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B-2016-1644CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1644 10493 PERALTA CT CUPERTINO, CA 95014-6568 (342 60 020) WILLOW GLEN ELECTRIC INC SAN JOSE, CA 95155 OWNER'S NAME: MOLOTSI HUGH TRUSTEE DATE ISSUED: 03/28/2016 OWNER'S PHONE: 650-210-8785 PHONE NO: (408) 289-9725 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ELECTRICAL Lic. #591918 X BLDG Contractor WILLOW GLEN ELECTRIC INC Date 04/30/2018 —ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: INSTALL 2 (N) EV CHARGING STATIONS IN GARAGE I hereby affirm under penalty of perjury one of the following two declarations: (CLEARANCES TO BE MAINTAINED PER THE PLANNING i. I have and will maintain a certificate of consent to self -insure for Worker's DEPARTMENT) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. „, 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 Sq. Ft Floor Area: Valuation: $2425.00 permit is issued. 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 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 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 with all non -point source regul tirns per the Cupertino Muni pal Code, Section 9.18. /vgture Date 3/28/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the stricture is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: i. 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. 2. 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revolted. APPLICANT CERTIFICATION at 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. APN Number: Occupancy Type: 342 60 020 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: ABBY AYENDE Date: 3/28/2016 RE -ROOFS: 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. Signature of Applicant: Date: 3/28/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Cod Sections 25505, 25533, and 5534. 01 ner or authorized agent: 'Date: 3/28/2016 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date 3/28/2016 Licensed Professio CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building (a7cupertino.org AE 6Lf� PROJECT ADDRESS ' f } M _-� )P_&L_a n * C&,(,p ,L APN # OWNER NAME %J jr� ( fW r5 l 1 L L ( PHONE / rIq.,��-�U Jd V E-MAIL{�5��eC t?��Y:Z STREET ADDRESS ro `�3. C� CITY STATE ZIP �zCA9 FAX CONTACT NAME Mark Londre PHONE (408)289-9725 E-MAIL off ice@wilIowa lenelectric. corn STREET ADDRESS p. 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 LICENSETYPE n-10 BUS. LIC# 15897 COMPANY NAME Willow Glen Electric, Inc. E-MAIL office@willowglenelectric.com FAx (408)289-9725 STREET ADDRESS P. C. Box 8430 CITY. STATE, ZIP San Jose, CA 95155 PHONE (408)289-9725 ARCHITECT/ENGINEER NAME N/A /A 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 ON :X I C% kt OTAL VALUATION: C V O 5 DESCRIPTION OF WORCharging l Electric Vehicle Char in Circuit: lC G z40 d'V / . ie 14 By my signature below, I certify to each of the following: I am the property owner or authorized agent on the pr owner's f. I haver this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree m I applicable local nggconstr ct] I author ze representatives of Cupertino to enter the above-identi property for inspection purposes. ordinances and state laws relating to buildiM., Signature of Applicant/Agent: � Date: � - ®L� ` o (r SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY W ❑ OVER-THE-COUNTER x U w ❑ EXPRESS ❑ STANDARD ❑ LARGE ❑ MAJOR P VApp_201 1. doc revised 03116111 L'A Furnish and install two 240V 100A dedicated circuits with 100A-rated Hugh Molotsi disconnects and Tesla Wall Connectors for EV charging. 10493 Peralta Court Cupertino, CA 95014 One charger will be installed directly behind the existing 400A main (650) 210-8785 electrical panel w/ 1" conduit and #3 THHN conductors. PLOT PLANS CHECKED BY The other charger will be installed on the space betwee� � Zs zcie garage doors with 1" EMT and #3 THHN conductors. NNING DEPT ' The garage is minimum 22'wide by �J.'deep. LQUPF— c 5 ck4-� W411 1 D� a� I- i d rn4 . ^^"NT DEPARTMENT 400A Main Panel (E) - CUPERTINO w/ 2x 100A breakers (N) r,) 100A disconnect (N) This set c; ^! ecifications Pl!� Job site q constr tion. It is un' chi: therefrc or altera ons on s -� ,vithaut rom the Building ficia! 2 - #3 THHN conductors N The starr offf- 1 - #6 THHN ground be hek:' of an BY �3 Z 6 ( PERMIT NO. r. / 09b-,x 4 r 1pu)-\4 al --)I�o LA vl-dar4f-610 Residential Electrical Load Calculation Site Location: Prepared by 1 L L C W Hugh Molotsi Willow Glen Electric, Inc. L E H Ann 10493 Peralta Court PO Box 8430 j L E C T R I C Cupertino, CA 95014 San Jose, CA 95155 �/ ) (650) 210-8785 (408) 289-9725 - office f General Lighting and Receptacle Loads (220.121 3 watts per ft2 x 5, = 8,445 Small -Appliance Branch Circuits [220.52(A), 210.1(C)(1)] 1,soo watts x = 3,000 Laundry Branch Circuit(s) [220.52(B), [210.11(C)(2)] 1,500 watts x = 1,500 12,945 Fastened -In -Place Appliances [220.53] Kitchen Bath(s) Refrigerator(s) = 0_ Instant Hot H20(s) = 7 0, Exhaust Fan(s) = Outisde/Miscellaneous Hot Tub = Dishwasher(s) = 1,2t} Hood Exhaust(s) = Jacuzzi Tub(s) = Pool Equipment = Garbage Disposal(s) = 2Q' Gas Range(s) = Radiant Heating = 50A circuit = 0 Microwave(s) = OB' Gas Oven(s) = Steam shower = H2O Pump = Trash Compactor = Wine Fridge(s) = = 2x Shop Tools = Steamer = _ = Garden Shed = Total Fastened -in -place Appliance Load 4,800 Clothes Dryer(s) [220.54] 80% xx® Derating Volts Amps 5,000 OR Name Plate Rating of Clothes Dryer = Ranges, Ovens, Cooktops, and Other Household s0% x x Cooking Appliances [220.55] Derating Volts Amps 9,600 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 - x - Volts Amps Air Conditioner 55% x .x = 8,610 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 8,610 x 100% = 8,610 Electric Space Heating - x 100% = First 8kVA of all other loads 8,000 x 100% = 8,000 Remainder of all other loads 24,345 x 40% = 9,738 26,348 Total Current Minimum Amperes 26,348 _ = 109.8 Current Minimum 400 Amps (voltage) (minimum amperes) 17 Size Service or Feeder [240.6(A)] currently Electric Vehicle [625.14] 125% x x 1. ° = 48,000 Continuous Load Volts Amps Minimum Amperes with Added Load Minimum Size Divide the total 74,348 _ = 309.8 1 ice or Feeder 400 Amps - volt-amperes by (voltage) (minimum amperes) dded Load MR0.6(A)l with