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15120138CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10386 AVENIDA LN CONTRACTOR: WILLOW GLEN PERMIT NO: 15120138 ELECTRIC INC OWNER'S NAME: SUBRAMANIAM SRIKANTH TRUSTEE & ET A 1085 WARREN AVE DATE ISSUED: 12/15/2015 OWNER'S PHONE: 4088390188 SAN JOSE, CA 95125 PHONE NO: (408)289-9725 Cf LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ INSTALL (N) 50 AMP DEDICATED CIRCUIT W/NEMA 14-50 License Class Lie. # �� q �� RECEPTACLE IN GARAGE FOR TESLA CHARGER `� Contractor b 11 ( Date ( / I hereby affirm that I am licensed under the provisions f 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 a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: S1890 performance of the work for which this permit is issued. of 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 APN Number: 34245036.00 Occupancy "f� pe: 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 WITHIN 180 DAYS 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 DAYS FROM LAST CALLED INSPEC IO . indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the c granting of this permit. Additionally, the applicant understands and will comply Issued by: U Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature �?Y Date 12 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 -BUILDER DECLARATION 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, and the 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 construct 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 I 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 I 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 1 performance of the work 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 550 , 255 3, and 25534. Owner or authorized agent: I ; Date: 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 CONSTRUCTION LENDING AGENCY 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 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 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. S i mature 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 - building0-cunertino.org1500 r D AE PROJECT ADDRESS /0,5 / J V C/ `� D L' ' i `i 4 -� APN #:34a K -o% OWNER NAME PHONE,f. e6, , 'e6, 7- Oleg EY /l STREET ADDRESS 0 --3916e�u �� / _ (�f , CITY, STATE ZIP , % FAX CONTACT NAME Mark Londre PHONE 408)289 -9725E -MAIL off ice@wilIowa lenelectric. corn STREET ADDRESS P. O. Box 8430 CITY, STATE, ZIP San Jose, CA 95155 1 FAX (408)289-9725 ❑ OWNER ❑ OWNER-RUILDF.R ❑ OWNER AGENT 10 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Mark Londre LICENSE NUMBER 591918 LICENSE TYPE ^-1 0 1 BUS. LIC # 1p5897 COMPANY NAME Willow Glen Electric, Inc. E-MAIL office@willowgienelectric.com FAX (400)289.9725 STREET ADDRESS P. O. Box 8430 CITY. STATE, ZIP San Jose, CA 95155 PHONE (408)289-9725 ARCHITECT/ENGINEER NAME NSA LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF 41 SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑Yes ❑ NO PROJECT IN FLOOD ZONE Yes [I No ❑ SOLAR PANELS I J ELECTRIC VEHICLE CHARGING STATION 1 ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOLAR PANELV. NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): TOTAL VALUATION: DESCRIPTION OF WORK Electric Vehicle Charging Circuit: 'A )(0-a 0 Jot 'IV a(er. a ait cC c 4,citx ,t `� � eWA So !!�7 C 0- "I' `-,e 76c� RECEIVED BY: t f 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 1 have provided is collect. 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 building co ct' ut rize r rg�entatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: 41 � j� Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY W a x w � U Z a OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD ❑ LARGE ❑ MAJOR Eno P VApp_201 1. doc revised 03/16/11 CITY OF CUPERTINO ffift7 FEE ESTIMATOR —BUILDING DIVISION imiADDRESS: 10386 Avenida Lane DATE: 12/15/2015 REVIEWED BY: PAUL APN: 342 45 036 BP#: *VALUATION: 1$1,890 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: Suppl. PC Fee: 0 Reg. Q OT PENTAMATION SOLAR -RES I PERMIT TYPE: WORK Install N 50 Amp dedicated circuit w/Nema 14-50 receptacle in -garage for Tesla Charger SCOPE NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School nistrtot oto_ )_ Those fool are hosed an the nreliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Hee Resolution 11-053 F, f 7/1,%131 FEE T're4tttl), 1'irrt? f `1tr•i'k /.'.12t;..!'