PMT14-01024 City of Menifee Permit No.: PMT14-01024
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
MENIFEE Date Issued: 05/07/2014
PERMIT
Site Address: 31936 WHITFIELD ST, MENIFEE, CA Parcel Number: 360-660-026
92584 Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 175 AMP
Work:
Owner Contractor
MICHAEL REES SOLARCITY CORPORATION
31936 WHITFIELD ST 3055 CLEARVIEW WAY
MENIFEE, CA 92584 SAN MATEO, CA 94402
Applicant Phone:6509635630
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Fee Description (3,yt Amount
Ce, wit t ,.
Building Permit Issuance 1 27.00
$144.00
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
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I; as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Co a and my license is in full force nd effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class r 0 License DC,•, who builds or improves thereon, and who contracts for the projects with a
Expire f Signatures licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
I have and will maintain workers' compensation insurance, as required by Business and Professions Cade,is available upon request when this application Is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'//www lecinfo.ca.gov/calaw.html.
permit iA[ssued. orkers'compensation i!�!nsur a carrier and policy number are:
✓ Date
Carrier 7,Expiref Policy# 72(P�( �✓�
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction. I authorize representatives of this city or county to enter the above-
❑ I certify that in the performance of the work for which this permit is issued, I vMffe property for the inspection purposes.!
shall not em Io any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor Pro erty Owner or Authorized Agent D to
Code, I shall forthwith comply with those pr ' ions.
City Business License#
Date Applicant;
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 0 EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
- Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
nI FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address 1 0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reasons)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable items) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, *0 SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL
provisions of the Contractor's State License Law (Chapter 9 (commencing with
Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to I&INO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
HAZARDOUS MATERIAL IAEPORYING.
❑ I, as owner of the property, or my employees with wages as their sole /
compensation, will do ( ) all of or( ) porting of the work, and the structure is PR��R OR AUTH D AGENT
AUTH D AGENT
not Intended or offered for sale. (Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however, _
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
.purpose of sale).
CITY O MENI EE PLCK No: JDalle'
e 71�Lfl-
Phone:29714 Haun Road Date:Menifee, CA 92586 S /(951)672-6777 oust: mount: 'y LI
Fax:(951)679-3843 CI#: k#:
visA
Building Combination Permit
To Be Completed By Applicant
Legal Description: 1LIM Planning Case: F: L: Rt; R
Property Address: l Assessor's Parcel Number.31936 WHITFIELD ST. -300- 1o0-C9CP
Project/Tenant Name: Unit#: Floor#:
Name: Ph Fax Fax No.
Property Address: Unit Number Zip Code
Owner Menifee, 92584 p
Email Address:
Name: Phone No. Fax No.
BeverlyMiller 951-291-8703
Applicant Address: Unit Number Zip Code
e ntractor
Email Ad Tg�ller2@solarcity.com
Name: Phone No. Fax No.
650-638-1028
Contractor Address: City State Zip Code
AMU Wa
ontractor s lty Business icense o. Cont�Iprf,C'µy State of California License No. Classification
Number of Squares: tt33 111144
Square Footage 197
DescI. SldO OI:roof ount 22 anels 2 inverters for PV MAIN PANEL UPGRA for Work
:$�
Applicants Signature
�— a
To Be Completed By-City Staff Only Date:
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: t set of documents which include
❑ Ttle Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
El Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan 1 ❑ Sound Report-Residential
Class Code: Indicate I INew Construction Alteration' Addition' Means/Melhods
Work Type:EJ Repair" Retrofit' Revisbn to Existing PerrniP Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: P Stories: Wuilding Have a Basement?
Bldg-Code Occu anc GroupY of N
p y Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At Project Spdnklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C Of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg.
OffdalA royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/safety Permit Specialist I City Planning I Civil Engineering I EPWM-Admin I Transportallon Mgml. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY