Loading...
12100168I CITY OF CUPERTINO BUILDING PERMIT I BUILDINGADDRESS: 10210STERNAVE CONTRACTOR: SOLARCITY PFRMFFNO: 12100168 OWNER'S NAME: RALPH BRUNNER 3055 CLEARVIEW WAY DATE ISSUED: 10232012 OWNER'S Pl IONE: 4089748070 SAN MATEO, CA 94402 PI ION NO: (650) 638 -1028 ❑ LICENSED CONFRACI'OR'S DECLARATION •JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL. License Class L9(, Lic.4 19RLi 1014 Contractor �e7 %GdZI%1/ Date 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. hereby affirm under penalty of perjuy 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,aill 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. AI'PLICAN "I' CF:R'1'IPIC, \'PION 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 Imes 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 app icam understands and will comply with all non -point scure lotions pe t upertino Municipal Code, Section 9.18. / r 23. Z Signature G��(H Date ❑ O\\'NER- BUILDER DECLARATION hereby affirm that 1 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 stages 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). 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 rill maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the stork 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 INSTALL 50 AMP RECEPTACLE IN GARGE FOR CAR CHARGER Sq. Ft Floor Area: I Valuation: $1100 IAPN Number: 37512001.00 (Occupancy Type I PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 00 DAYS OF PERMIT ISSUANCE OR 180 Dmlem G LAST CALLED INSP CT Issued by: Date: ,� 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 inspcetion. Signature of Applicmt: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER IIAZARDOUS MATERIALS DISCLOSURE have read the hazardous materials requirements under Chapter 6.95 of the California Ilealth & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Ilealth & Safety Code, Section 25532(a) should I store or handle hazardous material. Additiunally, should I use equipment or devices which emit hazardous air contaminants as defined by the Ray Area Air Quality %to nagement District will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Ilealth & Safety Code, Sections 25505.2 533. a 5534. Ownet or authorized agent• Date: CONS'IRUC`FION LENDING AGENCI' 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 perfomhanec of forthwith comply with such provisions or this permit shall be deemed revoked, work's for which this pemtit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT' CE R'FI FICATION 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. Date Lender's ARCIII "1'F:CI" S DECLARATION I understand my plans shall be used as public records. Licensed 4 Circuit Specifications Customer Name: Ralph Brunner JB- 950811 Address: 10210 Stern Avenue Cupertino, CA 95014 h 408.974.8070 Buildit7g Iiv Service Panel Rating: 200A _° Aartment Circuit Voltage, amperage: 240V, 40A OCT Z 3 2012 Wire Circuit iBreaker SOA, BR250 tiN 2 Re�RtVIEWEp Fp Murray MP2100, (2) B01515 "�U8Y: ECoMPUANCE Electrical Equipment: NEMA 6-50 - Installation note: Install new subpanel in garage and move existing (4) 15A breakers to create space for subpanel 100A breaker. Run new 50A circuit from subpanel. (N) 125A (E) 200A Main subpanel