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13010167CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10435 WUNDERLICH DR CONTRACTOR: SOLARCITY PERMIT NO: 13010167 OWNER'S NAME: R.WANG 3055 CLEARVIEW WAY DATE ISSUED: 01/312013 OWNER'S PHONE: 6502709888 - SAN MATEO, CA 94402 PHONE NO: (650) 638-1028 P - LICENSED CONTRACTOR'S DECAL/ARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class �A0� ('i klLie. # � r/ U I o 7 INSTALLATION OF EVC STATION IN GARAGE Contractor 1 ai c l k Date Ill 1 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. I hereby affirm under penalty of perjury one of the following two declarations: _ I have and will maintain acertificate 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. Sq. Ft Floor Area: Valuation: $1000 1 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37516033.00 Occupancy 7yPe: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHINfYDYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYLAST CALLED INSPECTION. indemnify and keep harmless the Ciy of Cupertino against liabilities, judgments, / costs, and expenses which may accme against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code, Section RE-ROOFS: 9.18. �. Signature �/ �/ ' Date 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. ❑OWNER-BUILDERDECLARATION Signature of Applicant: Date: I hereby affirm that I am. exempt from the Contractor's License Law for one of the following two reasons: - ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE concoct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will 1 hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should 1 use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of thework for which this permit is issued, will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, u 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Dater permit is issued. 1 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address- I certify that i have read this application and state that the above information is correct. I agree to comply with all city andcounty ordinances and state laws relating to building concoction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. . Signature Date CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION \� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinGCdcuoertino.oro 01 AE PROJECT ADDRESS log-55Fl 1 wlvl jf ` i l C APN N �—I S 0 0-3-3 W ONER NAME Ka NII PHONE(/CQ j_)O_q UZIIP E-MAIL rwo O/V m / I BdL STREET ADDRESS N�J A I P1/ CITY, STATE[., �[� j&MAIL FAX CONTACT NAME Kt� LN�h ��-P, I_ I' PHONE /C�1 _V /O / /' �1 / to 5M60/'076IQ((I ,iFAX STREET ADDRESS 1'50( I ^,l `^A ry I CITY, STATE. ZIP � rKe le /� C ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGEW �r�A1 W CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ MAW CONTRACFORNAME SolarCity LICENSE NUMBER 888104 LICENSE TYPEF3( q(C BUS. LIC# COMPANY NAME Q I , l E-MAI14 rn 5p Ctz I 1 (I L ' (C'lb� l�li FAX(( /y,` / z/l'_' �4 I� STREET ADDRESS 2rl ��ea�V; w� CITY,ST`ATE,ZIP Cryo Mate(l(A1 �1 t1W1 1/1 PHONEE(7(6g)J-D fr ARCHITECT/ENGINEER NAME Same- V,I Idc'G, JJ //'T 1r LICENSE NUMBER BUS. LICK COMPANY NAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF fL SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT M WILDLAND URBAN INTERFACE AREA ❑ Yes W NO PROJECTIN FLOOD ZONE ElYes No ❑SOLAR PANELS A ELECTRICVEHICLECHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FORSOIARPANELY: NUMBER OF PANELSNNrrS: 9MLOWATTS: TOTAL VALUATION VVI V. DESCRIPTIONOFWORX,? IV 1 f� r I� IM �' Cf 1 I' I 1 v\ Circa; RECEIVED By my signature below, I certify to each of the following: application and the information I have provided is correct. ordinances and state Taws relating to buil 'ng construction., Signature of Applicant/Agent: I am the property owner or authorized agent to act on the pr Try wner's behalf. [have read this I have read the Description of Work and verify it is accurst . I a ee to comply with all applicable local I aulborize representatives of Cupertino to enter the above-identd ropeny for inspection purposes. Dale: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY OVER•TH&COUNTER ❑ EXPRESS ❑ STANDARD ❑ LARGE d ❑ MAJOR PVApp_2012.doc revised 06120111 ����--�� CITY OF CUPERTINO IIV'- 11 FF.F FNTIMATOR — BUILDING DIVISION •t`1'i ADDRESS: 10435 WUNDERLICH DATE: 01/31/2013 REVIEWED BY: MENDEZ Plumb. Plan Check APN: BP#: `VALUATION: 1$1,000 *PERMIT TYPE: Building Permit. PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or DU lex USE: p Other Plumb Insp.Li PENTAMATION SOLAR -RES PERMIT TYPE: WORK INSTALLATION OF EVC STATION IN GARAGE SCOPE $0.00 •t`1'i (r'Y[i.p"€fgpp�yrr7y�'<t+las �� K6G'^ 1 drys ,�,,.. t'.'