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13040182 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS.• 20697 SUNRISE DR CONTRACTOR:SOLARCITY PERMIT NO:13040182 OWNER'S NAME: NICK BAKER 3055 CLEARVIEW WAY DATE ISSUED:04/25/2013 OWNER'S PHONE: 4088231726 SAN MATEO,CA 94402 PHONE NO:(650)638-1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIALS License Class CO Lic.# � V P �o 7 INSTALL(1)50 AMP CIRCUIT FOR NEMA 14-50 OUTLET G � .Op l7 FOR EV CHARGE Contractor /O C{ Date �'f II�� 2 I hereby affirm that I am licen d under the,provisions of Chapter 9 (commencing with Section 700 )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:$500 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:35910026.00 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 WITHIN 180 D F 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 DA- ST CALLEDINSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued b Date I17-5-/- / granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the upertino Municipal Code,Section 9.18. � 0A �e any roofing Signature Date ff-( 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: 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(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,Secti 25505,25533 34. 7 Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date- 17 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 CONSTRUCTION LENDING AGENCY 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 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 ALTERNATIVE ENERGY PERMIT APPLICATION �\ COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(cDcupertino.org PROJECT ADDRESSAPN It 206q� S��►nse peive_ 3 �laoZ6 OWNER NAMEPHONE E-MA I G o a L -7 STREET rt H bR co wt STREET ADDRESS CIT L 1 7�/ FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE.ZIP FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER ^� ,!/ LICENSE TYPE � BUS.LIC# n f0(L COMPANY NAME n,�J'` ID('(� EMAIL /AoLV/_ FAX (/ D7 I/JT►/ a( XJ U STREET ADDRES CI STATE,ZIP � PHONE —S S —/36'� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC N COMPANY NAME EMAIL 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 ❑SOLAR PANELS :[jELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANE/T. NUMBER OF PANELS/UNITS: #KILOWATTS: TOTAL VALUATION �oo .oc� DESCRIPTION OF WORK fo e- RE By my signature below,I certify to each of the following: I am the property owner or authorized agwtfolact on e s behalf. I h read this application and the information I have provided is correct. I have rea'zed the s ription of Work and verify it is accurate. e-te-eomplywit all applicable local ordinances and state laws relating to building construction. I auth r r tatives of Cupertino to enter the above-identified dpprrooper^ty�for inspection purposes. Signature of Applicant/Agent: Date: TCt I`' �7 IL SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY w OVER-THE-COUNTER a F ❑ EXPRESS U U x ❑ STANDARD U a ❑ LARGE a 0' MAJOR PVApp_2012.doc revised 06/20/12 CITY OF CUPERTINO its __FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20697 SUNRISE DR DATE: 04/25/2013 REVIEWED BY: MELISSA APN: 359 10 026 __F#: "VALUATION: $500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1 REAP? USE: p PERMIT TYPE: WORK INSTALL N 50 amp CIRCUIT FOR NEMA 14-50 OUTLET FOR EV CHARGE SCOPE MOM elm NO NON N, n L1ech. Plan Check Phrstrb,Plzen Check Elec.Plan Check 0.0 hrs $0.00 XlFech.Permit Fee: Plumb.Permit Tee; Elec.Permit Fee: IEPERMIT FAI,,eh. h9ech.Insp. C?ther Plumh Insp. Other Elea Insp. 0.0 hrs $45.00 Insp.Fee.- Plumb. Inch.Fee: Elec.Insp.Fee_ NOTE.This estimate does_notinclude fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the prefindna information available and are only an estimate. Contact the Dept-for addn'l info. FEE ITEMS (Fee Resolution 11-OS3 E . 711112) FEE QTY/FEE MISC ITEM5 Plan Check Fee: $0.00 F T-1 # Electrical Suppl. PC Fee: (F) Reg. ® OT 0.0 hrs $0.00 $133.00 IBREMMISC Special Circuits PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 ConstructionTax: 771 Administrative Fee: IADMIN $42.00 Work Without Permit? 0 Yes 0 No $0.00 E) Advanced Planning Feer $0.00 Select a Non-Residential .0 Travel Documentation Fee: 1TRAVDOC $45.00 Building or Structure ®� Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $133.50 33 $1 .00 ° $266.50 a _ Revised: 04/01/2013 N a � N) NEMA 14-50 Outlet riveWay W E For Electric Vehicle Charging Height Between 1.5'and 4' No Ventilation Required S COf�^:;:"ufJiTY GL^:'�f;'�nn� T c �'�P . �cPJ� L�FARil�ic BUILDING DIVISION-0 UF)=R i IMO � A�� �° ' Svi�a;�s ORT�NO O V A 1 F"z APR 2 g ZQ13 spa' int E)60A Sub P nel This set of plans and specifications MUST be kept at Q job site during constructlon. It is unlawful to.