Panel 1, Conduit (N) NNee.ma 6.50 r6a Ll- - H pto'r ?LOS CIWCi3T+D� OA's Y• NG DES' NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 3,0001 Panel Breaker Rating:, 200 A 1-1 /1-2: 240' Vac NEC 220.83(A)(1) "General lighting and general use receptacles ... @ 3 volt/amperes per square foot as determined by 220.12" 3;000 square feel x 3w /sq ft 9;000 VA NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits 4 x 1500= 6',000 VA NEC 220.83(A)(3)(b) "Household Range(s), wall- mounted oven(s), and counter - mounted cooking unit(s)" Oven 7,680 VA Microwave 1,920 VA 9,600 total VA NEC 220.83(A)(3)(a) "All other appliances that are permanently connected; fastened in place, or connected to a dedicated circuit, at nameplate rating" Dishwasher /Disposal a`' 3,840 VA Refrigerator 1,220 VA 0 VA Washer 1,920 VA Dryer ' 5,760 VA Furnace 1,920 VA Jacuzzi 1,920 VA 0 VA VA 0 VA 0 VA 17,280 VA EVSE 1 : Tesla Nema 14550R' ' 9,600 VA EVSE 2: 0 VA J total VA 43,,jfL0 Total of non air - conditioning loads: 66 060 total VA First 8kVA of load at 100% 8—,0-0-01 VA Remainder of load at 40% 1 24,024 VA Adjusted total of non air - conditioning load MMML32,TL24JVA NEC 220.83(B) "Where additional air - conditioning equipment or electric space- heating equipment is to be installed..." A/C Equipment Unit #1 9,600 VA 1 A/C Equipment Unit #2 0 VA Total of A/C Loads and All Other Loads: I 41,824 total VA Total Proposed Calculated Load: 173.43 Amps jo �V*11 JB - Brunner olarCity. ® copyright SolarCity 2008 Charging Equipment Name VA Clippei 4800 Clippei 7680 Schnei 7200 Tesla P 9600 W W N O � V M 0 3 3 3 3 3 3 809 -9 7J39RtUJ BOf :S7f381'tfL'7 pOltllV� :31WN 80f 80 dinO3 S nOSZ WeJBSIG 6uiJIM (WW l'LS) SZ'Z O O W-1 N N 3 3 v m N J c� 3 3 y )V111WgnS NOUV013103dS (WW 0'517) LEE (WW 0.917) to't . - (WW e•ss) ZZ•Z 3 � 3 v . pal!wl I leaA 0L :,quejjeM LSO :WON SOLZSL al!j :ZV'oN Z'ZZ3 VS3 66EEL3 al!j :96V1n £L-3 :ISNV 9-OM:VW3N suolleogluao pug spiepuelS Noel9 :joloo 210E-9:VW3N samleaj lonpwd ao!Aap uo pa>pew 60uoueuuad aje s6upe8 :OI ionpwd °JMV V of do :'woo3V leulwal IwlnaryaaAl!S 'punoi0 -uaai0 'IOH -sswg :OI leulwal suopmg!3a S leoluegoalq >loelg :J0103 Iaa1S Paz!ueAleO geualeW dej1S adlM- elgno0 sswg :sl3eluoo null u016N :IeljaleW 6pog uo1LN.:IelJ0IBW 0303 suo!leogloadS leualew 309 of 000- :ainlejadwal 6ulleiado v6 in iod Z -A pales :Alllgewwel j suollm poll S leluawuwlnu3 luanno pale] luawad OS l le 10 salo6o OS jape OO£ xeW :asla ainleiadwal luauno pales Ilnd :Bulllwl-1 luann3 s6rin jad AOOOZ spuelsWAA :06e11oA 3u1301010 £ :w1m Z :alod 210E-9:VW3N 110A 09Z :aBellOA dwV OS :oBeiadwV 6ulpunwO :Bulpunoj0 suogeog!oa S le3u13a13 dH £ :06elloA pales 1V s6uge8 jamodavoH oV uogewJolul 1e31u1301 NoV'19 -'dells Iaa1S'p9nM ap!S'6wpunw0'apw0 leulsnpul 'apelg 1g6!eAS'aloeldooaa 61W gsnlj'M£'dZ'a0S-9 VW3N'110A OSZ'dwV OS uopduosaa wall 's6u!PI!nq aoglo lelwawwo3 pug slelldsog'sloogos'sau01ae1 w asn iol aologo siolowluoo leoupala agl we s831Aap apw0leulsnpul asegl "dta'apw6 lelldsoq'luelslsw- iodwel 'punw6 palelos! 