added load , the voltage. , MAP NOTESk'� V� All References are to 2014 National Electrical Code. 1Q�� Y f "may f�y /01Z / oyY o l! C,67 WALL CONNECTOR The Wall Connector is the fastest and easiest home charging solution available for Model S. It works with any Model S, but only those equipped with Dual Chargers will be able to charge at up to 58 miles of range per hour of charge. You can purchase a Wall Connector with your Model S or after you've taken delivery. A detailed installation guide will be included, always have a professional electrician install any charging equipment. Follow local permit and inspection requirements. CONNECTOR DETAILS • Single phase, 208-250 volt AC supply, 60 hertz • For cars configured with on -board Dual Chargers: 80 or 100 amp circuit breaker for fastest charging • For cars configured with on -board Single Charger: 50 amp circuit breaker Circuit Breaker Rating (Amps) 100 80 SO 40 30 20 1S Supplied Current (Amps) 80 64 40 32 24 16 12 • The connector is 25 feet long. Install your new connector less than 22 feet from the driver side taillight. • Total weight (including bracket and cable): 20 Ibs • Approved for indoor or outdoor use • Circuit breaker to be rated at 125% of supplied current to vehicle Miles of Range per Hour of Charge (w/ Dual Chargers) S8 47 29 23 17 11 6 Miles of Range per Hour of Charge (w/ Single Charger) 29 29 29 23 17 11 6 ............................................................................................................................................ ....... RECOMMENDED INSTALLATION LOCATIONS; One or two vehicle garage Three vehicle garage Ch9ge port ' wali�_onnectgr -- ® Outl is cUD be located ti? �, �, ;I•:_�':1, any rev@ ithin a22 ft uO max r u� between the W a_pector and -0 ® ® charge orf� N ® T� Need help sourcing an electrician, or have question about home charging installation? Contact Tesla at Charginginstallation®teslamotors.com or 1-877-798-3752. CERTIFICATE OF COMPLIANCE Certificate Number 20121211-E351001 Report Reference E351001-20121115 Issue Date 2012-DECEMBER-11 Issued to: TESLA MOTORS INC 3500 DEER CREEK RD PALO ALTO CA 94304 This is to certify that ELECTRIC VEHICLE SUPPLY EQUIPMENT representative samples of Electric Vehicle Supply Equipment (EVSE), Permanently Wired, Home Charging Station, Model 1011831-XX-X, where X is any alphanumeric character. Have been investigated by UL in accordance with the Standard(s) indicated on this Certificate. Standard(s) for Safety: UL Subject 2594, the Outline of Investigation for Electric Vehicle (EV) Supply Equipment Issue Number 3. Canadian Standard CSA C22.2 No. 107.1-01, General Use Power Supplies. UL 50 and CSA C22.2 No 94.1, Enclosures for Electrical Equipment, Non -Environmental Considerations. UL50E and CSA No. 94.2, Enclosures for Electrical Equipment, Environmental Considerations. Additional Information: See the UL Online Certifications Directory at www.ul.com/database for additional information Only those products bearing the UL Listing Mark for the US and Canada should be considered as being covered by UL's Listing and Follow -Up Service meeting the appropriate requirements for US and Canada: - The UL Listing Mark for the US and Canada generally includes: the UL in a circle symbol with "Ca and "US" identifiers: c(Dul the word "LISTED"; a control number (may be alphanumeric) assigned by UL; and the product category name (product identifier) as indicated in the appropriate UL Directory. Look for the UL Listing Mark on the product. �I,f e-7 ■■ William R. Carney, Director, North American Certification Programs u UL LLC Any Information and documentation Involving UL Mark sarvloas are provided on behalf of UL LLC (UL( or any authorized licensee of UL. For questions, please contact a local UL Customer Service Representative at www.ul.com/contactus Page 1 of 1 9 I ) . WALL CONNECTOR, 80A SINGLE PHASE INSTALLATION MANUAL Approved Markets: North America, Japan r--)t:'tt.P — (80A04H) uQ}�7=o.%IL ® IMPORTANTI READ THIS ENTIRE DOCUMENT BEFORE INSTALLING OR USING THE WALL CONNECTOR. FAILURE TO DO SO OR TO FOLLOW ANY OF THE INSTRUCTIONS AND WARNINGS IN THIS DOCUMENT CAN RESULT IN FIRE, ELECTRICAL SHOCK, SERIOUS INJURY OR DEATH. THE WALL CONNECTOR MUST BE INSTALLED BY A QUALIFIED ELECTRICIAN, AND IN ACCORDANCE WITH LOCAL ELECTRICAL CODES AND ORDINANCES. Safety Features...................... ............................................................................................................ -................................ 4 Service Wiring - North America... ..................................................................... .... . .............. . ....... .......... .... 5 ServiceWiring - Europe ........................................... ......._....._............ ...._.............. _..... _.._............................. 7 Circuit Breaker ................................ ......................... ._........................... ............... ..... ........................................... 8 InstallationOverview ................... ........................ ............................................................ -................................ 9 Step One - Check Box Contents- ............. ..... .................... __........... ._-......... _... _............ ...... __.......... 10 Step Two - Install Wall Bracket ................. __... _...................... _....................... -........... _............................... 11 Step - Three Prepare for Installation............................................................................................................ 12 P StepFour - Mount on Wall ....... .......... -........... .... ........ -.... ....... ... _._........ _......... _...... _.......................... 13 StepFive - Connect Wiring .................... _.................. .............. ...... __.... ......................................... .......... 14 Step Six- Confirm a Successful Installation.............................................................................................. 15 Step Seven - Set Operating Current .....-............................................................_............................_.......... 16 Step Eight - Secure Cover and Power Up ... ...... ...... ........................ ........................ ............................ 17 Step Nine - Install Cable Organizer............................................................................................................... 18 Troubleshooting.._........... _............ ................................................. _................................... _............ -................ 19 Maintenanceand Repair...................................................................................................................................20 INFORMATION ABOUT YOUR MODEL S IS AVAILABLE AT: www.teslamotors.com/mytesla FCC DECLARATION OF CONFORMITY This""— compnes with Part IS of the FCC rules Operation is s,bl,,t to the oli—de — conditions: (1) This device may net cause lionnful in[nriarancn, and (2) this devlca must eccupt any in-fur°nca stewed. including interference that may cease untlenood operation Radio antl television inlorrerenco The equipment tlescriDetl in this manual has been design.d to protect against Radio Frequents• Interference (RF).However, there are some Instances where high ld—,ad radio n onils or nearby RF-producing equipment(sut1, as digital phanas,RF.—lunicatians equipment, etc.)could aflect y rld—,. If Interference to your High Power Wall Connecter Is suspected, relocate er tam off nearby electrical appliances during charging, before contacting Testa for asaislance. I— -oll Changes or modihcations to this product not authorised by Tasla could void the FCC compliance. PRODUCT SPECIFICATIONS All specifications and dasviptluns contained In this document are-nf- to be errata[. at the time of printing H enb,wus. cadll—ua lmprovemant is agoat at T.sla.— reserve lheright to make product on-ficaup . M any rim.. ERRORS OR OMISSIONS To communicate any Inaccuracies or °missions in this manur,l, please surd on email to: ywneismanua I leetlback�[eslamolors.cem. S,'2012-2014 TESLA MOTORS. INC. All rights reserved. All inlormation in this document and all MODEL S• sollware is subled to copyright and other iolelleclwl properly eanlsnTesta Motors,Inc.antl Its licensor.TM1ismatelotmay notbeilicao... reproducednrcopied, Inwholed In without Th .11—og permission of Testa Motors. Ire and its licensors. Additional inth.J, an Is available capon rvyuust. Tra fullawin9 era trademarks or ngislarad tratlumarks of Taala Moturs,lnc. in lhu Unite) States and other counUl,s: TESLA TESL4 MOTORS TESLA MODEL S MODEL % ROADSTER T S L)-9 I V All other tmdamarks canmmetl In this document are the property of their respect— owners and their use herelo does not imply sponsorsnp or endorsement of their products or services. The unauthorized use°( any uadamark displayoa In thisdocument or on Ih, vchicl, is strictly pr Inodod. SAVE THESE IMPORTANT SAFETY INSTRUCTIONS This document contains Important Instructions and warnings that must be followed when Installing and maintaining the Wall Connector. ®WARNINGS A CAUTIONS The Wall Connector must be grounded through a permanent wiring system or an equipment grounding conductor. Incorrect Idatallation and testing of the Wail Connector Could potentlaily damage either the vohid.'s Ratto, and/or the Wall Connector Itself. An Do not Install or use the Will Connector near flamnuble, explosive. hanh...... ouitble materials, ,salting damage 4 e.,I,d,d from lho warranty for bath tea vehicle and the Wall Connector. chemicals, or vapors. Tura off Input power at the circuit breaker barore ionnalling I, cleaning the Wall Connector. Do not operate tea wan Connector In temperatures outside I...drating range of--Fto-1(.—C 1. _-c). th� Wally within In, specin,tl operaung pa am do, an a that the cnarga station's supply cable is do.Toned sore w111 not be stepped on, tripped The WAIIC.,d.c-isda.lgned Dnlylor charginga Testa vehl,l, (excluding Testa Roadster). Do not use i[ any.that purpose or -n any other venicle or r .bl cted to damage or stress. Do not use cleening solvents to clean any of the Well Connectors components Too outside of the wall oblea. stopu`Z and do not use— Wall Connecter if it is defM[ive, appaan crackod, frayed, broken, or oth—lse tlamaged. or falls to operate. Connector, th, Charglog cable, and lh, connector on, Wfthe Charging c°bla sh.uldb Ically wi,.d th ust°°^dY IaM [o Y tenon of on andd ^� ` wile, or modily In. wan Connector. The Wan -- - - - --y- Connectgrisnot user serviceable. Cgntacl Testa I.r - 1 any npatrs RA Da roe uaa the wan eonnectorwnen ou the vemcla. �(� v. Wall..... t.r lI,Idd etld seven rain, sngw, \s 'yr w' ' al.dn eleftoral,tp�.pratnarin,lamantw<atnar. i xr Wren o-apening the Wall Connvc I, lolp"' ! re. Do not suD or.,, it care. Illwisb tangle, drag, or step on the wan evil hill force Wall Car— topa revent damage to It or any components. Protocl In. wall Connector from moisture. water, nqula. aria mreign ogem at an rime:. If any eaat onto t o to f aya. conadod tea L �G w.1 C do not n, th, Wall wan connector, do not use tho wan connector. ai' teach the Wall Connectors ls. end sharp o—s with `V n sharp metallic objects, such as wire, tools. or needles rp Do not forcefully fdd any part of the Wall Connector or damage it with sharp obletts tV G p j j Do not insert foreign objects Into any pan of the Wall �" Connects. Do not use the Wag Connector when ....hid, to ... Is , on[Davehmle.,9, G u of the Wall Cp at- may.nett or Impair the apemtlon of any medical or implantable alectninic `% devices.sunI as animplantable cartliac pacemaker ar Gt�' ';'• 'mplanWDle<ardiovertdr ^ /� �p denbrillat.r. Checkwi[M1 �./ �„ trratis[ronicdevice manufacture ud,alrningthe effects that charging may nave on sudl electronic devices before .zing the Wall Cormactor. � 1 O s � r i CD WALL CONNEC OR IN LATION GUIDE rC W The maximum rating for the Wall Connector Is 20 kW or 80 amps at 250 volts. Your vehicle can charge from 180 to 265 volts. 120V ABOVE GROUND 230V ABOVE GROUND (common (common In North America) In Europe, Asia, and Australia) Voltage and 240V AC single-phase: Ll. L2, and 230V AC single-phase: LINE, Wiring safety ground NEUTRAL, and EARTH. 208V AC 3-phase. Wye -Connected: Any 2 phases, and safety ground. 