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APPLICATION B 2016-1162
14Wz1[:rtls•1 ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building0cupertino.oro C3 2v 16 - t ! 6 Z. PROJECT ADDRESS APN N 20598 Sunrise Drive Cupertino, CA 95014 359-10-040 OWNER NAME PHONE E-MAJL Yen Yu 6507991810 STREET ADDRESS CITY, STATE, ZIP FAX 20598 Sunrise Drive Cupertino, CA 95014 CONTACT NAME _IQ i r - c PHONE8_3 /.MQ EMAIL STREET ADDRESS �� CITY, STATE, ZIP LriVI W` //OA�^, FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ F.NGMEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LICENSE NUMBER LICENSE TYPE „ BUS.LICN Z 7 JO COMPANY NAME E-MAIL FAX p tMD i ,C') STREET ADDRESS CITY, STATE, ZIPL �A PIIONE4 rr-ryWJ - 0 4 v'\ CJAY&kCIA IT ARCHITECTJENGINEER NAME LICE14SENUMBER BUS. LIC S�" COMPANY NAME E-MAIL FAX STREET ADDRESS - CITY, STATE, ZIP - - PHONE USE OP ❑' SFD or Duplex ❑ IV alfi-.Family„ _. PROJECT IN WILULAND .. PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑' No FLOOD ZONE ❑ Yes El No ❑SOLAR PANELS ❑ ELECTRIC VEHICLE C14ARGMG STATION SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLYJ:('S �1 T L TOTAL VALUATION a DESCRIPTIONOFWORK Install ELECTRIC VEHICLE CHARGING STATION in the garage. 30AMP, power output ranges from 1.8kw to 7.2 kW By my signature below, I certify to each of the following: I am the properly owner or authorized agent to act on the property owne- application and the information I have provided is correct. I have read the Description •of Worlc and verifyrit inaccurate. I a o pl with all applicable local''—' ordinances and state laws relating to building cons I a thorize representatives of Cupertino to enter the above-identi Ic pro/pe�rty for inspection purposes. Signature of Applican /Age Date � C(7 SUPPLEMENTAL INFO ON REQUIRED axRfeeaBuoary Q- 3 PVApp2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20598 SUNRISE DR DATE: 0111212016 APN: 359 10 040 BP#: REVIEWED BY: MELISSA *VALUATION: $500 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: SFD or Duplex PENTAMATION PERMIT TYPE: SOLAR -RE WORK INSTALL N EV CHARGING STATION IN GARAGE AREA ABOVE & FROM FLOOR PER SCOPE PLANNING) .Ifeck Plan Check Pbjw . Nan ('hr<-k laee. Plan Check ;tfech, Permit.I ee- Pluol" Pcsndf 1"('e: f_'lec, Pei"nit 1?ev ozho, ;Wuh, IYtq), Chita, P nine Imp, 0eher Y.7ec`. h,'p. Tech, (rasp. Fey:. Phin;b. 111sh. 'ee; t>iar. tnv) Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Revolution 11-053 Ef. . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $109.00 Alternative Energy System 1CHRCSTA EV Charging Station Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Imp. Fee:(E) Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C'Onslructioa 7irx: _� {t'F'tYti2tS'lt'ctttt'{' 1'ec. Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure e ltm'el Documenulti©n Fees: Strong Motion Fee: 1BSEISMICE $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC 1 $1.00 SUBTOTALS: 1 $1.50 $109.60 TOTAL FEE: $110.50 Revised: 01/01/2016