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10120042CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 934 BLAZINGWOOD AVE CONTRACTOR: SPRIG ELECTRIC PERMIT NO: 10120042 OWNER'S NAME: ERIC S WU OWNER'S PHONE: 4083209348 LICENSED CONTRACTOR'S DECLARATION License Class % d Lic. # 2 el 7v�o Contractor1�� fc L Date7- I hereby affirm that I am licensed 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. 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. 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. / /` Signatu� Date /o�7� / 'w J 0 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, 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 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 anting of this permit. Additionally, the applicant understands and will comply .✓ith all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 1860 S IOTH ST DATE ISSUED: 12/07/2010 SAN JOSE, CA 95112 PHONE NO: (408)298-3134 BUILDING PERMIT INFO: BLDG ELECT PLUMB r- r r MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: INSTALLATION OF ELECTRICAL CAR CHARGER & 40 CIRCUIT Sq. Ft Floor Area: I Valuation: $211 APN Number: 36917011.00 1 Occupancy Type: PERMIT E IRES IF WORK IS NOT STARTED WITHIN 1 AYS OF PERMIT ISSUANCE OR 180 DA M LAST CALLED INSPECTION. Issued by: Date: ZZ 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, c io , and 25534. Owner or authorized age- Date: ,)7A 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Signature Date 5 ITEMS OF 10 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36917011.00 DATE ISSUED.......: 12/07/2010 RECEIPT #.........: BS000012167 REFERENCE ID # ...: 10120042 SITE ADDRESS .....: 934 BLAZINGWOOD AVE SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OPERATOR: SylviaM COPY # : 1 OWNER ............. ERIC S WU ADDRESS ..........: 934 BLAZINGWOOD AVE CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4619 RECEIVED FROM ....: SPRIG ELECTRIC CONTRACTOR .......: PEPPER SNYDER LIC # 21974 COMPANY ..........: SPRIG ELECTRIC ADDRESS ..........: 1860 S 10TH ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)298-3134 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- 1BCBSC ------------- VALUATION ---------- 211.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BREMMISC EACH 1.00 126.00 0.00 126.00 0.00 1BSEISMICR VALUATION 211.00 0.50 0.00 0.50 0.00 1EPERMITFE FLAT RATE 1.00 42.00 0.00 42.00 0.00 1TRAVDOC FLAT RATE 1.00 42.00 0.00 42.00 0.00 TOTAL PERMIT ---------- 211.50 ---------- 0.00 ---------- 211.50 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 423.00 --------------- 423.00 REFERENCE NUMBER -------------------- 053806 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL CITY OF CUPERTINO FM-7 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 934 Blazingwood Dr. DATE: 12/07/2010 REVIEWED BY: gs APN: I BP#: *VALUATION: 1$1,000 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY I SFD or Duplex USE: PENTAMATION 1 REAP7 PERMIT TYPE: 14 WORK Car charging station SCOPE APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Special Circuits 1BREMMISC 1 # $126 T TOTALS: I 1 1 $126.001 Elec. Plan Check I O.OThrs $0.00 Elec. Pen -nit Fee: IEPERAffT Other Elec. Insp. LLO J hrs V/I�fl;)� ljlx'.'. NOTE. These fees are based on the oreliminary information available and are only an estimate. Contact the Dent for addn'l info FEE ITEMS (Fee Resolution 09-051 Eff T'1,10) FEE QTY/FEET MISC ITEMS slfpj'/PC F"" F PME Plan Check: $0.00 I I Pcni-iii i"'("c: PME UnitFee: $126.00 PME Permit Fee: $42.00 (")l7swilcrion T'j" ACMIN"i"""d Pcvw"l Work Without Permit? 