12100169 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1098 NOVEMBER DR CON'I'RACI'OR:SOLARCITY PFRMIT NO: 12100169
OWNER'S NAME: LIN DEKANG AND LIN-YUAN YIHUA LOU 3055 CLEARVIEW WAY DATE ISSUED: 10232012
OWNER'S PI IONF: 4086884784 SAN MATEO.CA 94402 PI IONS NO:(650)638-1028
❑ LICENSED CO\rRACTOR'S DECLARATION JOB DESCRIPTION: RESIDEN"FIA1, COMMERCIAL
License Class[•-/0 L Lic q unRVO!!/ INSTALL 50 AMP RECEPTACLE IN GARGE FOR CAR
- CHARGER
CContractoril(q 0(L( Date 1070j7/2—
1 hereby affirm that I am 1'ccnsed 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 penally 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 die Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$900
1 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
,U'N Number:36217023.00 Oecupnncy'1'ype:
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.,)agree to comply with all city and'county ordinances and stale laws relating WITHIN O 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
granting of this permit. Additionally,the applicant understands and will comply Issued by: r'f/V Date:
with all non-point source regal lions pe a Cupertino Municipal Code,Section
9.18.
RF,-ROOFS:
Signature % f Date L' Z All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without fust obtaining an inspection,I agree to remove all new materials for
inspection.
❑ ONVNF:R-BUILDER DECLARATION
Signature of Applicant: Date:
1 hereby affirm that 1 am exempt from the Contractor's License Lawfor one of
the following two reasons: ALI,ROOF COVERINGS TO BE CLASS"A"OR BETI'F,R
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(Sce.7044,
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to IIA%ARDOIIS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California llealth&Safety Code,Sections 25505.25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino lilunicipal Code.Chapter 9.12 and the.
declarations: llealth&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 1
performance of the work for which this permit is issued. will maintain compliance with the Cupertino dl onicipal ode.Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the llealth&Safety Code.Sections_155ft 25533,an 34. '
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorize)agent: Date:
permit is issued. —
I certify that in the performance of the work for which this permit is issued,I shall m
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCI IFI'ECI"S DF,CLARATION
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 mad will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
Circuit Specifications
Customer Name: Lou Lin-Yuan
JB-950940
,; Address: 1098 November Drive
t7 Cupertino, CA 95014
Q: vCk
U (408) 688-4784
A. Q Q C Service Panel Rating: 125A
DQ Circuit Voltage, amperage: 240V,50A
Wire Size/Type: N8 AWG,THHN-2
m�
Circuit Breaker: SOA
e*a
Electrical Equipment: NEMA 14-50
U
V �
O �U
U
eY I Qj 3�
House
1-Car Garage 2-Car Garage
(E)225A
#8 AWG THHN-2 Main Panel
ii ann %'EMT-60•
Across Garage
�JJr'�\` Ceiling
F+&
d
Pw •wiz
v3
OAS
ANG DEp9'i
Y
O ATE
pt Tom^ ID
NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit
Square Feet: 1,200 Panel Breaker Rating:` 1251A 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"
1,200 square feet x 3w/sq ft 3',600 VA
NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit
Number of circuits F__ 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 5,7601VA
Microwave 0 VA
5,760 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 2,880)VA
Refrigerator 1,200 VA
Compactor- "T- 0 VA
Washer -_ 900 VA
Dryer 5,7J VA
Furnace 1,440 VA
0 VA
— -_�O]VA
0 VA
--
_iVA
--- "_ VA
EVSE 1: Tesla Nema 1'460R_— 9;6001VA
EVSE 2: 0 VA
21,780 total VA
Total of non air-conditioning loads: _37 140 total VA
First 8kVA of load at 100% 8,000 VA
Remainder of load at 40% 1 11,656 VA
Adjusted total of non air-conditioning load 19;666 VA
NEC 220.83(6) "Where additional air-conditioning equipment or electric space-heating equipment is to be
installed..."
A/C'Equipment Unit#1 _ 9_,60_0(VA
A/C Equipment Unit#2 0 VA
Total of A/C Loads and All Other Loads: ( 29;266 total VA
Total Proposed Calculated Load. 121.90 Amps
JB - Lin-Yuan %;SM V
®copyright SolarCily 2008
Industrial Grade
Power Devices
-p 50 AMP 125/250V 3-Pole 3-Wire Non-Grounding
4
DESCRIPTION CAT.NO. WALLPLATE INFORMATION
�. Flush Mount Receptacle 5206' Fits all wallplates with 2.15'diameter center hole.
See Section G for more information.
, ta.mN 00
;i• � Surface Mount Receptacle 5050
'4 •rj Matching Angle Plug 9450-P
n 5206
50 AMP 1251250V 3-Pole 4-Wire Grounding
DESCRIPTION CAT.NO. WALLPLATE INFORMATION
Flush Mount Receptacle 2791 Fits all wallplates with 2.15"diameter center hole.
See Section G for more information.
