15110202I
i
CITY OF CUPERTINO BUILDING PERMIT
BUILDING AI
ADDRESS: ; -i 45 FALLENLEAF LN
CONTRACTOR: WILLOW GLEN PERMIT NO: 15110202
ELECTRIC INC
X
OWNER'S 1 MNOORDEEN
WNER"S-NAM& t'N�q
1085 WARREN AVE DATE ISSUED: 11/30/2015
IS
OWNER _N�-`9883,82071,:..'.�
4
SAN JOSE, CA 95125 PHONE NO: (408)289-9725
-: LICENSER CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL
INSTALL (N) TESLA CAR CHARGER IN GARAGE WITH
License Cas
DEDICATED CIRCUIT; UPGRADE MAIN ELECTRICAL
& 7
k136115PANEL
Contractor t�
10LA
(200 AMP).
"
I heteby'aini �!,&ivl anfliciused under the provisions of Chapter 9
(commencing withlSectom7pQ0) of Division 3 of the Business & Professions
Code jiihil',thit. niy'Ik6gij�ln! full force and effect.
I hereby. ,affii4'uiAder'oenalt'y",df.p'c�rj�ury one of the following two declarations:
I have d 114ii 4 . in . tdn , i
an a , ceffificaie I of consent to self -insure for Worker's
t- ,prgvi 'd f`
d" or by Section 3700 of the Labor Code, for the
Compensation,e
Sq. Ft Floor Area:
Valuation: $4890
performance 0 fil hchthis ermitis-issiled.
� prw p
3. 1. '0;
I have and Will �i�t er's Cornp &nsation Insurance, as provided for by
Section 3700 of:' 6; Oe 6r�e performance of the work for which this
APN Number: 35928038.00
Occupancy Type:
permit is Issued";.A.1
":!APPLICANT CERTIFICATION
I certify that hiVe'igi&thii: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
I. I '1 4 ',1: � �, I ,withI
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
rebyau authorize representatives of this city to enter
to building cbfifti�wtiqn,�,an e th
I .
upon the aboveJ4ieiIti6ned prb'perty for inspection purposes. (We) agree to save
180 DAYS FROM LAST CALLED INSPECTION.
indernnify,-aniiiieepiharmlesg the City of Cupertino against liabilities, judgments,
costs',,, and expenses i Which -'may adcrue against said City in consequence of the
�9 Date:
granting the applicant understands and will comply
Issued by: oltFy-�< IZ7
with all non-po' t soorcereguIations per the Cupertino Municipal Code, Section
RE -ROOFS:
9.18., Is
Z
ign !�
Signature Datej//5
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
1:777777i77
I hereby'kffirml that Fain exempt from the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons::! :i
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, as owner of the;'pi8per.ty;or' �M` y1temployces with wages as their sole compensation,
will is -not intended or offered for sale (Sec.7044,
Business &Professions 0 6)
usively contracting with licensed contractors to
l,asownero e. roe '•,I'am exclusively
HAZARDOUS MATERIALS DISCLOSURE
construct the ctec. 044 smess & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
P, y one of the following three
I herebypenal of perjury I under . ty
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 d,wAlimairitain' a &itificat6 of Consent to self -insure for Worker's
an
material. Additionally, should I use equipment or devices which emit hazardous
Compensation; ds,pn?ivideid foi by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance ofthe work'for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sect' 25505, 25533, and 25534.