0 Yes 0 No $0.00 Travel Documentation Fee: ITRAVDOC $42.00 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item —7 Bldp- Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $211.50 $0.001 TOTAL FEE: $211,501 Revised: 12/07/2010 FFWA.E336193 - Electric Vehicle Supply Equipment http://database.td.com/cgi-bin/X'YV/template/LISEXT/ l FRAME/showpag... FFWA.E336193 Electric Vehicle Supply Equipment Electric Vehicle Supply Equipment . t ;. , See General Information for Electric Vehicle Supply Equipment` � �a AEROVIRONMENT INC r; £ �- t E336193 1610 S MAGNOLIA MONROVIA, CA 91016 USA EV charging station, Model EVSE-RS. Last Updated on 2010-09-07 Questions? Print this pace Notice of Disclaimer Page To •. 1.01@ 1 -.-u I -W-1-65M. .TIT-G� The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Designs and/or Listings (files) must be presented in their entirety and in a non -misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "Copyright 2010 Underwriters Laboratories Inc.@" Ari independent organization working for a safer world with integrity, precision and knowledge. `Lt111� y 1 of 1 10/26/2010 12:05 PM FEATURES • SAE J1772 compliant • Auto restart in event of power outage or ground fault • Americans with Disabilities Act (ADA) compliant installation • Integrated cable stowage, optional cable management • Underwriters Laboratory (UL) listed • Breakaway safety cable • Optional pedestal mount • Wireless communication option SERVICE AND INSTALLATION Will be supported by: • Expanding network of independent certified, trained electricians* • Convenient home site assessments and installation • Electricians with depth of local code and permitting knowledge 02010 AeroVironment, Inc. 1010_10147 '.� i`he EVSE-RS Home Charging Dock charges all SAE J1772-compliant vehicles — including both electric vehicle (EV) and plug-in hybrid (PHEV) models — in the convenience of the home garage, workplace, condominium, apartment, or retail parking structure. The Home Charging Dock safely and reliably delivers AC power to the vehicle's on -board charger and features a weather - resistant NEMA 4 enclosure for indoor and outdoor installations. Pre -production imaqe shown. Production model may vary. The Home Charging Dock is insta i o e,o i in ep ent certified licensed electricians who also facil ate necessary per»i ing and inspection, and provide information about EVSE-RS tas6-to 4e customerAnptional module is used to enable WiFi, Zigbee, or cellular communicatiom INTUITIVE USER INTERFACE GREEN = utility voltage connected GREEN = ready to operate GREEN BLINKING = "off" state due to a manual STOP GREEN = connected to vehicle GREEN = vehicle is charging (fast blinking = high charge when battery is low, slow blinking = charge near complete) RED = error has occurred; blinking pattern based on fault type "Installation services available in certain areas; contact AV for additional information. Task Ord'r , �.,:_ . Service Request # 16604 'b * 1 6 6 0 4 Installation Start Date: 9-Dec-2010 Installation Tyke: NNA Installation Contractor Information ComQanv NamelSpriq Electric. Co. Date Accepted 3-Dec-2010 Customer Information Name Eric Wu Home Pho_ P9148 Address 934 BLAZINGWOOD AVE Customer Con t 1 o 8 68 7 City CUPERTINOtw@gmail.com States CA Zip 95014 y.Rf inaLLM32L2? Work De Pull permit. Install (1) 40 Ampere 240 Volt circuit breaker in ex in" till panel. Install 30 feet or less of feeder from utility panel to wall mounted Charging Dock. Feeder (Conduit or Rom r will be, mounted to existing surfaces or run through crawl space or attic. Charging Dock will be installed on customer preferred location and will be fully tested and certified with proprietaLy service tool. Customer will be trained on