PMT18-01711 City of Menifee Permit No.: PMT18-01711
29714 HAUN RD.
-,;kCCEL,A� MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 04/24/2018
PERMIT
Site Address: 30652 LONE PINE DR, MENIFEE, CA Parcel Number: 358-691-005
92584 Construction Cost: $657.00
Existing Use: Proposed Use:
Description of RUN 100 AMP CIRCUIT TO TESLA WALL CHARGER WITH 100 AMP DISCONNECT AND OUTLET
Work:
Owner Contractor
NICHOLAS RODDY TROUT ELECTRIC
30652 LONE PINE DR 17843 GLEN HOLLOW WAY
MENIFEE, CA 92584 RIVERSIDE,CA 92504
Applicant Phone:9099520047
STEVEN SCHNIERER License Number:933396
TROUT ELECTRIC
17843 GLEN HOLLOW WAY
RIVERSIDE, CA 92504
Fee Description ! Amount fb)
Receptacle, Switch,Outlet&Fixture 1 116.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 5.80
$278.87
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 builiding 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 where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_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 o 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 C;1 0 License No. 333��G
By my signature below I acknowledge that,except for my personal residence
Expires 1 `i Signatures-ice 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
o 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
www.leeinfo.ca.Qov/calaw.html.
this permit is issued.
Policy# Date
have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which y my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier NIDE *,2Z A I building construction.I authorize representatives of this city or county to
Policy# M'kk;. C Ge!j-p',! Expires 1 JZc I )C enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred _ Date 117
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall fort with comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
` mixture containing a hazardous material equal to or greater that the
Applicant �� amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes/XNo
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 applicant
modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC construction
or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelCoast
Air i es
CONSTRUCTION LENDING AGENCY ❑Yes o
I hereby affirm that under the penalty of perjury there is a construction Will 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,,__�No
OWNER BUILDER DECLARATIONS f have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the
California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable items)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to �� Date Zy $
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER O 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 Contractor's 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.Qov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the o An EPA Lead-Safe Certified Renovator will be responsible for this project
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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 04/17/2018 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL
[]NEW [—]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Run 100 AMP circuit to Tesla Wall Charger
PROJECTADDRESS 30652 Lone Pine Drive
ASSESSOR'S PARCEL NUMBER 358-691-005 LOT 164 TRACT 32025
OWNER NAME Nicky Roddy
ADDRESS 30652 Lone Pine Drive, Menifee, CA 92587
PHONE (808)269-7944 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME Trout Electric OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME Trout Electric
ADDRESS 17843 Glen Hollow Way, Riverside, CA 92504
PHONE (951)743-0702 EMAIL
CONTRACTOR'S STATE LIC NUMBER 933396 LICENSE CLASSIFICATION C10
VALUATION$ $657.00 SQ FT L SQ FT 7405.2
APPLICANT'S SIGNATURE DATE 04/17/2018
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
r�
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE i- PAID AMOUNT
AMOUNT ' L - ;`CASH CHECK# %CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT :CASH CHECK# C%CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER YESI NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
CITY OF MENIFEE
BUILDING AND SAFETY DE,=:, Mr---Ni
PLAN APPROVAL..
City of (vienifee
®� APR 19 20,18 Building Dept.
REVIEWS BY
30652 Lone Pine Drive,Menifee DATE APR 17 20j
'Approval of these plans shall not be construed to be a permit for,or an Received
��a `�/,�
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
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100 amp disconnect - '200 am,
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City of Menifee
Building Dept.
APR 17
INSTALLING YOUR 240 VOLT OUTLET Received
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)
G Operating Current:40 amp(maximum continuous current)
• Conductors:6 AWG,Copper Wire Only.Upsize wiring for installations over 150 feet
250V Ground Fault Circuit Interrupter: Not required
• Service Disconnect:Not required
• Receptacle Recommendation: High quality.industrial grade receptacle
Examples: Hubbell part#HBL940A,Cooper part#5754N
. Ventilation: Not required
• Outdoors: Install with NEMA 3R rainproof enclosure
RECOMMENDED LOCATIONS ADDITIONAL RESOURCES r+
—
CCH'qRGINGINS.MFEEION(aTESLA.COM
F
i
PHONE %ND SAFETY DEPARTMcW
° 6�59 681.61' jrC V VAL
24/7 TECH SU �,
C v ��
�' 7g1�'�JDt Y APR 19 2018
one
WEB DATE
TESLA.COM/SUPPORT
)vai c`these plans shall not be construed to be a permit for,or an
CHARGE PORT ! ONLINE.5j4AFan of any provisions of the federal,state or city
SHQP,-iF'N6r@a tUes. This set of approved clans must be kept on the
RECOMMENDED LOCATION FOR 240 VOLT OUTLET i E 10 corr o0i tion,
T=5 L n 45500 Fremont Boulevard,Fremont,CA 94538 1 May,2016 1 Version 3
,,,ity or iv"ienifee
Building Dept.
LIC#933396
T1JT APR 17 4
Received
Project Address 30652 Lone Pine Dr, Menifee
General Lighting Load Your home's square footage 2,450 X3 VA= 7,350
Small appliance branch circuits (2 min) 1500 VA k 2 Circuits 3,000
Laundry Circuit 1500 VA k 1 Circuit(s) 1,500
APPLIANCES AND EQUIPMENT-Values are minimums,use actual values if known to be greater.
Enter N/A if not present at project site
Microwave 1300 1,300
Compactor 1000
Dishwasher 1200 1,200
Disposal 800 800
Proposed EVSE circuit 7200 17,280
Pool/Spa Pump 1 horsepower 1920
Pool/Spa Pump 1.5 horsepower 2400
Pool/Spa Pump 2 horsepower 2880
Oven 4000 8,400
Range 5100
Electric Water Heater 4500
F.A.U. 1500 1,500
Subtotal (A) 42,330
Subtotal (A) minus 10,000 VA 32,330 X 0.40= 12932
plus 10,000 _
I iC_M@>EtEtal (B) 22932
AND SAFETY DEPARTNiZENT
Total A/C Load, use nameplate rating Qr A/C circuit breaker rating(C) 7104
I f'PROVAL a.
D=(B 03 19 2
Total"deman Is = DATE
Plan Checker Notes: of these plans shall not be construed tote a permit for,or an
of,any violation of any provisions of the f eral,ata'.,:or city
�cand or&ances, This set of approved of ns must E-=Kept on the
��t, .;il c,�. • . gin.