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13040037
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21690 ALCAZAR AVE CONTRACTOR:SOLARCITY PERMIT NO: 13040037 OWNER'S NAME: YOUNG CHARLES C ET AL 3055 CLEARVIEW WAY DATE ISSUED:04/04/2013 OWNER'S PHONE: 6509262669 SAN MATEO,CA 94402 PHONE NO:(650)638-1028 ❑ LICENSED CONTRACTOR'S DECLARATION r [® BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class C.,10 Lic.# 9C� 4 t� MECH I RESIDENTIAL r COMMERCIAL f— Contractor CA rar Ci Date I/ -i / '.-) I hereby affirm that I am lice ed under the provisions of Chapter 9 JOB DESCRIPTION:BUILD A 50 AMP CIRCUIT FROM THE MAIN PANEL& (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL 14-50 EV STATION 100 AMPS IN THE Code and that my license is in full force and effect. GARAGE-FFLUSLUB H MOUNT 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 Sq.Ft Floor Area: Valuation:$750 permit is issued. APPLICANT CERTIFICATION APN Number:35719097.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS•OFF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DA S FROM LAIS1 CAL ED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. \J\) I J .v e �/ Issued by: / / )Date: Signature Date "1 1 ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER i I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. 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 Ow\e(ror,�ayuth�onrize ent• Ct forthwith comply with such provisions or this permit shall be deemed revoked. Dater 3 CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional r ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 GUFERTIN. (408)777-3228•FAX(408)777-3333•buildina a0cudertino.ora 7 PROJECT ADDRESS (o ® 41 C a� /t ,„ I APN# 359 AF{'1 Y 9 OWNER NAN n �i � (n �2�/Y Cl I E-MAIL VJt3LtA�y� l�S I a G. J Jam, )rc STREET ADDRESS 1�J�O a_,^ I CITY.STATE, os a, � �V I� I FAX 1 r7"V`� J (j� CONTACT NAME �n n \f nA�uOc PHONE(/ ��2;?2 - / � s3 I E-MAII '+W;n�Lk @ S�far`•� STREET ADDRESS r r3 9 11 JFuier C Z-1 V� I CITY,STATE`23P F _ „ �V( /' I C',P�J'11LIAX v J -i � f OJT�f C� ' ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT /eCONTRACrort ❑CONTRACTORAGENT ❑ ARCHrrECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME j I LICENSE NUMMER I O I LICENSE TYPE C 1 I BUS.LIC# ME CONeANY NA EMAIL, FAX STREET ADDRESS CITY.ST TE,ZIP PHO 3R1 T-bs`!er Ci-f� �Ivt i=osr Ci C�} �t�(yo� IBS-c�)2zZ-C�ts53 ARCHITECT/ENGBJEER NAME J I LICENSE NUMBER I BUS.LIC it COMPANYNAME I E-MAIL FAX STREET ADDRESS CITY,STATE,Z!P I PHGNE USE OF ISFD or Duplex ❑ M71Iti-Family I PROJECT IN WILDLAND I PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes No FLOOD ZONE ❑ Yes No ❑SOLAR PANELS I'e ELECTRIC VEHICLE CHARGING STATION I ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PAN.EL4: NUD BER OF PANELS/UNTTS: KILOWATTS(COMMERCIIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK &,),) 1 � lr W'I- -A )ncJ /4 S te, )n C�1a.r& Stl A40OW bl' OAK By my signature below,I certify to each ofthe following: I am the property owner or authorized agent to act on the property owner's b(half.