operation and troubleshooting and inspector will be called for verification. Install Description em Qty tandard Installation 1 r stallation Permit and Processin 1 Product Part # Item Q 17314-025 Nissan EVSE Sin le, Wall Mount 25' Cable 1 site Assessment Information Car T e *Does the customer own the residence? YES If no, did you notify customer that a written consent will be needed to install? *Is the residence subject to HOA rules? NO If yes,did you notify customer that a written consent will be needed to install? *Who is the electric utility company? PG&E *Meter Number 1007598786 *Who is the local electrical permitting jurisdiction? CITY OF CUPERTINO Estimated time to obtain permit Estimated response time for inspection *What size is the main electrical service? 200 If size of main electrical service is Other, please explain in detail *Panel Type/Mfg: GE *Breaker Type/Mfg: GE TYPE THQ *Is there existing capacity to support the Level II additional 2P, 40A load? YES *Is there existing capacity to support the Level I additional 1 P, 20A load? YES *Will tandem breakers be needed? NO If yes, quantity & size? *Where is the electrical panel located? GARAGE If Electrical Panel location is Other, explain: *Where will the Charging Dock be located? GARAGE If Charging Dock location is Other, explain: *Has home been re -wire for an EV charger? NO *If so, is the feeder the correct wire guage? NO *Is an equipment disconnect required by local jurisdiction? NO *Is the charging Dock within 30' linear wire run of the electricalpanel? YES *What is the total length of the wire run ft? 30' *Will any trenching be required? NO Depth (in): Length ft *How will the branch circuit be run? EMT If branch circuit run is Other, explain: SURFACE MOUNT Is there an existing Level 1 outlet available? NO If yes, did it pass a GFCI test? *Do items need to be moved for installation? YES ® Service Company Employee Site Assessment Customer Acknowledgment request (Tracking) No. / :S 3 Assessment Type Resident cLtt i HI ;AL CUNT HACTOR INFORMATION Name IL ,' Home Phone Address 7, Mobile Phone Address E-mail r1 C�1 City Contact Preference E- i Phone State Zip Fq Customer ID Customer Quote Delivery Preference E-MA WEB DEALERSHIP all items to be moved Site Notes Customer Requests 1 For a standard Installation you will receive a quote via 6-mall within 24 hours. For a custom installation you will receive a quote via e-mail within three 4uassyla:r^� 2 Complete Customer Satisfaction Survey. 3 To purchase and schedule the Charging Dock installation, log W.FAII111161. website www.nissanusa.comAeaf-electric-car. -- I agroe to the p/aoerrwrn of fire ChM ft Dods rokOw to the EVes shown t7 the box to the dgft Cratwrrerft" Typal r I understand end nd=wfeage VW a I do not own the restdenoe Mitr the roaidarras Is Xd4sW to HOA CCAPa or Duren C EV potentlel resat fbm an moMbObrM that a Wn~ HOA consent Form andbr Right to Maury Form dmrr the pvoperry owner wffbe required WW to wheat ft the An a t Om customer il7w BddrB6a /dellUBBd abOY� Bnd a e •- • • •• •� �woa�r.ou UVOW0wU auum ar Un AW raw►►ent /s 1y @*Wned next steps In the S&AssessmentaW Charging Dodt lnsl N—OOn qu—OMWn Process to me. The Charging Da* Site sub/ed to the Terms and CoWftns and any 4wilcable State stpfp/enwft I was provided WM andegnsed to at the rime of ondedrgp the Chetping Dock site Assaesmen4 and I hereby aulhorim AervV1ronmen4 Ina to wn p bte the tyecW card drarging process previously agreed to. I undan and and acknowledge that eroV7mnmen4 Inc wN a/edronk;ally provide me with a written quotation for Charging Dock Installadon based on this Charging Doak Site Assessment rT: Site