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13100116 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 822 STENDHAL LN CONTRACTOR:50(^9l$t� PERMIT NO:13100116 CtQ-T)'L-t L OWNER'S NAME: BOYD THOMAS C AND JANE P DATE ISSUED:10/16/2013 OWNER'S PHONE: 4088214183 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIALE] License Class O Li,.# '>r' INSTALL(N)EV CHARGING STATION IN GARAGE G l (9.6KW) Contractor cO 1�-15�Z l7 (,e C Date F 16 20t. 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: ,,1,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:$1000 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:37541021.00 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 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 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 jp granting of this permit. Additionally,the applicant understands and will comply Y. a e' with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature _ Date 8l 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 herby 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 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent Date:G �l 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 CONSTRUCTION LENDING AGENCY 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 O 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildinaCa.cugertino.org PROJECT ADDRESS b-;Zn XJ L L �A k APN# OWNER NAME e) PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP ` FAX CONTACT NAME ;��(v � PHON(foV-i375 -D�// E-MAIL �J�r�c � STREET ADDRESS ! C� P� C1TY,STATE. ZIP ` ` ,D 1 i(` FAXp 4n-ile- ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT X CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME Yy""614 LICENSE NUMBE / LICENSE TYPE /'/}� BUS.LIC# COMPANY NAME J � E-MAIL /CJ FAX D(& STREET ADDRESS I 1L� (-T ` , CITY,STATE, JC- PHONE ARCHITECT/ENGINEER NAME 1, LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL 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 ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: #KILOWATTS: / TOTAL VALUATION: DESCRIPTION OF WORK Y.r- By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owrer'q4 lvp 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 construction. I authorize representatives of Cupertino to enter the above-identi dd pro pe for inspection purposes. Signature of Applicant/Agent: Date: l r SUPPLEMEN INFORMATION REQUIRED OFFICE USE ONLY w VER-THE-COUNTER a F ❑ EXPRESS U U x STANDARD U a ❑' LARGE _y :--MAJOR PVApp_2012.doc revised 06/20/12 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 822 STENDHAL LN DATE: 10/16/2013 REVIEWED BY: MELISSA APN: 37541021 :BP#: *VALUATION: $1,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION SOLAR-RES USE: SFD or Duplex PERMIT TYPE: WORK INSTALL N EV CHARGING STATION IN GARAGE 9.6kW SCOPE .k 90 _ .10,1 F-=�i.';W"NO P. ..! Llech. flan C'h¢ck Plrrrnh. flan C"heck Elec.Plan Check //cell.Permit 1'ee: Plumb.Permit Fee: I Elec. Permit Fee: Other;llech.Insp. Other Plumb Insp. E]_L_ Other Elec.Insp. Allech.Insp. Fee: Plumb. lrrrp.Fee: I 