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B-2016-1642 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1642 20818 GARDEN GATE DR CUPERTINO,CA 95014-1808(326 30 037) WILLOW GLEN ELECTRIC INC SAN JOSE,CA 95155 OWNER'S NAME: TANG JIAN AND WU XIANG DATE ISSUED:03/28/2016 OWNER'S PHONE:650-224-8957 PHONE NO:(408)289-9725 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ELECTRICAL Lic.#591918 Contractor WILLOW GLEN ELECTRIC INC Date 04/30/2018 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: INSTALL(N)NEMA CAR CHARGER/OUTLET IN GARAGE I hereby affirm under penalty of perjury one of the following two declarations: (CLEARANCES TO BE MAINTAINED PER PLANNING) 1. 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. z. I I have and will maintain Worker's Compensation Insurance,as provided for by ��I Section 3700 of the Labor Code,for the performance of the work for which this //permit is issued. Sq.Ft Floor Area: Valuation:$1240.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 326 30 037 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source reg ula' s er the Cupertino Municipal ode,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 3/28/12016 Issued by:ABBY AYENDE Date:3/28/12016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:3/28/12016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code a ions 25505,25533,an 5534. Labor Code,I must forthwith comply with such provisions or this permit shall L, be deemed revoked. Owner or authorized agent: lCl APPLICANT CERTIFICATION Date:3/28/12016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 3/28/12016 Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 AE CUPERTINO (408)777-3228• FAX(408)777-3333-building _cupertino.org PROJECT ADDRESSIa o O� QI ( ( AM DFAPN# 6 O /j OWNER NAME J n ! /' PHONE` p-q� p f I��)� E-MAIL �n c STREET ADDRESS 0 9 +®/ /_bub 1-�1 /_I iA 7r �1, S�_ T ��p� r r ,(l 95-014 � / FAX CONTACT NAME Mark Londre �I6T�� !// (�("PHONE (408)2889-19�7-2t5 [ E-MAIL office@willow lenelectric.com STREET ADDRESS P. O. BOX 8430 CITY,STATE,ZIP San Jose, CA 95155 FAX(408)289-9725 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 1(CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME Mark Londre LICENSENUMBER 591918 1 LICENSETYPE C-10 BUS.LIC# 15897 COMPANY NAME Willow Glen Electric, Inc. E-MAIL office@willowglenelectric.com FAX (408)289-9725 STREET ADDRESS p O. Box 8430CITY,STATE,ZIP San Jose, CA 95155 PHONE( 408)289-9725 ARCHITECT/ENGINEER NAME N/A LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 41 SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: [I Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE El ❑ NO ❑SOLAR PANELS V ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS(C ): L I , TOTAL VALUATION: DESCRIPTION OF WORK )c/1 e 1 s Ae-714"- - (I Electric Vehicle Char in u Circuit: iEA)I SA IV DI�D )CWFD C!4iZf&Er 0j A b 1A) IW� F jZ0 N T L-CT—% C®f_M C—,. DIC rr�l�-/L �a 7-7� 0t�6 6" WkC" b -E-L K Y: � By my signature below,I certify to each of the following: I am the property owner or authorized agent to act oth, ,. r owner's behalf. I ead this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. a mp y with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property JJfor��inspection purposes. Signature of Applicant/Agent: Date: r —/ L-!o SUPPLEMENTAL INFORMATION REQUIRED OFFWE USE ONLY W OVER THE-COUNTER ❑ EXPRESS x STANDARD ❑ LARGE a ❑ MAJOR PVApp_2011.doc revised 03/16/11 Furnish and install one 240V 50A dedicated circuit with a NEMA 14-50 Jeff Tang receptacle for EV charging in the front left corner of the garage. The 20818 Garden Gate Drive circuit will be ran in 6/3 Romex from the existing 200A main electrical Cupertino, CA 95014 panel to the new NEMA 14-50 receptacle. (650) 224-8957 The dimensions of the garage are 25'wide by 20'deep. CUpFERTINO � � `1�i/W1.t/►M ��` � �dn�' IPI�O ®A. COI�PUp,�ICE PLANNING DEPT REVIEWED FOR GODS CUPERTINO 1ewed By: \�2,0818,' Glanden Gate Dr -106 200A Main Panel (E) '0z' 0/- 0, w/50A breaker (N) '0i �s�, see