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B-2016-3082I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT, NO: B-2016-3082 11787 PINE BROOK CT CUPERTINO, CA 95014-5113 (366 04 058) WILLOW GLEN ELECTRIC INC SAN JOSE, CA 95155 I OWNER'S NAME: LI JUN AND MIN I (DATE ISSUED: 11/09/2016 I OWNER'S PHONE: I I PHONE NO: (408) 289-9725 License Class C-10 Lie. #52j_91 $ Contractor WILLOW GLEN ELECTRIC INC Date 04/30/2018 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. hereby affirm under penalty of perjury one of the following two declarations: 1. 1 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 CV-�J ' Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 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 regulatipqs perjl)jCupertino Municipal Code, Section 9.18. Date 11/9/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the wing two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure 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: 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. 2. 1 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 revoked. 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 regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 111/9/2016 BUILDING PERMIT INFO: BLDG X ELECT _ PLUMB MECH X RESIDENTIAL COMMERCIAL JOB DESCRIPTION: (I) EV CHARGING STATION (30 AW) - GARAGE; (N) SUBPANEL (100 AMP) - GARAGE Sq. Ft Floor Area: I Valuation: $2990.00 APN Number: Occupancy Type: 366 04 058 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: Abby Avende 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: 11/9/2016 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 Code, S c 'on 25 05, 25533, and 25534. Ow r or authorized agent: Date: 11/9/2016 CONST LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permitisissued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARC'HITECT'S DECLARATION I understand my plans shall be used as public records. Licensed 00 A --L- ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 7773333 - building@SuRertino.org PROJECT ADDRESS Y Ic APN # JLJf!/ CQ OWNERNAME PHONE E-MAIL STREET ADDRESS j � � � f/B �+Q CITY, STATE, ZIP � �+ /J FAX CONTACT NAME Mark Londre PHONE (408)289-9725 E-MAIL office@willow lenelectric.cam STREET ADDRBssR 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 LICENSENUMBER 591918 LICENSETYPE ^-1.o BUS..LIC# 15897 COMPANY NAME Willow Glen Electric, Inc. E-MAIL o'fficegwillowglenelectrlc.com ' (408)289-9725 STREET ADDRESS R O Box 8430 CITY, STATE, ZIP San Jose, CA 95155 PHONE (408)289-9725 ARCHITECT/ENGINEER NAME N/A LICENSE NUMBER BUS. LTC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD Or DUpl.. ❑ Multi-FamilyPROJECT STRUCTURE: El Commercial IN WILDLAND URBAN INTERFACE AREA ❑ Yes ❑ NO PROJECT IN FLOOD ZONE ❑ Yes ❑ NO SOLAR PANELS v ELECTRIC VEHICLE CHARGING STATION T-0 SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION:i�A qjo " I ° f DESCRIPTION OF WORK Electric Vehicle Charging Circuit: / e RECEIVED BY:1 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the propertyVown�er's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local �I,�aut Drize r tatives of Cupertino to enter the above -identified property for inspection purposes. ordinances and state laws relating to building Mir Signature of Applicant/Agent: / Date: SUPPLEMENTAL INFORMATION REQUIRED ONCE VSV*ZjLY W t" ❑ O'VER T.HE-CO1;J , .UR ❑ EXPRESS. CL, STANDAI X) a CJ 'LARGE _ ❑ MAJOR ` PVApp_2011.doc revised 03/16111 ..y.. N ��rn�nv-v�JO�+air-njou-1;t35G/C81587C SMOKE / CARSON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014.=3255 (408) 777-3228 • FAX (408) 777-3333 • building0cuperfino,org 8-2016-3082 11787 Pine Brook Court Permit No. Address # of Alarms Smoke: 8 Carbon ?Monoxide: 8 PERMIT CANNOT BE AND COMPLETED UNTIL THIS CERTWICATE SIGNEDHAS BEEN AND: J. ►,I D TO THEBUILDING DIMION 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 addi dons, alterations, or repairs to existing dwelling units exceeds. :1000.00, CRC Section R314 and CBC Sections 07.