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Home My WebLink AboutELEC-19-0544 / i van: City of Arcadia, CA PerritNO EIeC 19 0544 nL. -11- t Development Services Department ,Gr '-\ - ! -3 Permit Typ 'tElectric•a l 240 West Huntington Drive,Post Office Box 60021 �`�# ) � �i; Arcadia,CA 91066-602113 •r� ork ClossJcotion:Electrical Residential W l (626)574-5416 `,: --'4-*. permit'Status:Issued ARCADIA Issue"Date:03/20/2019 1 Expiration: 09/16/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1320 Oaklawn RD Arcadia,CA 5770022008 Contacts SULLIVAN,DAVID AND KEPPELETRS Owner TESLA ENERGY* Contractor SULLIVAN FAMILY TRUST 3055 Clearview Way,San Mateo,CA 94402 1320 OAKLAWN RD (323)240-3174 888104 Description:TWO TESLA POWER WALL ESS, NEW 200 AMP Valuation: $ 0.00 Tenant LOAD CENTER Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Battery Storage Device $106.00 Total Fees $170.49 Distribution Panel $16.48 Cash/Receipt#REC-00713-19 $170.49 Electrical Permit Issuance Fee $47.01 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $170.49 1-'-esc-/ Me. 67_ CALL IONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. itiffilf? *tit' c(4/7711P4a°77 4 7L744%efiL This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if th'e'perritit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. March 20, 2019 Issued By: Date March 20,2019 Page 1 of 1 sts.Oman_ k PERMIT/PLAN REVIEW APPLICATION 41 c6,,_ ct j. Development Services Department, 240 West Huntington Drive, Post Office Box 60021 -1 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia 1LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ,„, I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,to dept'license is in full force and effect.is C 0 I have and will maintain a certificate of consent to self-insure for workers' License Class fl,c) r 44 License o. t- Exp. Date 121-1 A compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. v I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER D C ARATION 700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under penalty perjury that I am exempt from the Contractors is issued.My workers'compensation1� insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions i Code.Any city or county which requires a permit to construct,alter,improve, ., Carrier Aur\C'�n I'1V 43/4 tS.-v\ demolish,or repair any structure,prior to its issuance,also required the applicant ��L( for such permit to file a signed statement that he or she is licensed pursuant to the 'lit Policy Number 6.65 (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section if/ 7000) of Division 3 of the Business and Professions Code)or that he or she is L exempt there from and the basis for the alleged exemption. Any violation of alI certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall I, as owner of the property, forthwith comply with those provisions. ❑ or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for '? � sale(Section 7044,Business and Professions Code:The Contractors License Date 7 /20/l 9_ Signature ( �J� Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own . employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that heor she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - - - contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractors)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information.e. (�� /�.,,, r ft "•...„. lie \nn\\ T`p�\e Title 1 CJ(YY11} LIA3YCI 1 flc A r -- I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. Ad�apee to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of cadia to enter upon the above-mentioned property for inspection purposes. \ C- 1 Qk SignatureJ7-7)I l Date i � / 1 l mu f,o`11o. 1. AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF Me KE ALAWUIS AN CARBON MONOXIDE ALAR .^S Property Address: rr 1 320 0Rk.