�a-!R FO'� rr ch;a ages or alterations on same, or to davlafe wept By OQE COIVIP�� therefrom,without approval from the Builth g Gfficial. AN 3)#8 AWG THWN-2 The stain C� (1)#10 AWG THWN-2 ping of this plan and specifications SHALL NOT 3/4 EMT 70' be,held to permit or to bean sP r , MARK UP KEY al os' the viotaItion ity Ordina ce or State Law. B � Main Panel DAI C Sub Panel PERKW4 Q J—Box O © AC Disconnect Rl EV Outlet E)200A Main Panel 1►,�i',,l� 504 circvi+ Q Transfer Switch NEM�4 ��' S0 DuT(,ET �� EVS E rJlur f. Conduit & Conductors 1�oiNa1�-royl `� 500. ov .APR 2 APN : 397 loa�1'a 77!.7t Sunrise Dr CONFIDENTIAL-THE INFORMATION HEREN AHS PREMISE OWNER' _kd/. CONTAINED SHALL NOT BE USED FOR THE JB-9501615 Cupertino ��• Nicholas Baker �• ■ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MAN PANEL SERVICE RATING 7j4� SaiaitIt NOR SHALL IT BE DISCLOSED IN WHOLE OR IN EV Charger 200A 20697 Sunrise Dr ►� PART TO OTHERS OUTSIDE THE RECIPIENT'S PROJECT MANAGER CIRCUIT200 VOLTAGE/AMPERAGE Cupertino, Ca ,94014 ORGANIZATION,EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE James Winttuck 240V 50A (408)823-1726 3055 Clearview Way SOLARCITY EQUIPMENT,WITHOUT THE W ITTEN DRAFTER:: San Mateo,CA,94402 PERMISSION of SOLARCITY INC. Hadi Rismanchi NEMA 14-50 nbaker01@nbaker.com (888)-SOL-CnY(765-2489) www.olarcm,.com NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 3,300 Panel Breaker Rating: 200 A L1/L2: 240 Vac NEC 220.83(A)(1) "General lighting and general use receptacles ... @ 3 volt/amperes juare foot q,� determined by 220.12" �. 3,300 square feet x 3w/sq ft 9,900 VA r Q NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20r p Number of circuits 7 x 1500= 10,500 VA ct� cn Otu NEC 220.83(A)(3)(b) "Household Range(s), wall-mounted oven(s), and counter-mounted eking " it(ss) 7,210 V 'to m Range 9,210 V -:, _-;t�' 16,420 t ,t r Q) NEC 220.83(A)(3)(a) "All other appliances that are permanently connected, fastene or�bnnected to a dedicated circuit, at nameplate rating" Dishwasher/Disposal 3,840 VA Refrigerator 1,760 VA Microwave 1,200 VA Washer 1,760 VA Dryer 5,400 VA Furance 1,400 VA Vaccum 1,250 VA VA VA VA VA VA EVSE 1: Tesla Nema 14-50R 9,600 VA EVSE 2: 0 VA 26,210 total VA Total of non air-conditioning loads: 63,030 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 22,012 VA Adjusted total of non air-conditioning load 30;012 VA NEC 220.83(B) "Where additional air-conditioning equipment or electric space-heating equipment is to be installed..." A/C Equipment Unit#1&2 10,250 VA A/C Equipment Unit#2 4,780 VA Total of A/C Loads and All Other Loads: 45,042 total VA Total Proposed Calculated Load: 187.68 Amps _.►I,dr - " ©copyright SolarCity 2008 JB Baker SolarCit MOBILE CONNECTOR C �c INSTALLATIONIIDEQT IIA. � To take full advantage of your Tesla Mile Qqnner r, rk with an electrician to install a 240 volt outleNher ro Ian to park your Model S. O ��' To ensure uninterrupted char ower�he&rcuit breaker should be rated for 5 �v cpm Your Mobile Connector also come a�0 volt adapter, which you can use to charge from any houo-sehold outlet. While this isn't a very fast way to charge, it allows you to charge almost anywhere. ............................................................................................................................................................................................................... DETAILS OG Single phase, 208-250 volt AC supply, 60 hertz • 50 amp circuit breaker/40 amp continuous draw 250 V • No GFCI (Ground Fault Circuit Interrupter) required • Service disconnect not required • The connector is 20 feet long. Install your new outlet less than 18 feet from the driver side taillight, at least 18 inches above the ground. • Do NOT use an extension cord NEMA 14-50, Ground on Top Image to scale (-2.25"diameter) SolarCity is our recommended charging equipment installer.They are experts in preparing homes for Tesla vehicles.If you need an electrician,contact SolarCity to schedule a s SolarCity consultation:tesla@solarcity.com or 1-855-515-7652. Questions? Contact the Tesla Ownership Experience Team:ownership@teslamotors.com or 1-877-778-3752. r o Aea$,Leoo to 0 3894 O O p Range RecOaCI@ Q 50A 1251150Y R ON Flush Mount V 4W c=c= , �Q AUW �i 747 75�C V Mw.m come 279 1 PC hI"'� I I ffll�I��II) 7 8. 0 079 s tQ N � ' Q cl— • �` Q A N N o ., FD Y