Assessor Name (,ti t,`,1 t� l t C�SI nature Date ` r tourer Name F4r t 0 L214—Signature Date Please note that you can access your customer records online any dme at www.nissanusa.com4eaf-electric-car. If you have any immediate questions, Please feel free to call 1-877-NO GAS EV (664 2728) White - Contractor Yellow - Customer Vehicle Type Assessment ID 13 Appointment Date 7— 2-2 Arrival Time At Assessment Appointment Time &- Assessment Type Residential Departure Time : L/ 5 Company % Phone d S Employee 4 . Rep ID /-21/,S Address • Home Phone Q - Mobile Phone ri (o rState CLS%, I ZIPI qA2O1q Customer ID Lthe structure: (crew one) Dwlex le Patio Mobile •Townhouse AWMent Condo customer own the residence?Yes No sw.ddYounoshanwnwowawdamommmcormwmberoqulred prior w #w eo�pmm? Yes No idence subject to HOA ndes? Yes N Yw, dd You Mft Oft= #Wa=Wm oaaera bum eel be r **W prw►w the tra►te kt m? Yes No Isom byother, A%m Ief the idbm m*n bsbw. Addressl Mobile Phone Address E-mail Sutel I Zip Charging Dods location within 30 linear feet of wire run to the electrical panel Electrical Panel has sufficient space and capacity for 40A, 208VAC-240VAC circuit breaker y `F, Wooe of Work Basic Ercc_IU f j SuppiyMstall dreult breaker, wiring, conduit, and hardware • Trenching Mount and terminate the Charging Dods • Painting • . "'` Verify Charging Dods operation with the Service Tool . Pwddpg Perform customer trainina C&Vpb s ALL gaaseiona Ale' Scan and sM=d aam~ ftmL rrowWAw fiar w wo na Ate consladers r Va. Filar• Rides: Set True a OW, Eaabb Time R=W, AI W== $UP, I+ amufPkhoas R.WW, ratp sfta dre hoop adWes Nho is the electric utility company? Meter Number: Nho is the focal electrical perm tttMg n "n +v Estimated time W obtai permit: Estimated response time for inspection: What size Is the main electrical service 100 125 150 Other: 'anal Typefft: Is there existing capadty to support the additional Level 112P, 40A load? No i there existing capacity to support the addltlonal Level 1 1 P, 20A load? Y No fill tandem or twin breakers be needed? Yes If ys.~ 8 size? There is the electrical panel located? Inside Outelde Garage Besemera B other, explain: Amp pb =Pkbft sr n.l a,s„d, droveAA fts see mr cram Mpale ararrah cram Opa Namd � C2C arm also s Hest b Pia are Eleorlo Rwp eeao. Ieohme Heater 1 yya Ouv*e 0" Dram eagieoae m Elect HWH delarl •heel Sump P Hol T Dial• 6 7— Ham Sq &O Fed. 1 of 2 SP 15A or 20A 20 15 +-711 • oo��►► Assessment Assessment ID Customer ID • where will the Charging Dods be kxmded? Detached Carport Garag Driveway "other, explain: VAw d as Evpveorq ram wnr ft aNtwwCVn&W ore a mft &m.-a,.aff* Raba wmelr w **w nm of to taleotw. prry1v Dborra PIA, dare go aah mashes prssd m en. ao.mv� • cow brpth. pm ft� Has home been pre -wired for an EV chprger? Yes N If so, Is branch circuit correct wire gauge? Yes No Is an equipment disconnect required by local )urledicUon? Yee o • Is the Charging Doric within 90' passer wire nm of the electrical Y No • What is the total length of the wire run (ft)? WI0 any trenching be Tequlred? Yes Depth (in): Length (ft):Meam�p b raquiod P�1�►'�a a a7eerisd ehow8� nw route a✓e*arrarrap b+afrnembn eo the hares. How will the branch circuit be run? PVC E Romex OF LFMC MC FMC GRC rfa utrt Flush Mount Other. Is there an existing Level i outlet available? Yes If yes, did it pass a GFCI test? Yes No Does the customer want a Level 1 outlet quoted? No Circle Requested Options TOU Pedestal 15' Cord Other the Charging Dods be operated on a back r? Yes N Whet sirs is the Generate? kW Do items need to be moved for installation? No Has customer been irdormed7 Y No the Customer want the dr wft dodo