-71�" ,14ch. Plan Check Plumb. Plan Check Elec. Plan Check rLlech. Penni! Fee: Plumb. Permit /,cc: 1 # Alternative Energy System $102.00 ICHRCSTA I EV Charging Station Fle.c. Penni/ Fee: Other Afech. Insp. Other Plumb Insp.Li hrs Ocher Elec. Insp. Li -.Rech. Guy. Fee: Plumb. Insp. Fee: $0.00 Ele, . Insp. Fee: - NOTE: This estimate doesnot include fees due to other Departments (Le. Planning, runt/c works, P/re,,Nan/tary,3ewer u/smcr, ncnooi , .. - r TLr _o_ A.....,d .... rLu n.n/:.«:wnm :xln.x.nlinn n n:/nh/a and nro nnh nn ectimnle_ rnataet the Dent far addn'l info. FEE ITEMS (Fee Resolution 11-053 Eft" 711/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # Alternative Energy System $102.00 ICHRCSTA I EV Charging Station Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. FeelD Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 Work Without Permit? Q Yes. Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 Travel Docannentation Fees: Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 }IY r fi Fi nl... $1.50 $102.00 y ;v Y�TOTATFEE� $103.50 Revised: 10/01/2012 COMMUNITY /El OPMENT DEPARTMENT BUILDING DtI'VII(S�ION - CU{P�ERTINO /q� This set of plans and i pecifications MUST be kept at the job silo during const uction. It is unlawful to ma' o any changes or alter itions on same, or to deviate therefrom, without a proval from the Building Official. The stamping of this an and specifications SHALL NOT be held to permit or o be an approval of the violation of any provisions of my City Ordinance or State Law. BY G DATE ./ PERMIT (N) Tesla HPWC 1`" gl ish Dr M (E) 200A Main Panel (2) #3 AWG THHN-2 (1) #8 AWG THHN-2 1" EMT -20' CHECKED BY DATE _—` �1 1 PLANNT ' D DATE l5coG. DEPT. CONMWAL�-tW WORNATION HMEINuu CONTAIED SHALL NOT BE USED FOR THE JB -9501173 Cupertino PREM aeEt Ray Wang X64'4 BENEF T OF ANYONE EXCEPT SUMTY INC.. OR SHALL IT BE DISCLOSED N WHOLE OR NCharger10435 Wunderlich I',•, �,' ,�O��� I Ntlh% NAN MEPANEL SMVKE RAM 2OOA PART TO OTHERS OUT" THE RECIPIENTS ORGANIZATION, EXCEPT N CONNECTION *IN Cupertino, CA, 95014 0 PR0'E�' O aaR wLTACE/AMPMV,E TME SALE AND UK OF TME RESPECTIVE Colin Flynn 240V 100A 3055 Clea"Iew Way SMARCITY EOUIPNENT, W1HOUT THE WUTEN PERMISSION OF SOARCITY INC. (650) 270-9888 San Mateo, CA, 99402 (889)-BOLQIY (1652989) wwx.mMNry.ewn DRNIM: Zeke Carnes—Masor CHWER: Tesla HPWC NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 3,000 Panel Breaker Rating: 200 A L1/L2: 240 Vac NEC 220.83(A)(1) "General lighting and general use receptacles ... @ 3 volt/amperes per square foot as determined by 220.12" 3,000 square feet x 3w/sq ft 9,000 VA NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits 4 x 1500= 6,000 VA NEC 220.83(A)(3)(b) "Household Range(s), wall-mounted oven(s), and counter-mounted cooking unit(s)" 5,760 VA Range 7,680 VA 13,440 total VA NEC 220.83(A)(3)(a) "All other appliances that are permanently connected, fastened in place, or connected to a dedicated circuit, at nameplate rating" Dishwasher/Disposal f 3,840 VA Refrigerator 1,760 VA VA Washer 1,760 VA Dryer 5,760 VA Hot Tub 4,000 VA f VA VA VA 0 VA VA 19,200 VA EVSE 1: 0 VA EVSE 2: 0 VA 36,320 total VA Total of non air-conditioning loads: 64,760 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 22,704 VA Adjusted total of non air-conditioning load 30,704 VA NEC 220.83(B) "Where additional air-conditioning equipment or electric space-heating equipment is to be installed..." A/C Equipment Unit #1 5,760 VA A/C Equipment Unit #3 5,760 VA Total of A/C Loads and All Other Loads: 42,224 total VA Total Proposed Calculated Load: 175.93 Amps �%,►,IO JB -Wang '%�� olarCit S y © copyright SolarCity 2008 SPECIFICATIONS The maximum rating for the High Power Wall Connector is 20 kW or 80 amps at 240 volts. Your vehicle will charge from 200 to 240 volts. 120V ABOVE GROUND (common in North America) 230V ABOVE GROUND (common in Europe, Asia, and Australia) 240V AC single-phase: L1, L2, and safety ground 230V AC single-phase: LINE, NEUTRAL, and EARTH. Voltage and Wiring 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"). Maximum 100A Circuit Breaker. Maximum 100A Circuit Breaker. Current The maximum current for charging the vehicle is 80A or 20 kW. The maximum current for charging the vehicle is 80A or 20 kW. At 240V, this will be 19 kW maximum. At 230V, this will be 18 kW maximum. Frequency 60 Hz 50-60 Hz Cable Length Approximately 25'(76 m) Height: 15" (382 mm) Bracket Dimensions Width: 6.22" (158.2 mm) Depth: 3.7" (96 mm) Weight (including bracket) 20 lbs (9 kg) Operating Temperature -22'F to 113'F -30°C to 45'C Storage Temperature -58'F to 185'F -50'C to 85'C Enclosure Rating Type 3R IP 44 Agency Approvals UL, FCC Part 15 EN, IEC