13060026 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10407 LAS ONDAS WAY CONTRACTOR:SOLARCITY PERMIT NO: 13060026
OWNER'S NAME: HESHAM ABUELATA 3055 CLEARVIEW WAY DATE ISSUED:06/17/2013
OWNER'S PHONE: 4082533407 SAN MATEO,CA 94402 PHONE NO:(650)638-1028
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL0
License Class C—fCO Lic.# N INSTALL 13 FLUSH MOUNTED ROOFTOP]PV PANELS
(3.185KW).UPGRADE(IE) fl00Aj�iL]P TO 200A1ViL]P.ADD(N)
Contractor. �o j4 r C-,�� Date ��'z1'3 DEDICATED CIRCUIT(C]FCI) FOR]FUTURE WALK-IN TUB.
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:
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:$14500
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 APN Number:36929041.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is IPERMI T EX PI RES][F WORK I S NOT S�'ART EIlD
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN ®����®�PERMIT ISSUANCE ®�
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 llDA�' OM 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,the applicant understands and will comply Issued by: Date: 6-/713
with all non-point source u a ions per the Cupertino Municipal Code,Section
9.18.
SignaRE-ROOFS:
t a Date � ' �� 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.
❑ O ER-BUILDER DECLARATION
Il hereby affirm that Il am exempt from the Contractor's License Law for one of I
Signature of Applicant: Date:
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)
I,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. I 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(x)should I store or handle hazardous
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 Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the C ino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,S 50 ,25533,and 25534.
Section 3700 of the Labor Code,for theerformance of the work for which this /
p Owner or authorized gent: Dater
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 CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I 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.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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I 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
CITY OF cCUP ERTINO
FEE IES'I'MATOR— BUILDING DIVISION
AD DRESS: 10407 LAS ONDAS WAY DATE: 06/04/2013 REVIEWED BY: MELISSA
APN: 369 29 041 BP#: *VAILUATION: 1$14,500
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: SOLAR-RE A
WORK INSTALL 13 FLUSH MOUNTED ROOFTOP PV PANELS 3.185kW . UPGRADE E 100AMP TO
SCOPE 200AMP, SAME LOCATION
Mach. Plan Check PhtniL Plan Check Elea Plan Check 0.0 hrs $0.00
F1,111-11/1P ermil Fee: Phrmh. Per•mil Pee: Elec.Permit Fee: IEPERMIT
0(her Alech. IMP. Other Plumb Insp. Other Elec.Insp. IE
hrs $45.00
Alech.Insp. Fe c Plurrrb.Insp. Fee: Elec.Insp..Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). These ees are based on the prelimina information available and are onl an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 0 # Alternative Energy System
Suppl.PC Fee: C) Reg. ® OT Q,Q hrs $0.00 $219.00 IPHOTOVRES Photovoltaic System
PME Plan Check: $0.00 200 amps Electrical
Permit Fee: $0.00 $45.00 IBELEC200 Services
Suppl. Insp.Feer Reg. OT Q Q hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $45.00
Conso-uction Tax: 1=
Administrative Fee: ]ADMIN $42.00 0
Work Without Permit? Yes 0 No $0.00 0
Advanced Planning.Fee: $0.00 Select a Non-Residential
Travel Documentation Fee: ITRAVDOC $45.00 Building or Structure 0
Stroniz Motion Fee: IBSEISMICR $1.45 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
Sl{JBTOTALS: $134.45 $264.00 TOTAL FEE: 1 $398.45
Revised: 04/29/2013