I have and will maintain Worker's Compensation Insurance, as provided for by
Sectio 3700'ofthe-�Lab6r'Code,i'for.the, performance of the work for which this
Section A
�)wner or authorized agent: Date:
permit is issue. vp
I certify at.' e et of the work for which this permit is issued, I shall
,
I ';, I ;I .. 'Pe
not emplo "pr on in my manner so as to become subject to the Worker's
,0 ia. if,�after making this certificate of exemption, I
C lases of ah
ompens io
CONSTRUCTION LENDING AGENCY
"et liak1&0,st6inpensitibni provisions of the Labor Code, I must
become's cto 0
I hereby affirm that there is a construction lending agency for the performance of
forthwiih'"b�fit'!`
�ply' with, such provisions or 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. thht,I hailetead,this' application and state that the above information is
correct. 11 agree to comp'iy:wiifi all city and county ordinances and state laws relating
to building construepon, �aridheieby authorize representatives of this city to enter
, -
upon the above propertyfb'r inspection purposes. (We) agree to save
mentionedJI
' "" ";
DECLARATION
";1—,: 1. .
eCity of Cupertino against liabilities, judgments,
indemnify aind:kpeplhar-iilss
, ,
ARCHITECT'S
i -
costs., icmay accrue against said City in consequence of the
I understand my plans shall be used as public records.
grant* g o':fi:this'.�ol'i�.�li�"t.',k�diiibn�I the applicant understands and will comply
Y,
Additionally,
" . 1. , 1 1. 1. ��, - - " 4 11 .
with all non -point sourde'regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.;
Signature:,! Date
CUPERTINO
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10306TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 • building(aDcupertino.org
AE
PROJECT ADDRESS %�//�-%//J�� _, _
APN# C7% ¢ O ��
OWNERNAME
P� G �2,0 7/
E-MAIL
STREET ADDRESS
CITY, STATE, ZIPJ
FAX
CONTACT NAME Mark Londre
PHONE (408)289-9725
E-MAIL
office@willow lenelectric.com
p q
STREET ADDRESS R O. BOX 8430
CITY, STATE, ZIP
San Jose, CA 95155
FAX (408)289-9725
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Mark Londre
LICENSE NUMBER 591918
LICENSE TYPE C-10
BUS. LIC# 15897
COMPANY NAME Willow Glen Electric, Inc.
E-MAIL office @willowglenelectric.Corn
FAX (408)289-9725
STREET ADDRESS P. O BOX 8430
CITY, STATE, ZIP San Jose, CA 95155
PHONE (408)289-9725
ARCHITECT/ENGINEERNAME NIA
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 IN WILDLAND
URBAN INTERFACE AREA ❑ Yes ❑ No
PROJECT IN
FLOOD ZONE ❑ Yes ❑ No
❑ SOLAR PANELS
ELECTRIC VEHICLE CHARGING STATION
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY):
TOTAL VALUATION: O
DESCRIPTION OF WORK-
Lel
Electric Vehicle Charging Circuit:
RECEIVED BY: _
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 constrtjction I th rize re resentatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: o, K 7 Date: / --jam
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USE ONLY
W
OVER-THE-COUNTER
a
F"
x
❑ EXPRESS
U
W
x
❑ STANDARD
U
a
❑ LARGE
a
❑ MAJOR
PIJApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
1V1F1Fi. F.CTTMATnR — RITILDING DWISION
NOTE. This,estimate does not include tees aue to otner Lepartments i.e. rianning, ruauc rrurAs, rtre, ou.ucu.y .serve. LP"SUM
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn't info.
FEE,.ITEMS (Fee Resolution 11-053 E . 7/1/13)
ADDRESS: 7545 FALLENLEAF LN DATE: 11/30/2015
REVIEWED BY: SEAN
MISC ITEMS
APN: 326 13 043 BP#:
'VALUATION: $4,890
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
p
#
PENTAMATION SOLAR -RES
USE:
Suppl. PC Fee: Reg.
PERMIT TYPE:
WORK
INSTALL N TESLA CAR CHARGER IN GARAGE WITH DEDICATED CIRCUIT' UPGRADE MAIN
SCOPE
ELECTRICAL PANEL (200 AMP).
NOTE. This,estimate does not include tees aue to otner Lepartments i.e. rianning, ruauc rrurAs, rtre, ou.ucu.y .serve. LP"SUM
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn't info.
