13040056 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11776 PINEBROOK CT CONTRACTOR:MEANDAL ELECTRIC PERMIT NO:13040056
INC
OWNER'S NAME: GUNASEELAN`LAKSHMINARAYANAN P O BOX 1410 DATE ISSUED:04/05/2013
OWNER'S PHONE: 4082558650 BRENTWOOD,CA 94513 PHONE NO:(925)240-2300
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11S
COMMERCIAL
License Class �� Lica# INSTALL EVC STATION IN GARAGE 5.7 KW,30 AMP
,�`,: CIRCUIT
Contractor O�►� �tr?r=Date
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)ofDivision: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:$1200
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:36604051.00 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 8 AYS 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 D 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:
77
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signatur v Date All roofs shall be inspected prior to any roofing material being installed.If a roof is
Wlow101
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(x)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 370.0 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 25505,1553a, d 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized age 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 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
GENERAL PERMIT APPLICATION
MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
.
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 by
(408)777-3228•FAX(408)777-3333•buildinq@.cupertino.orp misc
CUPERTINO
❑PLUMBING ❑NWECHANICAL ®ELECTRICAL MISCELLANEOUS
PROJECT ADDRESS 11776 PINE BROOKS EET_ APN# y�
OWNERNAME LAKSHMINARAYANAN GUNASEELAN PHONE 408-255-8650 E-MAJL V
STREET ADDRESS 11776 PINE BROOK STREET CITY,STATE,z>P CUPERTINO,CA.95014 FAx
CONTACT NAME Mark Hammerschmidt PHONE 925.-240-2300, &M'IL info6meandalelectric.com
STREET ADDRESS 752 Buckeye Court crrY,STATE,z1P Brentwood,CA 94513 FAX 925-240-2321
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENTIlY CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME Meandal Electric Inc. LICENSE NUMBER 904775 LICENSETYPE C-10 BUS.LIC# 34304
COMPANY NAME Meandal Electric Inc. E-MAIL info@meandalelectric.com FAX 925-240-2321
STREETADDRESS 752 Buckeye Court crrY,STATE,z1P Brentwood,CA 94513 PHONE 925-240-2300
ARCHITECT/ENGINEER NAME NSA LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP - PHONE
USE OF SFD 0,DUPLEX ❑ MULTI-FAMILY PROJECT IN W ILDLAND ❑ YES PROJECT IN. ❑YES IS THE BLDG AN ❑YES
BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA NO FLOOD ZONE PC NO EICHLER HOME? D(NO
DESCRIPTION OF WORK -
Install new 240V receptacle on dedicated 30A circuit from 125A main panel for 24A EVSE in garage.
TOTAL VALUATIOX /2 60 � " y
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the ero 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. agree to comply with all applicable local
ordinances and state laws relaf buildin Bs I. I authorize representatives of Cupertino to enter the above-' ntiffd property for inspection purposes.
Signature of Applicant/Agent; Dat
SUPPLEMENTAL INFORMATION REQUIRED
'IS7' k
M
MEPMiscApp_2011.doc revised 06121111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 1 (Q el Ap SrU6(L DATE: 04/05/2013 REVIEWED BY: Mendez
APN: I BP#: "VALUATION: 1$1,200
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY SFD or Du lex PENTAMATION SOLAR-RFS
USE: p PERMIT TYPE:
WORK I install evc station.in garage, 20 amp circuit
SCOPE
ISM
Meeh, Platz Check. Plumb.Plum Check Elec.Plan Check 0.0 hrs $0.00
-Iech.1'emtit Fee: Plumb.Permit l ee: Elec.Permit Fee: IEPERAVT
F
Heck Imp. Other Plumb Insp. ET--L_ Other Elec.Insp. 0.0 hrs.Insp.fee: Plumb. hasp.Fero: Elec. Fee:
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 therelimina in ormation available and are onl an estimate. Contact the Det or addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7f� 11112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 T-1 # Alternative Energy System
Suppl.PC Fee: (j) Reg. .0 OT 0.0 m's $0.00 $102.00 ICHRGSTA EV Charging Station
PME Plan Check: $0.00 F 30 amps Electrical
Permit Fee: $0.00 $45.00 1 IBELEC200 Services
Suppl.Insp.Fee-.0 Reg. OOT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: 7-1 $45.00
Construction .Tux:
Administrative Fee: 1ADMIN $42.00
Work Without Permit? ®Yes 0 No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure
Travel Documentation Fee: 1TRAVDOC $45.00 i
Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item
Blda Stds Commission Fee: IBCBSC $1.00
$133-501 $147.00111Mrr -MIN $280.50
Revised: 04/01/2013
COP4IMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIViSiON-CUPERTINO
NIP
�R0a,ED
Th zlt of rplans and specifications p
construction. It is unlawful to make any
to
7 6 5 4 3 2
v�
L NOT
ation
E Law.
vi
PROPOSED 24A EVSE `
&240V RECEPTACLE
p (ON 30A DEDICATED p
vim 125A CIRCUIT FROM 3-CAR 1IOWT
MAIN 125A MAIN PANEL) GARAGE
PANEL
yam iV DAM
DRIVEWAY � �� �`� a
IH't
11776 PINE BROOK COURT, CUPERTINO, CA 95014 (SFR-2853) ATJ Pr 'ect a[ity
rxaxrae r�cse=cis i
PWPREM AND ccwwffvl. w<eR oo m
A MEAne em ■INE MOW eF
M I�Tam�N 1°7E
(925) 240.2300 MAIN 430 S 2ND AVE.