•I have read this application and the information I have provided is correct read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin lding construction I o' reseiitatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent Date: SUPPLEMENTAL INFORMATION REQUIRED ` �I ■ PVApp_2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 21690 alcazar ave DATE: 04/04/2013 REVIEWED BY: Is APN: I BP#: *VALUATION: 1"W *PERMIT TYPE: Building Permit (PLAN CHECK TYPE: Alteration Repair PRIMARY SFD or Duplex PENTAMATION SOLAR -RES USE: PERMIT TYPE- A WORK residential ev char-qin-q station -//91') SCOPE J _'V Nfech.Plan Check Elec. Plan Check Wech.Permit Fee: I Plumb.Permit Fee: t.7ec. Permit Fee: Other Mech.Insp. I Other Plumb Insp. Other Flec.Insp, LLJ Mech.Insp, Fee: P1un7b. Insp.Fee: Elec.Insp.Pee: NOTE. This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These fees are based on the preliminary_ information available and are only an estimate Contact the Dept for addnl info. FEE ITEMS (Fee Resolution 11-053 Eff. 711112) FEE QTY/FEE I MISC ITEMS Plan Check Fee: $0.00 1 # Alternative Energy System Suppl. PC Fee: (j) Reg. 0 OT "00 hrs $0.00 $102.001 ICHRGSTA I EV Charging Station PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.(!) Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 Work Without Permit? 0 Yes 0 No $0.00 I G Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fees: Building or Structure 0 Strona Motion Fee: IBSEISMCR $0.50 Select an Administrative Item Bldp-Stds Commission Fee: IBCBSC $1.00 TOTAL' $103.50 $1.50 $102.0011- Revised: 04/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 C O P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR,LIST JOB ADDRESS: a (o q t? fl) Cctzc7af P-vP PERMIT#; = u OWNER'S NAME: NaA eA t,)-ONkn PHONE# GENERAL CONTRACTOR: S' i BUSINE'SS LICENSE,##'-.S& 0 y ADDRESS: �q FjS-kr C`t f P)Yd/-' 5' Aer C4-q CITY/ZIPCODE: ,,-R.qq0 Y *Our municipal code requires all b`Yisinesses working in tAe city to have a C ty'of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL'`BE,SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT TORS HAVE OBIAINEDA.CITY OF CUPERTINO BUSINESS LICENSE. I am not usin g an subcontractors: Y Signature Date Please check applicable subcontractors and complete the following-inform'ation-: ' SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical r Se taut G -`` 10 Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock r I Tile I . '0Z r&� 49 11,A /13 y Owner/Contractor Signature Date F INSTALLATION NOTES Scope of Work Installation Component Build a 50A circuit out of MP outside Breaker(s): Challenger A250 garage Wire Type: Positive: #8 AWG THHN-2 Install the NEMA 14-50 inside garage Negative: #8 AWG THHN-2 (confirm with HO for Exact location) Neutral: #8 AWG THHN-2 Ground: #10 AWG THHN-2 contract is for $750 Conduit: 3/4" EMT-30' Romex: New Panels: O Q J n Other Material: O Nrl o ' Z -c c� v W F= cv W CL j W— ND a- o a' a- 0' a` m LLM 0 Nm p 3 CONFA)ENTIAL-THE IIFORM""°"HEREIN ,Jg 216070 AIM Cu Cupertino PRaISE aRER: W > CONTAINED SHALL NOT BE USED FOR THE P Charles Young r *Lw�. oty. BENERT OF ANYONE EXCEPT SOLARCITY INC., MARXEL MAIN PNEL MWE PAW NOR SHALL R BE DISCLOSED IN WHOLE OR IN V CharC�er 200A 21690 Alcazar Ave PART M OTHERS OUTSIDE THE REapa rs pEV MAarg, 0200 VULTAGE/NNPERAGE Cupertino, Ca,95014 ORGANIZATION,EXCEPT IN CONNECTION VATH TY THE SALE AND USE OF THE RESPECTIVE James Winttuck 240V/50A (650)926-2669 sAay SO(A RCnY EQUIPMENT,VATHOUT THE WRITTEN DRAFTER: aU1M: San Mateo,CA,94402 PERIMON OF SOLARCITY INC. Hadi Rismanchi NEMA 14-50 Young @slac.stanford.edu (888)-SOL{LIY(765-2489)www.solardty.com S 3 M N u W (N) NEMA 14-50 Outlet f E)200A Main Panel For Electric Vehicle Charging Height Between 1.5'and 4' No Ventilation Required MARK UP KEY FG15 Main Panel 3)#8 AWG THHN-2 Q Sub Panel (1)#10 AWG THHN-2 Q J—Box 3/4" EMT 30' House � AC Disconnect � - - W EV Outlet �y }' Transfer Switch Conduit & Conductors Trench W Q LUc �- V E 0 a O Alcazar Ave � a o LlY m .