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13060164CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11699 OLIVE SPRING CT CONTRACTOR: SOLARCITY PERMIT NO: 13060164 OWNER'S NAME: ZVIAD 7AKHUA 3055 CLEARVIEW WAY DATE ISSUED: 06/20/2013 OWNER'S PHONE: 4085045534 SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ft ` LICENSED CONTRACTOR'S DECLARATION License Classes Li Lic. #� INSTALL (N) BRANCH CIRCUIT & (N) 50AMP OUTLET IN GARAGE FOR ELECTRICL VEHICLE CHANGING Contractor GF Dai I hereby affirm that I am lice., 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 Valuation: $500 performance of the work for which this permit is issued. Sq. Ft Floor Area: I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36654098.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITfIIN 180 D ERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 D CALLED INSPECTION. 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 slued by: Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulati s per the Cupertino Municipal Code, Section 9.18. Date 3 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION - Signature of Applicant: ate: 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 isnot 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 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which thi$ permit is issued. , the Health &Safety Code, Se in25505, 255nd 25534. 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 L Owner or authorized agen . ate: `"' 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 I hereby affirm that there is a construction lending agency for the performance of become subject to the Worker's Compensation provisions of the Labor Code, I must work's for which this permit is issued (Sec. 3097, Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. 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. CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �0 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • building(a)cupertino.org 'AE PROJECT ADDRESS ' �. C' q o I l , e/I (' r� &rN # /� / / _ ` _— O 4 OWNER NAME oa I ja �� u,�, PHONE(Ij8R1 �� � 934 b {OJ E -,MAIL tes (y/ �� VIS . (om �jF yAxt STREET ADDRESS r� (� U J CITY, STATE, ZIP r ��nJ CONTACT NAME PHONE(f J9J �lf-� E-MAIL�J F -e U_0 .I 1 f4 Q STREET ADDRESS CITY, STATE, ZIP ' n I Li r❑ FAX ❑ OWNER ❑ OWNER�-BUILDER❑� OWNER AGENT CONTRACTOR XCONTRACTORAG`ENNT❑ ARCHITECT ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME R LICENSE NUMBER C LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS Iv CITY, STATE, ZIP I 1 , q o `� PHONE 3 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF >SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT INWILDLAND URBAN INTERFACE AREA ❑ Yes '�?eNo PROJECT IN FLOOD ZONE ❑ YeSy < NO 1-1SOLAR PANELS 64,ELECTRIC VEHICLE CHARGING STATION 1:1SOLAR WATER HEATING El OTHER: FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION:sn� 0 DESCRIPTION OF WORK Ct�f� n Neem RE By my signature below, I certify to each of the following: I am the property owner or authorized agent ct on the property owne ' e . 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 o uilding construction. uthorize representatives of Cupertino to enter the above --identified property for inspection purposes. Signature of Applicant/Agent: Date: (O //13 SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY w �d ❑OVER-THE-COUNTER ❑ EXPRESS U ❑ STANDARD U ❑ LARGE p ❑ MAJOR PVApp_2011.doc revised 03/16/11 Y\ 7 - CITY OF CUPERTINO � 10 1V 1Vcrr71%4A mnu — UTTII ."INC 11IVICICIN APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Special Circuits 1BREMMISC 1 # $133 TOTALS: $133.00 Much. Plan Check Xlech. Perinit Fee: Other Alech. Insp. Mech. Insp, Fee: NOTE: This estimate does not ince Plumb. Plan Check Elea Plan Check 10.0 1 hrs $0.00 Plumb. Permit Tee: Elec. Permit Fee: IEPERMIT Oilier Plumb Insp. Other Elec. Insp.0.0 hrs $45.00 Pluryb. Insp. Fee: Elec. Insp. Fee: fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School Th a based