PMT17-03222 City of Menifee Permit No.: PMT17-03222
29714 HAUN RD. Type: Residential Electrical
<ACCELA> MENIFEE,CA92586
MENIFEE Date Issued: 1 012 712 01 7
PERMIT
Site Address: 25633 BETH DR,MENIFEE,CA 92584 Parcel Number: 358-232-006
Construction Cost: $1,600.00
Existing Use: Proposed Use:
Description of INSTALL 240V/60A CIRCUIT BREAKER FOR TESLA WALL CONNECTOR CAR CHARGER IN
Work: GARAGE.
Owner Contractor
DAVID STEPHENS RB ELECTRICAL SERVICE
25633 BETH DRIVE 27393 FINALE COURT
MENIFEE,CA 92584 MENIFEE, CA 92584
Applicant Phone:9512010116
DAVID STEPHENS License Number.949601
25633 BETH DRIVE
MENIFEE,CA 92584
Phone:9519075775
Fee Description Qtv Amount IE)
Receptacle, Switch, Outlet&Fixture 1 116.00
Building Permit Issuance 1 27.00
Additional Plan Review Building. 65 64.55
Additional Plan Review Building 39 38.73
GREEN FEE 4 1.00
$247.28
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or when:the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
Improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed In its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-Insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit Is issued. www.le info a. v calaw.h[ml.
Policy# '� Date
❑I have and will maintain workers compensation insurance,as required by PROPEWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which in By my signature below I certify to each of the following:I am the property
this permit Is Issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires enterthe ab ve jd•¢ntified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred /C/(1 Date 0 z 7 � 7
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certJfy that in the performance of the work for which this permit is issued,
I shall not emptov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. WIII the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes G No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES_ _ ..for guidelines
CONSTRUCTION LENDING AGENCY a Yes ¢'No
I hereby affirm that under the penalty of perjury there is a construction WIII the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes prfo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazard�uj�r�aC 1 r boning.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ayes L No rd •Z-j �
Business and Professions Code).Any city or county that requires a permit to - Date / [
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY O NER OR AUTHORIZED AGENT
Issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.aov/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or Improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or Improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. in No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
,�kMenifee
DATE: PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL Q//RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION VELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARE$
DESCRIPTION OF WORK cL `Z I�OGL ( LI(� La iR
in of rm -!
PROJECTADDRESS -U / ZIP Zv1
ASSESSOR'S PARCEL NUMBER ��O •232CC••��'(� LOT TRACT 2 1�
OWNER NAME
ADDRESS 2 Z iv(1ZpD b / /7-� c / TZ^�
PHONE -l7 �/ !Q�`�/ Y� (EMAIL 41,0 .CI�/�
APPLICANTNAME --e�� - G
ADDRESS c Z p6 ��( � D 5
PHONE / 5 0 (U 7 EMAIL /( g
CONTRACTOR'S NAME I YI'i 4/r/)ev OWNER BUILDER? O YES O'11�0
u",a BUSINESS.NAME ( 4ZI-ot,c '
ADDRESS G/Z/ 3 93
/ t,A4 2 C 4,Ae ! zJ r7
PHONE (/`7 !) W1--O//'(p EMAIL 3rjC @ 1 J�flee Irl sPFt/t 'ev,M
CONTRACTOR'S STATE LIC NUMBER 9K 120 ( LICENSE CLASSIFICATION
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE DATE l �"
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: -ap5q--7
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE III NOTARIZED LETTER. O YES O NO
City of A-lenifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 95O1, 7 2o P �7
enitee
:wul.cityo{menifee.us Building & Safety
Dept.
SEP 13 201?
Received
PLOT/SITE PLAN
REAR PROPERTY LINE
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— y(tit; n efrek; *Approval of these plans shall not be construed tobea permit for,oran
PA ne — fCG Eo(j u` approval of,any violation of any provislonn4kftw4su te or city
apE;s j^ for 3 regulations and ordinances, This seRNO'1b8e[ 0" d-lepton e
ihSFa��flon ?_
xx jobsite until completion.
L.�
FRQNT P PERTY LINE
Property Owners Name ?GtU I PC�P� 5�/,{
Property Address
moruenn remonnln
EDISON°
Below are six options for SCE underground fed service panels.The appropriate option will
depend on the customer's rate and panel choices.
Figure 1-2: Underground Service
Residential Rate
r Existing Home Panel r New Upgraded Home Panel r
t r r
M Existing Home 11/1 Existing Home
t kWh Meter r r �kWh MeterT,
r
r r r t
UG Service Entrance r I UG Service Entrance r
r
t
TOU-D-TEV Rate
r ® r r
� Existing Home Panel I New Upgraded Home Panel I
New New/Existing
Meter or 9 New IDR Meter or
r M SmartConme r SmartCnn
r �New/Existing r
r SmartConnec['"'Meter r r SmartConnect'"Meter �
r r r r
r r r r
rT",
G Service Entrance
r r r UG Service Entrance r
r r r r
TOU-EV-1 Rate
Second Panel Meter Socket ® r
Box with New
IDR Meter
Existing Home Panel or New SmartConnect-Meter New Upgraded Home Panel
r Existing r r M Existing
r Home Meter O To EVSE r r Home Meter
Circuit r M New IDR Meter or New
Protection r r SmartConnect*" Meter
Pull Box See
for Pull Box Requirements EMT or r r
r UG Service Entrance Flex Conduit r r r
UG Service Entrance
City of Menifee
Note:Where at all possible,the second panel or meter socket box shall be placed Building & Safety Dep .
at the same location and directly adjacent to the existing metering.
SEP 13 2ol
Received
EFFECTIVE DATE
4-29-2016 General Information ESR-1
APPROVED e Electrical Service Requirements PAGE
►SCE Public 4 1-19
VVALL CONNECTOR
rs
Tire bJall Cormector is a Tesia specinc charging station. hard wired and permanently mounted to a wall or
post.Redesigned in Spring 2016.highlights include:
• Compatible with Model S and Model X
• Customizable power settings to fit any electrical system
• Power sharing:Link up to four Nfall Connectors to a single circuit
• Two cable length options:8.5 or 24'
. Indoor and rntttloor rated
Have a licensed electrician review the electrical load of your home prior to installation. As with any home C
improvement project,a permit and city inspection may be required. ^
RECHARGE RATES FOR STANDARD AND HIGH AMPERAGE CHARGING V
1
Standard
e0 ampPs,:. 34,
' 3p r
(48A draw)
Hioh Amperage 90-amps 52' 46'
(72A draw)
'Numbers based on a 90D configuration and'240-volt power supply Recharge speeds may vary,Refer to the Wall Connector
mstallabon guide for additional power level options.
RECOMMENDED LOCATIONS ADDITIONAL RESOURCES
EMAIL
I SINSTALLATION(a)TESLA.COM
PHONE
650.681.6133 (M-Fj
24/7 TECH SUPPORT
` ) t� WEB_,_ -
JPPORT
ONLINE STORE
CHARGE PORT
RECOMMENDED LOCATION FOR 24'CABLE
' RECOMMENDED LOCATION FOR 8.5'CABLE
T-5 L n 45500 Fremont Boulevard. Fremont,CA 94538 1 May.20161 Version 3