6ulpnl3ul'suo Iein6guoo to 61aueA aplM a u1 algel!enV sluawuonnua leulsnpui gllm pale!3osse ROeoldAl suog!puoo gsJeg aql puelsgl!mr of pamloelnuew pug pau61.sap we saloeldooa; opei0 (eulsnpul Ain(]-AAeaH wlx3 to aug s,uol!Aaj saunleaj puejg S831nad BUIJIM OPBIS ILIBIWIS �11A31 IL b09-9 :VW3N aolniaS lawolsno loeluoo aseald ;u161i0 to ,Oluno3 VS£Z9LLnL0 :01303 Odn >1oe19 �Wjolo3 ti1£S ' ' -. / sloelUW /!euopewaluuworuol!na!'mmm :Ol 06 asea!d pale001 sl aoglo uol!nal !eooj mob aiaym moue! of eN!l p!nom no6l! ,a0uasaid !ego!6 a seq uol!na 1 0>Lppgtcgl4M 'aagou Inogl!m a6uego of loafgnS pamasaj slg6u pV ,oul "oo 6uunl3elnuelq uol!nal Z LOZ a a .c , woo-uognal-mmm qe al!sgaM mo qs!A io ®/ xw' woo- uo1! nal' �. L6LL- 99E S( ZS+): XVj-OVOL-Z80S-SS(ZS +):Ial-O6ZLl do oo!xapy'ja oo!xayl'£V euel 06el 6L ��06 WO Op *I'd Op -S ual!nal ��� epeueo/woovol!nal'�^ . S00£-VZ9 -009-L :XVj • 060L-69V,009-L :auogda!al- 63L N6H oagano 'anM alu!od 'p,enalnoS snu1FH S91 'P)l 'epeueo to 6u!mloelnuew uol!nal SOOE- VZ9-009-L :(RepPj-LepuoVq '1'S'3 WdOE:L-WVO£:9) gull goal BES6-Z£8-008-L :XVj - OZ68-EZE-008-L :auogda!al LVLLL I1N'ap!n!aw'peoa aowgS gpoN LOZ ,oul "o0 6upnpelnuew uol!nal v �W'� CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION APPLIANCE/ EQUIP TYPE ADDRESS: 10210 STERN AVE DATE: 10/23/2012 REVIFWED BY: MENDEZ UNITS APN: BP #: 'VALUATION: $1,100 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: $45 PENTANIATION 1REAP10 PERMIT TYPE: WORT: INSTALL 50 AMP RECEPTACLE IN GARAGE SCOPE APPLIANCE/ EQUIP TYPE FEE ID Plumb. Plan Check QTY UNITS RP FEES Elec. Permit Fee: 1EPERAIIT Recep /Switch /Outlets 1BREMRECEP Other Elec. Insp. 0.0 hrs $45.00 1 # $45 Pertnit Fee: Suppl. Insp Fee PME Unit Fee: $45.00 PN1E Permit Fee: $45.00 Construction Tar: Administrative Fee: IADA1IN $42.00 Work Without Permit? 10 Yes (j) No $0.00 TOTALS: Travel Documentation Fee> ITRAVDOC $45.00 Strong .-Motion Fee: IBSEISAIICR NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public 11 ork.s, Fire, Sanitary Sewer District, School District, etc.). These %es are based on the prelintinary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution I 1 -053 E2 711112) iLlech. Plan Check Plumb. Plan Check Elec. Plan Check 0.0 1 hrs $0.00 Alech. Permit Fee: Plumb. Permit Fec: Elec. Permit Fee: 1EPERAIIT Orher,ifech. Imp. Other Plumb Insp. Other Elec. Insp. 0.0 hrs $45.00 Aleck. Imp. Fee: Plumb. l asp. Fee: Elce. Lisp. Fec: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public 11 ork.s, Fire, Sanitary Sewer District, School District, etc.). These %es are based on the prelintinary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution I 1 -053 E2 711112) FEE QTY /FEE MISC ITEMS Plan Check Fce: Suppl. PC Fee PME Plan Check: $0.00 Pertnit Fee: Suppl. Insp Fee PME Unit Fee: $45.00 PN1E Permit Fee: $45.00 Construction Tar: Administrative Fee: IADA1IN $42.00 Work Without Permit? 10 Yes (j) No $0.00 Advanced Planning Fees: Travel Documentation Fee> ITRAVDOC $45.00 Strong .-Motion Fee: IBSEISAIICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $178.501__ $0.001 TOTAL FEE: 1 $178.50 Revised: 10101/2012 CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION x 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 f\0 (408) 777 -3228 • FAX (408) 777 -3333 • buildinc8cugertino.oro ^\V l r PROTECT ADDRESS i h % ) D e t - l I APV d !