation photovoltaic � • In-house testing goes well beyong certification requirements 3m +
products,we believe close zoo '^7m' Nominal Operating Cell 45°C(_2°C) Operational Temperature -40-+85°C
Temperature(NOCT)
cooperation with our partners '°° Maximum System l000v DCpEq/
is Critical to Success. With local 0.0.w To.- 20.w 301tl 40.10 Temperature Coefficient of P- -0.43%/1C Voltage 600V DC(UQ
presence around the globe,Trina is voliage(v) Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating 15A
able to provide exceptional service
Temperature Coefficient of Isc 0.047%/°C
to each customer u each market Certified to withstand challenging environmental TER t NO
and supplement our innovative, g g ���
reliable products with the backing conditions •
of Trina as a strong,bankable • 130 km/hr wind load(2400 Pa) WARRANTY Building Depa Iment
partner. We are committed 10 • 900 kg snow load per module (5400 Pa) 10 year Product Workmanship Warrant )
to building Strategic,mutually
beneficial collaboration with 25 year Linear Power Warranty � SEP 17 2014
installers,developers,distributors (Please refer to product wonorny for deloils)
and other partners cls the HEVIB �'`
backbone Of our shared Success 1n CERTIFICATION `� r�ht' �'vUC V V i�p f'�
tci l dCE
driving smart Energy Together. LINEAR PERFORMANCE WARRANTY -1 PACKAGING CONFIGURATION s! c
�. ®� SA Ke sewed By �� �
10 Year Product Warranty•25 Year Linear Power Warrair"iy � Modules per box:24 pieces
17,
Trina Solar Limited
-i►-- - Modules per 40'container:672 pieces N
www_trinasolar.com 31aa% Additi �~ E e ISL us PV&CLE
d °nal�olu usrm V
9o:b a�O^T Triga
solar'S11 r
teQr
o '"°TMOnly CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEroRC USING THE PRODUCT.
Trinasolar It, ®2013 Trina Solar Limited.All rights reserved.Specificolions included in th s dotosheet ore subject to N 5,
D 80% change without notice.
Smart Energy Together Years 5 10 is 20 25 Smart Energy Together
Indstly standard TnnaSolar l
................
Additional highlights:
– RS-485 communication interface j
(for connection to laptop or data
logger).
– Integrated Arc Fault Detection and
Interruption(-A Version).
�y
ri
Technical data and types
Type code PVI-5000-OUTD-US PVI-6000-OUTD-US
Input We
.Nominal output power ................ SOOOW 6000W
................................................................I....... .............................................................................................................................................................
Maximumoutput power................ 5000W............................................`...........................................6000W.............................................
................................................................................_.
Rated grid AC volta a 208V 240V 277V 208V 240V 277V
:Input side(DC)
Number of Independent MPPT channels 2
....... ..
Maximum usable power for each channel 4000W
_....................._................ . ..............................................................................._........................................._......................................._............_..........................
Absolute maximum voltage(Vmax) 600V
n' ............................................................................................................................................................_............................................................
Start-up voltage Nstart).......... 200V(adj.120-350)..._..
` Full power MPPT voltage range 200 530V
....
Operating MPPT voltage range 0.7 x Vstart 580V
..._._..... ..... .. .............. .. .. .._
rMaximum current..(Idcmax)for both MPPT in parallel..............................................__...............................................................36A..........................._........................................................................
Maximum usable current er channel 22A
F
P .. ..
Number of wire landing terminals per channel............................ 2 Pairs
»' ..... .. .... ...
Arra wirin termination Terminal block,pressure clamp,AWG16-AWG6
ut side .
Grid connection type 10/2 0..../..2...W
.....:.........10/2W.........;. 10/2W ;...Split-0/3W ; 10/2W ._.._
....................................................................................................................................................
Adjustable voltage range(Vmin-Vmax) 183V-228V 22....1..V...-..2...6...4...V... 244V-304V 183...V..-..228V 211V-264.V.. 244V-304V
.......... ....
Grid,(requencY_. 60Hz
........ ......... .... ._ ...........................................................
Adjustablegrid frequency ran..ge...........................................................................................................................................................57-60.5Hz..............................................................................................