?pit: t.'i')L'<:-: Plan Check Fee: $0.00 _j Alternative Energy System ICHRGSTA7 EV Charging Station Suppl. PC Fee: 0 Reg. Q OT O.p NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School nistrtot oto_ )_ Those fool are hosed an the nreliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Hee Resolution 11-053 F, f 7/1,%131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $109.00 Alternative Energy System ICHRGSTA7 EV Charging Station Suppl. PC Fee: 0 Reg. Q OT O.p hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 firs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) A 1 %xu��t Zi�t<:u1,��=,ttxtiExrr /�`:_z; Strong Motion Fee: 18SEISMICR $0.50 Select an Administrative Item Blda Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.50 $109.00 TOTAL FEE: $110.50 Revised: 10/01/2015 Install one 240V 50A dedicated circuit w/ a NEMA 14-50 receptacle in the front left corner of the garage for EV charging. The circuit will be routed from the existing 200A main electrical panel to the new NEMA 14-50 receptacle in 3/4" EMT w/ 3 - #6 THWN conductors and 1 - #10 THWN ground. CEIVED BY L Srikanth Subramaniam 10386 Avenida Lane Cupertino, CA 95014 (408) 839-0188 OFFICE COPY BUILDING DIVISION CUPERTINO APPROVED This set of plans and specifications NIUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate ,herefrom, without approval from the Building Official. The Stamping of tnis plan and specifications SHALL NOT be held to penri: or to be an approval of the violation of any, : S!^r; of( any City Ordinance or State Law. BY DATE �S PERMIT # 3/4" EMT w/ 3 - #6 THWN conductors (N) 1 - #10 THWN ground , ...�..._ . DEC 15 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By: �,Di Residential Electrical Load Calculation Site Location: Prepared by O w Srikanth Subramaniam Willow Glen Electric, Inc.R N 10386 Avenida Lane PO Box 8430 L E C T R I C %,�11 Cupertino, CA 95014 San Jose, CA 95155 (408)839-0188 (408)289 -9725 -office General Lighting and Receptacle Loads [220.12] 3 watts per ft' x 3,582 = 10,746 Small -Appliance Branch Circuits [220.52(A), 210.1(C)(1)] 1,500 watts x 2 = 3,000 Laundry Branch Circuits) [220.52(B), [210.11(C)(2)] 1,500 watts x 1 = 1,500 15,246 Fastened -In -Place Appliances [220.53] Kitchen Bath(s) Outisde/Miscellaneous Refrigerator(s) = 960 Instant Hot H20(s) = Exhaust Fans) = Hot Tub = 9,600 Dishwashers) = 960 Hood Exhaust(s) = Jacuzzi Tub(s) = 5,760 Pool Equipment = Garbage Disposal(s) = 600 Gas Ranges) = Radiant Heating = H2O Pump = Microwave(s) = 1,440 Gas Ovens) = Steam Shower = H2O Pump = Trash Compactor = Wine Fridge(s) = = Vacuum = _ _ = 30A Circuit = Total Fastened -in-place Appliance Load 19,320 Clothes Dryers) [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] So% x 24 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 10.0 = Volts Amps Air Conditioning Unit 7,774 55% x 240 x = Derating Volts Amps AND/OR Name Plate Rating of Air Handler & AC Units = 6,624 Total Volt -Ampere Demand Load [220.83] Greater of., Air-conditioning Equipment 7,774 x 100% = 7,774 Electric Space Heating - x 100% = First 8kVA of all other loads 8,000 x 100% = 8,000 Remainder of all other loads 37,326 x 40% = 14,930 30,704 Total Current Minimum Amperes 30,704 _ 240 = 127.9 Current Minimum 200 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 37,904- 240 = 157.9 20 Service or Feeder 200 Amps volt-amperes by (voltage) (minimum amperes) w/ Added Load with added load the voltage. [240.6(A)] C_% NOTES �� Building Department All References are to 2014 National Electrical Code. 1 , ` DEC 15 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By: �yjvl31UD liF Questions? Contact the Tesla Technical Support Team: Charginglnstallation@teslamotors.com 1650.681.6133 (Monday - Friday) 1877.798.3752 (24/7) INSTALLING YOUR 240 VOLT OUTLET The recommended home charging installation option for Tesla vehicles is a 240 volt NEMA 14-50 outlet. This outlet is commonly used for electric range stoves, large RVs and electric 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. Once the installation has been planned, the electrician can source a permit from your local building department to begin work. After installation, the electrician will schedule an inspection to approve the new electrical circuit. 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 • Ventilation: Not required • Outdoors: Install with NEMA 3R rainproof enclosure • Electric Panel: Install circuit breaker as close to the utility feeder as possible to minimize voltage drop from other large circuits RECOMMENDED OUTLET LOCATIONS 1 R CHARGE PORT OUTLETS C�1 Install near vehicle charge port, maximum 15' away, minimum 18' above ground FOR YOUR RECORDS ELECTRICAL COMPANY PHONE NI CUPERTINO EMAIL AD SS DEC 15 2015 PERMIT N REVIFVVFn FOR CODE COMPI IAN INSTALLATION DATE Reviewed By: q�acu4� 3500 Deer Creek, Palo Alto, CA 943041 July, 2015 1 Version 1.6 T=5Ln