� 12- C.N� `J OWNER NAME I PHQNE0 D E -MAIL STREET ADDRESS h - CIT jj W . ('4 � FAX CONTACT NAME e �iCU�CO P NE /G /� Zi(,$ E-Cl/ TE ,co S,(o -r-'j "cam STREET ADDRESS "Jp). �` ���" CITY. STATE. ZIP - FAX ❑ OWNER ❑ OWNER BUILDER ❑ OWNERAGENT ❑ CONTRACTOR I&eCTITRACTORAGENT ❑ ARCHTiECT ❑ EN'GIN'EER ❑ DEVELOPER ❑ TENANT COMRACTORNAME C , ♦ LICENSE. UN E0. LICENSE TYPE BUS. LICK COMPANYNAME `s QV E -MAIL {/��ry - Y"DNI_Q Cd O G.'rCI .0 Ye' FAX STREET ADDRESS ss �t��� r G_ rr -R CI ATE, ZIPI /_ ,4 �a� �O 11/'0-2/6 ARCHITEC iENGINEE NAME / / / I ELI` ENSE NUMBER /A/` /(A, / C C I BUS. LIC u / F �L / COMPANY NAME its Ca E -MAIL , � r FAX STREET ADDRESS I r f r ' l CITY, STATE, ZIP / / / / l/- PHONE LGc C USE GE "nJ.SFD or Duplex .❑ Multi - Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes ❑ NO PROJECT IN FLOOD ZONE El Yes NO ❑SOLAR PANELS ❑ ELECTRIC VEHICLECHARGING STATION El SOLAR WATER HEATING �0 OTHER: t�-lEC4 -1-1-C FORS01ARPANELS: NUMBER OF PANELSIUN'ITS: NKI LOWATTS: TOTAL V LU TION0 DESCRIPTION OF WORK �^ l J r, 1-R By my signature below. I certify to each of the following: Ahaa application and the information I have provided u.co cl. ordinances and state laws relating to buildin s et' Signature of Applicent/Agenr. Lv owner or authorized agent m act on the rope owner's behalf. have reed this escription of `.VOrk and ve rify it is eccurace. I agree to comply with all applicable local sentatives of Cupenino to enter the above- identiffied propenAf�or inspection puryoses. Dare: l U/ 23�/ G� SU- LEMENTAL INFORMATI OIQUIRED OFFICE USE ONLY '1 V V i a OVER -THE- COUNTER ❑ EXPRESS ❑ STANDARD ❑' URGE ❑ ",NIAJOR PVApp_2012.doc revised 06POI12 ('A- M, CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10210 STERN AVE CONTRACTOR: SOLARCITY PERMIT NO: 12100168 OWNER'S NAME: RALPH BRUNNER 3055 CLEARVIEW WAY DATE ISSUED: 10/23/2012 OWNER'S PHONE: 4089748070 SAN MATEO, CA 94402 PHONE NO: (650) 638 -1028 ❑ CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ?LICENSED License Class i3) CT1 Lic. # J � 1 akf INSTALL 50 AMP RECEPTACLE IN GARGE FOR CAR SO(A�� f% 1�31� CHARGER Contractor I / Date 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: t, �I njt, �I S 1 � 0 ►l�lA� � �tK P ' " V v� I have and will maintain a certificate of consent to self - insure for Worker's °o �CX 1 Compensation, as provided for by Section 3700 of the Labor Code, for the Ft Floor Area: Valuation: $1 100 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 APN Number: 37512001.00 Occupancy Tcpe: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN A80 DAYS OF PERMIT ISSUANCE OR 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 DAY 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 ' 3r, Issued by: Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE- ROOFS: 9.18. /w j 'A � � I / 17) � Signature v 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. ❑ OWNER- BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 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(a) should I store or handle hazardous I 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 Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 2255505, 25533,, and ?5534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: 40! r' 0. / `Y Date: I r G 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 CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(cDcupertino.org