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13040060 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10954 STEVENS CANYON RD CONTRACTOR:SOLARCITY PERMIT NO: 13040060 OWNER'S NAME: ELLIOTT-LINDO EMIR F AND TING TRACY 3055 CLEARVIEW WAY DATE ISSUED:04/05/2013 OWNER'S PHONE: 4088136019 SAN MATEO,CA 94402 PHONE NO:(650)638-1028 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r- ELECT r- PLUMB r License Class Cle Lic.# ee!��r -- f—MECH RESIDENTIAL COMMERCIAL Contractor O low Date- 1 I hereby affirm that I am licens under the provisions of Chapter 9 JOB DESCRIPTION:INSTALL 100AMP CIRCUIT AND NEMA 14-50 IN (commencing with Section 7000)of Division 3 of the Business&Professions GARAGE(WHICH IS AN APPLIANCE) Code and that my license is in full force and effect.. I hereby affirm under penalty of perjury one of following two declarations: 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. 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:$300 permit is issued. APPLICANT CERTIFICATION APN Number:35601043.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 D YS FROM L CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. , \) 3 Signature Date 5 Issued by: V Date: 7 ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sce.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25 5,25533,and 25534. 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 Own authorized.gen Date: /TI^D 13 forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name _- upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 950143255 CUPEF TING (408)777-3228•FAX(408)777-3333•building(cDcupertino.orG PROJECTADDRESS log5q owNi:RNAME�wt1Y �/�1��—N✓lOto Pl7`$ T/�3'6�/ ��ry �/�[O a`icto •coy✓!. STREET ADDRESS IO / S� _VZ445 1. 011 F(�• (/A!i✓ I'� G/ 1 !J I FAX CONTACT NAME `JQ �1' Fl PRONE fj yo)2 2 Z - �c� S`3 E-MAIL J`^,`n-�.-1-uc k co STREET ADDRESS" -7 Q 4 �a j 21r Ci `3 v MY.STATE.ZIP !F S,,4'( ` } � Ax ❑ OWNER 13 OWNER-BUILDER ❑ OWNEtAGENT CONTRACTOR ❑CoNI'RACTOR A!GENT ❑ ARCHTIECT ❑ENONEER ❑ DEVE OPER ❑TENANT CONTRACTOR NAME fit€ 1aWLe W!n [V LICENSE NUMBER LICENSE TYPE BUS.LIC 9 COMPANY NAME {{ , FAX t�G�(14- E-MAI 1..., Cts �C tG+� C:`�' I's� STREETADDRESS CITY,ST TE ZIP PHO 391 -tsiKr C Ul•Id ,seer C� Cit 4 (.Sz) ��� -t � 3 ARC=CTIENGINEER NAME LICENSE NUMBER BUS.LIC 9 COMPANYNAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE of FP SFD or Duplex ❑ Multi-Family PROJECT IN WE DLAND PROJECT IN S7'RUCnw- ❑ Commercial I URBAN INTERFACE AREA ❑ Yes 2NO FLOOD ZONE ❑ Yes 0'-No ❑SOLAR PANELS I x ELECTRIC VEHICLE CTIAROIIIG STAMON ❑ SOLAR WATER HEATING ❑ orF1- : FOR SOL4R FANHL9: NUMBER OF PANELSIUNrrS: IULOWATrS(CON AMCIAL ONLY): TOTAL VALUATION: Q DESCRIPITON OF WORK 7A//l ID0'1 CI G(/4( CND 'I�•I� I $� //�1 �/ C�� By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf.•I have read this application and the information I have 7p=on. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to burepresematives of Cupertino to enter the abboove--iddentified property for inspection purposes. Signature of Appiicant/Agent Date: 7�L 9 1 SUPPLtMENTAL INFO TION REQUMED '� sTNoaxti~,mrd w. ` .fie �' LkR6E D. XAJOlt PVApp 2011.doc revised 03116/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10954 stevens canyon rd DATE: 04/05/2013 REVIEWED BY: larrys APN: BP#: EVALUATION: $300 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD or Duplex PENTAMATION 1 REAP10 USE: I I PERMIT TYPE: i WORK install 100amp circuit and nema 14-50 in garage which is an appliance) SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES Recep/Switch/Outlets 1BREMRECEP 1 # $45 TOTALS: $45.00g Xlech.Plan Check Phinib.Plan Check Elec.Plan Check 0.0 hrs $0.00 Asch.Permit Fee: Plumb.Permit Fee: Elec.Permit Fee: IEPERMIT Fli,h Afec�h.Insp. Other Plumb Insp. Li Other Elea Insp. 0.0hrs $45.00 .Insp.lee: Plumb. hast.Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the relimina information available and are onlyan estimate. Contact the De t or addn7 in o. FEE ITEMS(Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Cheek 1°ee: Suppl. PC.Fee PME Plan Check: $0.00 Permit.Fee..• Suppl. .Insp Fee PME Unit Fee: $45.00 PME Permit Fee: $45.00 Construction Tax: Administrative Fee: IADMIN $42.00 Work Without Permit? ® Yes iq No $0.00 Advanced Planning Fees_ Travel Documentation Fee: 1TRAVDOC $45.00 Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee:. 1BCBSC $1.00 $178.50 $.1-78.50 Revised: 04/01/2013 INSTALLATION N Scope of Work Installation Componant -Install a 100A circuit out of MP Breaker(s): C-H BR250 Located outside garage Wire Type: -Install a Temp. NEMA 14-50 on the Positive: #3 AWG THHN-2 front left wall insidec,Rfage Negative: #3 AWG THHN-2 COMBUILD NG DIVISIONDEVELOPMENT NO Neutral: None App-oVED Ground: #8 AWG THHN-2 This set of plans and specifications MUST be kept at the job site during construction. it is unlawful to make any changes or alterations on same,or to deviate therefrom,without approval from the Building Official. The stamping of this plan and specifications SHALL NOT be held top rmit or to be an approval of the violation Conduit: 1" EMT-7' of any pro -ions of any City Ordi nce or State Law. BY Romex: DATE PERMIT NO. New Panels: 6 CUT-'& Material: , APR 052013 ' REVIE-1,1,1VIED -ORC, OFFICE CO",-,a Chi: ANCE t i - CONFIDENTIAL-THE INFORMATION HEREIN . I PREMISE CUM. CONTAINED SHALL NOT BE USED FOR THE `�B��01 5� 7 Cupertino �.•��:! Emir Elliott-Linde Solattjtv BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MAN PANEL SWCE RATINQ •� ■ NOR SHALL IT BE DISCLOSED IN WHOLE OR IN EV Cha200A 10954 Stevens Canyon.Rd ►� PART TO OTHERS OUTSIDE Charger E THE RECIPIENTS PROJECT ha CIRCUIT VOLTAGE/AMPERAGE Cupertino, Ca ,95014 ORGANIZATION,EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE James Winttuck 240V 100A (408)813-6019 3055 Clearview way SOLARaTY EOUIPMENT,WITHOUT THE WRITTEN �HTd : CHARGEk. San Mateo,CA,94402 PERMISSION OF SOLARCITY INC. Rismanchi Tesla HPWC 100A elliottlindo@yahoo.com (e88)-Soy-Crn(765-248e) www.solarcity.com N W E � S (2)#3 AWG THHN-2 (1)#8 AWG THHN-2 V EMT-7' (E)200A Main Panel rl House MARK UP KEY 0 Main Panel Q� N)Tesla HPWC Sub Panel For Electric Vehicle Charging Height Between 1.5'and 4' Q J—Box No Ventilation Required p AC Disconnect ❑® EV Outlet .ar B ' ,""" S Transfer Switch , APR 0Conduit & Conductors _ �rlpvewcy ���,n Trench ii�lj3 6 4e L_'t a or u" ��v is 4sE T0 1 � CONFIDENTIAL-THE INFORMATION HEREINg-95015` Jupertino PREMISE OWNER: CONTAINED SHALL NOT BE USED FOR THE +� ■ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MARKET: MAN PANEL SERVICE RATING Emir Elliott-Lindo So1a��� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 10954 Stevens Canyon Rd PART TO OTHERS OUTSIDE THE RECIPIENT'S EV Charger 200A Cupertino, Ca.,95014 ORGANIZATION,EXCEPT IN CONNECTION WITH PROECT MANAGER: CIRCUIT VOLTAGE/AMPERAGE THE SALE AND USE OF THE RESPECTIVE Jes Winttuck 240V 100A (408)813-6019 3055 Clearview Way SOLARCITY EQUIPMENT,WITHOUT THE WRITTEN rH"adi : CHARGER:: San Mateo,CA,94402 PERMISSION OF SOLARciTY INc. Rismanchi Tesla HPWC 100A elliottlindo@yahoo.com (888)-SOL{1TY(765-2489) .