240V AC 3-phase. delta -connected: With center tap on one leg, use only _ the two phases on either side of the center tap. The two phases must both measure 120V AC to ground. Do not use the third leg (208V -stinger). Current Maximum 100A circuit breaker. Maximum 100A circuit breaker. The maximum current for charging The maximum current for charging the vehicle Is 80A or 20 kW. the vehicle is BOA ar 20 kW. -- At 240V, this is 19 kW maximum. At 230V. this Is 78 kW maximum. Frequency 60 Hz 50-60 Hz Cable Length Approximately 25' 1 m) Bracket Height: 15' (382 mm) Dimensions Width: 6.22' (158.2 mm) Depth: 3.7' (96 mm) Weight 20 lbs (9 kg) (including bracket) Operating -22"F to 113-F Temperature -30-C to 45"C Storage -58-F to 185-F Temperature -50-C to 85-C Enclosure Rating Type 3R IP 44 Agency cULUS listed for United States and CE Approvals Canada under file number E351001. FCC Part 15. 120V ABOVE GROUND AWARNING: The Wall Connector is a single-phase device. Do not connect all phases of a 3-phase feed. ®WARNING: Before installing the Wall Connector, Identify the type of utility ervIce connection available on site. If you are Unsur. about the type of Connection available at the service panel, consult the local utility ACAUTION: The two phases used must each measure 120V to neutral. earth grountl must be connected to neutral of only one point, usually at the breaker panel. CAUTION: If a 240V 3-phase feed is from a Delta -connected secondary, the leg used must have a center tap. This center tap must be grounded. Only the two phases on either side of the center-taPPed leg can be used. For most branch circuits of IOOA. use 3 AWG (26.7 mm2), 167-F (75-C) copper wire. Ground wiring can be a maximum of 4 AWG. If your ground wiring does not fit into the bus, use a wire nut or other suitable connection method. For installations less than 100A. use conductors that are sized according to local electrical codes. Run 1' (25 mm) conduit on the left side Of a wall stud. The conduit fits Into the opening on either the back or the left side of the Wall Connector as described on page 12. The service connections described next are primarily used In North America. For service nections used in Europe and Australia (sometimes known as "TT Power Grid"), see page 7- Only three wires are connected, but Care must be taken that the service transformer secondary connection is definitely known. and that the three wires from the main circuit breaker panel are correctly connected and labeled. The Illustrations shown are the most commonly used wiring formats. NOTE: The Lt, L2, and ground outputs labeled on the Illustrations correspond to the Inputs on the Wall Connector. Ground Connection Always c nett the neutral at the service to earth ground. Ground fault protection Is not possible unless the neutral (center tap on the service transformer) is connected to an earth ground. If ground is not provided by the electrical ervice, you must install a grounding stake nearby. The grounding stake must be connected to the ground bar In the main breaker panel, and neutral connected to ground at that point AWARNING: Follow local electrical codes when installing the grounding stake. 220/240V Single Phase `� L1 t 2aay (NusED) � GND NOTE:Illaftradom in Nudo ntarefor demonstration pumosas only. OPTIONAL CIRCUIT RATINGS For the fastest charging In the United States. using a circuit breaker rated for 100 amps is recommended. Far other regions, use an appropriate overcurrent protection device as required by local regulations. in certain home r office locations, this level of power Isn't readily available. Therefore, you can adjust the current setting on the Wall Connector from 12 to 80 amp operating current (see page 16). SELF -MONITORING AND RECOVERY The Wall Connector has a ground monitoring circuit that continuously checks for the presence of a safe ground connection and automatically recovers from faults. Manual testing and resetting is not required. Temporary problems such as ground faults or utility power surges are overcome automatically. If a GFCI fault occurs that interrupts charging, the Wall Connector automatically tries to clear the fault and re -attempt charging. If the problem Is Immediately sensed a second time. the Wall Connector waits 15 minutes before trying to charge. This process repeats eight times and if all attempts are unsuccessful. power Is removed and no further attempts are made. In this case, a red error light lights up on the front panel (refer to the troubleshooting table on page 19). It is recommended that when you see a red error light, you power off the Wall Connector and then power It back on again. 208V 3-Phase Wye -Connected With a Wye -connected secondary, any two of the legs can be used to provide 208V to the Wall Connector. For example, L1 and L2, or Ll and 1-3, or L2 and L3. The two used phases must each measure 120V to neutral. required. Ll (nOT usEp) }I �12�u T<Q��D'aY t]aV L2 allo CAUTION: The Unused leg (L3 in the IIIustraUon) must remain open. Do not connect to a neutral bar, or to ground. ACAUTION: The center point of the 3 phases (normally used as neutral) must be 9rountletl t0 earth at only one Point This is usually at the breaker panel. 240V 3-Phase Delta -Connected With the delta connection, one leg must be enter tapped, and only the two phases on either side of the center tap can be used. The two used phases must each measure 120V to tral. Consult the transformer manufacturer's literature to verily that the single leg can supply the required power. POWER OUTAGES If a power outage occurs, the Wall Connector automatically resumes charging when power Is restored. It the charging cable Is plugged Into the vehicle when power is restored, the lights blink and the unit does not energize the charging cable for approximately 15 seconds to 3 minutes. This prevents the utility grid from experiencing a large surge when power is restored, allowing vehicles to begin drawing current at random times. rather than all at WALL CONNECTOR INSTALLATION GUIDE NOTE: The Wall Connector's contactor closes only It It detects the presence of a Ground wire connected to a neutral point on the transformer secondary. u woT used) 11� 2 Ilv trorvsco, �v u allo "®CAUTION: The third line (L3 in the Illustration) of the delta Is 208V, with respect to neutral, and is sometimes referred to as a "stinger.' Do not use this third line. ACAUTION: Do not use a 3-phase delta -connected transformer secondary without a center tap on one leg. No "neutral' point is available for the required ground connection. WALL CONNECTOR INSTALLATION GUIDE 230V ABOVE GROUND AWARNING: The Wall Connector is a single-phase device. Do not connect all phases of a 3-phase feed. ®WARNING: Before Installing the Wall Connector, Identify the type of utility servce connection available on site. If you are e about the type of connection available at the service panel, consult the local utility company. or contact Tesla for assistance. ACAUTION: The line connection must measure 230V RMS to neutral. earth must also be connected to the Wall Connector. For most branch circuits of 100A, use 3 AWG (26.7 mm2). 