0-0 0' See page D7 for dimensional drawing
® Panel Mount Receptacle. 279-PM
s Surface Mount Receptacle 55050
Matching Angle Plug 9452-P
•;91
279-PM
50 AMP 250V 39 3-Pole 4-11111fire Grounding
SPECIFICATIONS&FEATURES
• Made of durablethermeplastk DESCRIPTION CAT.NO. WALLPLATE INFORMATION
• Hmvygauge,double-wipe copper Flush Mount Receptacle 8450tt Fits wallplates with 2.465"diameter center hole.
alloy contacts
• Easy-to-wire terminals accept up to 15-WRr�00, See Section G for more information.
No.4 AWG conductors c
• Terminal marked for easy identifica.
tion and fast wiring Flush Mount Receptacle 8450-IG As above
• All mounting hardware included Isolated Ground
• Flush mount devices fit single or
two-gang oudet boxes Matching Angle Plug 8452-P
• Surface-count devices are COM- tymr •���•
MERCIAL GRADE and have concen.
Inc knockouts for V4 and l'conduit
and adjustable cord damp and back
and bottom entrance of cede thatching single-gang wallplam:Cat.Nos.84206,84028.Matching Industrial Wealher-Resismnt cover.Cat.No.WP2-
TtMatrhirg single-gang wallplate:Cat.No.S70140
TESTING 8 CODE COMPLIANCE All devices are UL Listed and CSA Cenified. -
UL Listed for copper or aluminum
conductors(Fle 1E-13399);Angle
Plugs(Fle bE-13393,File 1E-3810) O ® O
• ULTest 498 conductors 2.22(56.3.ral tet 46.a n,n,ll i
• CSACumretors
or - f
aluminum conductors
(Elle(3152105);CSA Test 42
• NOM Certified(1057) —
• Meets NEMA and ANSI standards
E
• Backed by a Limited 10-Year ,Is E E E E
Warranty O O 3-POLE,4-WIRE GROUNDING
Cat.No.279-PM(shown)
MATERIAL CHARACTERISTICS ^R `„ 9 Cat.No.278-PM(same as 279,except for
Environmental:Flammability,Rated V2m NEMA configuration) -
Operating Temperature:From 40*C
(without impact)to 75•C maximum
condnuous 1,77 p5A coral j..
zzs lsx.t m"•1 �. �. .
sea q.
3-POLE,3-WIRE NON-GROUNDING
�•�� Cat No.5206 , -
�iI�TWAcommr,mm
nw
RECOMMENDED PANEL CUTOUT
To loam more about Leviton's outstanding offering of devices visit our Website at:www.loviton.com....Building a Connected World
ALTERNATIVE ENERGY PERMIT APPLICATION (^ Am E
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
c \
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
(408) 777-3228• FAX(408)777-3333• building0cupertino.org �� v
CUPERTINO
PROJECT ADDRESS P•`r� APN d /�� -7 /1 7
OWNERNAME ( ❑� ` V`I I ""'P0
) CY E-MAIL
STREET ADDRESS/Off OVO4-f- �✓• CRY, ATE,ZIP / � l� FAX
CONTACT NAME U Ctti PHONfirw _z }/X/ E-MAIL
4f C Ir! CDI�1
STREET ADDRESS Sb ��. J _ CIT ,STATE. ZIP
C-C' C 6 FAX
11 OWNER 13OWNER-BUILDER ❑/0".ERAGENT ❑ CONTRACTOR C1 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME L LICENSE NUMBER O LICA TYPE I RUS.LICM f 1
hI- ( —f
COMPANY NAME I� C Y E M Jr-'Ql"CI �O FAX
STREET ADDRESS ?/�(CI t ` CITY a N,ZIPNoi" n , (�/77 lel 10 -Zl6 8
ARCHITECT/ENGINEEERRNNAMMEy L (�J ('C SE NUMBER Y/ /J/�—I BUS.LIC B l 1
�GWtQ� S
COMPANY NAME / u�.l.—„,.. 1 � E-MAIL L FAX
li P T/vY�'O L L
STREETADDRESS I CITY.STATE.ZIP L PHONE , I
USE OF ^C✓SFD Or Duplex .❑ Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes,,>>❑ NO
Irp
Irmp
y��,�� C✓
❑ SOLAR 9&TCTR
PANELS IC VEHICLE CHARGING STATION I Cl SOLAR WATER HEATINGL•4.�64—
PORAOIARPANELSr NUMBER OF PANELSIUN'ITS: «KILOWATTS: •TOTAL VALUATION
DESCRIPTION OF WORK
'..RECEIYEDB .r
By my signature below,I certify to each of the following: I am the to cry Owner or authorized agent to act on the pr pent' wner•s behalf. I have read this
application and the information I have provided is cortecL I have jute Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building co et' I au r f repres ftatives of Cupertino to enter the above-ide liftied ropeny for inspection purposes.
f
Signature oApplicantlAgene Date: 1 �Z3�rz-
SUP P 'IbIENTAL INFORMATION REQUIRED OFFICEUSEONLY
In OVER-THE-COUNTER
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MAJOR:
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