bastion In a non•prslwred ante? n e-� Yee No �'p<• j ❑ Leave the Customer AdcnoWledgment copy for the customer ❑ Collect or notify the customer of outstanding documents — HOA, Right to Modify Property ❑ Explain the ordering process and ansvlfer customer questions lz;z > • (Cho* w WPMPFAW 600: FWrar a Puftffm smut a ar&ewaserra®na alb ens a►n.awww ,a U9*Standard 8120V Adder ❑ Custom • rn4owee standard tenon D@wMftwftn ouawona Site Assessor Approval I Vw* OW I Con6fed ft Slts Assessment as dasvfed above, OW ell of Me hfawn0fin provided here k Over and aodcate, and thWV* 86 Aswwwd wa: wduMd bt COnPA nce wlen aU cfAervVbunmwft requN msrr0q end that l hors cmy# WW and provided she rxr fwW wrtn Bra CuetnnrerAcAno* scbwnwd Form. 20112 � I the ovwhond mm cin n m and dhnwokm& 1A 1� 0 Uw& it o 3. t1L F All iJ , 1 i z �3{ n. yY •* �H F � 4 � ss+eRR s e� t# y• ■ 1 1 S �F �\ C 1 `y 1 �y 19 2 21 2 2 .. 23 4 A h Green = PROTECTED GF Industrial No light = Systems REPLACE UNI AC POWER i TRANSIENT VOLTAGE SURGE SUPPRESS cat. 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( Uac aoy om GE itw Da.aekR.t, Rea N Whas elacua IN vaaces raeaa aM w waoq afar vow so th L"" am ewk f a a �• i xawaM w axaperry laa or a+eaa�M "4a'F Tke recta meaeaen w a►$ aarOawe krer fdeCxdtJa -arcl ow RRMaq. ToAw awwa ie4aa• aalr .a...1 kris l* . b watwmpbwa wdk boles Aqw wR nl.d bm.O wt.n t•h. dM Rqt 11L^' i1 2�" I • e�sx 'R j"_' ' � ;�— r ena,lars ,m rsteaaa�r caa. we+wea a+ec.ca+,y.tsae�'all Lr_ .. . 4 t 9 g b I I no.a,araa r.raaw� acre* rwR+r..ve r w a. rea w e j :`1..... ..waK esapaeaRh wMert M^ earrr oea x"p of WRCN,ea t .. F'.u�.,,�,.n a+rrcaiin WMY h, Rernra,vr ntRt.'. +wMeelaAa.nA AeCt Mtflt R.h'ep. po,w-.r..,R.,..,...' w ,�� tl . x � h . G < #y m VA V ti•V^':t' } z v - -. r � W. E . f ;. { .� .► .. i@ .� A r � , 1 A71ILrovirc�nrnent EVSE-RS Condensed installation and User Guide INSTALLING THE EVSE-RS Basic Specifications: ■For use with Electric Vehicles ■Ventilation not required:: ■Rain tight Power Disconnect switch Charging Dock 1. Choose wire entry location HOLE ON UNDERSIDE OF CHARGING DOCK Bottom View 2. Attach the mounting plate Mounting plate Large hole for conduit utility wires Charging Dock mounting holes 'Hall holes for ounting plate wall stud 'all stud { HOLE IN REAR OF CHARGING DOCK near view t V Flat washer Lag bolt O O 0111111,--- ------------------1P-------, fl 0 0 00--------------- Wall stud 3. Attach the Charging Dock to the mounting plate Upper mounting hole 4. Wire the Charging Dock Terminal Block Ground Strip Ground Wire Two power wires Flat washer Socket head screw 5. Install the front cover # 10 Torx screws— Torque 1 2in/lb Removing the trim ring OA;W'wQ 6. Complete the installation =A MW I FRONT PANEL COMPONENTS POWER PRESENT The charging dock Is receiving AC power. READYTO CHARGE The charging dock is ready to charge or charging is paused. VEHICLE CONNECTED The connector is properly connected to the veh icle po rt or the charge is complete. VEHICLE CHARGING The vehicle is being charged. TROUBLE There is an error. Try removing the connector and inserting back into the vehicle. If Trouble Indicator is still illuminated call Customer Servloe at 1 (877) NO GAS EV or 1 (877) 664-2738 or visit Customer Service on the web at www.nissanusa.com/leaf. START Press to begin a charge. The POWER PRESENT and READY TO CHARGE lights must boon.. OP + rss m albs cha ing. d yr utotically w en it reaches full charge. RELEASE BUTTON Press to release the Connector from the charging dock or the veNdg por>r. _,.. . . CHARGING THE VEHICLE a Press the button on the connector to release it from the charging dock. L ] Insert connector