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13040038
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20599 SCOFIELD DR CONTRACTOR:SOLARCITY PERMIT NO: 13040038 OWNER'S NAME: SRINIVASAN MEENA AND SUBRAMANIAM GA 3055 CLEARVIEW WAY DATE ISSUED:04/04/2013 OWNER'S PHONE: 4086071369 SAN MATEO,CA 94402 PHONE NO:(650)638-1028 ❑ LICENSED CONTRACTOR'S:DECLARATION 00.9 �O� BUILDING PERMIT INFO: BLDG EL�EVCT PLUMB License Class C» Lic.# /� MECH RESIDENTIAL COMMERCIAL Contractor li) Date I hereby affirm that I am licens under the provisions of Chapter 9 JOB DESCRIPTION:BUILD A 50 AMP CIRCUIT FROM THE MAIN PANEL& INSTALL NEMA 14-50 EV STATION 100 AMPS IN THE (commencing with Section 7000J of Division 3 of the Business&Professions GARAGE-FLUSH MOUNT 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 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:$800 permit is issued. APPLICANT CERTIFICATION APN Number:35909006.00 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 DA S FROM L T CA LED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. y ! Issued by: il -/ 3 Date: Signature Date ❑ 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 1,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(Sec.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 25505,25533,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 O r or authorize ent: forthwith comply with such provisions or this'permit shall be deemed revoked. h �/' Dater 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 understarids and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 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 95014-3255 �UFEi TiNO (408)777-3228•FAX(408)777-3333-building a0cupertino.org . / o rig PROJECT ADDRESS 905-611 ASCD Pi I 7APN# C� co /)D OWNER NAME PHO ✓ E-MAIL (J br `a,in 8& 6b-7- 6 an Ig)2 dhav , c STREET ADDRESS 90"1 C`LD fi e l d �r c1TY STATE ZiP � 'I IV FAX CONTACT NAME �n n r \ n C PHONE(/ yD)2 2 Z- /t9&� E-MATT 3 W`(\.��C� SO I cLf C c rn .C6 STREET ADDRESS I Jr�gier C j 9 CTT1r,sTATE�z[P ((�S � C 1 ��P� LIAx l ❑OWNER ❑ OWNER-BUILDER 1:1 OWNER TER AGENT COO`NTRACTOR ❑cONTRACToRRAOGENT ❑ AFcHrrECT ❑ENGINEER ❑ DEVELOPER ❑TFIVAN T CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC 9 tJ o`P C i 10K COMPANY NAME (�O r1 i{, E-MAIL, ''LLInn FAX 1/v�A"TfAC� �v SDlcsr G STREET ADDRESSCITY,STATE ZIP PHO 3q( 1-bS'�C CL1� �bS�r G C} 61q4o' &s-0-a-2z-6 6s3 ARCHITECTIENGIMEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE of �SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECTIN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes r,?No FLOOD ZONE ❑ Yes $Io ❑SOLAR PANELS 'e ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTTE[t FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: . KILOWATTS(COMMERCIAL ONLY): TOTAL VALUATIO$100. ©p DESCRIPTION OF WORK a ' I ) NEW h uh MC0 n A-a In If`Q Lim 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 behaI&A have read this application and the information I have provided is coned I ave read the Description of Work and verify it is accurate. I agree to comply 'th all applicable local ordinances and state laws relating to u ' construction. a o' representatives of Cupertino to enter the abo��jjve- enti ed property for inspection purposes. Signature of Applicant/AgentZbz Date: _I � � SUPPLEMENTAL,INFORMATION REQUIRED i PVApp 2011.doc revised 03116/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20599 scofield dr DATE: 04/04/2013 REVIEWED BY: Is APN: BP#: "VALUATION: $800 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: SOLAR-RES WORK residential ev-charging station SCOPE 4 EZELL Mech.Plan('heck Plumb.Alan Check Elec.Plan(,heck tilech.PerrrrifFee: Plumb. Permit l"e.. Elec. Permit Fee: Other.Rech.Insp. Other Plumb Insp. Other Elec.Insp. Li A11ech. Insp. Fee: Plumb. hisp.Tee: Elec.Insp. Fee: NOTE: This estimate does not include fees due to other Departments(f.a Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Theseees