B-2016-1643 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1643
11530 MURANO CIR CUPERTINO,CA 95014-1755(366 58 014) WILLOW GLEN
ELECTRIC INC
SAN JOSE,CA 95155
OWNER'S NAME: AGRAWAL SANJAY KUMAR AND SONIKA TRUSTEE DATE ISSUED:03/28/2016
OWNER'S PHONE:408-807-7861 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 X 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&(N) 100 AMP SUB PANEL
I hereby affirm under penalty of perjury one of the following two declarations: (OPPOSING MAIN PANEL OUTSIDE).(ALL CLEARANCE TO BE
i. I have and will maintain a certificate of consent to self-insure for Worker's MAINTAINED IN GARAGE PER PLANNING)
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
060-Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$2090.00
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above APN
information is correct.I agree to comply with all city and county ordinances Number: Occupancy Type:
366
and state laws relating to building construction,and hereby authorize 366 58 014
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 regul ins per the Cupertino Municipal ode,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
ignature Date 3/28/2016 Issued by:ABBY AYENDE
Date:3/28/2016
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:3/28/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
t. 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 Cod c ons 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Otte:
ner or authorized agent:
APPLICANT CERTIFICATION 3/28/2016
1 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 3/28/2016 Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
iLa COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 AE
CUPERTINO (408)777-3228- FAX(408)777-3333-building0-cupertino.org
PROJECT ADDRESS J S3 v L y p „ e ED /� /�Lp 7 i APN# ��(
OWNER NAME (+yI„e �`aTGY�/T�
PHONE �O 'O / / r�CO I E-MAIL c`u. [�cR/') K�1L�.a cC.�lFI�L.
STREET ADDRESS CITY STATE,ZIP O FAX
CONTACT NAMEMark Londre PHONE 408)289-9725 E-MAIL
office@willowglenelectric.com
STREET ADDRESS P. O. Box 8430 CITY,STATE,ZIP San Jose, CA 95155 1FAx(408)289-9725
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME Mark Lond re I
LICENSE NUMBER 591918 1
LICENSE TYPE C-1 0 BUS.LIC# 15897
COMPANYNAME Willow Glen Electric, Inc. E-MAIL office@willowgienelectric.com FAX (408)289-9725
STREET ADDRESS CITYSTATEZIP
. , PHONE 408
P. O. Box 8430 San Jose, CA 95155 ( 289-9725)
ARCHITECT/ENGINEER NAME NSA LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF If SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN
STRUCTURE: El Commercial
URBAN INTERFACE AREA F] Yes E] No FLOOD ZONE El
[I NO
❑SOLAR PANELS ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: KILOWATTS(COMMERCIAL ONLY): Q / TOTAL VALUATION: ;UO 916)-
d—
DESCRIPTION OF WORK ( (�
Electric Vehicle Char in Circuit: Fu��/S �i�SiGi. & %� � � 1��
A 4M
RECEI
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act n the property ow a alf. Is
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agre Omply with all applicable local
ordinances and state laws relating to buildin con``st u . I auth ' representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: `N 1 •''�� Date: /o l!�
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
OVER-THE-COUNTER
❑ EXPRESS
❑ STANDARD
U
❑ LARGE
a
❑ MAJOR
PVApp_2011.doc revised 03/16/11
Furnish and install one 100A sub panel directly behind the existing Sanjay Agrawal
200A main electrical panel. Reroute the existing 50A AC circuit to the 11530 Murano Circle
new sub panel. Cupertino, CA 95014
(408) 807-7861
Install one new 240V 50A dedicated circuit with a NEMA 14-50
receptacle for EV charging in the front left corner of the garage. The
circuit will be ran in 3/4" EMT with #6 THWN conductors from the
new 100A sub panel to the new NEMA 14-50 receptacle location.
The garage is minimum 20' x 20'.
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This set of plans and specifications MUST be!kept at the
job site during construction. It is unlawful to ma.-ke any
chamC63 or alterations on same,or to deviate
200A Main Panel (E) tharofrom,without approval from the Building Official.
w/ 100A breaker (N) 100A Sub Panel (N) The st ...N'ncd phis plan and specifications SHALL NOT
E-,eic!z p--,,it or to be an approval of the violation
w/50A breaker (fy Of pr ,;eons of any City Ordinance or State Law.
---NEMA 14-50 (N)
1.25" chase w/ DATE , -
3 - #3 THHN conductors (N) PERMIT NO.