75•C (167"F) copper wire. For installations less than IGOA, use conductors that are sized according to local electrical codes. Ground wiring can be a maximum of 4 AWG. If your ground wiring does not fit into the bus, use a wire nut or other suitable connection method. Run 25 mm W) conduit on the left side of a wall stud. The conduit fits Into the opening on either the back pr [he leh sitle of the WaII Connector as described on page 12. The service connections described below are primarily used In Europe and Australia (sometimes known as "TT Power Grid"). For emIce can nectlons used In North America, see page S. When connecting the line and neutral wires. must be taken that the service transformer secondary connection is definitely known, and the wires from the main circuit breaker panel are correctly connected and labeled. The Illustrations provided show the most commonly used wiring format In Europe. NOTE: The line, neutral, and earth outputs labeled on the Illustrations correspond to the inputs on the Wall Connector. TOOLS REQUIRED Before installing the Wall Connector, ensure you have the following 1-11: • Panel' or marker • Drill and 913/16" drill bits • T20 to -driver • Hale saw U I/4" / 32 min) • Sharp knife or razor • Phillips screwdriver • Ratchet wrench with 8 mm and 17 mm sockets, and a 2" (minimum) extension • Voltmatar or digital multimeter(to measure AC power at the site) OVERVIEW OF STEPS After running service wiring to the desired Installation location using 1" (25 mm) conduit. (see pages 5 through 7), and Installing the appropriate circuit breaker (see page 8). TURN OFF THE POWER SUPPLY. Than follow these steps to install the Wall Connector: 1 Check box contents (see page 10) 2 Install wall bracket (see page 11) 3 Prepare for Installation (see page 12) 4 Mount on wall (see page 13) 5 Connect wiring (see page 14) 6 Confirm a successful installation (see page 15) 7 set operating current (see page 16) 8 Secure cover and power up (see page 17) 9 Install Cable Organizer (see page 78) Ground (Earth) Connection Always connect the neutral line at the service panel to earth. Ground fault protection is not possible unless the neutral line is connected to earth. It an earth cannecbcn is not available, you must install a grounding stake nearby. The grounding stake must be connected to the ground bar in the main breaker panel, and neutral connected to earth at that point. AWARNING: Follow local electrical codes when installing the grounding stake. LINE zsOVAC NEUTRAL EARTH U 0 C a C a..s.p C CD "C3 D) s CD 0 NOTE: Refer to the National Electric Code (NEC) and local electrical codes when installing the Wall Connector. If In doubt, check with your local building electrical Inspector. To determine the type of electrical breaker you need, examine the distribution panel/ circuit breaker box to Identity the amperage available at the installation site. The Wall Connector has internal DIP switches that allow you to adjust Its operating current. For the United States, see the recommended circuit breaker ratings provided In the table below. For other regions. use an overcurrent protection device, as required by local regulations, that is appropriate for the corresponding setting of the Wall Connector's operating current CIRCUIT BREAKER RATINGS • UNITED STATES Maximum Currant ' Supplied to Vehicle (Amps) Circuit Breaker Rating for , United States•' (Amps) - 12 15 16 20 24 30 32 40 40 SO 64 80 80 100 TO INSTALL A BREAKER • Turn off AC power to the distribution panel/Nrcult breaker box. • Install the circuit breaker appropriate for your Installation site and vehicle charging requirements. • Run the Lt. L2 and Ground wires from the distribution panel/circuit breaker box to the location where you are Installing the Wall Connector. Always run wiring to the left side of a wall stud. WALL CONNECTOR INSTALLATION GUIDE In addition to this Installation Guide, the shipping box contains the following components. If any components are damaged or missing, contact Tesla. 10 Mounting bracket MO lag screws and —,he. (2) rJ aun "" b0 s ewsn9e (2) coma Organizer cable I Organizer Bracket Q (sbla OrgeNzar 0 Screws, An.hors.ord QWaslw Gesc18 ^t WALL CONNECTOR INSTALLATION GUIDE You can run 1' (25 mm) conduit Into either the back or the left side of the Wall Connectoi s main enclosure. Regardless of the conduit opening you use, always run the conduit on the left side of a wall stud. Role, to the Illustration below for dlmenslons. When determining where to mount the Wall Connector, keep in mind that Its 25- (7.6 m) charge cable should easily reach the vehicle's charging Port without straining the connections at either end. 1 Use the mounting bracket as a guide to mark the location on the wall for the two mounting screws. Space the holes exactly 8 7/16' (214 mm) apart. The height of the bracket should onsun, that the charging connector is located at a maximum of 48- from Floor level.• The minimum height Is IS- (46 cm) if mounting Indoors, and 24' (61 cm) If mounting outdoors. 2 Drill two 3/8- (7.1 mm) holes in the wall. 3 Attach the wall bracket using fasteners appropriate for the type of wall material. Use the supplied lag screws and washers only It mounting to a solid wooden wall stud. If mounting to another type of wall (hollow, masonry, etc). use fasteners that re long enough to securely anchor the Wall Connector and that can support at least 80 pounds (36 kg). �s 0 j I, CAUTION: If installing in a public location, consider laws and regulations that accommodate persons with disabilities (such as the ADA -American Disabilitles Act). 