firmly into the vehicle charge port. When fully inserted, the VEHICLE CONNECTED hght on the charging dock will illuminate. L7-A Charging will stop automatically when complete. You can manually stop charging by pressing STOP. When the READY TO CHARGE light blinks, remove the connector from the vehicle charge port, ff you have pressed STOP, you can press START to resume charging. PW it "Am IT 6 J%ZMWTOCftAft ! o BIIUEGOANELYED "e'• uEr«eaeewutoxro @ %j� .Rouase o r/ � the cable from heable hanger. s, l -) 0 tf 1 L Charging wIII begin automatically. When charging begins, the VEHICLE CHARGING light will begin to blink. There is no need to press START. �i When the VEHICLE CHARGING light stops blinking on the charger, press the button on the connector to release. Pull to remove from vehicle charge port. Installation Notes 1. When required by the AHJ, install Safety Switches per the specification indicated. 2. Branch circuit wiring shown here is based on typical installations where voltage drop is not a factor. Conduit and conductor sizing shall be calculated based on length and sized to be compliant with NEC. 3. Labeling requirements: All junction boxes, safety switches and Charging Docks shall be labeled with the panel and circuit designation. Use Brady or equal label maker and adhere to cover of each item listed above. Additionally conductors shall be labeled with cloth markers. NOT TO SCALE Single Wall Mount EVSE / Wall Elevation Surface Installation of Exterior EVSE Typical One Hole Strap as required by Code Typical 2-Gan Bell Box (or ial) with Tamper Proof Screws Typical One Hole Strap as required by Code Typical %" EMT Conduit W/248 & 1410 Ground, THHN Copper 60 Amp, 250 Volt, 2 Pole, Fusible, General Duty, NEMA 3R EVSE Z_ Wall Mount Charging Station Typical %" Liquid Tight Flexible Conduit �— Cable Management O Typical %" EMT Conduit W/248 & 1410 Ground, THHN Copper EVS�. Wall Mount Charging Station Typical %" Liquid Tight Flexible Conduit Cable Management Page 4 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 1131 Fax: 408-777-3333 c U P E TR 1 0 CTOR LIST CONTRACTOR / SUBCONTRA �� PERMIT # V _ JOB ADDRESS: 9-3 PHONE # Ifile OWNER'S NAME: �; BUSINESS LICENSE # �f GENERAL CONTRif ACTOR: CITY/ZIPCODE: ertino business license - ADDRESS: ADDRESS: �S S • �� in the city to have a City of Cup Y INSPECTION(S) WILL BE SCHEDULED UNTIL T THE *Our municipal code requires all businesses CCUPANC OBTAINED A C NO NO BUILDING FINAL OR FINAL GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBT r BUSINESS LICENSE. Date I am not using any subcontractors: ` �'! ' able subcontractors and complete the following information USINESS LICENSE # Please check applicable B SNAME I/ SUBCONTRACTOR Cabinets & Millwork Cement Finishing Electrical 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 I I Tile BUSINES Owner / Contractor Signature Date CITY OF CITY OF CUPERTINO GENERAL BUILDING CUPERTINO PERMIT APPLICATION FORM 161Z oo4�.Z APN # LP I q 1-7 0 1 ( ,0C) Date: , Building Address: Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes ❑ No HOA: Exterior work only) Yes ❑ No 61 If yes, provide letter from HOA Owner's Name: Phone #: Contractor: Phone: S6)GZI Fax: `4" Contractor License #: 2(::1 6 D d v G 1 O Cupertino Business License #: Contact: _ t { Phone: '40 Z `i8 ►3y Fax: y Q2, - z�F, Residential Commercial ❑ Job Description: �(CUc Building Permit Info: Bldg ❑ Elect Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV -HT, V-B ❑ Valuation: Square Footage: A"6 k1< Project Size: Ex ress ❑ Standard Large ❑ Major ❑ (0?1.1v Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditgreen.org Revised 07/14/09