AE PROJECT ADDRESS C - )_._/)(` n T�T 1 ' ` t' AfkI OWNER NAME [ \U/ I J/ l f jJ /I PHONE . of TO 0 E -MAIL STREET ADDRESS f [j yI /CITY, (! STATE, ZIP C /a pftl ' N � �[-a � FAX CONTACT NAME Zeke Carnes -Mason PHONE 510-6 64J7 -6810 E-MAIL ecarnesmason @solarcity.com STREET ADDRESS 1501 Eastshore Frontage Rd CITY, STATE, ZIP Berkeley, CA, 94710 FAx ❑ OWNER ❑ OWNER- BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ® CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SOl arC1 ty LICENSE NUMBER 888104 LICBENSECY TYPE O , C46 BUS. LIC # COMPANY NAME Solar City Corp E -MAIL ecarnesmason @solarcity.com FAX (650) 638 -1029 STREETADDREss 3055 Clearview Way CITY, STATE, ZIP San Mateo, CA, 94402 PHONE (650) 638 -1028 ARCHITECT/ENGINEERNAME Same AS Contractor LICENSE NUMBER BUS. LIC# 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 ❑ NO ❑ SOLAR PANELS Pr ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: # KILO//WATTS: TOTAL VALUATION: $10 0 0 DESCRIPTION OF WORK �t ff1/, �) W g N(M / i IX `lc/ 1(/ /i4 u`j�l f ff lace- S 'r a )")_ j j� t /001 C; f J Otto fif6l lone' RECEIVE By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the ope ner'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 b /uill ijng coClstruction. I ahoriz`e representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant /Agent: I!'% !/ Gr/v�' - /`? /, v Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY W V OVER- THE - COUNTER 0. ❑ EXPRESS w S ❑ STANDARD U ❑ LARGE a ❑ MAJOR Suppl. PC Fee: (E) Reg. O OT 1 0.0 1 Iirs PME Plan Check: $0.00 $0.00 PVApp_2012.doc revised 06120112 or Element of a Building FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nictrirt air 1 Thoco foot aro hacod an tho nroliminary infarmatian available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711112) 10210 STERN AVE DATE: 01/31/2013 REVIEWED BY: MENDEZ JimADDRESS: APN: BP #: 12100168 'VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: I PENTAMATION I PERMIT TYPE: WORK REVISION #1- CHANGE 50 AMP TO 100 AMP SCOPE $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nictrirt air 1 Thoco foot aro hacod an tho nroliminary infarmatian available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711112) 'Wch. Plan Check Phulrb. Plan Check ice. Plan Check 11 _ /? "rm;l FFo" '. Plan Check Fee: Pcrmi? T-c O ther blech. Iri,l n /her Plu, -, +� ir:: 01her Elec. Insp. Li 1lech. Insp. Fee: Plumb. Insp. ree: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nictrirt air 1 Thoco foot aro hacod an tho nroliminary infarmatian available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building 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 Construction Tin: Administrative Fee: 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure 0 i Travel Documentation Fees: Strong Motion Fee: $0.00 0.5 hrs $42.00 Admin. /Clerical Fee 1AV1�111v Blde Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $42.00 TOTAL FEE: 1 $42.00 Revised: 10/01/2012 REViE)1 ED FOR Revl:.,ind By: Circuit Specifications Customer Name: Ralph Brunner J B- 950811 Address: 10210 Stern Avenue Cupertino, CA 95014 408.974.8070 Service Panel Rating: 200A Circuit Voltage, amperage: 240V, 80A Wire Size /Type: #2 -3 Romex Circuit