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14020020
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10115 CRESCENT RD CONTRACTOR:ROGERS ELECTRIC PERMIT NO: 14020020 OWNER'S NAME: CHEN WENRE AND MEI SHENG TRUSTEE I I AGUA VISTA CT DATE ISSUED:02/04/2014 OWNER'S PHONE: 408515-878 REDWOOD CITY,CA 94062 PHONE NO:(650)346-0981 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class�C_ /D Lic.# 91.5 8 6 8 a- INSTALL EVC STATION IN GARAGE 40 AMP Contractor kwkn2r 5 G/e°c 11—#'C Date /y 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:$1800 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:32616065.00 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 18OF 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 FFMAST 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 granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regul per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature Date 1y �� 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 Munk' al Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 255500,5,,255 3,a c 25534. J Section 3700 of the Labor Code,for the performance of the work for which this ed'Gz G Date: Owner or authorized agent: 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 4uthorize 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 GENERAL PERMIT APPLICATION ,LO E P COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408) 777-3228•FAX(408)777-3333•buildingacuoertino.ora eUP>=A'"CNO MISC O PLUMBING O MECHANICAL ELECTRICAL []MISCELLANEOUS PROTECT ADDRESS /j APN# OWI�TERNAME PHOrq j) 'G JCls '�5 ( E MAII STREET ADDRESS �vY/•/,� I CITY STATE,ZII n O O I FAX CONTACT NAME G( PHONE E M� STREET ADDRESS ST TE,ZIP %yU FAX �� iu uta GJg l9 ❑ OWNER ❑ oRTIER-BUILDER ❑ OWIZER AGENT /� CONTRACTOR ❑CONMUCTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT LICENSENUMBER LICENSETYPE BUS.LIC# CONTRACTORNAME e(S E (ecrks c 158o c - o COMPANY NAME E-MAIL FAX � S ec' i-i C- exec_ Coon STREET ADDRESS CITY,S A ZIP �I PHONE i� ,S w ( GYM `r o a (OSO3k&-ops I ARCHUECIYENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD.,DUPLEX E3 MULTI-FAMILY PROTECT IN WILDLAND ❑ YES PROTECT IN ❑COMMERCIAL URBAN INTERFAC ❑YES IS THE BLDG AN [3-ITS BUILDING: E AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK I ` U TOTAL VALUATION: r 660 , By my signature below,I ce ify to each of the following: I am the property owner or authorized agent to act on thee a . I have read this application and the information I have provided is.correct. ha read the Description of Work and verify it is accurate. I agree to comply Arith all applicable local ordinances and state laws relating to building construct• n a o' representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Aeent: 60a Date: MM O SUP�TAL INFORMATION REQUIREDc �sIY 0 HE- SHE COIII�TR ' XPI2ESS'- - - xMA OR MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10115 crescent rd DATE: 02/04/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$1,800 rPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION SOLAR-RES USE: P PERMIT TYPE: WORK install evc station in garage SCOPE k. :br i Iuri I 'ie:ck Plume. Pleat C hcc'i€ 17ac. zf C'izvvk i lccll. I' E Fti�e; Plcr✓tln. Permit Fee' 1.7t r 1'e.rrr r Lc e C)Ttc r .L-�h, la�sl>. Li 011?er f'htttzlt In.