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA I SMOKE ALARM CO ALARM Outside of each separate sleeping area in the i>nmediate bedroom(sl vicinity of the X X On ever Ievel of a dwelling unit including ba�ements Sinature-................................................................. LICX....................................... Date:................... X X Within each sleeping room I I X Carbon Monoxide alarms are not required in do not have an attached garage. Carbon mo CBC Section 420.6 and shall be approved by i Power Supply: In dwelling units with no co: In existing dwelling units, alarms are permi not result in the removal of wall and ceiling space. Refer to CRC Section 8314 and CBC � alarms which must be connected to the buil( As ow=ner of the above -referenced property, I installed in accordance with the manufacture; cgs which do not contain fuel -burning appliances and that alarms combined with smoke alarms shall comply with Office of the State Fire Marshal. srcial power supply, alarm(s) may solely battery operated. to be solely battery operated where repairs or alterations do ,hes or there is no access by means of attic, basement or crawl ins 907.2.11.4 and 420.6.2. An electrical permit is required for wiring. reby certify that the alarm(s) referencedabove has/have been 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. t have read and a ree to_WTplygift the terms and conditions of this statement Owner (or Owner Agent's) Name: Sun Li A J 12/8/20 Signature'......... .................. -......... ........................................................ ................... Date:..........,......._ Contractor Name: Sinature-................................................................. LICX....................................... Date:................... Smoke and CO fornn.doc revised 03118114 k )ocuSign Envelope ID: BAA4A7AD-DB33-4B1F-133bu-L;tsoLii-oiuo, , CUPERTINO jun Li COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-'3333 - buildinc&cuoertino.ora 8-2016-3082 Owner Name . Permit No. Address 11787 Pine Brook Court PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETIJEM 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: iii 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? 11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 1771 The licensed plumber's certification has been provided to the Building Division. .Sign below and skip the rest of the form. Owner' Signature: C;Ko Go to Question 3. Date: 3. Is water service permanently disconnected for your building?. 171 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: No Go to Question 4. Date: 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 171 No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: 0 Yes My real property is built and available for use or occupancy on orbeforeJanuary 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. F-1 My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 21114, 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). 0 My property is a nztdtifanzily 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 properly undergoes alterations or improvements). F1 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 g fixtures to be replaced with water -conserving plumbing fixtures. SB407 2015.doc revised 02104115 DbcuSign'-Envelope ID: BAA4A7AD-DB33-4B1 F-6360-CKM81587C On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-consOlticg fixtures comply with the requirements as indicated in e 1 e w. Owner's (or Owner Agent's) Signature] JULI, LA _ Date: - - - I Upon completing and signing this Certificate, please return it to the Building Division in order to tinat your permit. 1. If the existing plumbing fixture water usageltlow rate is equal to or lower roan me ngurc 5110wu, .L .a uvM av JFAILV + . "r& SB407 2015doc revised 02104115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa elFlow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 sl Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usageltlow rate is equal to or lower roan me ngurc 5110wu, .L .a uvM av JFAILV + . "r& SB407 2015doc revised 02104115 Install one 100 Amp sub panel directly behind the outdoor main electrical panel. Reroute Jun Li the existing 50 Amp AC circuit's wiring to the new sub panel, which will create space for the new 100 Amp circuit breaker in the main electrical panel. Install one 50 Amp circuit 11787 Pine Brook Ct. breaker in the new sub panel to protect the existing AC circuit, and one 30 Amp circuit Cupertino, CA 95014 breaker to protect the new EV charging circuit properly. (408) 921-2168 Install one 240 Volt 30 Amp dedicated circuit with a NEMA 14-30 receptacle directly next to or below the new sub panel for EV charging. This circuit and charger will provide 24 continuous amps for charging. Surface -mounted conduit will be used to route the circuit from above the new garage sub panel to the new NEMA 14-30 receptacle location. 