FEE,.ITEMS (Fee Resolution 11-053 E . 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
=
#
- Alternative Energy System
Suppl. PC Fee: Reg.
OT
0.0
hrs
$0.00
$109.00
ICHRGSTA ]EV
Charging Station
PME:Plan Check:
$0.00
200
amps Electrical
Permit Fee:
$0.00
$48.00 1
IBELEC200
Services
Suppl. Insp: Feer Reg. OT0.0
hrs
$0.00
P1VIE,Uriit Fee:
$0.00
PME.Permit Fee:
$48.00
C";cs��,sl�z�c:tzca�t :lira::
Administrative Fee:.
1ADMIN
$45.00
0
Work Without Permit?
Yes � No
$0.00
G
Advanced Planning Fee:
$0.00
Select a Non -Residential
Travel Documentation Fee:.
1TRAVDOC
$48.00
Building or Structure
Strom Motion Fee:'l
IBSEISMICR
$0.64
Select an Administrative Item
B1dk,Stds Commission Fee:
IBCBSC
$1.00
SiTBTOTALS
$142.64
$157.00
TOTAL FEE:>
$299.64
mevlSeu. I V/u I/GU I:
Replace the existing 100 Amp main electrical panel with a new 200
Amp main electrical in the same location.
Install one 240V 50A dedicated circuit with a NEMA 14-50 receptacle
on the side wall in the garage for EV charging. The circuit will be
routed through the attic in 6/3 Romex between the new 2 W -k IeN
panel and the new NEMA 14-50 receptacle. ojiiding DuoarMMnt
The existing garage has over 20'x. 20' availableQ 2015
REVIEWED t-uR CODE COMPLIANCE
Nazeem Noordeen
7545 Fallenleaf Lane
Cupertino, CA 95014
(408) 838-2071
REC I VED
APPROVED
This set of plans and specifications MUST be kept at the PLVOIN
CKED BY
Job sito during construction. It is unlawful to r—ke any changes or altera'ilons on same, or tothero rom, without approval from theBuilc:.., DATh', ,rinmping of this plan and spe;;Ifications SHALL NOT EPT
L :d to porrnit or to be an E.:D.oroval of the violation CUPERTINO
of any Ci / e or StLe Law.
o!A ;
NO. . T.'_-.- F F 1 C E COPY
Residential Electrical Load Calculation
Site Location:
Prepared by I L LO W
Nazeem Noordeen
Willow Glen Electric, Inc. L a N
7545 Fallenleaf Lane
PO Box 8430 L! C T R I C
Cupertino, CA 95014
San Jose, CA 95155
(408)838-2071
(408)289 -9725 -office
General Lighting and Receptacle Loads [220.12]
3 watts per ft' x
2,300 =
6,900
Small -Appliance Branch Circuits [220.52(A), 210.1(0)(1)]
1,500 watts x
2 =
3,000
Laundry Branch Circuit(s) [220.52(8), [210.11(C)(2))
1,500 watts x
1 =
1,500
11,400
Fastened -In -Place
Appliances [220.53] Kitchen
Bath(s)
Outisde/Miscellaneous
Refrigerator(s) = 960 Instant
Hot H20(s) =
Exhaust Fan(s) =
Hot Tub =
Dishwasher(s) = 960
Hood Exhaust(s) =
Jacuzzi Tub(s) =
Pool Equipment =
Garbage Disposal(s) = 600
Gas Range(s) =
Radiant Heating =
H2O Pump =
Microwave(s) = 1,440
Gas Oven (s) =
Steam Shower =
H2O Pump =
Trash Compactor =
Wine Fridge(s) =
=
Elevator =
_
_
=
30A Circuit =
Total Fastened -in-place Appliance Load
3,960
Clothes Dryer(s) [220.54)
80% x
240 x
Derating
Volts
Amps
5,000
OR
Name Plate Rating of Clothes Dryer =
5,000
Ranges, Ovens, Cooktops, and Other Household
Cooking Appliances [220.551
80% x
24 x
90s =
17,280
Derating
Voltt
Amps
AND/OR
Name Plate Rating of Cooking Appliances =
Heating or Air -Conditioning System (Compare the
heat and A/C, and omit the smaller.) [220.60]