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 fees are based on the pretimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 1 # Alternative Energy System Suppl.PC Fee: Q Reg. O OT 0,0 1vs $0.00 $106.00 1CHRGSTA EV Charging Station PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.0 Reg. OOT 0;0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tar: Administrative Fee: Work Without Permit? O Yes O No $0.00 O Advanced Planning Fee: $0.00 Select a Non-Residential O Building or Structure O Travel Documentation Fees: A Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 e"3zr'rd m�; n a - ` LFE S $1.50 $106.00 : TO .... > $107.50 Revised: 10/01/2013 r` 1 DESIGNER: R. N9EZA Y -REVISIONS- ELECTRIC VEHICLE CHARGING STATION TOYOTA RAV4 LEVEL 2 CHARGING STATION, 40 AMP,9.6kw 'CUPERTINO �`l f n� ; gUlidirlq D nent ��. O COMMUNITY DEVELOPMENT DEPARTMENT ` Q� " BUILDING DIVISION-CUPERTINO ( N D E REVIEINEp FOR CODE C - �� r OMPLIANCE � ca ` VE® ��� � PAGE 1: SITE PLANReviewed By: This set of plans ands Gc'6� E U v Job site during construction. Its unlawful bo ma't PAGE 2: ELEVATION DETAIL o P at the PAGE 3: THREE LINE DIAGRAM �' '^ changes or alterations on same, make any m .- i W10 therefrom,without a or to deviate RAGE 4: MANUFACTURER SPECS � E :� � D � approval from the Building Official. ` d L Z ` Tho stamping of this pian and specifications SHALL NOT PAGE GARAGE DETAIL ..v, 1 "" LOT SIZE: 6,500 SQFT. be held to ARID LOAa CALCULATION ' , E ;a proval of the violation U E 9 0 � Q (� It S 1 T E L A N HOUSE: 1,271 SIFT. tate Law. ` , o -0 W J LIVING AREA: 832 SOFT. M U M J DATE z SCALE: 1"=20' APN: 95014-4£28 GARAGE: 440 SQFT. PERMIT No. L E G N D o , U p p CNI J ................................................................................................................... .......................................................................... ....... 1: 100 AMP PANEL ON EXT. "WALL ' � J ..............................................., --' 2: 314 EMT ON ROOF' " _� U s E 3. 314 EMT IN GARAGE °' � �� W W 4: 40 AMP E`'�JSE ON GARAGE WALL 8 CO � � � �- 2 °' J , _ c G s R �. a eOD E . , 0 C14 00 f S I T E M A P _ i w LU , e . 4 00 ■ Zw Co £3 G z co 04`. " W ory 6 n r �! W 1- 00C3 f— C) (N a. Ef t+? 1 {. .................................................. ............................................. . DATE: 1010712013 PAGE: 1 r � 1 M X M 0 0 M X 0 M A" rn -� — z M xZ n r M Arn r < M r- rn m a:� m t— NJ C) 0 r M z z o CD z > 0 >* m _ � rn z M D m m m © �. n : 00 m � Q 0 Q o � Co MLZ 0 � c o Z Thi o M D A. "This project shall comply with the 2010 California Building Code, < m > 2010 California Energy Code, 2010 California Plumbing Coda, 11 2010 California Electrical+'f�J�!!I!ffi! Code, 2010 California Fire Code, and � !�!,' > C,WT IV r � all ether applicable municipal codes, and ordinances.