O�p A OG s�� o �� sd 6/3 Romex (N) ��a oo; @�� oao�Aar % ® NEMA 40 0/. �� w s��e 01s6 410 Residential Electrical Load Calculation Site Location: Prepared by I L L O W Jeff Tang Willow Glen Electric,Inc. L E N 20818 Garden Gate Drive PO Box 8430 L E C T R I C Cupertino,CA 95014 San Jose,CA 95155 �/J (650)224-8957 (408)289-9725-office General Lighting and Receptacle Loads[220.12] 3 watts per ft' x3 = 12,249 Small-Appliance Branch Circuits[220.52(A),210.1(C)(1)) 1,500 watts x = 3,000 Laundry Branch Circuit(s)1220.52(8),[210.11(0)(2)] 1,500 watts x = 1,500 16,749 Fastened-In-Place Appliances[220.53] Kitchen Bath(s) Outisde/Miscellaneous Refrigerator(s) = 9f0 Instant Hot H20(s) = Exhaust Fan(s) = Hot Tub = Dishwasher(s) = 2 Hood Exhaust(s) = Jacuzzi Tub(s) = Pool Equipment = Garbage Disposal(s) = 24M Gas Range(s)= Radiant Heating = 50A circuit = Microwave(s) = w, ;0 Gas Oven(s) = Steam shower = H2O Pump = Trash Compactor = Wine Fridge(s) = = 2x Shop Tools = Steamer = _ = Garden Shed = 0� Total Fastened-in-place Appliance Load 4,080 Clothes Dryer(s)[220.54] 80% x x® Derating Volts Amps 5,000 OR Name Plate Rating of Clothes Dryer Ranges,Ovens,Cooktops,and Other Household Cooking Appliances[220.55] s0% x 2 x ps 7,680 Derating Volts s 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 4:6 x Volts Amps Air Conditioner 13,890 SS% x Derating Volts Amps AND/OR Name Plate Rating of Air Handler&AC Units =- Total Volt-Ampere Demand Load[220.83] Greater of. Air-conditioning Equipment 13,890 x 100% = 13,890 Electric Space Heating - x 100% = First 8kVA of all other loads 8,000 x 100% = 8,000 Remainder of all other loads 25,509 x 40% = 10,204 Total 32,094 Current Minimum Amperes 32,094_ 2' = 133.7 Current Minimum 200 Amps 17 Size Service or (voltage) (minimum amperes) Feeder[240.6(A)] currently. Electric Vehicle[625.14] 125% x x = 12,000 Continuous Load Volts Amps Minimum Amperes with Added Load Minimum size Divide the total 44,094_ 240 = 183.7 '20 Service or Feeder- 200 Amps volt-amperes by (voltage) (minimum amperes) _I--."--; w/Added Load` ��h added load the voltage. ' [240.6(A)] y� wilding DPPartment NOTES ra: - All References are to 2014 National Electrical Code. b?,*)sfi '" r��4u, f�^,'��;'.,1 Er; w_ k�a rods f REVIEVVED FOR CODE COMPLIANCE Reviewleci By. Js —� Questions?Contact the Tesla Technical Support Team: Charginglnstallation@tesiamotors.com 1650.681.6133(Monday-Friday)1877.798.3752(24/7) INSTALLING YOUR 240 VOLT OUTLET The recommended home charging installation for Tesla vehicles is a 240 volt NEMA 14- 50 outlet.This outlet is commonly used for electric ranges and large recreational 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 t71 installation.They will design your charging system and obtain a permit for a general _ purpose NEMA 14-50 outlet from your local building department.After installation,the electrician will schedule an inspection to approve the new electrical circuit and design. 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 r provided by your electrician. GROUND TO TOP NEMA 14-50 DETAILS m ® Voltage:Single phase,208-250 Volt AC supply,60 Hertz M • Circuit Breaker:50 Amp(125%overcurrent protection) Y}u G 9 Operating Current:40 Amp(maximum continuous current) :E - `"'""` ` � L, • Conductors:6 AWG,Copper Wire Only.Upsize wiring for installations oveZ'i150 feet O 250V • Ground Fault Circuit Interrupter:Not required ,c X a Service Disconnect: Not required 0 • Receptacle Recommendation:High quality,industrial grade rece clew 7--Z m 00 C) • Ventilation:Not required P® Q • Outdoors:Install with NEMA 3R rainproof enclosure p CD(DC) RECOMMENDED OUTLET LOCATIONS FOR YOUR RECORDS I ELECTRICAL COMPANY t `- "i PHONE NUMBER EMAIL ADDRESS CHARGE PORT 1 ' OUTLETS PERMIT NUMBER Install near vehicle charge port,maximum 15'away,minimum 18"above ground INSTALLATION DATE T=5 L r; 3500 Deer Creek,Palo Alto,CA 943041 November,20151 Version 1.5 j. F1 L7 SMOKE/CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE - COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION +CUP'ERTINO 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building capugedino.org ��`� ` ermit t�No. y" 1W. 2 Address 0 (7t4t r� #ofAlarms Smoke-3' Carbon Mon 'de: of--t` t PERMI ,CANNT 11t, ALED AND-COMPLETED LTNTIL:THIS CERTIFICATE IiAS BEEF'Si(' `D,AND:,AF`I'i. T(1 TIME utui)—DM–, SION PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections.420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions,alterations,or repairs to existing dwelling units exceeds $1000.00,CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On eveEK level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply:In dwelling units with no commercial power supply,alarm(s)may be solely battery operated. In existing dwelling units,alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11A and 420.6.2.An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,I hereby certify that the alarm(s)referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes.The alarms have been tested and are operational,as of the date signed below.. I have read and stqtee to compiv with the terms and conditions of this statement owner(or Owner A enfs)Name: 10 1�/0; k I�owt� CiLQ` Si ature...............................................................................................................Date: ................... ntr otor e: i ,9� ®> Sinature..... .C�� ..... ..........................lic.#.. &'.. ,. �.....Date: .......... Smoke and CD form.doc revised 03118114 3 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 (408)777-3228-FAX(408)777-3333•buitding(n)cupertino.org y Owner Name Tiavt, Tom Permit No. Kl Address D , ff' UQ cA 5o ? PERMIT CANNOT BE HINALED AND COMPLETED UNTIL TMS,CERTIFICATE t ,0ASIWENSffiz=. T4 THE B%. Dwo DIVISION Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner'Signature: Date: a+ Q LO 6 No Go to Question 2. 2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner'Signature: Date: C)V 6 r f� No Go to Question 3. _/k, 3. Is water service permanently disconnected for your building? Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form Owner'Signature: Date: �f�� 1 No Go to Question 4. 0 !/ C e 4, 4. Is your real property built and available for use or occupancy on or before January 1,1994? No My real property is built and available for use or occupancy after January 1,1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form Owner'Signature: Date: (? (�q1& ❑ Yes My real property is built and vailable for use or occupancy on or before January 1,1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. ❑ My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building. On or before January 1, 2017,all non-compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures(regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to he replaced with water-conserving plumbing fixtures. On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. SB407 2015.doe revised 02104115 On or before January 1, 2019, all non-compliant.plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or, improvements). I/We,the owner(s)of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-conserving lum ' fpprCs comply with the requirements as indicated in the table below. Owner's(or Owner Agent's)Signature: Date: 0 d Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit. Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4 Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div.5.3 /Flow Rate Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S.EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower,the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi,or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets- Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi;minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute.@ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi,and must gallons per minute @ default to maximum 60 psi,and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable,aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. SB4072015.doc revised 02104115