on the relimina information available and are only an esumate. contact me ve r or aaan i in u. vtstrtct, etG . ese ees ar FEE ITEMS (Fee Resolution 11-053 Eff. 711112) ADDRESS: 11.699OLIVE SPRING CT DATE: 06/20/2013 REVIEWED BY: MELISSA . Plan Check Fee: APN: 366 54 098 BP#: *VALUATION: $500 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex PME Plan Check: PENTAMATION 1 REAP? PERMIT TYPE: USE: PenniI .Fee: WORK INSTALL N BRANCH CIRCUIT & N 50AMP OUTLET IN GARAGE FOR ELECTRICL VEHICLE SCOPE I CHANGING APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Special Circuits 1BREMMISC 1 # $133 TOTALS: $133.00 Much. Plan Check Xlech. Perinit Fee: Other Alech. Insp. Mech. Insp, Fee: NOTE: This estimate does not ince Plumb. Plan Check Elea Plan Check 10.0 1 hrs $0.00 Plumb. Permit Tee: Elec. Permit Fee: IEPERMIT Oilier Plumb Insp. Other Elec. Insp.0.0 hrs $45.00 Pluryb. Insp. Fee: Elec. Insp. Fee: fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School Th a based on the relimina information available and are only an esumate. contact me ve r or aaan i in u. vtstrtct, etG . ese ees ar FEE ITEMS (Fee Resolution 11-053 Eff. 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fee PME Plan Check: $0.00 PenniI .Fee: Suppl. Insp Fee PME Unit Fee: $133.00 PME Permit Fee: $45.00 t:onstrziclion Tar: Administrative Fee: 1ADMIN $42.00 Work Without Permit? ® Yes 0 No $0.00 Advanced Planning Fees: i Travel Documentation Fee: 1TRAVDOC $45.00 Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $266.50 OT $0.00. a > �IF� $266.50 Revised: 04/29/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 C O P E RT I N O -Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: IM9S PERMIT # j D OWNER'S NAME:PHONE-4SD LWt�CJ - q CTO GENERAL CONTRAR BUSINESS LICENSE# ' 6 ADDRESS:CITY/ZIPCODE: _. `0 *Our municipal code requires all busindsses working in the city to have a City of Cupertino businkss license. ' NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL CONTRA RS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: Owner /Contractor Signature Date 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 4' t CONFIDENTIAL — THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION HATH THE SALE AND USE OF THE RESPECTIVE SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. 2' CUPERTINO Building Department pLorf PLANS !77w, CK)�A BY. JUN 2 0 2013 (N) NEMA 14-50 Outlet REVIEWED FOR CODE COMPLIANCE 1450 Reviewed By, - 1 PLANNING Finished Floor i h;: of plars and spe-ifi" - +'ons MUST be kept -the J6- `,_c durl;,g constiuc,'on It is unlawful to s;;y C1TUr,(-. s or altei ations on same, or to d`�`:i!a:e . ,T,rcim, witl-,out approval trorn the Building official. ening of this plan and specifications SHF' mit be an approval of the vl� _,,, any City Ordinance or Stat Olive Spring Ct JB -9501883-00 1�� MANAGER: !- �- �' /� ! 3 lj;o6 yr 6 MAIN PMEL SERVICE RATING De* -V. pA'�! JON�, �q ReyieweaQ r COGS �. ,. Garage (E) 125A Main Electric Service (3) #8 AWG THWN-2 (1) #10 AWG THWN-2 3/4" EMT VEMA 14-50 (N) NEMA 14-50 Outlet PREMISE OVER Zviad Jakhua 11699 Olive Spring Ct Cupertino, CA 95014 (408) 504-5534 tesla@zvis.com 2' 16' 2' 20' Solartiv- �6334 Arizona Place Los Angeles, CA 90045 (888)-SOLCM (765-2489) www.solamity.mm ELECTRIC PANEI (E) 125A Main Service (1) 50A/2P CIRCUIT BREAKER P OM 120/240V SINGLE HASE UTILITY SERVICE OR MAIN PANEL — CONFIDENTIAL — THE INFORMATION HEREIN �B- 9501883-00 CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., DewipNoo: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 120 240V Branch Circuit PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH PROJECT MANAGER: THE SALE AND USE OF THE RESPECTIVE James Winttuck SOLARCITY EQUIPMENT, NITHOUT THE WRITTEN DRAFTER: PERMISSION OF SOLARCITY INC. AM MAIN PANEL SERVICE RA71NC PRDASE OWNER Zviad Jakhua 11699 Olive Spring Ct Cupertino, CA 95014 (408)504-5534 tesla@zvis.com NEMA 14-50 RECEPTACLE (1) AWG #8, THWN-2, Black (1) AWG #8, THWN-2, Red'' (1) AWG #8, THWN-2, White (1) AWG #10, THWN-2, GreE (1) Conduit Kit; 3/4" EMT Vmp = 240 VAC Imp = 40 AAC SolarCity- 6334 Arizona Place Los Angeles, CA 90045 (888)SOL-CITY (765-2489) wwwsola¢ityo m -•.F, •• LEVITI �- 2T9 BENEFIT OF ANYONE EXCEPT SOLARCITY INC., Dm'pDgi; � Description PART TO OTHERS OUTSIDE THE RECIPIENT'S 50 Amp, 1251250 Volt, NEMA 14.50R, 3P, 4W, Flush Mt Receptacle. Straight Blade. Grade, ORGANIZATION, EXCEPT IN CONNECTION WITH Industrial Grounding, , Side Wird, Steel Strap, - Black THE SALE AND USE OF THE RESPECTIVE Product Featuroe r Grounding: Grounding PERMISSION OF SOLARCITY INC. Amperage. 