Air Handler/Furnace
115 x
Volts
6.0
Amps �'
9 �
"Vf L
Air Conditioning Unit
i-:;,
1
55% x
240 x
=
r3J6iCii De
Derating
Volts
Amps
Rating Air Handler
AND/OR
& AC Units
Iz
NOV 3 0 2015
Name Plate of
.; _•by371
Total Volt -Ampere Demand Load [220.83]
`i(E'(2L'�
r OR CODE COM
Greater oj.•
Air-conditioning Equipment
7,061 x
100% =
7,06
Electric Space Heating
- x
r�i
8,
First 8kVA of all other loads
8,000 x
100% =
Remainder of all other loads
29,640 x
40% =
11,856
26,917
Total
Current Minimum Amperes
( M
26,917 +
240 = 112.2
17
Current Minimum
Size Service or
200 -Amps
(voltage) (minimum amperes)
Feeder [240.6(A)l
currently
Electric Vehicle [625.14]
125% x
240 x
40 =
12,000
Continuous Load
Volts
Amps
j
Minimum Amperes with Added Load
Minimum Size
Divide the total 38,917 _
240 = 162.2
20
Service or Feeder
200 Amps
volt-amperes by
(voltage) (minimum amperes)
w/ Added load
with added load
the voltage.
[240.6(A)]
NOTES
All References are to 2014 National Electrical Code.
;'INN
c rtmenr
LIANCEE
Questions? Contact the Tesla Technical Support Team:
ChargingInstallation@tesiamotors.com 1650.681.6133 (Monday - Friday) 1877.798.3752 (2417)
NSTALLING YOUR 240 VOLT OUTLET
The recommended home charging installation option for Tesla vehicles is a 240 volt
NEMA 14-50 outlet. This outlet is commonly used for electric range stoves, large RVs
and electric vehicles. Installed with a 50 amp circuit breaker, this outlet enables a
recharge rate of about 25 miles per hour.
Consult a licensed electrician to review the electrical load of your home prior to
installation. Once the installation has been planned, the electrician can source a permit
from your local building department to begin work. After installation, the electrician will
schedule an inspection to approve the new electrical circuit.
This guide provides reference for specifications to install this outlet. Since each
installation is custom to the home, all hardware for the NEMA 14-50 outlet will be
provided by your electrician.
GROUND TO TOP
NEMA 14-50 DETAILS
• Voltage: Single phase, 208-250 Volt AC supply, 60 Hertz
• Circuit Breaker: 50 Amp (125% overcurrent protection)
• Operating Current: 40 Amp (maximum continuous current)
• Conductors: 6 AWG, Copper Wire Only. Upsize wiring for installations over 150 feet
• Ground Fault Circuit Interrupter: Not required
• Service Disconnect: Not required
• Receptacle Recommendation: High quality, industrial grade receptacle
• Ventilation: Not required
• Outdoors: Install with NEMA 3R rainproof enclosure
• Electric Panel: Install circuit breaker as close to the utility feeder as possible to
minimize voltage drop from other large circuits
RECOMMENDED OUTLET LOCATIONS
i - -
lii...
O
14� CHARGE PORT
FOR YOUR RECORDS
CUPERDeon —U1
f NO
ELECTRICAL CQ ' ,
x IVO
PHONE NUMBER
REVIEIpIf"I:i rl1K �.UUE GOMPI 1ANCE
EMAIL ADDRESS
t2eviewea gy.
1 OUTLETS PERMIT NUMBER
Install near vehicle charge port, maximum 15' away, minimum 18" above ground INSTALLATION DATE
3500 Deer Creek, Palo Alto, CA 943041 July, 20151 Version 1.6
T=5Ln