PMT14-01055 City of Menifee Permit No.: PMT14-01066
29714 HAUN RD. Type: Residential Electrical
4WCCE A—> MENIFEE, CA 92586
cm s�n.R� MENIFEE Date Issued: 05/08/2014
PERMIT
Site Address: 28420 GOETZ RD, MENIFEE, CA 92587 Parcel Number: 341-040-039
Construction Cost: $1,500.00
Existing Use: Proposed Use:
Description of 200 AMP MAIN PANEL UPGRADE
Work:
Owner Contractor
GENE STRAUSS SOLAR SERVICE CENTER INC
28420 GOETZ ROAD 13345 ESTELLE STREET
MENIFEE, CA 92587 CORONA, CA 92879
Applicant Phone: 8887607652
SOLAR SERVICE CENTER INC License Number: 961939
13345 ESTELLE STREET
CORONA, CA 92879
Fee Description Owl Amount
Se vices Switch ohs CQritrol Ceners; yPane °" '96i00 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 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 where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit Templata.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 contra o construct the project(Section 7044, Business and Professions
Professions Cod and m license is in full rce and effect. de:The Contractor's License Law does not apply to an owner of a property
License Class License o, who builds or improves thereon, and who contracts for the projects with a
Expires Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DEC LA TION
❑ 1 am exempt from licensure under the Contractors'State License Law for the
❑ 1 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 Code,is available upon request when this application is
ion 3700 of the Labor Code, for the performance of the work for which this submitted or at the fallowing Web site:hftp,/Iwww.leginfo.ca.gov/calaw.html.
ermit is issued.My workers' pensation insurance carrier and policy number are:
Property Owner or Authorized Agent Date
Carrier
Expires I J �`i' Policy#
❑ 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-
certify that y the performance of the work for which this permit is issued,I identifjeQ property for the apection pines.
§hall not employ any persons in any manner so as to become subject to the (/�sJ7 AXn1 G
workers'compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owns r Au orize nt Date
Code,I shall forthwith co ply with those fir visions.
�,-- / I City B ass License#
Date;✓i) b 4 Applicant; &46 Q
WARNING: FAILURE TO SE RE WORKERS' HAZARDOUS MATERIAL DE LARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINESUP--TO ONE HUNDRED THOUSAND DOLLARS I WILL THE APPLICANT OR FUTURE BUILDING
($700,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending
INFORMATION GUIDE?
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
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO 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 reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(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, ❑NO 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
provisions of the Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or OYES 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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL�EPORfING.
compensation,will do( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Stale License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY 1 OF 1®13iNIFF, City of MenlfeB PLCK No: Permit No:
ul ding & Safety Dept.
29714 Haun Road k _C S
Menifee, CA 92586
MAY 0 8 2014 Date: Dates I
Phone: (951)672-6777 Amount: Amount:
Fax:(951)679-3843 Received Ck#: Ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address:28420 Goetz Rd., Quail Valley, CA 92587 Assessor's Parcel Number.
341-040-039-2
Project/Tenant-Name: Unit#: Floor#:
Name:Gene Strauss Phone No.
951-570-1686 Fax"°.
Property Address: Unit Number
Owner 28420 Goetz Rd., Quail Valle CA Zip Code 92587
Email Address:
Name: Liliana Figueroa Phone No. Fax No.
Applicant Address:
760-391-7270 760-262-3030 Email Address: Unit Number
72227 Adelaid St. #A Thousand Palms,CA. Zip Code 92276
Name: Phone No. Fax No.
Solar Service Center, Inc. 760-391-7270
Contractor Address: City State Zip Code
72227 Adelaid St. #A Thousand Palms r.A 1 92276
Contractor's City Business LAceinse NO. Contractor's City State of California License No. Classification:
961939 C-10
Number of Squares:-- 35620
Square Footage
Description of Work: — Cost of Work:$
w
Applicant's signature Dat
o e, om d By:City;Staff Only
Indicate As R-R eiv d or N/A-Not Applicable
5 Completes sets of fufly dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on&'A x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for also.services over 400 AMP
❑ Floor Plan ❑ Structural Franpng Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition" MeanslMefheds
Work Type. Repair• RetrofiP Revision to Exsbing pemdP IRequired? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate allPNoiseZone
eo-tech.Haz.Zone
At Project S rinklered YES or NO
Completion: Construction p that apply: oastal Zone
Type(s): c or O YES or NO
Required? sted on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: costal Commiss Arch.Review Board Landmark Comm. IPlanning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Spae'al ass:Bldg.
°fG_.IA royal
Expedite Project(s): Child Care City Project Green Building Landmark ARordable Housing
For Staff Use Only
Building/Safety I Permit Specialist I City Planning I Civil Engineering EPWM-Admin I Transim salon Mgml. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY