13070058CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10050 MOSSY OAK CT
CONTRACTOR: MR ELECTRIC
PERMIT NO: 13070058 .
OWNER'S NAME: ANANTHAN & HEMALATH VENKATESAN
2218 OLD MIDDLEFIELD WAY
DATE ISSUED: 07/09/2013
OWNER'S PHONE: 4087250724
MOUNTAIN VIEW, CA 95014
PHONE NO: (408) 725-8380
JOB DESCRIPTION: RESIDENTIAL COMMERCIALE]
❑ LICENSED CONTRACTOR'S DECLARATION
License Class C.1 b Lie. # , ` 7.3,-770'7
INSTALL (N) DEDICATED 240V/40A CIRCUIT FOR EV
?�Q
Contractor Date JJ."i I /_?
CHARGER
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
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 34232100.00
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
WITHIN 180 DAYS 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 DAYS FROM L ALLED 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
Issue ate:
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.
D
Signature Date 7 f
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.
❑ 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 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 55",533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Q . — 7
Owner or authorized agent: �`�"'" � Dater_
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 whichmay 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 �3
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �O
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - building cupertino.org
PROJECT ADDRESS 100 6 Mos c t•
APN #
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❑ OWNER ❑ OWNER -BUILDER 1:1 OWNER AGENT J+ CON�TPLACTOR 1:1 CONTRACTOR AGENT 11 ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME Pojlo r.av EI--e-�ricr_k ICAL �
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LICENSE`�T/YPE
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COMPANY NAME
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STREET ADDRESS
CITY, STATE, ZIP
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ARC HITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
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
2 ELECTRIC VEHICLE CHARGING STATION
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANEL S: NUMBER OF PANELS/UNITS: # KILOWATTS:
TOTAL VALUATION.
1400
DESCRIPTION OF WORK h T"� Y6
Z 7 V'i0 i4 Ci r c. U r � i,L TAP_ t�y' P, )� � �I cc r
By my signature below, I certify to each of the following: I am the property owner or authorized agenyotoactonthe property owners behalf. I have read this
application and the infonnation I have provided is correct. I have read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local
ordinances and state laws relating to building co tion. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USE ONLY
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PI/App_2012.doc revised 06/20/12
6 All
CITY OF CUPERTINO
WARM FF:F. F.CTTMATnR — RTTILDING DIVISION
imADDRESS.
10050 MOSSY OAK CT
DATE: 07/09/2013
REVIEWED BY: MELISSA
Plan Check Fee:
APN: 342 32 100
BP#:
*VALUATION: 1$1,600
*PERMIT TYPE: Electrical Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY SFD or Du lex
pL
PME Plan Check:
PENTAMATION 1REAP7
USE:
Permit .Fee:
PERMIT TYPE:
WORK
INSTALL N DEDICATED 240V/40A CIRCUIT FOR EV CHARGER
SCOPE
APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES
Special Circuits 1BREMMISC 1 # $139
TOTALS: .m $139.00 "
Much, flan Check
Filch. Permit Fixe:
Other ,11ech. Insp.
,Tech. Insp. Fere
Plumb. Plan Check
Plumb, Permit Fee:
Other Plumb Insq,
Plumb. Insp. Fee:
Elee. Plan Check 0.0 1 hrs $0.00
Elec. Permit Fee: IEPERMIT
Other Elec. Insp. 0.0 hrs $47.00
f lee. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, fire, Sanitary Sewer uistrict, school
T:nfr:M oin 1 71.— r na Oro Anand nn th. nrnliminOT) i"Mrmatinn avoilahle and on, nnly an e.Qtimate. Contact the Dem for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E„ff 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
Suppl. PC Fee
PME Plan Check:
$0.00
Permit .Fee:
Suppl. Insp Fee
PME Unit Fee:
$139.00
PME Permit Fee:
$47.00
Consiruction T ax.
Administrative Fee: 1ADMIN
$44.00
Work Without Permit? ® Yes (E) No
$0.00
Advanced Planning Fees:
A
Travel Documentation Fee: ITRAVDOC
$47.00
Strong, Motion Fee: IBSEISMICR
$0.50
Select an Administrative Item
Bldg- Stds Commission Fee: IBCBSC
$1.00
�o- m
$278.501$0.00
{ Po� f
$278.50
Revised: 07/01/2013
10050 Mossy Oak Ct., Cupert
Garages Garages
j/0 ?r 13 W I r A. -I
jc-t 3/)o eiqT-
10050 Patio
LO -E,01
evag
Houses
ino CXg5014
........................................
"twf uvai trom the Building (Dificial.
Of this Plan and 8i'Decifications Ma es Oak Way
,4c� to pernh SHALL NOT
01
Y inance or Statc, Law.
of arr OFFI
I U4 Ord; 8,"i o n
COP
PER,,JIT tlo.
