B-2016-1765 1
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1765
10411 GLENCOE DR CUPERTINO,CA 95014-1875(326 30 110) WILLOW GLEN
ELECTRIC INC
SAN JOSE,CA 95155
OWNER'S NAME: JAIN PRAVEEN AND RUCHI TRUSTEE DATE ISSUED:04/14/2016
OWNER'S PHONE:408-838-9049 PHONE NO:(408)289=9725
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: 11
License Class ELECTRICAL Lic.# 2j2la
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 NEMA EV CHARGING STATION IN GARAGE(CLEAR 20'X
I hereby affirm under penalty of perjury one of the following two declarations: 20'TO BE MAINTAINED)
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
erfonnance of the work for which this permit is issued,OXA .
have and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$1600.00
APPLICANT CERTIFICATION
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 326 Number: Occupancy Type:
26
and state laws relating to building construction,and hereby authorize 3 30 110
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 PE ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAY .ST CAL ECTION.
SignatureKR� Com'-X`�--"6ate 04/14/2016 Issued by:MELISSA NA ES
Date:04/1412016
OWNEWBUI DER 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(See.7044,Business&Professions Code). Date:04/14/2016
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. HA�nRnnus 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 34. of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,.Sections Municipal
25533,and ter 9.1 I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Health&Safety Code,Section 25532(a)should I store or handle hazardous
s. I certify that in the performance of the work for which this permit is issued,I
material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the 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 912 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Co ctions 25505, ,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent
APPLICANT CERTIFICATION Date:04114/2016
I certify that I have read this application and state that the above information is CONSTRUCTION LENDING ACY
GEN
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, Lender's Address
judgments,costs,and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed
Signature Date 04/14/2016 Professional
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
lJ *IE �'i Ot (408)777-3228•FAx(408)777-3333•buiiding@cu„pertlnca g
PROJECT ADDRESS APN# t� ® 5 0 - l t �/'
OWNER NAME �O!r�V' "Tot
s 9(39 — g cCiva s La LGt.�-o
STREET ADDRESS! ��/�•�/ � ,p lA+ CI STATE,Z P z FAX
CONTACT NAME Mark Londre ��% PHONE (408)289-9725 E-MAII
off ice @willow lenelectric.com
STREET ADDRESsR O. Box 8430 c=,STATE°ZIP San Jose, CA 95155 FAX(408)289-9725
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT 1p CONTRACTOR. ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTORNAME Mark Londre LICENSE NUMBER 591918
LICENSE TYPE C-10 BUS.LIC# 15897
COMPANY NAME Willow Glen Electric, Inc. E-MAIL office@willowgienelectric.com FAX (408)289-9725
STREET ADDRESS P. O. Box 8430 CITY,STATE,ZIP San Jose, CA 95155 PHONE (408)289-9725
ARCHITECT/ENGINEERNAME N/A LICENSE NUMBER. BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP t"0;
USE OF SFD or Duple- ❑ Multi-Family PROJECT IN WILDLAND PROJECT IN —/
STRUCTURE: F-1 Commercial
URBAN INTERFACE AREA El Yes Off/No: FLOOD ZONE [:] Yes i. 'No
❑SOLAR PANELS it ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANELSIUNITS: KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATION:
DESCRIPTION OF WORK //) G�� UL ��p
Electric Vehicle Charging Circuit:
9
By my signature below,I certify to each of the following: I am the property owner or rized agent to n the r be}e'dY have rea i is \
application and the information I have provided is correct. I have read the Description of Work and ve'Kit gree to com with all a pticable local
ordinances and state laws relating to building construction. �thorize representatives of Cupertino to enter a above-ide rifled pro rty for' ection purposes.
Signature of Applicant/Agent: ' Date:
SUPPLEMENTAL INFORMATION REQUIRED aD3CIISE
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PVApp_2011.doc revised 03116111
Install one dedicated 240V 50A dedicated circuit with a NEMA Praveen Jain
14-50 receptacle for EV charging in the front left corner of the 10411 Glencoe Drive
garage. The circuit will be routed from the existing 200A main Cupertino, CA 95014
electrical panel to the EVSE in 3/4" EMT w/#6 THWN conductors' , Y (408)838-9049
At least 20'x 20' will remain open in the garage.
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION - CUPERT#NO
E KED APPROVED
{�I..ANS This set of plans a,o specifications N!"'S T he kept at the
;-b site during c onstrucfion It is unia+ :U to make any
4 nges or alterations on sFr e, or to deviate
-- P - therefrom,withofut approval from the 3w ding Official,
PLANNING The Stamping of this I . - ecafi�a:;ons S�i�Lt_ NOT
�1PERTINO be held tc it or to n approva' of the vbiation
oY pro'As rd,nance or State Law
B
PERMIT.
n Residential Electrical Load Calculation
Site Location: Prepared by11 L.L W
Praveen Jain Willow Glen Electric,Inc. V L E N
10411 Glencoe Drive PO Box 8430 t.E C T IR 9
Cupertino,CA 95014 San Jose,CA 95155.