1 Position the connector over the bolts on 3 Use the supplied flange screws to fasten the mounting bracket as shown below. the connector onto the bracket Use a d wire, as shown below. tatchat wrench and 8 mm socket to 2 Attach the grown tighten until snugly fitted. IN I Using a T20 Tory driver, remove the Iwo <urity screws from the bottom of the Wall Connector. I 2 Release the front cover by pulling it towards you far enough to disconnect the ribbon cable. Disconnect the ribbon cable from inside the main enclosure to fully release the front cover. J Disconnect L' ibben caple ACAUTION: When removing the front cove, do not damage the ribbon cable. Disconnect the ribbon cable before fully releasing the front cover. NOTE: For most branch circuits of 100A, use 3 AWG (26.7 mm2), 75-C (167°F) copper wire. For installations less than 100A, use conductor, that are sized according to local electrical codes. ®WARNING: Do not connect service Wi ring until you have read and fully understand the pages in this document titled 'Ser ce Win ng' if you are uncertain about the type of power available at the service panel, consult your local utility, or contact Tesle for assistance. I Turn off the power. ®WARNING: RISK OF ELECTRIC SHOCKI Before connecting the wiring. use a voltmeter to confirm that NO POWER Is available at the service wiring or terminals. 2 Pull the service wiring Into the Wall Connector. if using a hub, connect conduit to the hub before connecting It to the enclosure. 3 Strip the three wires 3/8' (10 mm). 4 Connect wiring to the terminal block. Connect Ll to black, L2/N to red, and green 9round to one of the two available grountl connectors, as shown. NOTE: The maximum size of the ground re is 4 AWG. Aiso note that neutral is not used by the Wall Connector. To ensure Proper operation, verify that neutral is nected to earth ground inside the ccuit breaker box or the main electrical panel. M 14 3 Disconnect the ground wire from the terminal block and push it out of the way to avoid damaging It when completing the next step. I I Disconnect n wued n ro 'r 4 Use a 11/4-(32 mm) hole saw to remove the power entry knock -out from either the side or back of the connector. CAUTION: When using the hole saw, do not damage Internal components. If using the side knockout, center the hole w at the Indented hole and drill through ,,;layers. After drilling. use a sharp knife or razor to cut and remove the rubber molding. as indicated by the indentations In the rubber. NOTE: Use the back knockoutwhen tinting to a pedestal or when running wires from behind a wall. 5 Reconnect the ground wire to the terminal block WALL CONNECTOR INSTALLATION GUIDE 5 Tighten the Ll and L2 screws to 35-50 in-Ibs, depending an wire gauge. Tighten the ground screw as follows: Wire Gauge AWG CU-AL Torque (in-Ibs) 14-10 CU 12-10 Al 20 8 25 6-4 35 Two 14 or 12 CU Two 12 or 10 AI 25 WALL CONNECTOR INSTALLATION GUIDE I Set the DIP switches, located In the lower 4 Tun on the power. right-hand portion of the connector. to the S Hold the RESET button testsettingfor five seconds. nomm ing shown he. Use a pointed This button Is located on the lower right ductive object such as a pen. side of the Wall Connector. �j DIP 2 While holtlin9 the front cover near the connector, re -connect the ribbon cable. You should hear the contacts close and see the Wall Connectors lights sequentially Illuminate green. If the RED error light Illuminates or Flashes, see the Troubleshooting table on page 19 and esolve the error before continuing. If the RED error light Is not Illuminated or flashing, continue with the next two steps. IE 1 Reposition the front cover over the unit, aligning the five tabs on the back of the front cover with their corresponding sloe. Starting at the bottom and working upwards, press firmly on both sides of the front cover until it cllcks Into place. 2 Using a T20 torx driver, re -attach the two security screws that you removed from the bottom of the Wall Connector in 'Step Two - Install Wall Bracket' on page 11 ¢ 3 Turn an the Power. y yytt 4 Attempt to charge the car to ensure the `��•^' �'1' Wall Connector is operating correctly an ,y S? R t`•,"� charging at the selected operating current.Cj""�i For instructions on how to charge. refer to�� the owner information provided with your vehicle. I 1 Turn off the power. ®WARNING: RISK OF ELECTRIC SHOCKI Before continuing, use a voltmeter to confirm that NO POWER Is available at the service wiring or terminals. 2 Open the front cover and hold It with one hand while completing the next step. ACAUTION: Do not release the front coverand allow It to hang from the ribbon cable. Doing so can damage the ribbon table's connecters. 3 Adjust DIP switches to set the operating current based on the type of breaker being used. Use a pointed non-conductive object such as a plastic pen. NOTE: Power MUST be turned off before setting or changing DIP switches. If you set DIP switches with the power on, not only Is it dangerous because of the risk of electric shock (see warning above), but the changes are not recognized. d: In the United States, breaker ratings are as follows: Maximum Current Supplied . to Vehicle (Amps) Circuit Breaker . Rating for United States' (AmPs) 12 15 16 20 24 30 32 40 40 50 64 80 80 100 Test 12A 16A 24A Mode Supplied Supplied Supplied ®4 ® ®4 �4 s 1j 4 1"3 ® 3 3 ® 3 N"2 ®2 n ®2 ®2 ® 1 ® 1 ® 1 ® 1 32A 40A 64A 80A Supplied Supplied Supplied Supplied �q ® 4 0"4 �4 ®3 �3 ®3 ®3 2 ® 2 2 2 ® 1 1 NEW 1 1 1 Use the Cable Organizers bracket as a guide to mark the location on the wall for the two mounting screws. NOTE The height of the bracket should ensure that the charging connector Is located at a maximum of 48" from Floor level.- The minimum of Is 18" (46 cm) If mounting Indoors, and 24" (61 cm) If mounting outdoors. CAUTION: If installing in a public location, consider laws and regulations that accommodate persons with disabilities (for example, the American with Dlsabilitios Act). 2 Drill two 3/I6" (4.8 mm) holes in the wall. 3 Insert the two Poly -Set anchors into the holes until their flanges are flush. 