B-2016-2876CITY OF CUPERTINO BUILDING PERMIT
BUILDINGAI)DRESS:
11:54 SCOTLAND DR Ci P-ERT1N0, CA 95014-5026 (362 28 009)
NAME: NARRAVULASRIDHARANDARCHANATRUSTEE
OWNER'S PHONE: 310.5584701
►: r s �Y1ti• s t o �. • s�
CONTRACTOR:
SUNRUN
INSTALLATION
SERVICES INC
SAN LUIS OBISP.O,. CA
93401
License Class 0-46 Lie. #750164
Contractor St NRUN INSTAI aTION SERVICES INCDate 06/30/2018 X_ BLDG
I hereby affirm that A am licensed under the provisions of Chapter 9 (commencing — MECP
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect, anuZ
hereby affirm under' enalty of perjury one of the following two declarations:
s. 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.
zzj�I have and will maintain Worker's Compeimation Insurance, as provide for by
Section 3700 of the Labor Code,: for the performance of the work fo hich this
permit is issued
APPLICANT CERTIFI7/herebi,horize
I certify that i have read this application and stateaboveinformation, is correct. I. agree to comply with all coup -rdin'ncesand state laws relating to building construction, ay horizerepresentatives of this city to enter upon the abovtio d propertyfor
inspection purposes. (We) agree to save indemnd ep harmless the
City of Cupertino against liabilities, judgments, coexpenses which
may accrue against said City in consequence of tnting of this permit.
Additionally, the applicant understands and will cwith all non -source regulatinns.pertherCpOe—ina Municipal Cection 918.
I hereby affirm that I am exeml
fallowing two, reasons:
1. I, as owner of the prop
compensation, will do.
sale (See:7044, Busmi
2. I, as.owner 'of the pr p
contractors to c. C
Date
0 -]PANEL ROOF
Ft Floor Area:
APN P
36228
NO:
DA SSUED:10/06/2016
JYJ(ONE NO: (415) 580-6900 —�
r INFO:
_ PLVM$
NTIAL_co CTAT.
1VI�O1 NTEIPV 14I (2.6 KW)
$5434.00
T EXPIRES IF WORK IS NOT STARTED
CHIN 18o DAYS -OF PERMIT ISSUANCE OR.
DAYS FROM LAST. CALLED INSPECTION.
Issued by:
7.6y
eContractor's License Law for one of the RE-ROOFS:All roofs shall be inspectedprior to any roofing material being installed. If a roof is
employees with wages as their sole. installed without first obtaining an inspection, I agree to remove all new materials for
work, and. the structure is not intended or offered for inspection.
& Professions Code)
y, am exclusively contracting withicensed
hepr9ject{Sec.7044, Business & Professions Code).
I hereby affirm under p alty of perjury one of the following three declarations:
1. I have and maintain a Certificate of Consent to self -insure for Worker's
Compensa 'on, as provided for by Section 3700 of the Labor Code, for the
perfo cc of the work for which this permit is issued.
2. I have d will maintain Worker's Compensation Insurance, as provided for by
5ecti n 3700 of the Labor Code, for the performance, of the work for which this
permit is issued.
a. 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 shalt
be deemed revoked.
A"LICANT CERTHI AUDN
1 certify that I have read this application and state that the above information is
correct. I agree to comply with aN 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 forinspection 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 Muriieip ,
Code, Section 5.18.
hue ofApplicant:
10/6/2016
ALL ROOF COVERINGS TO BE
HAZARDO!IS 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 compliancewith 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 ManagementDistrict I
will maintain compliance with the
Cupe btuu� ►pal Cade, Chapter 9.12 and
the Health & Safety Code, Seg=9fi 550 , 25533, and 25534.
Droner or authorized agent:
Date: 10/6/2016
I hereby'affirm that there is a coi
of work's for which this permit is
Lender's Name
Lender's Address
)Aendi ng agency for the performance
(Sec. 3097„ Civ C.)
ARCIHTECT'S DR L RATTON
I understand my plans shall be used as public records.
Date 10/6/2016 1
Licensed
ALTERNATIVE ENERGY PERMIT APPLICATION.
,} COMMUNITY DEVELOPMENT DEPARTMENT ®BUILDING DI SION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • 4qqMag&upq.rtino'6rcQi
By my signature below, I ertify to each of a folio am the property owner or authorized agent to act .on the property owner's behalf. I have read this
application and the info atiolr 1= rov"ded is t, have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state1 s relating to b` it g s on authorizer resentatives of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApplic Agent: Date: 10/0612016
PV4pp 20'11:doc revised 03/16111
PROJECTADDRESS
1154 Scotland Dr
Arrl
36228009
OWNECT AME
Sridhar Narravula'
PHONE .
(310 558-1701
E-MAIL
STREET ADDRESS
11.54 Scotland- Dr
CTTY, STATE, ZIP
Cupertino, CA 95014
FAX
CONTACT NAME
- Vance Jason
PHONE
(408) 506-3693
E-MAIL vencejason@sunrunhome.com
STREETADDRE$S
2300 Zanker Rd Unit F
C1, Y, ST TE, ZIP
San Jose, CA 35131
FAX
(408) 894-9294
'
® OWNER M OWNER:BUILDER ❑ OWNERAGENT
. _
y! CONTRACTOR ® CONTRACTOR AGENT Q ARC
_. ..
INF.Ei� ❑
CT ` DEVELOPER �' TENANT
{
CONTRACTOR NAME
Sunrun
LICENS ER -
LICENS 'T
E
BUS. LIC ff
750184
-4
2793.2
COMPANYNAME
SunrunMAIL
MA
,
(408) 894-9294
STREET ADDRESS
2300 Zanker Rd Unit F
CITY, STATE, ZIP
San Jose, C 9W
PHONE
(408) 746-3062
ARCHITECT/ENGINEERNAME
LICENSE R \
BUS. LIC
COMPANY NAME
a
E-MAIL , ��.