Maximum current..(I. :^ ..�4ws..............................................................................27Aw.s..................23Aaus..................20�us..................30Aa.s.................-28ws................._24 4w+s..........
Designed for residential and small The wide input voltage range Highlights: Power factor >0.995
.... .........
makes the Inverter suitable to low _
Total harmonic distortion at rated power <2%
commercial PV installations,this Single phase and split phase output Contributory fault current' 36.25 A � 3'&5A'/ 31.75-A 7 36.25 4 � 36.5 Awl 31.75 A 7
ower installations with reduced 25.63A .„_.:. 25.81..... 22.45 25 63 25.81 22 45.
Inverter fills a specific niche in the p grid connection. .....: A,�. N °a.e....-
string size. Grid whin termination a Terminal block,pressure clam,A G74-AWG4
ABB product line to cater for those – Wide input range for increased Input - +;;64
installations producing between The transformerless operation offers stringing flexibility. Reverse polarity protection Yes
.. ................ ....._
high performance efficiencies of up t0 _ Over-voltage..protection type.... Varistor,2 for each channel
5kW and 20kW. 9 The high speed and precise MPPT ..................................I................. ............
PV arra round fault detection Pre start-up Riso and Dynamic GFDI(requires floating arrays)
97.1%• algorithm offers real time power tput
Mar—
This inverter includes dual input Free remote monitoring capability trackingand improved energyAnti-islanding protection Meets UL 1741/IEEE1547 re uirements Meets UL 1741/IEEE1547 r ulrements
section to process two strings with available with every installation.This harvesting. p Over voltage protection type varistor,2(L,-Ls/�,-G) Varistor,2(L,-Ls/L,:Gj
independent MPPT. enables homeowners to view their – Outdoor NEMA 4X rated enclosure Maximum AC OCPD Rating35A 3oA 25A 40A 35A 30A
The high speed and precise MPPT energy production and offers installers for unrestricted use under an Maximum efficiency 97.1%
algorithm offers real-time power a proactive and economic way of environmental conditions. y CEC efficiency 96%. 965% 96.5% 96%.... 96.5% 96.5%....�
maintaining and troubleshooting the _ User interface Graphic display Graphicdis la
tracking and energy harvesting. 9 9 Integrated DC disconnect switch Operatingperformance
Flat efficiency curves ensure high System, in compliance with international Stand-b.consum tion <8W <8W
efficiency at all output levels ensuring Standards(-S Version). Night tlnyie consumption <oscvs
consistent and stable performance Com-interesHon
p User-interface 16 characters x 2 lines LCD.
across the entire Input voltage and Remote monitoring(1xRS485 incl.) VSN700_Data Logger
UP�RTINO
...... . ....
output power range. Wired local monitorin lxRS4a5 incl. PVI-USB RS485_232 1ildin9 Departm
This outdoor inverter has been Errvironmental +so° wt
ent
Ambient air operating temperature range -13°F to+140°F(-25°C to+60°C)
designed as a completely sealed unit t0 r ve..1 2 F.( _..........#....�
........................................... I
withstand the harshest environmental Ambient_air storage temperature range .._.., -40°F to.+176°F(-40°C to+80°C) -40” 'F(:d0'C to 20i4
Relative humidity. 0 100%RH condensing tndensing
conditions.
Acoustic noise emission level <50 db ®1 m <50 db 01m
...........-.............:....................................................( ....................................................................p�d
Maximum operetpq altitutde without derating....................................................................... h(2000.R!.)..............................._i......................1..]t Y.. ..Q
...CODE COMPLANCE
Power and productivity 2.Inverter can appy that much current-Breaker will open
for a better world's I Product flyer for PVI-5000/6000-TL-OUM `)
- ....._._ 2 ABB Solar Inverters
r
l
r
L.
CUPERTINO
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building acupertino.org t(
�h�t; r b Permit No. f q L`
Address ZZZZS # of Alarms Smoke:
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- 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
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: 111 dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
l have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agtennt'$) Name:
yG r l a X'_
.................... Date: ............... .
Signature ............................ ...............................................................
Contractor Name:
Signature.................................... ............................... Lic.# ....... ............................... Date: ...................
Smoke and CO form.doc revised 03 118114