° M rn THOMAS BOYD SOLRISE ELECTRIC ev 822 STENDHAL LANE 126 WEST LELAND AVENUE IZ rn —� CUPERTINO CA, 95014 PITTSBURG CA, 94555 � (408) 821-4183 1 (408) 375-01811 CSLB# 972514 DESIGNER: R. MEZA BY -REVISIONS- ELECTRIC ELECTRIC VEHICLE CHARGING STATION TOYOTA RAW LEVEL 2 CHARGING STATION, 40 AMP,9.6kw GUPERTIN 8( ildinq DP artr11er1 af UTIUTY METER REVIEWED FOR CODE COMa pLIANCE L4 Reviewed gy. — a, o N _ ca c �r W Lo r Li. as E (N) LEVITON LEVEL 2 EVSE SAE J1772 ` .. LL as ` W u Qa 40 AMP 240 VAC COUPLER TO CAR ,a as c 1 N CAT.# EVB40-SPT U E .0 �' � d 0) M o — U N C? m Z < U w c3 (OD U Lt Lt t2 t N �3 t W o (N) DEDICATED BREAKER W TYPE0 0 3 '� � ] r U) M 00 { 50 AMP 240 VAC i W U) 9 E T N .....7:7fl ID: tu f.......... co .fit t� �510 �„ s sEE v) FACTORY INSTALLED). is L CORD AND PLUG (25 FT.): Orr40 G CD —�_ ........'.................................. ..., s (N) W4 EMT (80 FT:) F"t (E) MAIN SERVICE PANEL (2) #6 AWG THWI44 CU. :...............................,...I t SYLVANIA BRAND (1) #10 AWG TI4WN-2 CLI. GRND 100 AMP 240 VAC 23,0% FILL, 40 AMPS MAX W 00 t W �ap0ca z (N) 6-50R RECEPTICLE — 0 j ............................................................ .........: IN 4X4-" BOX _ dam' 50 AMP 240 VAC 1— C14 0- CAT.# EVK05-M � .i. 0 DATE.. 1010712013 MAGE: 3 DESIGNER: R.MEZA BY -REVISIONS- ELECTRIC VEHICLE CHARGING STATION �� - -- TOYOTA RAW LEVEL 2 CHARGING STATION, 49 AMPl,9.6kw Specifications Ordering information e Features Dimensions arnperegen_ .m mm .� VKu -M ^• �{a4tfFH rM LHoawrntQeCslaar�big 0Cable NW2 I4cbgr= 21,atatFManagement k $ 8 20A 50A t2QA 240vp cazr.-N94aswT � 'C7 r. mi to t11 r rte Goa UrntrOn frXGrl r5 SSy totra;sovr<le s I.<4S�a.i y b ' e} emw uastnaiMicnrw farcarr.+nierrt 'S�altag✓fi b5(74' Boma ctwg"g 5k,3'GG�u E'u1�75� ZA rh,9r�;NiS I` SZa7i21g� � _ •Watertight V T" viw and dust-bght im LO enclotrre for D Iitlneat electronic housing C 0 Z acr oas rmm> � � � Lt, � - _.��ESal' Corwnet;tkrc f �' (L ._ 0l1 ReresFtsade catalog for te+rtrxi e rta r 1 Lockout We prevents I'�"°"'"" ,'� R} C � W U' Kare4g avar l3a+ae;timiwo;C+m atycarb rwte [" ['� - unauthorized use > 11 U ',�'" 55ngie-Stud$rocket i 9.rr� ��viii U E .OR '0 Q (� Recticef acrx Trrennaµasuc ■SAE.)1772" ME i i iiConvnontotsaLfr " Compliant Charging = CO "R3 J J EVKOS-M Kits € '"' Car +ctnr 0 d(3 z 4 lk.t UeCe$t4�'Sar'eerQS l.?, o a -N'$tattt5lndir=8trr _0 fr t' 0 a $ lights alert power. li? Cr1 N V Tylpicallnstallation U U Charging status o and faults CV C> V c ( , L. � • --__R1.5'Charging - cemle lar-gthlna�liattan � ck provides flexibility in p 00 nxwntiCig lncetiarti the Thqtprnn [hr box no lower than l mm"W ffbot For ntS&or f2. Rp �C �1 Z.ro'ds.L.rar,i Lamar -Conected AppluetltMs cnlyper d 1C 625.Fcr surface mo uK appikcatiaras oder p t� 3 far s�rfaoe . o)thea.Fd��6,0R r achy can not grazW U r from fi the bottomcfthe bo*See rna,mrrXtempteseirlPN-Y'-tit CD 1 t xr__ 3r '€ H4t3Sf�Farti�I w.rl irate. ias.4'i L1.t Lei a. prr tG R} N 00 T ! NCQ oar 7EF UL 2251 Jehcles$0. 0 tatl4S attd Cr�upla frtt 2 - 4aVAc standwd far rests for Sde4�Retated Controls It r2P UL 991 Emfildling5tstk!