FAX
STREET ADDRESS
CITY, ST TE, ZIP
PHONE
USE OF y4 S or Duplex❑ 1� TUltt F
lyPROJECT
IN WILDL
PROJECT II I
STRUCTURE: ❑ Commercial
URBAN INTERFACE AREA 0 Yes: ❑ No
FLOOD ZONE ❑ Yes ❑ No
VSOLAR PANELS
❑ ELECTRIC 4CLECHARGING STATION'
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANELS TS:
KILOWATTS (COMMERCL4L ONLY):
TOTAL VALUATION:
.p54J4
J
DESCRIPTION OF WORK 2.6 RW P (10) module Solar rooftop installation
By my signature below, I ertify to each of a folio am the property owner or authorized agent to act .on the property owner's behalf. I have read this
application and the info atiolr 1= rov"ded is t, have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state1 s relating to b` it g s on authorizer resentatives of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApplic Agent: Date: 10/0612016
PV4pp 20'11:doc revised 03/16111
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-2876
1154 SCOTLAND DR CUPERTINO, CA 95014-5026 (362 28 009)
SUNRUN
INSTALLATION
SERVICES INC
SAN LUIS OBISPO, CA
93401
OWNER'S NAME: NARRAVULA SRIDHAR AND ARCHANA TRUSTEE
DATE ISSUED: 10/06/2016
OWNER'S PHONE: 310-558-1701
PHONE NO: (415) 580-6900
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C-46 Lic. #750184
Contractor SUNRUN INSTALLATION SERVICES INC Date 06/30/2018
X BLDG —ELECT _PLUMB
I hereby affirm that I am licensedunder the provisions of Chapter 9 (commencing
_ M ECH 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:
(N) 10 -PANEL ROOF MOUNTED PV SYSTEM (2.6 KW)
I hereby affirm under penalty of perjury one of the following two 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'%-A 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: $5434.00
APPLICANT CERTIFICATION
certify that I have read this application and state that -the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
362 28 009
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.
Additionally, the applicant understands and will comply with all non -point'
WITHIN 180 DAYS OF PERMIT ISSUANCE OR .
source regulations per the C vino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature t Date 10/6/2016
Issued by: AbbyAyende
OWNER -B ION
Date: 10/06/2016
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 (Sce.7044, Business & Professions Code)
2. 1, as owner of the property, am exclusively contracting withleensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 10/6/2016
I hereby affirm under penalty of perjury one of the following three declarations:t1I
L 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
s. I 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
Worker's Compensation laws of California. If, after making this certificate of
air contaminants as defined by the Bay Area Air Quality Management District I
exemption, I become subject to the Worker's Compensation provisions of the
will maintain compliance with the Cupertin ipai Code, Chapter 9.12 and
the Health & Safety Code, S cti 550 , 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked. 'Owner
Ci
or authorized agent:
APPLICANT CERTIFICATION
Date: 10/6/2016
1 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
I hereby'affirm that there is a construes 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.
1 understand my plans shall be used as public records.
Signature Date —1261206
Licensed
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
--
EF�.TINO (408) 777-3228 FAX (408) 777-3333 - building(a)cupertino.ora
C�J��"
PROJECT ADDRESS 1154 Scotland Dr
APN# 36228009
OWNERNAME
Sridhar Narravula
PHONE (310) 558-1701
E-MAIL
STREET ADDRESS.
1154 Scotland Dr
CITY, STATE, ZIP
Cupertino, CA 95014
FAX
CONTACT NAME
Vance Jason
PHONE
(408) 506-3693
E-MAIL
vance.jason@sunrunhome.com
STREET ADDRESS
CITY, STATE, ZIP
FAX
2300 Zanker Rd Unit F
San Jose, CA 95131
(408) 894-9294
❑ OWNER ❑; OWNER -BUILDER ❑ OWNER AGENT WCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER 1:1 TENANT
CONTRACTOR NAME
Sunrun
LICENSE NUMBER
7501.84
LICENSE TYPE
C-46
BUS. LIC #
27932'
COMPANYNAME
Sunrun
E-MAIL
FAX
(408) $94-9294
STREET ADDRESS
2300 Zanker Rd Unit F
CITY, STATE, ZIP
San Jose, CA 95131
PHONE
(408) 746-3062
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY,
CITY, STATE, ZIP
PHONE
N/I
USE OF SFD or Duplex ❑ Multi -Fainly
PROJECT IN WILDLAND
PROJECT IN
STRUCTURE: ❑ Commercial
URBAN INTERFACE AREA ❑ Yes ❑ No
FLOOD ZONE ❑ Yes ❑ No
m SOLAR PANELS
❑ ELECTRIC VEHICLE CHARGING STATION
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANELS/UNITS:
KILOWATTS (COMMERCIAL ONLY):
TOTAL VALUATION: Q 6434
IPJ
DESCRIPTION OF WORK 2.6 kw PV (10) module Solar rooftop installation
RECEDED I- —
Pffl
folio
By my signature below, I certify to each4deo
am the property owner or authorized agent to act on the property owner's behalf I ave read this
application and the information I have r
t, have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to b i
tion I authorize r resentatives of Cupertino to enter the above -identified property for inspection purposes..
Signature of Applicant/Agent:
Date: 10/06/9016
SUPPLENr
INFORMATION REQUIRED
II :ST�xn�ry
�
_❑ �urA�
PVApp 2011.doc revised 03116111