B-2016-2137 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2137
20361 VIA SAN MARINO CUPERTINO,CA 95014-6332(316 01 198) SOLARCITY
CORPORATION
SAN MATEO,CA 94402
OWNER'S NAME: ABRAHAM SATISH D AND ANTONYANU DATE ISSUED:06/15/2016
OWNER'S PHONE:408-462-2466 PHONE NO:(650)963-5100
LICENSED CONTRACTOR'S DECLARRATION BUILDING PERMIT INFO:
License Class C-1 Q Lic.#888104
Contractor 9QLARCITY'CORPORATION Date 12/31/2016 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:
I hereby affirm under penalty of perjury one of the following two declarations: (N)25-PANEL ROOF-MOUNTED PV SYSTEM(6.5kW)
i. 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. Sq.Ft Floor Area: Valuation:$14000.00
APPLICANT CERTIFICATION
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 31601 198
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,`udgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
.may accrue against said City in csequence of the granting this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant under ands d will comply with all ll non-point
source regulations per the Cupertino hicipal Code,Section 9.18. 180 DAYS FROM LAyS�3 aALLED , .SPECTION.
i�
Signature Date 6/15/2016 Issued by:Alex Vallelunea
/ Date:06/15/2016
OWNER-B m D R D (T ARATLON – p
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOF
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)
2. I,as owner of the property,am exclusively contracting with licensed Signature ofApplicant:
contractors to construct the project(Sce.7044,Business&Professions Code). Date:6/15/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 1 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. 1 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 1
permit is issued, maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
a. 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
shall not employ any person in any manner so as to become subject to the material.Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay AreaAir uah anagement District I
Worker's Compensation laws of California. If,atter making this certificate of will maintain compliance with the Cupertino -un1 !1 de,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sectio s 5505 2 33,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent
APPLICANT CERTIFICATION Date:6/15/2016
certify that I have read this application and state that the above information is CONSaR ON LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
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,
judgments,costs,and expenses which may accrue against said City in Lender's Address
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
Code,Section 9.18. I understand my plans shall be used as,public records.
Licensed
Signature Date 6/15/2016
Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMN4UNI Y DEVELOPMENT DEPARTlt ENI'•BUILDING DIVISION
10300 T Os RE AVENUE•CUPERTINO'OA 95014-3255
CUPERTINO °`40£)777-3228•FAX(408)777-3333•buildin9 cupertino.o[g
PROJECT ADDRESS
OWNERNAME L S L1, e PHONE E-MAIL _
STREET ADDRE S CITY, STATE,ZIP FAX
G V C �I rI Com {} d i
CONTACT NAME p Aar an Javanmard PHONE E-MAIL
�V! J 650.477.6430 mjavanmard@solarcity.com
STREET ADDRESS391 Foster City Blvd =TY,;STATE,ZIPFoster City, CA 94404 FAX
❑OWNER ❑ OWNER-BUILDER
s ❑p OWNER.AGENT ❑ CONTRACTOR 9 CONTRACTOR AGENT ❑ ARCHITECT 11 ENGINEER ❑ DEVELOPER 11 TENANT
_ CONTRACTORNAMESolarCity Corporation LICENSENUMBER888104 LICENSE TYPE X10 BUS.LIC#2S$4.4
COMPANY NAME 677 E-MAIL a.► 1 ii F� UU
SolarCity Corporation mjavanmard@solarcity.com
STREETADDRESs391 Foster City Blvd CITY,STATE,ZIP Foster City, CA 94404 PH°NE650.477.6430
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL. _ FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF 0 SFD Or Duplex ❑ Multi-Family PROJECT IN WILDLAND - PROJECT IN
ST/RU/GTURE: ❑ COMM tial URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE. ❑ Yes ❑ NO
0 SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS: NUMBER OF PANELS/UMTS:. Q + KILOWATTS(COMMERCIAL ONLY): 6 _ 5 TOTAL.VALUATION:
DESCRIPTION OF WORK
Installation S ) rooftop flush mounted solar panel ( .s ) kW
i
h
RECEIVEDBYf£p
By my signature below,I certify to each of the following: I amt}�e property weer 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 ha Mead the escription Of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I uthorepresentatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: D
_ F r /
ate;
SUPPLEMEN AKINFORMATION REQUIRED
OFFICI:{USE ONLY �
❑ ,OVER-TAE-.COUNTER
❑ EXFRE53 .
U
❑, STANDARD
g El LABGL
EI,a,
MAJOR
PVApp 2011.docrevised03/16/11
I
DPW
SMOKE / CARBON MONOXIDE ALARMS F L
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUI'ETNC7 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(a)-cupertino.org
Perm't No.
Address' 0 t`oGt2af�'10 ���
#of Alarms Smoke: Carbon Mor.oxide:
FE T CANNOT BB FIN' LED;, COMI'LETBDyUNTii.THIS CERTIFICATH
S B AND RF .� THE BUILDING I'� Oj
�Y
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 Carb Dn
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 CoALARM_
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)
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 con Lply 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 batter operated.
In existing dwelling units,alarms are permitted to be solely battery operated where repairs or altei ations 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 907.211.4 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.
i have read and agree to coftly with the krms and conditions of this statement
Owner(or O er Agent' )N e:
Si nature ........: ............. ate: ..... ... .
Contractor Name:
Signature...................................... ...........................Lia#...................................... ate: ...................
Smoke and CO fonn.doc revised 03118114
F1 L E
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPE. TIINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
4 777-3 28,�F (4 )777-3333•building(a�cupertino:ora
Owner Name � Permit No.
Address _X361
1. Is your real property a registered historical site?
❑ s Civil Code Section 101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom o form.
No Go to Question 2. T>1
V
1
2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the property o its
plumbing,installation of water-conserving plumbing fixtures is not technically feasible?
11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply
El The licensed plumber's certification has been provided to the Building Division.
�� Skip the rest of the f and ign bottom of form.
� No Go to Question 3.
3. Is water service permanently disconnected for your building?
❑� ,Ys Civil Code Sections 01.1 ough 1101.8 do not apply. Skip the rest of the form and sign bottom o form.
'rvo Go to Question 4.
4a 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 aPd sign bottom ol form.
❑ 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..
5. Please check ONE of the following:
El 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 1,200,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 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 o
improvements).
❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and after January1,2014,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 fbtures will be
replaced prior to date specified above with water-consei ' plumbing fixtures in accordance with Civil Code Se tions 1101.1
through 1101.8,the current California Plumbing Code an alifornia Green Building Standards Code,and manu acturer's
installation requirements,and that the water-c erving 1 nbing fixtures comply with the requirements as indicated in the
table on the following page.
Owner or Owner Agent's Signature: _ Date:
Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB4072015.doc revised 08126115
DUILDING PERI�IIT.CANNOT BE FIIVALED.AND COMPLETED UNTIL THIS
CERTIFIC�. �HAS 13EE� � ��►NI?RETXTi�NED T{},THE BtTILI)IL��I�IVII� O �
_„-.uss ,.,, ,r^n su�,amu.< w__-xkxaw� ,...•sssx..wa.<..0< +* sm.-.w.acearmmrer~' 'G � --
Non-Compliant Water-Conserving Plumbing Fixture
PlumbingFixture (Fixture Complying with Current Code Applicable to New Constr ction)
Maximum Water.Usage/Flow Rate
Fixture Type 2013 CPC Ch. 4 2013 CPC Ch.4 2013 CP Ch.4
Water Usage
/Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGr en Div. 5.3
Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 16 Single flush toilets: 1.28 gallons/flush
(Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the co posite,
average flush volume of two reduced flushes and one full flu h
Urinals Exceed 1.0
Gallons/flush 0.5 gallons/flush
Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi..Also certified to the performance critE ria 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 Df 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 onl 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 nute @ 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 22 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per i iinute @ 60
Kitchen per minute 60 psi @ 60 psi psi
Faucets May temporarily increase May temporarily
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 b upgraded.
SB407 2015.doc revised 08126115