PLOT PLANS
-cmIrm Jay
DAn
PLANNING DEPT.
DATE -----------
aJ WG—.—I—DEPT.--
ov,
OW
p
. . . . . . . .•
10050 Garage
Mossy
Oak
Court
BUIWING DIVI
r)PAAFNT DEPAENT
ION-
m
CUPE[i I 1
0
AP PI
�OVED
rhiskaf
kept at the
M-1- al lu Specil'.
job Silb3 dfJ"if!Q
cf, constructic.
0
['cations MUST
It is unlawfu!��t",e
Q) alfer-ati0il,
on same. nr fr,
make any
j/0 ?r 13 W I r A. -I
jc-t 3/)o eiqT-
10050 Patio
LO -E,01
evag
Houses
ino CXg5014
........................................
"twf uvai trom the Building (Dificial.
Of this Plan and 8i'Decifications Ma es Oak Way
,4c� to pernh SHALL NOT
01
Y inance or Statc, Law.
of arr OFFI
I U4 Ord; 8,"i o n
COP
PER,,JIT tlo.
PLOT PLANS
-cmIrm Jay
DAn
PLANNING DEPT.
DATE -----------
aJ WG—.—I—DEPT.--
Project Address: /ooso Mossy oo-b C-6,
vokage; 120 / 240v
.mss i -56-r
J)hase: Single
i srnfactmer: f
i` +a E
Ereaker
Vie: 41oA-
Wire Distance: X P
Cedmt Type:
'audt Sipe;
Wire Vie-
# of wise:
Wire !:
Fent
GrOUD&
Nrwe
1Dist+e:
Codigit T)pe; j�M r
+ Olt&lit lkc 'Jv "Cmduir Sim
ffiretype:
Tlf N
0 0f vires:
Wire : #
-so C6Y�
Fquomemt
3
Gromi& s
r
Fquoment
Diane:
a� 6 -Sok pal-�►'
Ele CtiiulRub
pxisti►g rowibig electrode
CsdWt Type:
ie pe
-so C6Y�
dWiNS:
3
we e: #
r
Fquoment
(;IvM 1'd
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I
F VST
Model; wE 30
all inalnAptl
R
Residential Load Calculation - Existing Dwelling Unit (NEC 220.83)
Proiect Address: 10050Mossy Oak Ct, Cupertino CA 95014
150 Amp Main, 100 Amp Subpanel
100 Amp Subpanel
Existing plus Added Loads (less HVAC)
Elect. Permit No.
1645
sq. ft. 3 watts sq. ft
4935
watts
2
Small Appliance Circuits @ 1500 watts ea. (Minimum is two)
3000
watts
1
Laundry Circuits 1500 watts ea. (Minimum is one)
1500
watts
742 HVAC Load
Range (Nameplate Rating)
0
watts
Total Computed Load (NEC 220.83)
Cooktop CUmeplate Rating)
0
watts
ota
Oven (Nameplate Rating)
0
watts
ariider
Electric Water Heater
0
watts
5000
Electric Clothes Dryer (Enter larger: 5000 watts or nameplate rating)
5000
watts
1200
Dishwasher
1200
watts
800
Disposal
800
watts
1200
Microwave
1200
watts
1400
Refrigerator
1400
watts
12414
Range Hood
0
watts
51.73
Trash Compactor
0
watts
Electric Vehicle Supply Equipment VSE) 125%
watts
0
watts
01
watts
Total Calculated Load (less HVA() 1 9 9035 watts
HVAC Load
CmmnntP the 14VAC Inari anti enter the T.ARGRR nfthese air-conditioning or space heating loads.
Air Conditioning Load (Volts X Amps = Watts)
Furnace/Air Handler (Volts X Amps = Watts)
watts
OR
Electric Space Heating Load (Volts X Amps = Watts)
(Central electric furnace, electric baseboard heaters, ceiling radiant heat, etc.)
watts
OR
Heat Pump with Ccritral Electric Furnace (Volts X Amps = Watts)
(Nameplate raj -JA ' eat pump compressor plus electric furnace)
watts
742 HVAC Load
0 watts
Service Demand
Al
Total Computed Load (NEC 220.83)
it kw
ota
ated Load (less HVAC) 100%
8000
watts
ariider
taI
1 ted Load (less HVAC) 40%
4414
watts
H4C
@
% O J.
0
watts
Calculated Service Load
12414
watts
Calculated Se
L
— Service Voltage
= Minimum Service Ampacity
12414
w
2401 volts
1=1
51.73
amps
Main Panel Calculation - 150 Amp
Subpanel (from Above) 52
A/C 19
Electric Vehicle Supply Equipment 30
Total 101