�- l� Q U 5. CONFIDENTIAL-THE INFORMATION HEREIN J B-216 0 7 0 �Cupertino OW. ��►!i� :� � � m CONTAINED SHALL NOT BE USED FOR THE p Charles Young = M BENERT OF ANYONE EXCEPT SOLARCITY INC., MARKET.. MAIN PANEL SERKE RAW g �ail,; � NOR Steal IT BE DISCLOSED xT WHOLE OR IT 21690 Alcazar Ave �F9 ity. PART TO OTHERS OUTSIDE THE RECIPIENTS RO M rger 200A Cupertino,Ca,95014 y ORGANIZATION,EXCEPT IN CONNECTION WITH PROJECT MINA CIRCIIT VOLTAGE/AI�PEnACE THE SALE AND USE OF THE RESPECTIVE James Winttuck 240V/50A (650)926-2669 305 SOLARCITY EQUIPMENT,WITHOUT THE WRITTEN ° ` San I��a+OF SOLARCITY INC. young @slac.stanford.edu flW Hadi Rismanchi NEMA 14-50 (888)-SOL•Cre i t i I I l ,C LI low U w o ` 0 LLr, L CONFIDENTIAL- THE INFORMATION HEREIN g-216070 AHrCupertino I>�Ova CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MAIN PANEL SERVICE RATA Charles Young �; ; NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 21690 Alca�2ar Ave 2r PART TO OTHERS OUTSIDE THE RECIPIENTS EV Charger 200A Cupertino, Ca,95014oiare i 0 ORGANIZATION,EXCEPT IN O"ECTION WITH PROECT MANAGER: CIRCUIT VOLTAGE/AMPERAGE: W THE SALE AND USE Of THE RESPECTIVE James Winttuck 240V/50A (650)926-2669 3055 Cleansjew way SOLARCITY EQUIPMENT,WITHOUT THE WRITTEN IY PERMISSION OF SQLARCITY INC. °R� C"� young @slac.stanford.edu San Mateo, 89) 94402 Hodi Rismanchi NEMA 14-50 (888)-SOL{Tfl'(765-2489) —sola«ityx«„ i NEC 220.83 - Adding a Circuit to an Existing Dwelling W 1 - 33N`dl�dA03 3400 HOd G3M31n-: �J Square Feet: 2,700 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 f determined by 220.12" iu9wpedap bulplln8 2,700 square feet x 3w/sq ft 8,100 VA N mj,�d n o - - NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits 15 x 1500= 22,500 VA NEC 220.83(A)(3)(b) "Household Range(s), wall-mounted oven(s), and counter-mounted cooking unit(s)" Oven 17,600 VA Microwave 1,500 VA 19,100 total VA - NEC 220.83(A)(3)(a) "All other appliances that are permanently connected, fastenel ace or cd ne ,,1,a dedicated circuit, at nameplate rating" Dishwasher/Disposal 3,840 VA Refrigerator 1,200 VA Water Heater 4,000 VA Washer 3,840 VA Dryer 5,760 VA Furnace 2,500 VA VA VA VA VA* VA* VA EVSE 1: Tesla Nema 14-50R 9,600 VA EVSE 2: 0 VA 30,740 total VA Total of non air-conditioning loads: 80,440 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 28,976 VA Adjusted total of non air-conditioning load 36,976 VA NEC 220.83(8) "Where additional air-conditioning equipment or electric space-heating equipment is to be installed..." * Labeled components are calculated base on 100% A/C Equipment Unit#1 0 VA A/C Equipment Unit#2 0 VA Total of A/C Loads and All Other Loads: 36,976 total VA Total Proposed Calculated Load: 154.07 Amps _%,4IIi JB - Young � SolarCity ©copyright SolarCity 2008 N L N N V a a m • N 3 s b108 00 8 L ICE M&AWJft uf� 0 - �rlaAgl � C�.1PERfiIN!J a+vaewnany�� nO=t W09 Building Department a Dom " °° IZI, A i OR 0 4 2013 REVIEWED FOR CODE COMPLIANCE 3100374 Rev.D Reviewed By: �r6w� u9