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13040036CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10225 PARKSIDE LN I CONTRACTOR: SOLARCITY I PERMIT NO: 13040036 OWNER'S NAME: BRAIN CAMPBELL 13055 CLEARVIEW WAY 1 DATE ISSUED: 04/04/2013 OWNER'S PHONE: 4082205238 1 SAN MATEO, CA 94402 1 PHONE NO: (650) 638-1028 ❑ LICENSED CONTRACTOR'S DECLARATION License Class C I 0/ Lic. # 101,10/ d Contractor U Date I hereby affirm that I am lice ed 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. BUILDING PERMIT INFO: BLDG r ELECT r PLUMB MECH r— RESIDENTIAL COMMERCIAL I— JOB DESCRIPTION: BUILD A 50 AMP CIRCUIT FROM THE MAIN PANEL & INSTALL NEMA 14-50 EV STATION 100 AMPS IN THE GARAGE -FLUSH 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: permit is issued. APPLICANT CERTIFICATION 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 - t source regulations pe^e Cupertino Municipal Code, Section 9.18. �Q U Signature N&&Date I I / 13 ❑ OWNER -BUILDER DECLARATION I hereby affirm that I 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 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 construct the project (Sec.7044, Business & Professions Code). I 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 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 permit is issued. I certify that in the performance of the work for which this permit is issued, l 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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. Signature Date, APN Number: 36904048.00 Valuation: $800 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DY�c s FROM CALL D INSPECTION. Issued by: ate: 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 inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. OwKK or authorized— Ow d nt-/—t ; Date: Ll /13 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional 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 cDcuperiino.org /3003 PROJECT ADDRESS )C)17tai (amu i O�(L APN" 3 o OWNER NAME PH E ' O :2 C / STREET ADDRESS C CITY. ATE zTP G qi y FAX rlo I fi Sv l CONTACT NAME�3tnnIl'rI ncJ t PHONE/22{08C 5i3 E-MAII�"0-uLk @ solmrc& f�?ijiv ST ADDRESS 1 VQ CR�)i�W 'Y. STATE. ZIP F S n ❑ OwNER ❑ OWNER.BUILDER ❑ OwNERAaDrr XWNTRAcrop ❑CONTRACTORAOEVT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER Q LICENSE TYPE C i BUS. LIC A� (� COMPANY NAME ( C Q•ir E-MAIL, k � FAX c}ci w � A�C Sold. t1 . ca STREET ADDRESS 3 ! i T-a51� 1 C 1 Bl"d CITY. STATEZIP �s+e-r U= 66 -qy4o� PHO (' -10-221-6653 ARCHITECT/ENOWEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CLTY, STATE, ZIP PHONE USE OF f9PSFD or Duplex ❑ Multi -Family PROJECT 1N WILDLAND PROJECT IN S� RUCT[JRE; '❑ Commercial URBAN INTERFACE AREA ❑ Yes WNo FLOOD ZONE Yes *-No ❑ SOLAR PANELS I 'e ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING` -❑- ❑ OTHER: p V FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK �o,*-W V �JP-W _ �5D in !2 JjAyd40 Ft VS tj VA/ I— A90 c �"�%v(� i'� %k4ff "'i[y�t J,#".��it`S• 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 relatingo ' ding construction a t or2eWmentafives of Cupertino to enter the above -identified property for inspection purposes. SignatureofApplimnt/Agent Date: SUPPLEMENTAL INFORMATION REQUIRED I 3�� s:� LilIRCE z� PVApp 2011.dcc revised 03116/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, school niatrint off- 1 Thoco foac aro haeod nn tho nroliminary information ovailahlo and are anly an evhmate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 711/12) ADDRESS: 10225 parkside lane DATE: 04/04/2013 REVIEWED BY: Is 1101 APN: BP#: D` j �j *VALUATION: $800 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: 0.0 PENTAMATION SOLAR -RES PERMIT TYPE: � WORK residential ev chargqinq station SCOPE $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, school niatrint off- 1 Thoco foac aro haeod nn tho nroliminary information ovailahlo and are anly an evhmate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 711/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $102.00 Alternative Energy System ICHRGSTA EV Charging Station Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. ® OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conslr-action Tax: J_T a NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, school niatrint off- 1 Thoco foac aro haeod nn tho nroliminary information ovailahlo and are anly an evhmate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 711/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $102.00 Alternative Energy System ICHRGSTA EV Charging Station Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. ® OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conslr-action Tax: J_T Administrative .Fee: G Work Without Permit? ® Yes (E) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure 0 i T7atW Doculnc;ntation Fees: Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC 1 $1.00 1° 9 $1.50 $102.00 FSE $103.50 Revised: 04/01/2013 INSTALLATION NOTES Scope of Work Materials Build a 50A circuit out of MP outside garage Breaker(s): Challenger 2pole 50A Install the NEMA 14-50 outlet inside garage right behind MP Wire Type: Positive: #8 AWG THHN-2 Contract is for $350 Negative: #8 AWG THHN-2 Neutral: #8 AWG THHN-2 Ground: #10 AWG THHN-2 Conduit: 3/4" 5' 9.. Q W Z W o� New Panels: N ZV a J 0 � a W o Ll! o CONFIDENTIAL - THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOARCITY INC., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN JB -9501577 Aft Cit of Cupertino y P PREMISE OY1a Brain Campbell 10225 Parkside Lane •.��.! v— �- �;��;�`� � �/1 MARKET.. MAN PANEL SERWCE RATING PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE V h r r 200A Cupertino, Ca , 95014 x (408)220-5238 3055 CI PROA CT MANA Colin Flyon ORCUIT VOLTAGE/AMPERAGE- 240V 50A SOLAROTY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOIMCITY INC. bcampbell@gmail.Com San Ma (688)-SOL-CRY(76 wwv; m ORAFIER:: Hadi Rismanchi CHAM: NEMA 14-50 T C0 U Q) 3 m O) W House n1a'll1 l Y1 �e. V'a (E) 200A Main Panel (3) #8 AWG THHN-2 M (1) #10 AWG THHN-2 3/4" EMT 5' (N) NEMA 14-50 Outlet— For Electric Vehicle Charging Height Between 1.5' and 4' No Ventilation Required Parkside CONFIDENTIAL - THE INFORMATION HEREINJB-9501577 Mr. Of CU y per' CONTAINED SHALL NOT BE USED FOR THE BENERT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MAN PANEL SERVICE RATNG: NOR SHALL IT BE DISCLOSED N WHOLE OR IN EV Char r 200A PART OTHERS ITHE RECIPIENT'S PROSECT MANAGER: MW VOLTA E/A PERAGE ORGANIZATION, EXCEPTEPT INN CONNECTION 1M1H THE SATE AND USE OF THE RESPECTIVE Colin Flyon 240V 50A SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN �,. CHARGER:: PERMISSION OF SOLARCITY INC. Hadi Rismanchi NEMA 14-50 Lane PREMISE OMNER: Brain Campbell 10225 Parkside Lane Cupertino, Ca, 95014 (408)220-5238 bcampbell@gmail.com z rn 0 z W L-1 �m �a U M R z_ a cn O C5 U c�.>t w C= O C11 -1v C'. -W M LLl 3055 Clearview Way San Mateo, CA, 94402 (888) -SOL -COY (765-2489) www.solarcity.com ml - er° CONFIDENTIAL - THE INFORMATION HEREIN B —9 5 015 7 7 CONTAINED SHALL NOT BE USED FOR THE MARKET: BENEFIT OF ANYONE EXCEPT SO(.ARCTTY INC., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN V h r r PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH PROJECT MANAGER: THE SALE AND USE OF THE RESPECTIVE Colin FlyDn SOLARCJTY EQUIPMENT, WITHOUT THE WRITTEN DRAFTER.: PERMISSION OF SOLARCITY INC. Hadi Rismanchi AH': City of Cupertino MAIN PANEL SERVICE RATING: 2O0A CIRCUIT VOLTAGE/AMPERAGE: 790 ::) u C'-- U= LL CL) co aLLJ �. 5 a PREMISEBrain Cam P bell 10225 Parkside Lane i- �►� ' Cupertino, Ca , 95014 (408)220-5238 3055 Clearview way bcampbell@gmail.com San Mateo, CA, 94402 (888)-SOL{IfY (765-2489) w .solarcityxom REVIEW NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 2,600 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" 2,600 square feet x 3w/sq ft 7,800 VA NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits 6 x 1500= 9,000 VA NEC 220.83(A)(3)(b) "Household Range(s), wall -mounted oven(s), and counter -mounted cooking unit(s)" Oven 0 VA Microwave 0 VA 0 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 1,200 VA Water Heater 4,000 VA Washer 3,840 VA Dryer 5,760 VA VA 0 VA 0 VA VA 0 VA VA VA EVSE 1: Tesla Nema 14-50R 9,600 VA EVSE 2: 0 VA 28,240 total VA Total of non air-conditioning loads: 45,040 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 14,816 VA Adjusted total of non air-conditioning load 22,816 VA NEC 220.83(6) "Where additional air-conditioning equipment or electric space -heating equipment is to be installed..." A/C Equipment Unit #1 9,600 VA •_- A/C Equipment Unit #2 0 VA Total of A/C Loads and All Other Loads: 32,416 total VA Total Proposed Calculated Load: 135.07 Amps CUPERTINO nt ,b k APP 0 4 2013 JB - Campbell �• ;��SolarcityLD FOR CODE COMPLIANCE- copyright Sol City Rev we y. Charging Equipment Name VA OFFlut ` p 2 CUPERTINO Building Deportment APR 0 4 2013 REVIEWED FOR CODE COMPLIANCE Reviewed By: &0;0' FY 0 Clippei 4800 Clippei 7680 Schnei 7200 Tesla t 9600 OFFlut ` p 2 CUPERTINO Building Deportment APR 0 4 2013 REVIEWED FOR CODE COMPLIANCE Reviewed By: &0;0' FY Q 'AGH 17L600 l E fts°> "«" Cat No. 3894 o Range Receptacle 50A 125/250V ®� Flush Mount 3P 4W Imvan.m: Torpoa T-1-1 S—S to 201n. lbs. �>�L m A.C. 75'C A Y 13 ° 7478 <I< SyLH 1.NY 73221 Comp Rof No: 279 ,,ado In China II ii 1 PC II��I�I I �I III II (B I �I II �II z 8500 80790 s t kj& OFFICE CUPERTINO Building Department APR 0 4 2013 REVIEWED FOR CODE COMPLIANCE Reviewed By: �ntncv9