�t>. Ehtxtr lsr.Insp. Lj Plumb, Insp. Fee NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.001= # Alternative Energy System Suppl. PC Fee: oReg. OOT 0.0 hrs $0.00 $106.00 ICHRGSTA EV Charging Station PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C onst}°rrc,`rion Ta,y. C) Work Without Permit? ® Yes (F) No $0.00 G Advanced Planning Fee. $0.00 Select a Non-Residential E) Building or Structure /7"t-;i's'r{ i()f.'tJ)t'it'i?lfti7t)t7 Pees: Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 Nil -WE BAS $1.50 $106.00 TOTAL FEE: $107.50 Revised: 01/15/2014 ROGERS ELECTRIC 11 Agua Vista Court Redwood City Ca 94062 650.346.0981 ELECTRIC VEHICLE LOAD CALCULATION FORM NEC 220.83 Date:...._ Iq Job Name: _ t:n i C�e'n Address: l0 1 S ,-&nce�- 2o-j_ Size of Main Panel: 1004 Square Footage C9000 ft(2) x 3VA per ft(2) = 6000 (2) Small Appliance Circuits: 1500 va each - 000 va (1) Laundry Circuit: 20a x 120v - va (1) Dryer: boa x 240v = 2200 va (1) A/C Unit +a x 240v = MIA va Electric Range 3aa x 240v =-.2a7 0 d va Water Heater: Gas = Ga 5 va Electric Vehicle Charger: _ q 0 a x 240v 2600 va Fridge —a - 0 0 va Dishwasher _a �j'00 va Garbage Disposal —a - 00 va Cooktop ,a = ?00 va Micro —a 906 va Load: - va Load: va Load: - va Load: va Load: va Load: WWI 41' va Load: va • Total VA= 31, 500 VA • Total VA 37. 50 - 8000VA= d , 500 x40%= 14ff0 0 va. • Total VA j 600 + 8000va= C $00 (Divided) by 240voits= $3 amps. Total Amps $?J' !i 1 Alk I ©2011 AeroVironment, Inc. All rights reserved V-4 This guide is a reference for Municipalities inquiring about the use, installation and compliance of the AeroVironment EVSE-ISS with the National Electric Code and Local Codes. AeroVironment, Inc. Model EVSE-RS Product and Installation Overview The EVSE-RS is a device which offers a simple and safe way of providing electricity to the on-board charger in an Electric Vehicle. NEC 625 Comnliiance • 625.2 Definitions. • Personnel Protection System:A system of personnel protection devices and constructional features that when used together provide protection against electric shock of personnel. • 625.5 Listed or Labeled:UL Listed 2594 • 625.9 Electric Vehicle Coupler: J1772 coupler SAE North American standard • 625.13 Electric Vehicle Supply Equipment: Permanently connected and fastened in • Place. No exposed live parts • 625.14 Rating.30 amp output rating.Continuous load • 625.15 Markings: — (A) For Electric Vehicle Use Only(Denoted on EVSE-RS Label) — (B)Ventilation not required (Denoted on EVSE-RS Label) • 625.16 Means of Coupling:Conductive J1772 connector and EVT rated cable • 625.17 Cable: EVT rated cable extra heavy usage • 625.18 Interlock:Proximity switch de-energizes when unplugged • 625.19 Automatic De-Energization of Cable:Cable break away feature. • 625.21 Over current Protection:Shall be sized for continuous duty 125%-40A Circuit Breaker • 625.22 Personnel Protection System: Proximity switch,GFI protection, Breakaway cable, Trouble annunciation light for faults and NEMA 3 Rain Tight enclosure. • 625.23 Disconnecting Means: For electric vehicle supply • equipment rated more than 60 amperes or more than 150 • volts to ground,the disconnecting means shall be provided • and installed in a readily accessible location. • 625.25 Loss of Primary Source:Contactor opens upon loss of power. INSTALLING THE EVSE-RS Specifications: 4 ■ For use with Electric Vehicles ■ Ventilation not required ■ NEMA Type 3 Rain Tight enclosure ■40 Amp. circuit breaker rating. Do NOT use a Class A circuit breaker with the EVSE-RS Charging Dock. Power Disconnect switch Charging Dock distribution (if applicable) panel Wall stud i �a t� I s � 1 1 . Choose wire entry location i HOLE IN REAR OF HOLE ON UNDERSIDE OF CHARGING DOCK i CHARGING DOCK i I f 0. j O ' IL i. t Q Bottom View - Rear View 2. Attach the mounting plate Mounting plate &to Large hole for conduit utility wires mall holes for Charging Dock mounting holesounting plate wall stud O Flat washer Lag bolt Well stud o 00 ------------------Q------- e O 0 00----- ----------------o 48. o Wall stud i J i 3. Attach the Charging Dock to the mounting plate a. Torque the screwto 40 in/Ib. Upper mounting hole Flat washer Socket head screw !• - -- -------a------------ r- 4. Wire the Charging Dock a. Torque the terminal block screws to 20 in/Ib. b. Torque the Grounding Strip screws to 20 in/Ib. rc Terminal Block ' ` 1 ` rr:i.1.�,` r, Ground Strip Ground Wire �> Two power wires 1 5. Install the front cover #10 Torx screws—Torque 12inAb 1 tt V f Removing the trim ring Mam a Ameee hole Outer ring 6. Complete the installation 1 1 tt ° o r ° � t FRONT PANEL COMPONENTS , Ttae r�Sargtng dockic roeaWhg AC paves STAIR WWW GI&W Press to begin a charge.The The charging dock#roadyln aarttset�tiperrr o PMER PRESENT and READY charge or charging is panned. 14W700,1"a O $ T TO CHARGE fights must be on, %OMECCWWW o "Smawws o 68 tlllll e o V94=O0NNlCfw STOP The connector is propedy Press to manually stop charging. connected to the vehtda port The device will stop arAomaticaliy Of the charge is cwnpkto, when it reaches ftdt charge. 1l�CINRt3WKs � �• The vehicle is being chaqjecL � TRr There is an error.Try mraoattrg the connector and kwmfl ig bard into the vehicla.H TtoudN indcator is 04 tl[urrfrtaw Cal -...---. Customer Service at t O}NO -- GAS EY or t(877)664-Mar —� visit Custo nor Servtce an** web at wwwAlssan usa.00tnAaA Press to release the Conneaw from the charging dock or the voNclo port. J M, CHARGING THE VEHICLE oornsaoorts+sMariaatt arousdthocat3ohangar. RWWAW firorgfhodtargngdxk vEsscts cototEct� Martootwpctarpnrayrtrbttw +�arssa.eseo ••�• Chw"wdbagn d-p porL Mhan aubm Wely.whon ti,AytnaeraJ the Vt3fiCXErowow• bags,the OMNECTED ht on d* e° VEHiCt E CNARG dwrgtag dock wYt ttwnlna6a. wtt bap to bink There m no nood to ptesa START. VBWAE CltARtiflm4* CiaOM er Chw8tg wits" When the VS41C.E who oanp W. You can CHAAGNG kght 9" sus by p 8 bion"on the oharster. What►ow W*NTO CHAAM pis the button on tho Mght bk*A mnove than ooares w to nom. from dwrnrhttds charge port.y Put to ramove from you hsro pnassad STOP you can vat"dw"Pon. press START to romm ctwgr . OPERON ,1 . 200 Amp Main Panel Contractor • Rogers Electric Aaron Rogers 11 Agua Vista Ct. Redwood City CA, 94062 (650)346-0981 aaron @ rogersec.com Customer 100 Amp Sub Panel Y r �� T�naL 1T in Second story laundry room Wenjie Chen _ r 10115 Crescent Road btu w`fl`r l L J Cupertino CA [408)515-8781 Gf S P� P� �t e r i �'ttt IST!., ly 4 or to [SOUSE r .l. ' fl IT .�V0I 15t r � l EVSE Disconnect ,- f an oa �^ o` `jun _?C iS Gf �Kl.,r ,itiJ 3/4"Liquid Tight Conduit #8 2(ea)awg thwn hots AAE # 10 1 (ea)awg thwn ground �� PC=11,AiT i l0. CU '^ :a t'LU1' YLA1Vz:, CHECKED SY 7OAZE z P ANNING EPT. DATE BLDG. DEPT. CUPERTINO puilding Department. ?� cpp'gpp A "-'(DDE COMPLIANCE Reviewed By: