13040200 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10136 MC LAREN PL CONTRACTOR:MR ELECTRIC PERMIT NO: 13040200
OWNER'S NAME: JAGESH SANGHAVI 2218 OLD MIDDLEFIELD WAY DATE ISSUED:04/30/2013
OWNER'S PHONE: 4082553661 MOUNTAIN VIEW,CA 95014 PHONE NO:(408)725-8380
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALLJ
License Class IG Lic.# '737767 INSTALL(N)EV CHARGING STATION(WITH DEDICATED
CIRCUIT)IN GARAGE AREA
Contractor trQ+- Date !� 30 /3
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. Sq.Ft Floor Area: Valuation:$1600
1 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:31621044.00 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 DA 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 DA O AST 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 bQ
granting of this permit. Additionally,the applicant understands and will comply Iss y: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature L� Date `/ IF//3 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)
1,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,Sections 25 �533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this 3? /3
Owner or authorized agent:� � Date:
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 0�
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 01"
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 Ae-�v\
CUPERTINQ (408)777-3228•FAX(408)777-3333•buildingna.cupertino.org /L,v
PROJECT ADDRESS APNN
/0j 34, M I✓z re.0 C St to - 2 I - o L y
OWNER NAME PHONE E-MAIL
ea Sci•, �.u. & aSS - 364/ =cam ec1. -�a�. ko Coit
STREET AD KESS CITY,STATE,ZIP FAX
161316 .areyy ?42-c,9 Ct, n r . C-A 9 S#01-/
CONTACT NAME PHANE E-MAIL �t
rr. wwcl0 A1or,o-✓ SO 1Z MrtMtc,TtfC, 6,% 1& h.a�,� GO
STREET ADDRESS CITY,STATE. ZIP FAX
'If 2- w GA- 17
❑ OWNER ❑ OWNER-BUILDER ❑ OWNCO
ER AGENT 9 NTRACTOR 11CONTRACTOR AGENT 11ARCHITECT ❑ENGINEER 13DEVELOPER ❑TENANT
CONTRACTOR NAME?0.0 rh" E-L� `
c�ryecc-( S�'^ LICENSE NUMBER LICENSE TYPE BUS.LIC N
Glow My. E7-tc,}rtc 9377(7 0-10
COMPANY NAMEE-MAIL FAX
r-ma.�o(� aaor.wr r+.rQ 11.4r� c
STREET ADDRESS CITY,STATE,ZIP PHONE
3339 y?,-os -oc.} P-J Sam a,,, CA— 9S/a S 6S0 aro �e 12-
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC N
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex ❑ Mufti-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: [I Commercial URBAN INTERFACE AREA ❑ Yes ❑ No FLOOD ZONE ❑ Yes ❑ NO
SOLAR PANELS l'S ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR,SOLARPANE!_S: NUMBER OF PANELS/UNITS: N KILOWATTS: TOTAL VALUATION.
i' f J a —
DESCRIPTION OF WORK�hS � �eL� v h'C L C I
�.11 a�D o7Ya v 0 C.iruJt r.c. e 0.� �
-y► �(,ra .c.
D BYi
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 relating to building con n. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature ofApplicanUAgent: Date: 3A >3
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
W >COVER-THE-COUNTER
w
r
F- ❑ EXPRESS
:L
U
U
❑ STANDARD
U
LARGE
a,-
MAJOR
PVApp_2012.doc revised 06/20/12
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10136 MC LAREN PL DATE: 04/30/2013 REVIEWED BY: MELISSA
APN: 316 21 044 BP#: "VALUATION: 1$1,600
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY S. or Du iex PENTAMATION SOLAR-RES
USE: p PERMIT TYPE: i
WORK IINSTALL N EV CHARGING STATION WITH DEDICATED CIRCUIT IN GARAGE AREA
SCOPE
Mech.Flan Check Plumb.Plan Check Elec.Plan Check
Wech.Permit Fee: Plumb.Permit bee: flee.Permit Fee:
Other illech.Insp. Other Plumb Insp. Either Elec.Insp.
Li
fleck.Insp.Fee: Plumb. Inst}.Fee: Elec.Insp,Fee.-
NOTE. This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These ftes are based on the prefindna information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 fff. 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 # Alternative Energy System
Suppl.PC Fee: 0 Reg. ® OT 0.0 hrs $0.00 $102.00 ICHRGSTA EV Charging Station
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee-.0 Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Co nsiruction .Tta:
Administrative Fee:
Work Without Permit? ®Yes (E) No $0.00
Advanced Planning Fee. $0.00 Select a Non-Residential G
Building or Structure
Travel Documentation Fees: �
Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
$1.50 $102.00 rtm � �. $103.50
A t Revised: 04/29/2013
Building Department
City Of Cupertino
10300 Torre Avenue
_Cupertino,CA 95014-3255
Telephone: 408-777-3228
C U P S RT I N O Fax: 408-777-3333
CONTRACTOR/SUBCONTRACTOR LIST , r.
JOB ADDRESS: /0 /3( IYt[, N �w C� .�,,�► PERMIT#: (25 7__C-�
OWNER'S NAME: PHONE# (,Co ao 6 -
I GENERAL CONTRAC OR: BUSINESS-LICENSE#
ADDRESS: 533' �raE 4u F cl a Z CITY/ZIPCODE: Scu.> c s.. C-4-
Our
4-
Our municipal code re uires all businesses working in the city to have a City of Cupertino-business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL"BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBC NTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
� ' o
Signature Date
Please check applicable subcontractors and complete the-following information: `
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
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
Tile
Owner/Contractor Signature Date
�a
r
)FFICE .. �
;10'130 `McLaren Place, Cupertino CA 95014 � f?
��611 .4
'F GIFI
3
pry R �uildi E�'7'/J�C:J
p ::fit AP oar6nent
REVIEWS 3
3o2013
Review
Maln House ��-oR C�D
COMPLi,��GE
R
Ecotality SRT
EVSE a"o
Garage p
100A Qat rNc � ,
Main
Rr,
Driveway
McLaren Place
Project Address: c-h
No p�
Voltage- 120 / 240v + "c sift T r : :'ad< tType-, C edtut Type:
C —
oudlit Size: �; '3 y —
- , � : �—, -o �:onduit Size,
Single Are ea
� W>Y a Vie: t wife &N, � g �,��'e sim: !n' �
Bi eak-er Fqx hent Fc uoment FgWpment
Size. //� Ground, /a
Wire Nie
Lhstntc 304
Tl ;st�,�ce; Distance:
Discomect
Flecet�c
Pf1
I✓u-�.
Building
� APR 3 0
2013 1470�
,t
,:EV l~; ED -^2 CODE COMPLIM
failtifart
exriewed By:
NlI'�'i'
Model: 13b-0-
ve<* rxistg Fewl(ling electrode
.�
IIflid;IC u�er: r�� malvitpa
N
Residential Load Calculation-Existing Dwelling Unit (NEC 220.83) Elect. Permit No.
Project Address: 10136 McLaren Place,Cupertino CA 95014 -
100 Amp Main
Existing plus Added Loads(less HVAC)
2492 sq. ft. 3 watts sq. ft 7476 watts
2Small Appliance Circuits 1500 watts ea. (Minimum is two) 3000 watts
1 Laundry Circuits 1500 watts ea.(Minimum is one) 1500 watts
Range(Nameplate Rating) 0 watts
Cookto (Nameplate Rating) o watts
8000 Oven(Nameplate Rating) 8000 watts
Electric Water Heater 0 watts
Electric Clothes Dryer(Enter larger: 5000 watts or nameplate ratio ) 0 watts
1200 Dishwasher 1200 watts
800 Disposal 800 watts
Microwave 0 watts
Refrigerator 0 watts
Range Hood 0 watts
Trash Compactor 0 watts
7200 Electric Vehicle Supply Equipment(EVSE)@125% 9000 watts
0 watts
01 watts
Total Calculated Load (less HVAC) 30976 watts
HVAC Load
Compute the HVAC load and enter the LARGER of these air-conditioning or space heating loads.
Air Conditioning Load(Volts X Amps=Watts) 3275
watts
Furnace/Air Handler(Volts X Amps=Watts)
OR
Electric Space Heating Load(Volts X Amps=Watts) watts
(Central electric furnace,electric baseboard heaters,ceiling radiant heat,etc.)
OR
Heat Pump with Central Electric Furnace (Volts X Amps=Watts) watts
(Nameplate rating of heat pump compressor plus electric furnace)
HVAC Load 3275 watts
Service Demand
Total Computed Load (NEC 220.83)
First 8kw of Total Calculated Load(less HVAC) 100% 8000 watts
'•.€'.' Remainder of Total Calculated Load(less HVAC) 40% 9190.4 watts
asa
HVAC Load @ 100% 3275 watts
Calculated Service Load 20465.4 watts
Calcul4@MIMce Load - Service Voltage = Minimum Service Ampacity
204 watts 40 volts = 85.27 amps
UITC 111V Oe
APR 'wont
4 „ 3 0 Z013
r emeweq S G44E CCNiPQAIvC
Y E