\irtrvl D 1 Permit Number: • IAC - I O\`G 5411 Brief Job Description: Cwe orf 5 t ca j 2 Number of smoke alarms installed: S Number of carbon monoxide alarms installed: t When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section 8315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/licensinglistings/licenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foye oing is true and correct, and th-it thi declaration was executed on (Date) IT ,57p7 at Arcadia, l ,.rola. Owner's Name (printed/typed): ►sv�.d1 Su I I i vq I Signature of *wner: �i��/ ////.dv _/a This affidavit must be returned to the City of Arcadia inspe tor prior to final inspectio SMOKE ALARM :ND CARD° MONOXIDE ' LARML.CA"LOWS Guest Room cBathroom UStorage Family Room i I — Garage FIRST FLOOR PLAN IV=SMOKE ALARM 3 m CARBON MONOXIDE ALARM laMstr L IBath rq, Master Bedroom Dining Roam Kitchen Bath 0 a Hall0 Closet - I Closet Closet Family Room ® ® Bedroom Bedroom SECOND FLOOR PLAN 0=SMOKE ALARM II m CAR; •,N9 MONOXIDE ALARM A. N N Legend YOUR HOME 4l Main Panel POWERED BY TESLA `r Powerwall and Equipment D Backup Loads Panel Aerial View We are excited to design your home of the future and for you join our mission to accelerate the world's transition to sustainable energy. D � The day of your installation,our team r, of two to three people will install your yy Powerwall.If you also have solar,an additional four installers could be on site. To ensure a quick and efficient Installation,clear the ground,wall space,and any key access points. Extra space is great since we may use a small dolly to move Powerwall around. We look forward to getting started. CONFIDENTIAL'THE INFORMATION HEREIN Residence at 1320 Oaklawn Rd,Arcadia,CA 91006 CONTAINED SHALL NOT BE USED FOR THE BENEFIT T 5 L OF ANYONE EXCEPT TESLA INC..NCR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS David Sullivan OUTSIDE THE RECIPIENTS ORGANIZATION,EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE JB-9102818-00 RESPECTIVE TESLA EQUIPMENT,WITHOUT THE Site Plan WRITTEN PERMISSION OF TESLA INC. 3/19/2019 Main Panel: (E)200A Service Disconnect: (E)200 A Meter and Main Panel TEl PV System (N)125A/2P Sub Feed Breaker Ac L oc SMa Backup Gateway rn 4 Ts.a m lmewsm 0 AWG#6G eekr RM N2ite THWN-2 200A 1-1/4" Conduit Backup Loads Panel 0 AWG#2 Black.AWG#6 Green THWN2ite THWN-2 1-1/4" Conduit TESLA BACK-UP GATEWAY INCLUDES A SYNCHRONIZER CONSTANTLY MONITORING GRID VOLTAGE AND FREQUENCY TO RELAY GRID PARAMETERS TO TESLA POWERWALL DURING BACK-UP TO GRID-2ED TRANSITION. New Powerwalk (2) AC Powerwall 5.8kVA Tesla 1108567-00-EST Backup Gateway: (I) Backup Gateway 30A Breaker le In Tesla 1118431-00-1 AWG#10,THWN-2,Black.Red While AWG#10,THWN-2.Green Backup Loads Panel: (1) TNI BR42421225R Load Center 3/4"EMT Existing Solon. 35A Breaker lie in Generation Panel: N/A (28)Sanyo#HIP-186DA3 Modules SMA#SB5000-US Inverter AWG#8 THWN-2,Black.Red,White AWG#8 THWN-2.Green 3/4"EMT All new equipment to be located adjacent to Main Panel CONFIDENTLAL-THE INFORMATION HEREIN CONTAINED Energy Storage System at 1320 Oaklawn Rd.Arcadia,CA 91006 1 E 5 L n SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC..NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S David Sullivan Single Line ORGANIZATION.EXCEPT IN CONNECTION WITH THE SALE JB-9102818-00 AND ILSE OF THE RESPECTIVE TESLA EQUIPMENT.WITHOUT THE WRTIEN PERMISSION OF TESLA INC. 3/19/2019 c 9a BACKUP LOAD CENTER Label Location: CAUTION Label Location: (BLC) Per Code: 'PFPJINER Souses (MP) Code: NEC 408.4 •f s COVklA IS VHQTYGecri SVS?EM NEC ode. .D.3 •NV sOokt E.SENFRGWORME SYS'n.I Label Location: CAUTION (BLC) DO NOT ADO NEW,yOADS Per Code: Label Location: NEC 220 WARNING (MP) Per Code: THIS EONOURNI FED BY NEC 705.12.D.2.3.c Label Location: MuuIPEE LLO ERS TOTAL. CAUTION (MP) OTING OF LLO VERINURRENT 1HIS PANEL HAYSPL LEJ F4ED• Per Code: SUPPIYOVERCURRENT DEVICE, TbaoueH[ONDURORS NEC 312.8(3) SHALL NOT EXCEEDAMPACIrY OF8US8AR S-OR LO OF'DISCON LOA AT ENERGY S-QRAfiF MCNtIP LOAD PANT! Label Location: Label Location: ENERGY STORAGE'.SYSTEM (MP) CAUTION Per ENERGY AGE Per Code: OSUPOt OUREEIS NE Code: Etnlai6Ai ONvet Ate NEC 705.12.D.2.3.c S GY STOR`AGES SS NEC 705.12.D.3 ckaunu LOAOI.KlR ENERGY STORAGE SYSTEM Label Location: [NrlIGY STORAGE N}TEM ON SITE. (MP) ED[AIEU WI HIN PINE E6 An. Per Code: Label Location: ENERGY STORAGE.SYSTEM ONS,'E (MP) NcnrEU ON AD/ACENtMAE Per Code: Label Location: ENERGY STORAGE SYSTEM 01 SITE (MP) LOLATEO UNOPPO]RLWALL, Per Code: Label Location: ENERGY STORAGE SYSTEM ON SE-E (MP) mt.A1 LU IN5iuL Per Code: (AC):AC Disconnect (BLC):Backup Load Center (MP):Main Panel Label Set POWERWALL POWERWALL - Backup Gateway S MI r — TheBackupGatew f Tesffa Pm/ens/all provides energy management Tesla Pvwe Or Isafullyercial use. AC battery system for 1 Gateway co bol.and 14 P residential or light cammemial use.lts rechargeable lilM1ium-Ion l T a 13. L and monitoring for solar self-consumption.time-based control.an battery pack provides energyStorage for solar selfconsum tion, backup. time-based control,and backup. - The Backup Gateway controls connection to the grid,automatically !