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13120088CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10111 CRESCENT CT I CONTRACTOR: CLEAN SOLAR I PERMIT NO: 13120088 OWNER'S NAME: TIMOTHY BIENZ 11445 KOLL CIR STE 109 I DATE ISSUED: 12/10/2013 OWNER'S PHONE: 4082521572 I SAN ]OSE, CA 95112 I PHONE NO: (408) 217-8876 5 LICENSED CONTRACTOR'S DECLARATION License Class / !i C 4ZLi,. # (IOU 4--47 Contractor le < ,n /QY Date 7 2 / (, - ( 3 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 regulationsper the Cupertino Municipal Code, Section 9.18. Signature Gig Date ❑ OWNER -BUILDER DECLARATION I 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 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL INSTALL 39 ROOF TOP, FLUSH MOUNTED PV PANELS (9.75KW) Sq. Ft Floor Area: I Valuation: $66755 APN Number: 32617058.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS F-RUM►ff CALLED INSPECTION. Fa e Z / o/L3 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 505, 25533, a 25534. . Owner or authorized agent: /� Date: /Z 1r 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 CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacugertino.Grg PROJECT ADDRESS I i� APN N 3 OWNER NAME f? eh /� PHONED STREET ADDRESS 0 / �e CITY STATE, ZIP I i FAX 004 CONTACT NAME PH NE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER 13OWNER-BUILDER❑ OWNER AGENT Jam. CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT M' CONTRACTOR NAME / ^ LICENSE NUER Ll ENS TYPE 1 4 BUS. LIC N COMPANY NAME leeho, O E-MAIL _ l t) v FAX STREET )V S _ v' 1 Y // h l7 V CITY, STATE, ZIP ����� PHONE J/ ��� / �Y ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes NO PROJECT IN FLOOD ZONE ❑ Yes KO it SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION TO SOLAR WATER HEATIN ❑ OTHER: FOR SOLAR PANE/T. NUMBER OF PANELS/UNITS: 31 B KILOWATTS: TAL VALUATION: 3= J J 62 DESCRIPTION OF WORK y RECEIVED BY: - ) By my signature below, I certify to each of the following: I am the property owner 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 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 burstructio I author' representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of A ppl icant/A Rent: �l—.� Date: SUPPLEMENTAL INFORM TION REQUIRED OFFICE USE ONLY OVER-THE-COUNTER G } F- U V U ❑ EXPRESS ❑ STANDARD J ❑ LARGE ❑ MAJOR FVApp_2012.doc revised 06120112 �����,���,..,,� CITY OF CUPERTINO I�IY_`�!l/�I FF.F, FCTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public works, fire, Sanuary Sewer "r het, .Jcrrovr r_ _ _ X --- _ r _ a .r r:.. .,F . .r: , n:Jn6Ja and nra nnly nn oct[mnte Contact the Dent for addn7 info. FEE ITEMS (Fee Resolution 11-453 Eff.' 71!13) 10111 CRESCENT CT DATE: 12/10/2013 REVIEWED BY: MELISSA iLlADDRESS: APN: 323 17 058 BP#: 'VALUATION: $66,755 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex p Yl tt rttl . 11 +y r. (< �> PENTAMATION SOLAR -RES PERMIT TYPE: USE: $0.00 PME Plan Check: $0.00 WORK INSTALL 39 ROOF TOP FLUSH MOUNTED PV PANELS 9.75 SCOPE I kW) NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public works, fire, Sanuary Sewer "r het, .Jcrrovr r_ _ _ X --- _ r _ a .r r:.. .,F . .r: , n:Jn6Ja and nra nnly nn oct[mnte Contact the Dent for addn7 info. FEE ITEMS (Fee Resolution 11-453 Eff.' 71!13) /tech. Plan Check !'h-rb. Plan Check Oec. Plan Check Rktech. 1" n=rr 1 t'111-11. Permit Fec: F.lec. Permit Fee: Other Afech. Ins7l. )cher Plumb Insp. Other Elec. Insp. l Ict h /v v), F'c c' � Yl tt rttl . 