are based on the prefindna information available and are only an estimate Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Alternative Energy System Suppl.PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 $102.00 ICHRGSTA EV Charging Station PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.0 Reg. Q OT 0 0 hrs $0.00 PME Unit Feer $0.00 PME Permit Fee: $0.00 Construction :Tax. Administrative Fee: Work Without Permit? ® Yes (j) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fees: Building or Structure Strong;Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 — t $1.50 $102.00a fir, $103.50 Revised: 04/01/2013 s INSTALLATION NOTES Scope of Work Materials Build a 50A circuit out of SP located left side of house Breaker( s) : SD Q250 Install the NEMA 14-50 inside the garage on the left wall ( confirm the Wire Type: exactn with costumer Positive: #8 AWG THHN-2 M — ro < Negative: #8AWGTHHN-2 Rip30A breaker de the SP Neutral : #8 AWG THHN-2 s 0 -n Ground : we Wtfte rev 50A for th tlet #10 AWG THHN-2 0 `a m �x rn c m _�t 10, mj;gor 800 Conduit: 3/4" EMT-30' .� CD Z I °" ► Z V o w New P a n e I s: None D o � o W , U . o LL- CONFIDENTIAL-THE INFORMATION HEREIN' �"�I 111 N CONTAINED SHALL.NOT BE USED FOR THE B-9501497 City of Cupertino Ganesh Subramaniam �' BENEFIT OF ANYONE EXCEPT SOIARCITY INC., MARKET.. MAIN PANEL SERVICE RATING: �j��P� a) NOR SHALL IT BE DISCLOSED IN VIHOIE OR IN 20599 Scofield Dr I�' W PART M OTHERS OUTSIDE THE REgPIENTS P �EV Charger argMANAGEr CIRCUIT VOLTAGE/AMPERAGE:- THE Cupertino, Ca,95014 ORGANIZATION,EXCEPT IN CONNECTION VATH THE saLE AND USE of THE RESPECTIVE Colin FI n 240V 50A (408)607-1369 GosIMI SOLARCITY EQUIPMENT,WTHOUT THE WIRInEN PERMISSION OF SOLARCITY INC. CHARGER: gan1812@yahoo.com San Hadi Rismanchi NEMA 14-50 (886)-SOL{ITY(765-2489)www.solarcily.can N W E S (E) 60A Sub Pane E) 200A Main Panel m o� �#< N-2 f'(19#1 N-2 3/4. T 40'CD ;U n: C O � �m -v --- n c D (Qj NUMA 14- Outlet Fo d6trlc Vehi(&urging int Between 1.5' and 4' - �'Ig Ventilation Required m mmW ft. Scofield Dr CONFIDENTIAL-THE INFORMATION HEREINB-9501497 A"'kCity of Cupertino PREMISE OM- �`.�'►�� CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MA9KET; MAIN PANEL SERVICE RATING Anes u ramanlam SoiarCitylORGMAZATION,EXCEPT M CONNECTION YA1HNOR SHALL IT BE DISCLOSED IN YIHOLE OR INCharger 20599 Scofield Dr ►�PART TO OTHERS OUTSIDE THE RECIPIENTS PRO,ENER.CT MANORWT VOLTAGE/AMPERAGECupertino,Ca, 95014 THE SALE AND USE OF THE RESPECTIVE Colin Flyon 240V 50A (408)607-1369 3055 Clearview way SOLARCITY EQUIPMENT,WITHOUT THE WRIT" DRAFTER:: CHARIER:: San Mateo,CA,94402 PERMISSION Of SOLARCITY INC. Hadi Rismanchi I NEMA 14-50 gan1812@yahoo.com I (888)-SOL-CRY(765-2489)www.sowrcty.com NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 2,760 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" 2,760 square feet x 3w/sq ft 8,280 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 9,600 VA Microwave 0 VA 9,600 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 0 VA Washer 3,840 VA Dryer 5,760 VA Hot Tub 1,500 VA 0 VA 0 VA VA 0 VA VA VA EVSE 1: Tesla Nema 14-50R 9,600 VA EVSE 2: 0 VA 25,740 total VA Total of non air-conditioning loads: 49,620 total VA First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 16,648 VA Adjusted total of non air-conditioning load ' t VA NEC 220.83(8) "Where additional air-conditioning equipment or electrri'`%pa' editing eq i Charging Equipment Name VA 0 Clippei 4800 Clippei 7680 Schnei 7200 Tesla IS 9600 OFFICE Cu"" PY . CUPERTINO Building Department APP 0 4 2013 REVIEWED FOR CODE COMPLIANCE Reviewed By: � � U naa bLCoote 3894 0 0 o Range Receptacle 50A 12SMV ®R Flush Mount V 4W M40h. TORMT—.,.m . to 201.LM. ftce AUCU *410: 7 "`" 75 C Or.NY13M. ma"1n chim 279 1 PC 7 s1111111011111[11otI II 5 M • t- 0 (D ♦ s N � Q CL. 5 A , A N H 0 (. N AMk F. r :w REVIEW Reviewed By: 1�� ' �