4 Use the suppliedPhlllips screws and washers to secure the bracket to the wall. To ensure the screws are secure, apply additional turns after the screw head is against the bracket: Drywall Thickness Number of Additional Turn, 3/8" 7-9 1/2' 5-7 5/8" 3-4 3/4" 1-2 NOTE: For more details on using the anchors and screws. refer to the Poly -Set Installation Instructions, included In the shipping box. WALL CONNECTOR INSTALLATION GUIDE 5 Slide the Cable Organizer onto the bracket s shown. If desired, you can Insert the Wall Connectors cable into the groove between the bracket and the Cable Organizer, as shown. 17 IB WALL CONNECTOR INSTALLATION GUIDE Observe the lights on the front of the Wall Connector, then use the following table to resolve a fault Green Red Light. Light _ I What It Means - What To Do Top light Off Power on. Wall Connector is Make sure the Wall Connector is powered, but not charging. plugged Into the car, Off 1 flash Ground fa IL Electrical This should automatically reset In 15 rtent Is leaking through a minutes. If not, make sure nobody Is potentially unsafe path. touching the car, then press the RESET button. Off 2flashes The Wall Connector did not Unplug the Wall Connector from the car pass Its internal self check. and press the RESET button. Plug the Wall Connector back into the car. If the or persists, unplug the Wall Connector from the car, power off Me Wall Connector, then power it back on again before plugging it back into the Car. Off 3flashes Contactor failed. Unplug the Wall Connector from the car and wait 10 seconds. If the error persists, contact Tesla Off 4 flashes Ground lost Make sure the power outlet is properly grounded. Make sure the hot and neutral pins are wired property. If uncertain, ask your electrician. Off SFlasheS The Wall Connector requires ervking. Contact Tesla. Always ensure that after charging, the charging cable Is returned to the Cable Organizer and the charging connector Is clear of the floor. Regularly inspect the Wall Connector and charging cable for signs of damage. if damage Is found, contact Tesla. The Wall Connector contains no ervlceable components. If the unit is not operating correctly, contact Testa. Wipe the outside of the Wall Connector, the charging cable, and the connector end of the chargtng cable wiN a clean dry cloth to re any accumulation of dust and dirt. AWARNI NG: Turn off input Power at the circult breaker before cleaning the Wall Connector. AWARNING: Do not use cleaning solvents, scouring powder, or any type of abrasive pad to clean the Wail Connector, Its charging cable. or the vehicle's charging Port ACAUTION: To reduce the risk of electrical shock or equipment tlamage, do not allow liquid to enter the Wall Connector while cleaning it. 19 20 WALL CONNECTOR INSTALLATION GUIDE rn Installing Tesla's High Power Wall Connector (HPWC) in locations with less than 100A Service EV CHARGERS and CONNECTORS: (http://www.teslamotors.com/charging#/highpower) The Charger is not the thing you plug into the wall, that's a Connector. The Charger is actually on -board the car. The Connector sends Alternating Current (AC) into the Charger. The Charger then converts the power to Direct Current (DC) and sends it to the battery. HOW TESLA'S HIGH POWER WALL CONNECTOR WORKS: A High Power Wall Connector (HPWC) is typically installed on a 240 volt circuit and can be supplied with up to twice the amperage as an outlet. In rare cases, an installation site might not be able to accommodate a 100A service to take full advantage of the HPWC's capabilities. For these cases, the High Power Wall Connector has internal configuration DIP switches that allows the installer to set its operating current based on the type of circuit breaker being used for overcurrent protection (40 to 100 amps): � ke Cire�uAm�s m�et NfUluffnn J1 cle 40 32 50 40 60 48 70 56 80 64 90 72 100 80 The configuration switches basically tell the processor i eC what duty cycle to put in the Control Pilot signal which communicates to t A Tar hl, maximum cgrrent available for it to charge with. This protocol is defined in E J1772 (C Standard, Section 4.2.1.3.6 that all compliant EVSEs d e�iq % The diagram in the next page describes this operation inftp�re ddt'4il- TESLA MOTORS, INC 3500 Deer Creek Rd, Palo Alto; CA 94304 p 650.681.5000 f 650.681.5200 SURFACE VEHICLE Internaional' RECOMMENDED J1772T�•� OCT2012 Issued 1996-10 Revised 2012-10 PRACTICE I Su ersedin J17721-1 FEB2012 SAE Electric Vehicle and Plug in Hybrid Electric Vehicle Conductive Charge Coupler Glossary: EV/PHEV: Electric Vehicle / Plug-in Hybrid Electric Vehicle EVSE: Electric Vehicle Supply Equipment 4.2 Charging Control and Information 4.2.1 Control Pilot The control pilot circuit is the primary control means to ensure proper operation when connecting an EV+PHEV to the EVSE. This section describes the functions and sequencing of events for this circuit based on the recommended typical implementation or equivalent circuit parameters. 4.2.1.1 Control Pilot Circuit FV Supply Fquipn•unl ConlrolFledmnicr -- -12V Os dlld for R 1 1KPz ;S1 1K +f- 12V 12V Vullupu m: uurn;nl Utility Ground FVSF cunnuclor I Vu Vulriulu Inh:rrucu Onbuu'd........................................ SW -nCu C ol rullur 11 ---------'1 Oplionul Vollu"10 Wum ururr.unl 1— r r F ruquomyi P- rruuSurUn:unl P.2 R3 2R3 UK (Stulu Cr 21-0 iSlulo ri ........................................ FIGURE 4.1 - CONTROL PILOT CIRCUIT Charging Systems — Rev 1.0 0 Tesla Motors, Inc. 30/Oct/2013 — p. 2 SURFACE C&i,C° VEHICLE , International RECOMMENDEDIssued "ol,G. J1772T'' OC72012 1996-10 Revised 20112-10 PRACTICE I Superseding J1772T11 FEB2012 SAE Electric Vehicle and Plug in Hybrid Electric Vehicle Conductive Charge Coupler 70 50 40 30 a a 0 20 irel (°/o duty cycle- 64) ` 2 6 - ___-_,` duty cycle accuracy 2% 1 - - - -- Arnps = (% duty cycle) t 0.6__- duty cycle accuracy 2% ---------- __ . _ ___ -... ;_ ...- 100-0 0 20 40 60 800 , 5%.duty cycle i nc 'cater Pilot duty Cycle, Percent G;yita� C m caunaaur,'calion FIGURE 4.3 - SUPPLY CURRENT RATING VS. PILOT CIRCUIT DUTY CYCLE 0 a -p O 1 As an example, a 20% duty cycle would be 20 x 0.6 = 12 A. In this case, the vehicle must adjust its curr.