- detecting outages and providing a seamless transition to backup Powerwall a electrical interface provides a simple connection to power.When equipped with ad lieu2 breaker,the Backup Gateway can any home or building.Its revolutionary compact design achieves be installed at the service entrance. market-leading energy density end is easyto install,enabling owners to quickly realize the benefits of reliable,clean power. I The Backup Gatewaycommunlcates directly with Poxerwall,allowing hh you to monitor energy use and manage backupenergy reservesDein ir3 ' F"' any mobile device with the Testa app. PERFORMANCE SPECIFICATIONS MECHANICAL SPECIFICATIONS PERFORMANCE SPECIFICATIONS MECHANICAL SPECIFICATIONS ALWteeleeaeM naooHoV Dimensions 1150 rim x 755mmxl55mm AGWyP(seeinai) 230VI201240Y Dimensions ]GO mm 370 mm x129mm (45.31n x 29.Tln x&lin/ Pah ins 16.9In x5.1 in FxtlinType MR Phase _ __ _ FWSn inType ple abp'rl Phase Gid Frequency ec Hz Weight 125 kg122611,5) Weight laIM d kg 138l _ _ __ __ GM Frqueey `A and 63 Hz TelalEmgy' 14kWn mounting options PO}_wall mountWaiting Current p]A Mamllrrpmtbru Wag mount - - - Usable amp? I3.516* (MGM nem Samm MVMunlnpaeshut Circuit Curl 10 kA STeen, 129rnm Rear Powesness cenvee0 ua tar(charge and&towe) — enMwuM ProtectionDiMce' 10}200 At service entrance Rated I- - H Real Power,pea.fe..oxglyuMopl' 2 kW(5haree ant discharge/ 1-1 svtllaTGtq_y Category N — fl Appereed Power,max cmtiruoue 5.8 WA(charge and discharge) AC Meter Revenue grade(4-1%1 TEELF Apparent Power,peak P O s.aX9rldNakW)72 kVA(Marge and Gxharye) Connectivity Ethernet Cellular Par.VO-R Maximum Supply Fait Gwent 101M user Interlace Rya APP Maximum Output Fail Curren 32A OR+atngMWes Support for idarsewcsmsranptbn. Wmm Ia5.3FI Me-basedmdrtl.yNbachon Overculsbeia efarspnt MlonOMu 30A 740 mm ImbtlerralabMll-RawIm18 100% Backup Operation AWma4c oiYMrCCt f_seamless',equip mi (29.1 In) uip& ssion Power PFectorOutput Range v/-1.0 adjustable Boma,* Supports up to lO AC-cooped Poser Factor Range llWfPoW paved M-885 Pswevss elemsaatlwyochwpege SOV wantonly IO-e Round The Ellklensy" K% P 'Orem dukerryuedNwmawn sr swim entrance. ) _- _ •C9aconneetrvay arrmctto nrymk meow eetaswwageand MM menet. warranty 10 years ENVIRONMENTAL SPECIFICATIONS 'Valre.proMedter det aennonc7,33 chameitrkw.mar. Domani;Temperature3VCro5PC(-Mr mnss'0 'b Backup mode.O.mage pwwivn. mull:kW. 'AC to betterymxsnr.4mmlm cone. comunTamperan. orom SVC(MT to ee'R COMPLIANCE INFORMATION ENVIRONMENTAL SPECIFICATIONS Prorating Humkgry(AM Mtn 10396,cmdemng Certifications UL1642.LA 1741.1Ece2109.I. OperLM1g7empauMe -SOCMEO (-CCto12TP COMPLIANCE INFORMATION mem Conditions -20•C to 3o'e(<4 m FAB) CEA C222.107.1 epererogtwnidly mat Poo not,condensing Certifications UL 1642.UL stat.UL 1973. Up to PS%PH,nannonaenyng Grid Conmotion Wotdwltle COmpueblity Maximum Swaim =am 954331 UL95W IEEE 1547,12x343 -- stated Energy lssl25%bad Emissions FCC PM 15 Clans B.ICES 003. - ---- _.______ __ __ __ _____. Grid Commlm worldwide ComaaOrllity Meximan Station mW] (9B63 f1) IEC6163Environment indoor and send4anted.EN 65[24. _ . . _... _ ._ _ OMmnunmt Indoor ENlcndel,1.EN 201489-7. Cr-Clem-retypeNEMASP Emissions FCC Pod IS Craze B,ICES 002 EN 30143947 ensanTmty ROHSOmctM 2011/05/EU EnclosreeThpe NEMA Si Environmental PONS Weave 2011/fiShV. mpwu Paticq IP40 -- - Seismic AC155.IEEE 69}40050I0 Ingress Fisting Per anttery avower Beekman) WEEE Oheene2012/19/EV, IPSO Wiring COmpmmenll Battey Directive 2000/65fEC Wat Seaton Feta Yes PEACH Hmdetlm Neu Level elm c40d8Asn30'C WS Seismic ACnge.IEEE ep19g5 tinsel TE-SLR -Es'www/ ERG• TESLF, TLaCOWenERs-