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13010166 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11030 VIA SORRENTO CONTRACTOR:SOLARCITY PERMIT NO:13010166 OWNER'S NAME: VIVEKANAND RAU 3055 CLEARVIEW WAY DATE ISSUED:01/31/2013 OWNER'S PHONE: 4082574653 SAN MATEO,CA 94402 PHONE NO:(650)638-1028 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 4 LICENSED CONTRACTOR'S DECLARATION License Class 8,100,06 Lic.# ft`s 101 INSTALLATION OF EVC STATION IN GARAGE Contractor l rC T Date I hereby affirm that I am /lensed 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. Sq.Ft Floor Area: Valuation:$1000 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 APN Number:31601038.00 Occupancy Type: 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 WIT 80 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 DAr F 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:/• with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. i 5 ' RE-ROOFS: SignatureDate 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: 1 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 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). 1 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 25 25533 d 5534. Section 3700 of the Labor Code,for the performance of the work for which this ' Owner or authorized agent permit is issued: : Date: / 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 1 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 JI ALTERNATIVE ENERGY PERMIT APPLICATION 0 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 w� CUPERTINO (408)777-3228• FAX(408)777-3333• budding(c�cuPertinLM 0 PROJECT ADDRESS I /►��+1 / clo APN# V / , 75Ze OWNERNAME J � �ul\(�J�j�UJI J r V j PHONE ` 0t) �'JII�.I .` E-(MJAIL STREET ADDRESS I 30 1 4 ! it M }f1 CITY,STATE,ZIP 11 U� / FAX CONTACT NAME Zeke Carnes-Mason �1 PHONE 510-647-6181110 E-MAIL ecarnesmason@solarcity.com STREETADDRESS 1501 Eastshore Frontage Rd CITY,STATE,ZIPgerkeley, CA, 94710 FAx ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ®CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME SO1 arCl ty LICENSE NUMBER 8 8 8104 CENSE TYPE 0,C46 BUS.LIC# COMPANY NAME E-MAIL FAX Solar City Corp ecarnesmason@solarcity.com (6 5 0) 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 PROJECT IN WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ No ElSOLAR PANELS ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: #IQLOWATTS: t TOTAL VALUATION: $1000 DESCRIPTIONOFWORK �h /�ryII� ", �/� 4( 1 r/rr ,i %, Y VV 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 building construction.,I authorize representatives of Cupertino to enter the above-identifijdJpro erty for inspection purposes. Signature of ApplicanUAgent: l�. /`l�// ' Date: '/ / SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY w ❑ OVER-THE-COUNTER a E' ❑ EXPRESS x V w ❑ STANDARD x U a ❑ LARGE a ❑ MAJOR PVApp_2012.doc revised 06120112 ,�I CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 11030 VIA SERRENTO DATE: 01/31/2013 REVIEWED BY: MENDEZ APN: BP#: "VALUATION: $1,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair lex PENTAMATION SOLAR-RES USE: p PERMIT TYPE: A PRIMARY SFD or Du wORK INSTALLATION OF EVC STATION IN GARAGE SCOPE Meeh.Plan.Check himb. Plan Chec-A iec.Plan Check X[ech. ;' Plumb. PF c e, Elee.Permit Fee.: Other A1ech.Insp )cher Plumb Insp. )rher Elec.Insp. E17-- Alech.Insp.Fee: Plumb. Insp. Fee: /c(.Insp. Fee NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 E(f 7;1!12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-1 -1 # Alternative Energy System Suppl. PC Fee: Q Reg. ® OT 0.0 hrs $0.00 $102.00 ICHRGSTA EV Charging Station PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Feee. Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tarr: Administrative Fee: Work Without Permit? O Yes No $0.00 O Advanced Planning Fee: $0.00 Select a Non-Residential O Trac et Documentation1'gyres: Building or Structure O Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.50 $102.00 TOTAL FEE: $103.50 Revised: 10/01/2012 COMMUNITY DEVELOPMENT DEPARTMENT LTJ BUILDING DIVISION-CUPERTINO APPROVED z This set of plans and specificatior s MUST be kept tit tl it, Job site during construction. It is unlawful to make any O changes or alterations on sa e,or to deviate r: therefrom,without approval frory i the Building Offici 4 The stamping of this plan and sr ations S A_L be held to permit or to be an a. al of the i< ,,tio COP of any provisions of any Cit l ice or S.. By DATE.. PERMIT NO. • w ,�+ '�' �,;��t� PLOT PLJ OS \, CHECKED BY D.-,,:rli, 3 j PLANNI A DATE xC. - 2.1 Via Sorrento AH k PREMISE OWNER: CONFIDENTIAL- THE INFORMATION HEREIN JB-9501284 Cupertino CONTAINED SHALL NOT BE USED FOR THE V i ve k a n a n d Rau BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MAIN PANEL SERVICE RATING: ',�, SolarCity- PARTNOR SHALL IT BE DISCLOSED IN WHOLE OR IN EV Char er 125A 11030 Via Sorrento TO OTHERS OUTSIDE THE RECIPIENTS : CIRCUIT VOLTAGEAMP/ ERAGE: ORGANIZATION,EXCEPT IN CONNECTION VATH PROJECT MANAGERCupertino, CA, 95014 THE SALE AND USE OF THE RESPECTIVE Colin Flynn 240V 50A 3055 Clearview Way SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN DRAFTER:: CHARGER:: San Mateo,CA,94402 PERMISSION OF SOLARCITY INC. Zeke Carnes—Mason NEMA 14-50 (408) 257-4653 (888)-SOL-CITY(765-2469) www.solarciry.com NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 2,900 Panel Breaker Rating: 125 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" 2,900 square feet x 3w/sq ft 8,700 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 VA 7,680 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 1,760 VA VA Washer 1,760 VA Dryer 5,760 VA Jacuzzi 1,500 VA Hot Tub 4,000 VA VA VA 0 VA VA VA EVSE 1: Tesla Nema 14-50R 9,600 VA EVSE 2: 0 VA 27,260 total VA Total of non air-conditioning loads: 49,640 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 16,656 VA Adjusted total of non air-conditioning load 24,656 VA NEC 220.83(B) ''Where additional air-conditioning equipment or electric space-heating equipment is to be installed..." A/C Equipment Unit#1 VA A/C Equipment Unit#3 0 VA Total of A/C Loads and All Other Loads: 24,656 total VA Total Proposed Calculated Load: 102.73 Amps JB - Rau '� '� ��SolarCit y O copyright SolarCity 2008 U'ADM VLECeIC o sy ro. N.. 3894 0 0 o Range Receptacle 50A 126MV 0 Flush 800at 3P 4W • .s«ra.aw.t.r.d WwbbihW O o O AUCU •rm" 75'C 279 r.e.nww . 1 PC 7111110011111111115 cQ (D . N • ' Q Q Q n n CD N N 0 Q• N