=nt draw to a�' maximum of 12 A. � I Z A dt.tt}- cycle of 5% indicates that digital communication is needed, see Section 4.3. D Q The EVSE may accept an external signal to vary the duty cycle for supply or premises power limitations. The EV/PHEV vehicle shall use the duty cycle to control the on -board charger AC current drawn from the line. As you can see from the excerpts above, the SAE J1772 Standard foresaw the need to provide means to communicate the power limitations of the supply or premises and developed the above protocol for EV manufacturer's to follow. With the above feature, the installer can examine the distribution panel/circuit breaker box to identify the amperage available at the installation site and determine the type of electrical breaker you will need. Once the breaker size is identified, the HPWC can be configured to communicate the maximum charging current available to the car and avoid nuisance trips of the breaker. (VOTE: Refer to the National Electric Code (NEC) and local electrical codes when installing the High Power Wall Connector. If in doubt, check with your local building electrical inspector. The installation and configuration of the HPWC should be done by a properly trained installer/electrician. Charging Systems — Rev 1.0 0 Tesla Motors, Inc. 30/Oct/2013 — p. 3 SMOKE 1 CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 7773333 building aC�cu 0100.0ra z Permit No. # of Alarms arnums. _, _ _ `Address Ga' PERMIT CANNOT BE FINA D ��D� EDTOTTHE BUIIED I _ DYNG DIY SIONCATE HAS BEEN S TW PURPOSE This affidavit is aself-certification for the installationof orequired 0.6 and 907,2.11.2 Cwhere no interior Alarms or compliance with 2013 CRC Section R314, 2013 CBC inspections are required. GENERAL INFORMATION Existing single-family and. multi family dwellings shall be provided with Smoke Alarms and Carbon s to existing dwelling units exceeds Monoxide alarms. When the valuation of additions, alterations, or repaire that Smoke Alarms and/or Carbon $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420;6 require Monoxide Alarms be installed in the following locations;. *rnrt� eT ARM CO'ALARM AREA - X X Outside of each separate sleeping area in the immediate vicinity of the On every level of a d X X X Within each siee in room 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 Ma rshal- 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 atairs or alte ntior crawl ons do not result in the removal of wall and ceiling finishes or there is no access by meann of space. Refer to CRC Section R314 and CBC Sections 907,2,1L4 and 420:6.2. An electrical permit is reed for quir' 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 m compliance with the California Building. and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. Smoke and CO form.doe revised 03118114 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTIM0 (408) 777-3228 •FAX (408) 777-3333 ^ buildinaCa cuoertino.orn �i 16-- Owner Name U G `t L� l Permit No. Address c t>— �wp PERAHT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN 51fi= AND RFn Man TO THE BUILDING 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: E/No Go to Question 2. Date: 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. El The licensed plumber's certificate n has been provided to the Building Division. Sign below and skip the rest of the fo rm. Date: Owner' Signature: i/No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through �101.8 do not apply. I . Sign below and skip the rest of the form. Date: j Owner' Signature: D No Go to Question 4. 4. Is our real property built and available for use or occupancy on or before January 1, 1994? Is My real property is built and avallab e 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. Date: Owner' Signature: El Yes le for use or occupancy on or before January 1, 1994. My real property is built and availa Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. 211 My property is a single family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations robin fixtures throughoutlrequire all the buildingnOn or before January Plumbing fixtures to be replaced with water -conserving plumbingplumbing fixtures (regardless 2017, all non -compliant plumbing fixtures shall be replaced with water -conserving p g of whether property undergoes alterations or improvements). [I My property is a multifamily residential real property. See Civil Code Section 110i.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. On or before January 1, 2019, all non -compliant plumbing fixtures shall be replaced with water- conservingoes alterations or plumbing fixtures throughout the building (regardless of whether property g 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. SB4072015.doc revised 02/04/I5 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). UWe, the owner(s) of this property, certify under penaltyof 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 plumbing fixtures co Ply with the requirements as indicated in the table below. Date: J 7 16 Owner's (or Owner Agent's) Signature: 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 Code Applicable to New Construction) Plumbin Fixture (Fixture Complying with Current Maximum Water Usage/Flow Rate Fixture Type Water Usage 201-3 CPC Ch. 4 2013 CALGreen Div. 4.3 2013 CPC Ch. 4 2013 CPC Ch. 4 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 Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, (Toilets) Gallons/flush averaae flush volume of two reduced flushes and one full flush) Exceed 1.0 0.5 gallons/flush Gallons/flush 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 oni one zin�wv� ��< <� �� - - Exceed 2.2 gallons Maximum 1.5 gallons per Within units 0 gallons per minute @ 60 g p Faucets - Lavatory per minute minute @ 60 psi; minimum 0,8 gallons per minute @ Maximum 1.5 gallons per minute @ 60 psi; psi Faucets 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 Exceed 2.2 gallons 1.8 gallons per minute @ 60 Si 1.8 gallons per minute 1.8 gallons per minute @ 60 Faucets - tchen Kitchen per minute 60 psi May temporarily increase @ 60 psi May temporarily psi Faucets up to 2.2 gallons per minute @ 60 psi, and must increase up to 22 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 the above are unavailable, @ 60 psl' 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. fixture water usage/flow rate :is equal to or lower than. the figure shown,. it is not required to be upgrad 1. If the existing plumbing SB407 201 S.doc revised 02104115