13050174I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10812 BARRINGTON BRIDGE CT I CONTRACTOR: CLEAN SOLAR I PERMIT NO: 13050174
OWNER'S NAME: RANJIT MANOMOHAN 11445 KOLL CIR STE 109 1 DATE ISSUED: 05/22/2013
OWNER'S PHONE: 4088352538 I SAN JOSE, CA 95112 I PHONE NO: (408) 217-8876
9 LICENSED CONTRACTOR'S DE,C1LARATION
License Class 0 r tet" ' Lie. #
Contractor G (/ �( (%�;�r� �f t Date )_ I
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
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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.
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 14–"fDate �.
❑ OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
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:
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.
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.
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.
Signature Date
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB 17
MECH f— RESIDENTIAL r COMMERCIAL
JOB DESCRIPTION: INSTALL 23 ROOF MOUNTED SOLAR PANELS (5.75KW)
Sq. Ft Floor Area: I Valuation: $26833
APN Number: 37522096 • !ro,7 I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS F AST CALLED INSPECTION.
Issued
Date: d'
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant: Date:
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(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
Health & Safety Code, Sections 25505, 25533, and 25534.
CONSTRUCTION LENDING AGENCY
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 Professional
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
NOTE: This estinnate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Sewer District, School
District etc.). These fees are based on the relimina information available and are onlyan estimate. Contact the Dept or addn'1 info,
FEE ITEIVIS�(Fee�Resolution 11-053 Eff.' 7/1/12
ADDRESS: 10812 BARRINGTON BRIDGE CT
DATE: 05/22/2013
REVIEWED BY: MELISSA
AACch..Periull Fee:
APN: 375 22 096
BP#: J 0 �� a
*VALUATION:
$26,833
*PERMITTYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
SFD or. Duplex
USE:
Elec. Insp. Fee:
PENTAMATION
SOLAR -RES
PERMIT TYPE: �
WORK
INSTALL 23 PV PANELS ROOF MOUNTER 5.75 kW
SCOPE
$0.00
NOTE: This estinnate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Sewer District, School
District etc.). These fees are based on the relimina information available and are onlyan estimate. Contact the Dept or addn'1 info,
FEE ITEIVIS�(Fee�Resolution 11-053 Eff.' 7/1/12
Lfech. Plan Check..
Phlmb. Plant Check
Elec, Play Check .
AACch..Periull Fee:
Plmnh. Pennil rce:
Etee. Permill'ee:
0111611 Aleeh. Insp.' .Lj
Other Phlnib Insp,
Other Elec. Insp,
Aleck. Insp. Fee.
Phnnh. Insp. ree:
Elec. Insp. Fee:
NOTE: This estinnate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Sewer District, School
District etc.). These fees are based on the relimina information available and are onlyan estimate. Contact the Dept or addn'1 info,
FEE ITEIVIS�(Fee�Resolution 11-053 Eff.' 7/1/12
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:,'
$0.00
1= #
$219.00
Alternative Energy System
IPHOTOVRES Photovoltaic System
Suppl PC Fee; ,Reg. OT
0.0
hrs
$0.00
PME.Plan Check:
$0.00
Permit. Fee:''
$0.00
Suppl,''Insp. Feer Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Consti'iiCflOt1 TOX.
A(Il n i n is tl'Qt 1 ve F, ee:
0
E)
Work Without Permit? 0 Yes E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or. Structure
0
i
Ti��nc�l Docl,un nlaticii� Pees:
Strong Motion Fee. IBSEISMICR
$2.68
Select an Administrative Itern
Bldg_Stds'Cominission Fee: IBCBSC
$2.00
SUBTOTALS:
$4.68
$219.00
TOTAL FEE,
$223.68
Revised: 04/29/2013
PROFESSIONAL
ASSOCIATION
SERVICES, INC.
May 10, 2013
Ranjit Manomohan
10812. Barrington Bridge Court
Cupertino, CA 95014
Re: Architectural Application — Solar Panels
Dear Ranj it,
The Board of Directors has received and approved your Application for Architectural Alteration
for the exterior of your home at Barrington Bridge, specifically to install solar panels on the roof
of your home.
Please note that the application is contingent on the following:
1) Please provide copies of the permits you secure for this project from the City or
County.
2) Please note that any and all wiring, conduit or other items that need to run from the
panels down the side of the house must be painted to match your house.
Good luck with your project and should you have any questions, please call me at 800-371-5598
x 107 or email me at Susani�upas ir�c.com.
Sincerely,
-:clan 1. `y;� an
Susan L. Hoffman, AMS®, CMCA®, PCAM®
Community Association Manager
Enclosure — copy of application
Cc: Board of Directors, Barrington Bridge
42612 CHRISTY STREET, FREMONT, CALIFORNIA, 94538-3135
510-683-8614 OR 1-800-371-5598 PHONE • 510-868-2886 FAX