125A Main Panel (E)' w/ 100A Eaton breaker (N) S #6 THWN red, black white, #10 THWN green House Garage #3 THWN Red, bl�ck, white #10 THWN Green OA SubPanel (N) ema 14-30 Receptacle (N) Driveway FUC PERTINO Build ng Department REVIEWED FOR CODE COMPLIANCE Reviewed By:Abby Ayende Date: 11/09/16 Jun Li Page 1 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION — CUPERTINO APPROVED This t of plans and specifications MUST be kept at the job site du ing construction. It is unlawful to make any changes or alterat Dns on same, or to deviate therefrom, without approval from the Building Official. The s mping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any provision of any City Ordinance or State Law. BY Ahhv Avende DATE 1 11/09/16 PERMIt NO B-2016-3082 Residential Electrical Load Calculation Site Location: Prepared by Jun Li Willow Glen Electric, Inc. WILLOW L E N 11787 Pine Brook Ct. PO Box 8430 LEOTRIC Cupertino, CA 95014 San Jose, CA 95155 �/ (408) 921-2168 (408) 289-9725 - office General Lighting and Receptacle Loads [220.12] 3 watts per ft2 x 2,263 = 6,789 Small -Appliance Branch Circuits [220.52(A), 210.1(C)(1)] 1,500watts x 2 = 3,000 Laundry Branch Circuit(s) [220.52(6), [210.11(0)(2)] 1,500 watts x 1 = 1,500 11,289 Fastened -In -Place Appliances Kitchen Bath(s) Outisde/Miscellaneous [220.53] Refrigerator(s) = 780 Instant Hot H2O(s) = Exhaust Fan(s) = Hot Tub = Dishwasher(s) = 960 Hood Exhaust(s) = Jacuzzi Tub(s) = Pool Equipment = Garbage Disposal(s) = 600 Gas Range(s) = Radiant Heating = Central Vacuum = Microwave(s) = 1,200 Gas Oven(s) = Steam shower = Sewage Ejector = Trash Compactor = Wine Fridge(s) = Sauna = 30A Circuit = Steamer = _ = Garden Shed = Total Fastened -in-place Appliance Load 3,540 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 30 = 5,760 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 6.0 = Volts Amps Air Conditioners 6,624 55% x 240 x = Derating Volts Amps AND/OR Name Plate Rating of Air Handler & AC Units = 5,934 Total Volt -Ampere Demand Load [220.83] Greater of: Air-conditioning Equipment 6,624 x 100% _ 6,624 Electric Space Heating - x 100% _ First 8kVA of all other loads 8,000 x 100% = 8,000 Remainder of all other loads 17,589 x 40% = 7,036 21,660 Tota 1 Current Minimum Amperes 21,660 a 240 = 90.2 Current Minimum 125 Amps (voltage) (minimum amperes) 17 Size Service or Feeder [240.6(A)] currently Electric Vehicle [625.14] 125% x 240 x 24 = 7,200 Continuous Load Volts Amps Minimum Amperes with Added Load Minimum Size Divide the total 28,860 240 = 120.2 Service or Feeder 125 Amps volt-amperes by (voltage) (minimum amperes) 20 w/ Added Load with added load the voltage. [240.6(A)] NOTES All References are to 2014 National Electrical Code. CUPERTINO Building Department REVIEWED FOR CODE COMPLIANCE Reviewed By:Abby Ayende Date: 11/09/16 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 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 TO TOP 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 • Ground Fault Circuit Interrupter: Not required • Service Disconnect: Not required • Receptacle Recommendation: High quality, industrial grade receptacle Examples: Hubbell part # HBL940A, Cooper part #5754N • Ventilation: Not required • Outdoors: Install with NEMA 3R rainproof enclosure RECOMMENDED LOCATIONS ADDITIONAL RESOURCES EMAIL CHARGI NGI NSTALLATI ON@TESLA.COM PHONE 650.681.6133 (M -F) 24/7 TECH SUPPORT 877.798.3752 WEB TESLA.COM/SUPPORT 5* CHARGE PORT CUP15RTMTORE Building`s iofft i6f fOM ' RECOMMENDED LOCATION FOR 240 ET REVIEWED FOR CODE COMPLIANCE Reviewed By: Abby Ayende T = S L n Date: 11/09/16 45500 Fremont Boulevard, Fremont, CA 94538 1 May, 2016 1 Version 3