(408).838-9049 (408)289-9725-offic
General Lighting and Receptacle Loads[220.12] 3 watts per ft2 x3,362 = 10,086
Small-Appliance Branch Circuits(220.52(A),210.1(C)(1)] 1,500 watts x 2 = 3,000
500
Laundry Branch Circuit(s)[220.52(B),[210.11(C)(2)] 1,500 watts x 1 = 1,
14,,5858
6
Fastened-in-Place
Appliances[220.53] Kitchen Baths} Outisde/Miscellaneous
Refrigerator(s) = 960 Instant Hot H2O(s) = ExhaustFan(s) = Hot Tub =
Dishwasher(s) = 1,200 Hood Exhaust(s) = Jacuzzi Tub(s) = 1,920 Pool Equipment =
Garbage Disposal(s) 720 Gas Range(s) = Radiant Heating = .Pump House =
Microwave(s) = 1,200 Gas Oven(s) = Steam shower = H2O Pump=
Trash Compactor = 480 Wine Fridge(s) = Sauna = Vacuum = 960
720
Steamer = _ = Garden Shed =
Total Fastened-in-place Appliance Load 8,160
Clothes Dryer(s)[220.54]
80% x 240 x �
Derating Volts Amps 5,000
OR
Name Plate..Rating of Clothes Dryer 5,000
Ranges,Ovens,Cooktops,and Other Household Cooking Appliances
[220.55] 80% x 240 x F7 60 = 11,520
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
115 x 12.0
Volts Amps
Air Conditioner 10,764
55% x 240 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 10,764 x 100% = 10,764
Electric Space Heating - x 100% _
First 8kVA of all other loads 8,000 x 100% = 8,000
Remainder of all.other loads 31,266 x 40% = 12,506
Total 31,270
Current Minimum Amperes Current Minimum
z4o 130.3 200 Amps
31,270_
17 Size Service or Feeder
(voltage) (minimum amperes) [240.6(A)] Currently
Electric Vehicle[625.14]
125% x F 240 x F 40 = 12,000
Continuous Load Volts Amps
Minimum Amperes with Added Load Minimum size service 200 Amps }
Divide the total 43,270: 240 = 180.3 20 or Feeder w/Added
volt-amperes by (voltage) (minimum amperes)
toadr[240.6(A)] with added load
the voltage.
NOTES
All References are to 2014 National Electrical Code.
70 Questions?Contact the Tesla Technical Support Team:
Charging installation@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 s }-
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
provided by your electrician.
GROUND TOTOP NEMA 14-50 DETAILS
. Voltage:Single phase,208-250 Volt AC supply,60 Hertz
Circuit Breaker:50 Amp(125%overcurrent protection)
. Operating Current:40 Amp(maximum continuous current)
• Conductors:6 AWG,Copper Wire Only.Upsize wiring for installations over 150 feet
250V • Ground Fault Circuit Interrupter:Not required
— . 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
j ELECTRICAL COMPANY
PHONE NUMBER
lit, xo#� EMAIL ADDRESS
i `* CHARGEPQRT
OUTLETS PERMIT NUMBER
Install near vehicle charge port,maximum 15'away,minimum 18"above ground INSTALLATION DATE
T=5 L Pi 3500 Deer Creek,Palo Alto,CA 94304 1 November,20151 Version 1.5
SMOKE /CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION FIVC
C U P EltTil N O CA 950143255
10300 TORRE AVENUE•CUPERTINO, ,
"'^^
(408)777-3228•FAX(408)777-3333•buildinq@cupertino.gAr
vi
t(� tt GlAemcoe ok Y `` Permit No.fl—a c7 t
Address C S i y #of Alarms Smoker Carbon Monoxide:
PERMIT CANNOT BE FINALEDAND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN,SLUM AND HTITMNED TO THE BUILDING DIYISIt?N
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 R314 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 every level of a dwellin 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 8314 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.
I have read and agree to compiy with the terms and conditions of this statement
M
(or Owner Ageenfs)Name:
t\V tr {v 1 A (m Date.
Si nature.
Co tra for Name
j
Signature.... . .. ' ............Licl.b.166 ..`:�.....Date. ..1...'..!!.
Smoke and CO form.doc revised 03118114
!NATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CU`PERTINO
10300 TORRE AVENUE CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333-buildin cu eaba,2r
Owner Name ?`
1tl Permit No.
Address t� ' c,e 110 C1
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN QAAND:�y _ + :TQ THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 110 1.1 --1101,8 which are part of this Certification form.
1. is your real property 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:
No Go to Question 2. . -, q- .f 9 12-01
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: A Date:
No Go to Question 3, fl J
( � t
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::
No Go to Question 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: Gt `- ,. Date: Cj i 61,/ l�
13 Yes My real property is built and available for.use or occupancy on or before January 1, 1194..
Civil Code Sections 1101.1 through 110:1.8 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).
ID 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 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 i 101.5.
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.
1 f SB407 2015.duc revised 02104/5
.
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).
1/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
110 1.8,the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation,
requirements,and that the water-conserving plumbing fixtures comply wiA the requirements as indicated in the table below.
Owner's(or Owner Agent's)Signature:--X,d4 Date:
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
Gallons/flush 0.5 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 si
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 Ipsi 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/flaw rate is equal to or lower than the figure shown, it is not required to be upgraded.
SO407 2015.due revised 02104115