Breaker: 100A, BR2100 Electrical Equipment: Tesla HPWC RECEIV1F_D JAN 31 2013 BY: E., V inS0NC G ��4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO E3u,ildirg 09, rAftent APPROVED 13 This set of plans and specifications MUST be kept at the Job site during construction. It is unlawful to ma):e any same, or to deviate P,LANCE therefrom, without approval om the Building O 'icia.l. 2 -3 Romex in attic (N) EVSE 240V, 80A Level 2 ,y P IT NO. (E) 12SA (E) 200A Main Subpanel F Panel OFFICE COPti SPECIFICATIONS The maximum rating for the High Power Wall Connector is 20 kW or 80 amps at 240 volts. Your vehicle will charge from 200 to 240 volts. 120V ABOVE GROUND (common in North America) 230V ABOVE GROUND (common in Europe, Asia, and Australia) iQ ILI t:J � = n 240V AC single - phase: L1, L2, and safety ground 230V AC single - phase: LINE, NEUTRAL, and EARTH. Voltage and Wiring 208V AC 3- phase, wye- connected: Any 2 phases, and safety ground. 240V AC 3- phase, delta- connected: With center tap on one leg, use only the two phases on either side of the center tap. The two phases must both measure 120V AC to ground. Do not use the third leg (208V "stinger "). Maximum 100A Circuit Breaker. Maximum 100A Circuit Breaker. Current The maximum current for charging the vehicle is 80A or 20 kW. The maximum current for charging the vehicle is 80A or 20 kW. At 240V, this will be 19 kW maximum. At 230V, this will be 18 kW maximum. Frequency 60 Hz 50 -60 Hz Cable Length Approximately 25'(76 m) Height: 15" (382 mm) Bracket Dimensions Width: 6.22" (158.2 mm) Depth: 3.7" (96 mm) Weight (including bracket) 20 Ibs (9 kg) Operating Temperature A c ' • -22 °F to 113 °F -30 °C to 45 °C -58 °F to 185 °F Storage Temperature Enclosure Rating Type 3R IP 44 i Agency Approvals WL, FCC Part 15 EN, IEC iQ ILI t:J � = n NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 3,000 Panel Breaker Rating: 200 A L1 /L2: 240 Vac NEC 220.83(A)(1) "General lighting and general use receptacles ... @ 3 volt/amperes per square foot as determined by 220.12" 3,000 square feet x 3w /sq ft 9,000 VA NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits 4 x 1500= 6,000 VA NEC 220.83(A)(3)(b) "Household Range(s), wall- mounted oven(s), and counter - mounted cooking unit(s)" Oven 7,680 VA Microwave 1,920 VA 9,600 total VA NEC 220.83(A)(3)(a) "All other appliances that are permanently connected, fastened in place, or connected to a dedicated circuit, at nameplate rating" Dishwasher /Disposal 3,840 VA Refrigerator 1,220 VA 0 VA Washer 1,920 VA Dryer 5,760 VA Furnace 1,920 VA Jacuzzi 1,920 VA !JrRC,RT 0 VA Bwlldlrg I? VA 0 VA Tesla HPWC 19,200 VA Tesla Roadster EVSE 17,280 _v 0 FOR C0 EVSE 1: 0 V EVSE 2: :0 Vak 53,060 total VA Total of non air - conditioning loads: 77,660 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 27,864 VA Adjusted total of non air - conditioning load 73xx. VA NEC 220.83(8) "Where additional air - conditioning equipment or electric space- heating equipment is to be installed..." A/C Equipment Unit #1 9,600 VA A/C Equipment Unit #2 0 VA Total of A/C Loads and All Other Loads: 45,464 total VA ITotal Proposed Calculated Load: 189.43 Amps d,f JB - Brunner �`k � ;- -;j y SolarCit n © copyright SolarCity 2008 40 nent