11 +y r. (< �> L/c r, Insp, Fc'e NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public works, fire, Sanuary Sewer "r het, .Jcrrovr r_ _ _ X --- _ r _ a .r r:.. .,F . .r: , n:Jn6Ja and nra nnly nn oct[mnte Contact the Dent for addn7 info. FEE ITEMS (Fee Resolution 11-453 Eff.' 71!13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 1-1 # $229.00 Alternative Energy System 1PHOTOVRES Photovoltaic System Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiniction Tarr: �ldrnireicncrtivc> 1ec.: E) Work Without Permit? © Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 1 7 E) 0 A 7`1 -al c I Ooc11111<nrlurioll Fccs. Strong Motion Fee: 1BSEISAfICR $6.68 Select an Administrative Item Bldp, Stds Commission Fee: 1BCBSC $3.00 SUBTOTALS: $9.68 $229.00 TOTAL FEE: $238.68 Revised: 10/01/2013 O.1 rD N r7 Z W U9 n -0 Ln. -i W ooo 0o=O'N v" t"* e�'(D rt r- OaD 'ccZ 0aC�s �.pRI n anDX 2 'v c n D Dn CIO Ln -+� <r a�or !n z� rtn B - W �z� z� O m ?� r zm �N z� z� �Z cn-0 1 C M((zn GZi u) Z > of `(DD (� °. � � < rD rD O (/ rD 3 (D O m d Q Cr �� °Er = Q' D Q rt m G O 0 E 0 N ro ` ( � O to "'.°• c1^n =. O=r O1 00 O IV a Q� mo <5. vJ roD a un a� u'° � m n' a r0�r nL+ (DD pc0 paj KV O Cr O O (DD c n C o Cl a v`J CD r -S c iTl nr`D eri��CD�iva�o�°;`�� Q FA OO a O Ln.� O CL O CD nJ�n <°) _ hr0 @ ��Xpp rt rt o ED D cn o Z v D P v 9 01CJ1-t�,W po W Cnr ri-+�� * 4 p m �.. a N V W lQ .P N �p o u-) 0� `°nNi cmrJoo� n f••i�Cr a 3 m � _ rt n C: r- LnLn W Ln Ln 0 3x33 ?a pmZ= R° Ln raD C D O C Q D p 1 orpo� �a @ o vc ? �0� NrE-i y K< Lnp P n G o 0 nJ cci a C � m� m rD 0 =p,C0 003 z cn�> y 3p3po c w-N� p Vf 7DO�r -e d V1 O. O. 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Individual modules inverted from DC to AC With microinverters located under each module. 3. #10 wire sized for 0.34% voltage drop over 60 feet @ 240 volts. erters: (39) Power One Aurora MICRO-0.25-I-OUTD-US : (39) SunPower SPR-X20-250-BLK #12 XHHW-2 AC BUS (under modules) A13 I A14 I A15 #12 XHHW-2 AC BUS (under modules) B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 B13 B14 B15 C1 I C2 I C3 I C4 I C5 I C6 I C7 I C8 SUNPOWER - BONDING METHOD #4 SS 10/32 M5 Hex Nut #5 SS Lock Washer #3 Module Frame #2 Star Washer —20 in -lbs --- #6 SS 10/32 M5 Hex Bolt #1 Ilsco Lug Copper Wire #4-6 at 35 in -lbs #8 at 25 in -lbs #10-14 at 20 in -lbs Memod of Bottling Module and Racking Attach a ground conductor to a grounding lay -in lug mounted at one of the four designated 0.17" grounding holes on the module frame. Alternatively, any unused mounting hole can be used to mount the lug. Use a grounding lug such as #1 Ilsco GBL-4DBT, Bumdy CL50- DB-T or Tyco Solklip 194381-2, and stainless steel hardware (bolt, washers and nut). A #2 star washer Should be used between the #1 grounding lug and the #3 module frame in order to break through the anodizing and establish electrical contact with the aluminium. The assembly must end with a #4 nut and be torqued between 20 inch -pound to 25 inch -pound for a #10 bolt A #5 lock washer or other locking mechanism is needed to maintain tension between the #6 bolt and the assembly. The copper conductor must be attached to the grounding lug using the stainless steel set screw provided by the manufacturer. Please refer to NEC Article 690 on grounding PV arrays for specific requirements. #12 XHHW-2 AC BUS (under modules) 97 (E) UTILITY (E) MAIN SERVICE (N) AC LOAD METER PANEL Square D CENTER Bi-directional 200 A rated HOM6121-100RB PG&E 100 amps 000 0 0 No Main Breaker F.11 To (E) 20 A ITY UTIL GRID 60 A 15 A 120/240V single phase #4 GEC connected to (3) #6 THWN-2 wires (E) UFER GE rod (1) #6 THWN-2 ground 3/4" EMT conduit #6 solid copper ground CJPEF:' . nc'viF v'lEI. HUk CODE CUMPLIANCE By 17,41,W (9) #10 THWN-2 wires (1) #8 THWN-2 ground 1" EMT conduit CLEAN SOLAR INC. 1445 KOLL CIRCLE SUITE 109 San Jose CA. 95112. Cont. Lic # 910849 www.cleansolar.com CIEANSOLAR LU M 0 tD N . Z (�J m CD LZF a - V) U SCALE a- 0 Ln a� U CO Ln z � N DC n LU a- n N U Ln N 4; ' U 0 0 4-0C U N L U ,-r O DRAWN BY: REVISION ISSUE DATE: Dec/03/2013 SHEET NO. 131 H� C7 O —� JB > Lu o z Q Lu LU M 0 tD N . 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