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B-2017-0827CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0827 10355 FINCH AVE CUPERTINO, CA 95014-3412 (375 43 020) ANTHONY LEWIS INCORPORATED SAN JOSE, CA 95126 OWNER'S NAME: JORDAN DAVID AAND ELISA E OWNER'S PHONE: 408-421-9314 License Class B: C-10 Lic. #851107 Contractor ANTHONY LEWIS INCORPORATED Date 08/31/2017 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. I hereby affirm under penalty of perjury one of the following two 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. 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 permit is issued. 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. I hereby affirm that I am exempt from the Contractor's License Law for one of the following 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. 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 permit is issued. 3. 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 5/24/2017 ISSUED: 05/24/2017 PHONE NO: (408) 217-8621 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: INSTALL (1) 50 AMP 240V OUTLET - GARAGE Sq. Ft Floor Area: I Valuation: $1600.00 APN Number: Occupancy Type: 375 43 020 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyAunde Date: 05/24/2017 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: 5/24/2017 ALL ROOF COVERINGS TO BE CLASS "A" 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, Sections 25505, 25533, and 25534. Owner or authorized agen Date: 5/24/2017 i TRUCT4 LENDING AGENCY I hereby affirm that there is a cons6wdron lending agency for the performance of work's, for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org PROJECT ADDRESS (Uhs T ` ^ c k fU APN # 2'I G� — / j Z -- / 1-% /� . OWNER NAME V, PHONE I fj5i E-MAIL Vraixe! mal STREET ADDRESS �, CITY, STATE, ZIP %' FAX ` U CONTACT NAME PHONEQ I jM 20 E-MAIL E MAI ^ L ` �• oYt I , V ` V l STREET ADDRESS 1 1 CITY, STATE, ZIP \ �'� G FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR VCONTTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER 7LICENSE TYP i. ` (� BUS. LIC # 1 IQ COMPANY NAME. J eS E-MAIL •L2 U1 � iY � n Jr l< FAX fC n ` C^— l�Vyw STREET ADDRESS Li i t CITY, STATE, ZIP \ • i PHONE( ARCHITECT,'ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME C. E-MAIL FAX -- STREET ADDRESS CITY, STATE, ZIP PHONE USE OF YJ SFD Or Duplcx inti -Family PROJECT IN R`ILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes �No FLOOD ZONE ❑ Yes XNO ❑ SOLAR PANELS I XLECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: _ FOR SOLAR PANELS: NUMBER OF RANELS/UNITS: KILOWATTS (COMMERCLAL ONLY): TOTAL VALUATION: DESCRTPTIUN OF WORK I i 1 be RECEIVED BY: By my signature below, I certify to each ofthR following: I am the prope owner or authorized agent to act on the property owner's behalf. have read this application and the information I have provid is coir ct. I ave read t Des 'ption of \Fork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil g' thoriz represent fives of Cupertino to enter the above-idenf ed pro erty for inspection purposes. Signature of Applicant/Agent: Date: _ 2 SUPPLE ENTAL FORMATION REQUI - OFFICE USE ONLY> ❑ OVER-THE-COUNTER c F+ ❑' EXPRESS U U ❑ : STANDARD ❑ r LARGE a ❑ > MAJOR P VApp_201 1. doc revised 03/16111 CUPERTINO PURPOSE SMOKE / CARBON 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 • building(a)cupertino org PERMIT CANNOT BE, FINALED UNTIL THIS CERTIFICATE HA; COMPLETED-- AND RETURNED TO THE BUIL;DIN, DI BEEN ISION ,. This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section 8314, R315, 2016 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 additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314, R315, and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) - (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. CCC cam. �'�� Address: tU S_J �in� �r V�tZ Permit No. Specify Number of Alarms: # Smoke Alarms: # Carbon Monoxide Detectors: I have read and agree toLpomply with the terms and conditions of this statement Owner (or Owner Agent's) Name: ��rnVicomJd'cv1 Si nature .... ....................:........................................................................................Date: C...—fid.:.. Contractor Name: Signature....................../...............................I............. Lie.# ........................................ Date:................... `moi_ Smoke ai7d CO forni.doc revised 0111012017 CUPER.TINO Owner Name Dav'� WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 f408)-777-3228 • FAX (408) 777-3333 • buildina(a cupertino.ora 3 Address Ave—,f7e1 �t"VIc, sA l r 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections. 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 2. 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? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. 'F' No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 91 No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? XNo My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through. 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: . Mypropertyis asinglefaMdy residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, 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-conseiving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ Myproperty is a multifamily 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 -,eater- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ 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 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 plurmbing-fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent 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 cun-ent California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the ter -conserving plumbing fixtures comply with the requirements as indicated in the table on the following Daae. ) „ ., p Owner or Owner Agent's Signature .`:�:�,Date:�� f Upon completing and signing this Certificat&'please return it to the Buildina Division in order to final vour building hermit_ SB4072015.doc revised 01/05/17 HUMM9 4:56 \9 ICOMMUN-TY DEVELOPMENT DEPART M_NT B u I Id i n g men REVIEWED:FOC CONIPLIANCE. I Reviewel By: Abby Av Me Da..--. _{''.'' PERM T NO 7-082N N&va APPROV—D -, s set o, i)ans anti s ecifl ;ons MUST be kept at the 'o -_ 1a onstrid'on ft is r, www to =make ary changes or Is "s ^,a r.G V[c _ -.�.0 rCr.. ,i= 2'G ' , ' oval t or � e Eli '- ng fc-'a', t! he s=a rn,^ c4 fhis n[an a t - s - cifica ors SHALL L NO— naz ` an C`v-a` ``#i4 wion of any V4} 04 -r By Abby -i D T B u I Id i n g men REVIEWED:FOC CONIPLIANCE. I Reviewel By: Abby Av Me Da..--. _{''.'' PERM T NO 7-082N N&va Anth env Lewis Inc. Building and lEle cn ical RESIDENTIAL ELECTRICAL LOAD CALCULATION SHEET Load Calculation for Existing Dwelling Unit 220.83 1. GENERAL LIGHTING: Table 220.112 3= S9- ft. x 3 VA = __ -C]-6uV---- VA Small Appliances: 210.11 (C) (1) and (C) (2) P �i - VA x Q circuits = � C7 VA L ndry: 220.52 (B) 1�6b VA 1 circuit = ...... � VA Total: ( 3 b VA 2. FIXED APPLIANCES: 220.83 The name plate rating of the following: A. All appliances that are fastened in place, permanently connected, or located to be on aspecific circuit. Dishwasher= Sob (1500) VA Disposer= Qct (800) VA Compactor = (99) VA Microwave = `` 1� (1300) VA Spa/pool Motor= (12,000) VA Attic Fan = (1600) VA Total:e0 VA B. CooKING EQUIPMENT: Table 22220.555; Notes Col A�� VAx— ( .% _.� � VA Col B VAx % = VA Col C VA % = VA Total ______--___--__------------- VA C. fiDptyEut: 220.54; Table 220.54 GW-Q—VAx tOo %=1�00)() VA H. WATER HEATER: VA -5o-170 VA Total ------------------- � I!"IE I FEP. Cul°ii �l d ii ur:p Il t:ll9 :°fur en't plEW( .:=..D COM CW::II...WA CE [WE05/�) / � 7 1 Anth,V I.e iS C, Building and Elecu i eal 3. APPLYING DEMAND FACTORS: Table 220.83 (A) or (B) I" 8000 VA x 100%= ------------ 2 ..._ VA Remaining � VA x 40% = VA Total__-�--------------------- VA A/C UNIT i=J(�o_-VA x 100%1VA A/C UNIT 2 =l a @-VA x 100%=V`-! VA EVSE 1 -_ -----VA x 100% L VA EVSE 2 = -------------------VA x 100% VA Total .--------------------- - VA Total of AIC Loads and All Other Loads: VA 4. ELECTRICAL SERVICE. Total VA VA/240 volts Minimum Conductor size VA UA Amps --S60y(*1Copper GEC 7 copper CUIIIIERTINO CtoflI iiiung II Ilant°furenl FREVf.=..D FOR CONCOWI[JANCE Pa Questions? Contact the Tesla Technical Support Team: Charginglnstallation@teslamotors.com j 650.681.6133 (Monday - Friday) 1877.798.3752 (2417) NSTALLING 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 • Ventilation: Not required • Outdoors: Install with NEMA 3R rainproof enclosure RECOMMENDED OUTLET LOCATIONS FOR YOUR RECORDS ELECTRICAL COMPANY PHONE NUMBER I �� IE EMAIL ADDRESS CHARGE PORT OUTLETS PERMIT NUMBER I° "I Install near vehicle charge port, maximum 15' away, mini 1 e grcu 1'1IINSTALLATION DATE Bufldling 11 u° ui n n FREVH.�.WED FDR CODE COWI[JANCE T = L ^ 2vur"fir"r�) �� yw A�";' I ' �� Pwk, Palo Alto, CA 94304 November, 2016 J Version 1.5