��R�y. (1) Tesla HPWC 100A ELECTRIC PANEL EV CHARGING STATION (1) 100 A/21P EVSE CIRCUIT BREAKER FROM 120/240V SINGLE I EVSE PHASE UTILITY SERVICE (E) LOADS OR MAIN PANEL I ' � I L_ I— — SIJ A I III a L, I III pI EGC— — — — — — — — — — — — — — — — — LEGJ TO ELECTRIC (1)AWG #-L THWN-2, Black VEHICLE (1)AWG #_L , THWN-2, Red (1)AWG #-L THWN-2, Green (I)Conduit Kit;J14 " EMT Vmp =240 VAC Imp =80 AAC -07 t �r APR 0 5 2013 uFFICE COPY,., .NNC . `. CONFIDENTIAL-THE INFORMATION HEREIN J LJ�'5CPREMISE OWNER, CONTAINED SHALL NOT BE USED FOR THE - Emir Elliott-Lindo BENEFIT LL ANYONE EXCEPT SOLWHOLE INC., MARKET: MAIN P EL SERVICE RATING SolarCi� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN EV Charger 200A 10954 Stevens Canyon Rd PART TO OTHERS OUTSIDE THE RECIPIENTS MANAGER: gRCUIT VOLTAGE/AMPERAGE- THE OLTAGE/AMPERAGE Cupertino, Ca ,95014 ORGANIZATION,EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE James Winttuck 240V 100A (408)813-6019 3055 Clearview way SOLARCITY EQUIPMENT,WITHOUT THE WRITTEN � ,. CHARGER: San Mateo,CA,94402 PERMISSION OF SOLARgTY INC. Hadi Rismanchi Tesla HPWC 100A elliottlindo@yahoo.com (888)-SOL-CrrY(765-2489) www.sDlardty.com • 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. LU 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. 208V AC 3-phase,wye-connected:Any 2 phases,and safety ground. Voltaye�n�r ngs v¢ < g 240V' 240V AC 3-phase,delta-connected:With center tap on one leg,use only the x"r $ W." two phases on either side of the center tap.The two phases must both measure • s 'z r ?* 120V AC to ground.Do not use the third leg(208V"stinger"). " , ,w. Maximum 100A Circuit Breaker. Maximum 100A Circuit Breaker. Cortef ` 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. 60 Hz 50-60 Hz Approximately 25'(76 m) Height:15"(382 mm) Width:6.22"(158.2 mm) Depth:3.7"(96 mm) 20 lbs(9 kg) -22°F to 113°F -30°C to 45°C • -58°F to 185°F' < -50°C to 85°C Type 3R IP 44 IH UL,FCC Part 15 EN,IEC • $ h }A x b iCE 0 PY { `-__"� APR U a 2013 L CE CEvd tt <Ev: NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 3,300 Panel Breaker Rating: 200 A 1-1/1-2: 240 Vac NEC 220.83(A)(1) "General lighting and general use receptacles ... @ 3 volt/amperes per square foot as determined by 220.12" 3,300 square feet x 3w/sq ft 9,900 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) Oven 9,240 VA Range 7,200 VA 16,440 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 3,840 VA Refrigerator 1,200 VA J Microwave 850 VA 4� Washer 3,840 VA Dryer 5,760 VA r VA VA VA VA _ VA VA C Tesla HPWC 100A 19,600 VA €c f EVSE 1: 0 VA EVSE 2: 0 VA 35,090 total VA C� Total of non air-conditioning loads: 67,430 total VA tom° .F} C= 4 First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 23,772 VA Adjusted total of non air-conditioning load 31,772 VA j NEC 220.83(B) "Where additional air-conditioning equipment or electric space-heating equipment is to be installed..." A/C Equipment Unit#1 8,960 VA A/C Equipment Unit#2 5,700 VA Total of A/C Loads and All Other Loads: 46,432 total VA Total Proposed Calculated Load: 193.47 Amps q I Ii JB - Elliott-Lindo ©copyright SolarCity 2008 y