ev°NNNNI atlO!.lYe
'"`@'°"°eT6ml"°" e
PHOENIX AZ 83003 �
ELECTRIC (925)
240-2321 FAx TEL 602-716-9576
CYLIl4 TWSOMIOI gYNmli ml
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NC NNl Y6 O °R
—
8 1 7 1 a 1 5 1 4
Load Calculations for proposed EVSE circuit addition at:
11776 Pine Brook Court,Cupertino,CA 95014(SFR-2853)
General liahtine and receptacle loads 220.83(A)(1)
#of units VA Totals
Area,sq.ft.*3VA Tbl 220.12 2334 VA
(1)total VA
Small appliance&laundry branch circuits 220.83(A)(2)
#of units VA Totals
Small appliances 220.52(A)(minimum 2)*1500VA 2VA
Each addl.Small appliances '"; MVA
VA
Laundry 220.52(6) 1VA
(2)total
Cooking Equipment 220.83(A)(3)
VA or kW VA
Stove/Oven/Range total 8,800 (3)total VA
All other appliances 220.83(A)(4)
Dryer(gas only) °' VA
Dishwasher 1 744 v�' M .VA
Disposal 1 972 '""`'`' VA
VA
k E,\VA
(4)total VA
total general load VA
First 8kw @100% 8,000
Remainder @ 40% 5,607
Sub-total calculated service load
Heating or A/C 220.60
VA or kW
Heating unit 1800
A/C unit 7776
largest load @ 100% total VA
EV Charging Station 625.21
VA or kW
5,760 VA
EVSE @ 125%(per 625.21)n additional 25% MVA
Total Calculated Service Load per 220.83 VA
Minimum Service Ampacity=Total Calculated Service Load/240V A
Intelligent EV solutions bink
• During performance of the work and after all requirements of this installation manual and
associated details are fully completed, ECOtality NA and/or the customer shall have the
option to inspect the work.
• The installer or contractor shall not modify or otherwise alter blink equipment in any manner
other than specifically authorized by this installation manual. Unauthorized modification to the
blink equipment voids the manufacturer's warranty.
Customer responsibility
The customer is responsible for contracting with a certified electrical contractor to perform all
electrical work, including connections at the blink, supply circuit, and main service panel.
Tools required for installation
Meters
• Current Clamp Meter (with 600 A MAX AC/DC) (Recommend: Fluke 336)
• Digital Multimeter (1000V MAX DC/AC) (Recommend: Fluke 87V)
Hand tools
• Drill bit, 3/16-inch
• Hammer
• Pencil/marker
• Slotted and TORR®-head screwdrivers
• Wrench, 10 mm
• Torque wrench
Installer-supplied items
• Service wiring#o blink
• Conduit.and fittings.(1-inch trade size), except for cord-connected units
. . ..................................................................... ..
blink features and specifications
Features
• Certified to UL 2594- Electric Vehicle Supply Equipment
• Charge circuit interruption device (CCID20)
• Ground monitoring circuit
• Nuisance-tripping avoidance and auto re-closure
................................... ........ ...........................................................
IM0001_L2_R_WM_USAv2.1 5
Intelligent EV solutions bink
............................................................................................................................................
• Cold load pickup (randomized auto-restart following power outage)
• Certified energy and demand metering
• Wireless IEEE 802.11 g
• LAN capable
• Web-based. bidirectional.data flow
• Cord management system
• Power cord for connection to NEMA 6-50R receptacle (WE-30C and WE-48C only)
Specifications
ModelE-48C�J�
Input Voltage 208-240 VAC +/•10% (120 VAC to GND)
Input Phase Single (3-wire)
FrequCY
en60 Hz
AFRInput Current (maximum); ;
configurable to 12A, 16A, ,
Breaker SizeAmps;40
Ava' ble settings: 48 Amps;;Agile-set#:Rgf,*
15A, 20A or 40A ,
OF.60A—
Output Voltage 208-240 VAC +/•10%
Output Phase Single
Pilot SAE JI 772TM compliant
Connector/Cable SAE J1772 compliant; UL-rated at 30A maximum
Cord Length (output) 18 feet(approximate)
Cord Length (input) 1 foot(WE-30C and WE-48C only)
Exterior Dimensions Charger assembly: 18"wide x 22" high x 5-9/16" deep
Cord reel: 18 diameter
Temperature Rating •22 OF (•30°C) to+122 °F (+50°C)
Enclosure NEMA type 3R sun-and heat-resistant
Mounting Wall mount
...........................................................................................................................................:
6 IM0001_L2_R_WM_U5Av2.1
Intelligent EV solutions bink
Charger assembly layout
The charger assembly should be mounted on the wall in close proximity to the vehicle stall and at a
location where the 18-foot charging cord can be easily connected to the vehicle charging port
without the cord stretching taut and/or presenting a trip hazard.
The charger assembly must be mounted at a height (minimum 18 inches [460 mm] above floor)
where the panel display can be easily seen and monitored by the operator. A height of 60 inches
(152 cm) to the center of the display is suggested. The cord reel can be mounted below or in another
location near the charger assembly that best accommodates the user's preferences and comfort. The
charger assembly and cord reel may be installed on adjacent walls (corner mounted). For cord-
connected blinks(Models WE-30C and WE-48C), there must be sufficient space allowed between
the charger assembly and mounting of the cord reel for installation of the 6-50R receptacle.
lam, WARNING: RISK OF FIRE
This equipment has arcing or sparking parts that must not be exposed to flammable vapors.
This equipment must be located at least 18 inches (460 mm) above the floor.
SUGGESTED-
HEIGHTTt3 t?ISOLA1l t A�� apt TS
(UPPER)
i"
j 0-5011
t J i RECEPTACLE
53-364"(REF)
-»- - LAG BOLTS
(UPPER)
36.314"
(REF) MINIMUM CLEARANCE
TO FLOOR
is.
Figure 1 -blink Installations,Typical
IM0001_L2_R_WM_USAv2.1 7