50 Amp Color. Black Voltage: 125/250 Volt � A NEMA: 14-5DR Pole- 3 Wire. 4 Termnation Side Face Material. Nylon Body Material Nylon Strap Material: Steel Color: (tack Standards and Certifications: LILICSA Warranty: 10 Year Limited AC Horsepower Ralmoss Electrical SiecNrcations At Rated VoN 3 HP Dielectric Voltage Withstands 2000V per CONFIDENTIAL — THE INFORMATION HEREIN 9501883-00 CONTAINED SHALL NOT BE USED FOR THE lJB- BENEFIT OF ANYONE EXCEPT SOLARCITY INC., Dm'pDgi; NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 20 240V Branch Circuit PART TO OTHERS OUTSIDE THE RECIPIENT'S C" �(��/ /� ORGANIZATION, EXCEPT IN CONNECTION WITH PROJECT MANAGER: THE SALE AND USE OF THE RESPECTIVE James Winttuck SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. AHI: MAIN PANEL SERNCE RAING Daicc UL498 Current I-Imilina Full Rated Current Temperature Rise Max 30C after 50 cycles OL at 150 (cent rated current Material 6fications Face Materiel Nylon Body Material Nylon Line Contacts Brass Double -Wipe Product ID Ratings are permanontly marked on device Yoke Zinc -Plated Steel Standards and Certifications NEMA WD -6 ANSI C-73 UL498 File E13399 CSA C22.2 No. 42 File 152105 NOM 057 PREMISE OMER Zviad Jakhua 11699 Olive Spring Ct Cupertino, CA 95014 (408)504-5534 tesla@zvis.com %larCny- 6334 Arizona Place Las Angeles, CA 90045 (888) -SOL -CITY (765-2489) www.solarcity.oxn rf 2T' L��"�,f�. �f sem• C" �(��/ /� C — IV c� c=am_ �• � A %larCny- 6334 Arizona Place Las Angeles, CA 90045 (888) -SOL -CITY (765-2489) www.solarcity.oxn NEC 2008 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 2.263 Panel Breaker Rating 125 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" 2,263 square feet x 3w/sq ft 61789 VA NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits x 1500= 4.500 VA NEC 220.83(A)(3) "The nameplate rating of the following:" NEC 220.83(A)(3)(a) "All appliances that are fastened in place, permanently connected, or located to be on a specific circuit." Refrigerator - 1,920 VA Freezer- 0 VA Disposal- 1,440 VA Dishwasher- 1,440 VA Trash Compactor - 0 VA Cook Top Hood - 0 VA Microwave - 1,440 VA Toaster - 0 VA Wine cooler - 0 VA 0 VA Clothes Washer- 1,440 VA Clothes Dryer gas - 0 VA Sauna Heater 0 VA Steam Room 0 VA Treadmill 0 VA 0 VA Landscape lights 0 VA Hot Tub 0 VA Pool Pumps _ 0 VA 0 VA 0 VA 0 VA EVSE: Tesla NEMA 14-50R 9.600 VA 17.280 total VA NEC 220.83(A)(3)(b) 'Ranges, wall -mounted ovens, counter -mounted cooking units" Range - 0 VA Oven - 5.760 VA Cooktop - 0 VA 0 VA 0 VA 5,760 total VA NEC 220.83(A)(3)(c) "Clothes dryers that are not connected to the laundry branch circuit specified in item (2)" Dryer 1 - 6.000 VA Dryer 2 - 0 JA 6.000 total VA NEC 220.83(A)(3)(d) "Water heaters" Water Heater 1 n/a JA Water Heater 2 n/a JA 0 total VA Total of non air-conditioning loads: 40,329 total VA �X� First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 12,932 VA O Adjusted total of non air-conditioning load 29,932 VA NEC220:83(6) "Where additional air-conditioning equipment or electric space -heating equipment is to be installed..." / A/C Equipment Unit #1 6,288 VA A/C Equipment Unit #2 0 VA r A/C Equipment Unit #3 0 VA A/C Equipment Unit #4 0 VA A/C Equipment Unit #5 0 VA J;Q A/C Equipment Unit #6 0 VA Total of A/C Loads and All Other Loads: 27,220 total VA Total Proposed Calculated Load 113.42 Amps JB - 9501 883 0®®' �O�al'�ilt�/ © copyright SolarCity 2013