1 - #6 THHN ground
3/4" EMT w/
3 - #6 THWN conductors (N)
1 - #10 THHN ground
Residential Electrical Load Calculation
Site Location: Prepared by 1 L L O W
Sanjay Agrawal Willow Glen Electric,Inc. L E N
11530 Murano Circle PO Box 8430L E C T R I C
Cupertino,CA 95014 San Jose,CA 95155 �/
(408)807-7861 (408)289-9725-office
General Lighting and Receptacle Loads[220.12] 3 watts per ftz x �, .8 = 5,844
Small-Appliance Branch Circuits[220.52(A),210.1(0)(1)] 1,500 watts x z = 3,000
Laundry Branch Circuit(s)1220.52(6),[210.11(C)(2)] 1,500 watts x = 1,500
10,344
Fastened-In-Place
Appliances[220.53] Kitchen Bath(s) Outisde/Miscellaneous
Refrigerator(s) = CC! Instant Hot H20(s)= Exhaust Fan(s) = Hot Tub =
Dishwasher(s) = 1 m Hood Exhaust(s) = Jacuzzi Tub(s) = Pool Equipment =
Garbage Disposal(s) = Si0 Gas Range(s) = Radiant Heating = 30A circuit =
Microwave(s) = Q Gas Oven(s) = Steam shower = H2O Pump =
Trash Compactor = Wine Fridge(s)= = 2x Shop Tools =
Steamer = _ = Garden Shed =
Total Fastened-in-place Appliance Load 6,000
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
Cooking Appliances[220.55] 80% x t x� = 9,600
Derating Volts 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 —
x
Volts Amps
Air Conditioner 7,290
55% x 111 7 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 7,290 x 100% = 7,290
Electric Space Heating - x 100% =
First 8kVA of all other loads 8,000 x 100% = 8,000
Remainder of all other loads 22,944 x 40% = 9,178
Total 24,468
Current Minimum Amperes
24,468_ = 101.9 Current Minimum 200 Amps
17 Size Service or
(voltage) (minimum amperes) Feeder[240.6(A)] currently
Electric Vehicle[625.14]
125% x 4ti x 12,000
Continuous Load Volts Amps
Minimum Amperes with Added Load Minimum Size
Divide the total 36,468_ = 151.9 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.
Questions?Contact the Tesla Technical Support Team:
Charginglnstallation@teslamotors.com 1650.681.6133(Monday-Friday)1877.79&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
installation.They will design your charging system and obtain a permit for a generale:
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
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)
G e Operating Current:40 Amp(maximum continuous current)
e Conductors:6 AWG,Copper Wire Only. Upsize wiring for installations over 150 feet
250V a Ground Fault Circuit Interrupter:Not required
E e Service Disconnect: Not required
• Receptacle Recommendation:High quality,industrial grade receptacle
• Ventilation:Not required
e Outdoors:Install with NEMA 3R rainproof enclosure
RECOMMENDED OUTLET LOCATIONS FOR YOUR RECORDS
I ELECTRICAL COMPANY
I I I
PHONE NUMBER
I
EMAIL ADDRESS
iU,r--r r19
CHARGE PORT
I
iL will
t OUTLETS PERMIT NUMBER
t� �7
Install near vehicle charge port,maximum 15'away,minimum 18"above ground INSTALLATION DATE
T=5 L n 3500 Deer Creek, Palo Alto,CA 943041 November,20151 Version 1.5
3
SMOKE/CARBON MONOXIDE ALARMS
j
OWNER CERTIFICATE OF COMPLIANCE `Z ZIs
�c
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
t 6 :E T9 t 9 103110 TORRE AVENUE CUPERTINO,CA 95014-3255
(408)777-3228®FAX(408)777-3333 buildinra aMcuperfino:csrg
Permit No. --2-.&,6 `
Address 1 1°� C° PA V I- kVa t= I R. f _'j'G f`TPA)t #of Alarms Smoke: 3' Carbon Monoxide:
(A-
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN,SIfjNEj2 AND RLT TRS TO THE.BUILDING DIVISION
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 12314 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 Xr X
bedroom(s)
On every level of a dwellin unit including basements X X
Within each sle2ing roam 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 907.2.11.4 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.
E
1 have read and agree to com &with t e;terms and conditions of this statement
Owner(or Owner Agent's)Name:
9;;NDA-f Signature .Date: 1
Contractor Name; ,
Sinature ......... ............. .. ... ...................Lic.#......................................Date ...............
Smoke and CO fornzWoc revised 03118114
i
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
4
COMMUNITY DEVELOPMENT DEPARTMENT®BUILDING DIVISION —.
� E R i&�f 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228®FAX(408)777-3333 o buildinaOcuper#iro.o
Owner Nance '��" �.�:,�..� Permit No.
Address a l `�� t"TA"NC' C 19, '` E1Z-TtN0 CA-' 3 lj
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNE11 AND R_F,TLIRNED 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 110 . through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature Date: e l
N 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 e rest of the form.
Owner' Signature: Date 0I 1:W,
Ow gn
R No Go to Question 3.
P�
3. Is water service permanently disconnected for your building?
0 Yes Civil Code Sections 110r .1 through 1101,8 do not apply. Sign below and skip the rest of the form.
Owner'Signature: y Date.. 03
) f IAA 06
X No Go to Question 44:.
4. Is your real property built and a i able for use or occupancy on or before January 1, 1994?
1'No ley real property is builtavailable for use or occupancy after January 1,1994.
Civil Code Sections 110 i, through 1101.8 do not apply. Sign below and skip the rest of the force.
Owner'Signature: Date:
❑ Yes My real property is built available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1.101.8 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).
❑ lily 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 be 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.doc revised 02114115