•StteUaUe�iCas [3 t 3 �7 UL 2231 standard for Pafsorral proprotectionSySWMS for a1 G7 C7 6 - Q C3 Vidtk4r�:`. ly Clrrctiwts +�""' r- { UL 1995 Standard far Software in PY a panwnable Components � R W r` S kjW(40AqMA UL2594 Qlgatlw+forElactriciipireleStrpply chargaCan`nWt 00x4 �i1 7 t,a ` UL 62 Stena for EVFlexipleCab1i 1rrrMMud M SAE317721 Eiactricvehicle Conductive ChMCou 'Standard wety Cover Wi0epsT NEC Article 525 E6ectric Vehicle Charging System EWipment LSpi E VtCfiS-M FCC pert 15 Federal Comnwnu ations Commission Part 15 Radio Kit~Mdwdes: {32A Charger} Charg a CatilPa tll Type EV FLy Devices Class B Residential Use z CD EMI Per UL 2231 Radiated Immunity Risk Ln a l�'arkpt � dArnarats�Trsrrkptat� E ` © � C3) co in f4nunting Hardware tnstallati xk lnstrtrctir s Operating Terrrparature •35T to SOT Ordeting Information CO a SbFFvty cIt" a Wick lnMall C- iarnpereture 50"C to 30*C E lYI Q a Receptacle a nwrn 0astP7 Eler trirm4&rY Enclosure IFMA Type 4 Leviton Electric Vehicle Charging Station:40 Amp, (y EV8 to-SPT 9.6kW output.cord-connected(plug-in),Flush Mount or1, 00 Harc6YYired Z Z ton Electric Vehicle Charging Station:40 Amp, 1 00 LevtonManufectu Co. Inc. EVB44-SPt 0 W F— CD �8' r Far mora information call i-{8S5}-S-pltlQlN �9.6�kW output.cnrd�uanrracted l>]ltrg-in),Surface Marmt � f— p 201 N Service Rd,Melville.NY 11747 or vir-ft Lairiton Mataefacturing of Canada,Ltd. or email ns t Y taSaty caa vttan torn Etnc05 M lnstatlatun lsit few plug m appdtcatwn of +b40 SPT v W d. and EV040-�T required for plug-in ations Hymus Blvd,Pointe-CLa te,OC H9R lE9 N Loviton S.do R.L.do C.V. Lwiton Manufocturhtgg Co.,bm arM9+rt00 (.ago Tang 43,Col.Ftuichapan,dM,gunl hkdaLga.CP 11240 t.+rckx`eo pK .. 201 W Service Rd.Melvae.NY #.1747 - U For more information caU-1-877-338-7443 or visit us at t&v1t*n.com/*vygr*en Q`5440 c+r�'+wtro.4rer,+cs.7rPaxra�tmtl4arartes�'�4Err3�nat,�+'mtrc914t+i�au,+:framrka ,n T✓*ABmaw sale...US—bre.vale satr�tlee�,a c4 swe wwatwe KM1 oc%P ev. DATE: 10/07/2013 PAGE: 4 r 22'8" ii E V S E 19 h reer , �E�V�� ` ,P F� K I N G• � OrQ m o cn o J - c� m < rn � m = Z r — � r D rn "BIZZ �p o (� z = � o � m j n n n n m m O N. N 0) Z - - O O O O ,Oy, Q Np ppCO 00 00 Q .. ii co W W w m W D D > D ^ z -I CD U) 0 OD M °o a) N S No QNStell 0fl) ZcD OQ n 7 _ �0 ilnmC N4 NO O iS. = J N Z m J N O !C�}- O pOD m r00O .i ° :3 m M o � m aA n O- `° Z �- � � °rk o o fit o 8 mm g n ao o a Iii a �" v p � C o m w a °m o �, m m m c G)a 3 c 5 m ;W p ° o- �' U) o r _ a m m o rt o a v m :s m co 2. .. 7. a X 3 a sv A G) �i E' �, � to 0 D < O to TTT1114H0 CL > Z 11 NJ 0 C, � r > mo v Jo n AO O) CTt 0:O O OD:A O0 O0t °j'_ ZS) O O oca `O 3 nco p G) 0myN om O co 00 OD00 co o o wcoCJ00 N "O < M"O J J O W J 3 > �J CD O0O O O DCO N OO ° p 'a ;W C) D Cm < m C DDOa oCn 00 In cn 0 (D Q..Y. iC 3' D' T D o n Z N �� �� C i O l "This project shall comply with the 2010 California Building Code, < m D ' ' 2010 California Energy Code, 2010 California Plumbing Code, F92010 California Electrical Code, 2010 California Fire Code, and Z D �� �. ,� c ANUMLARMAW all other applicable municipal codes, and ordinances." m M m o THOMAS BOYD SOLRISE ELECTRIC c cn N 822 STENDHAL LANE 126 WEST LELAND AVENUE O m C) CUPERTINO CA, 95014 PITTSBURG CA, 94565 D w (408) 821-4183 (408) 375-0811 CSLB# 972514