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PMT14-01402 City of Menifee Permit No.: PMT14-01402 29714 EE C 92 Type: Residential Electrical O CCELI1;. MENIFEE,, CA 92586 j MENIFEE Date Issued: 06/2612014 i I PERMIT Site Address: 25771 ROUNDUP CIR, MENIFEE, CA Parcel Number: 358-511-019 92584 Construction Cost: $9,600.00 Existing Use: Proposed Use: Description of MASTER PLAN CHECK ROOF MOUNTED SOLAR HORSESHOE RIDGE 3.92 KW 16 PANELS Work: Owner Contractor RICHMOND AMERICAN HOMES SUNPOWER CORPORATION, SYSTEMS 5171 CALIFORNIA ST STE 120 1414 HARBOUR WAY S. IRVINE, CA 92617 RICHMOND, CA 94804 Applicant Phone: 9417203850 ALEX SEIZEW License Number: 890895 SUNPOWER CORPORATION, SYSTEMS 1414 HARBOUR WAY S. RICHMOND, CA 94804 Fee Description O_yt Amount IS) Building Permit Issuance 1 27.00 I I pa rRlReulev ecttibaf 4 i GREEN FEE 1 1.00 $410.07 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_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 Code apd my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class License �1?a f FT who builds or improves thereon, and who contracts for the projects with a Expires i / Signature /iGI�C�!"� licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 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 EIc"l, # contractors. I understand that a copy of the applicable law, Section 7044 of the have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'L1www.Ieainfo.ca.gov/caiaw.htmj. permit is Issued.My workers'compensation insurance carrier and policy number are: �/ re Property Owner or Authorized Agent Date Carrier �-C Expires S Policy# / l 273 00 ❑ 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 be completed if the permit is for application and the information I have provided is correct. I agree to comply (This section need not one-hundred dollars($be less) with all applicable city and county ordinances and state laws relating to building conyderty authorize representative of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I ide for t e inspection p rpos . /shall not employ 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 provisio of Section 3700 of the La orProer or Authorized Agent Date Code,I shall forthwith comply with those pr vi i ns. 2 415� ( � City Business License# � �7 7 Date; "r Applicant; GaI41 WARNING: FAILURE T 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, ❑YES 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 ONO EQUAL TO OR OUNTS SPECIFIED ON GAT THE HAZARDOUS MAER THAN THE TERIALS CONSTRUCTION LENDING AGENCY 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address O NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS PRINT NAME: I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES 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 I HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law(Chapter 9 (commencing with OYES Section 7000)of Division 3 of the Business and Professions Code)or that he or 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($500).) HOD RDOU �NERIAL5FfEPORTAND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work, and the structure is PR R NER O UTHORIZED AG T not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's Stale License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY Y OF MJu'1®YA'RiJV' PLCK No: Permit City of Menifee Of 29714 Haun Road Building& Safety Dept, Menifee, CA 92586 Datko .�J l4 are Z* / Phone: (951)672-6777 JUN 0 2 2014 Amount: \0,0 Amount: I� Fax:(951)679-3843 (� �9 Received Ck# C. 574 Building Combination Permit ✓ G,1S0 To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R: Property Address: Assessors Parcel Number. Project/Tenant Name: Floor#: Name: Phone No. Fax No- Property Address: �. Owner -4-t ClN.�r�- Q,�.. Unit Number t 2.o Zip Code Email Address: �2c.t-4- Name: " Phone No. A =X S�Hrx.c.r.( FaxNc. Address: 9cs 8 9-Stao3 Applicant Unit Number Zip Code- 2-8\ S. Email Address: @, Name: � Phone N . Fax No.wcfZ Sto 3r co - 5o48 Contractor Address: City State Zip Code I -'+t4 t fA23o-2 .�L1 sc� Ft ConVacto s City Busness License No. Contractor's City State of California License No. _ - 89e89$ Classification- � .- Number of Squares: Square Footage Description of Work: .. Cost of Work:$ _Applicant's Signature Date: 11{- To Be Completed By City Staff Only - Indicate As R-Received or NIA-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Ene rgy(on 8%x'It) ❑ Foundation Plan ❑ Cross Section .❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for elec-servicesover Ogg AMP ❑ Floor Plan ❑ SWc(ural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration* Addition* MeanslMethods Work Type. Repair* Retrofit* Revision to F�osting Petmil' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: Ej Will the Building Have a Basement? — Bldg. of N Bldg.Code Occupancy Group Indicate Indicate all Geo-tech Haz Zone At Project S or NO peyCompletion: Cons[I' on theta Coastal ZoneType(s): SorNO Noise Zone Listetl on Historic Resoumas 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- ORdaIA mvaI Expedite Project(s); Child Care City Pmect Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist Cily Planning Civil Engineering EPWM-Atlmin Transpodation MgmLI Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY CITY OF ME IFEE PLCK No: City of Menifee 1 .ul Z 29714 Haun Road Building & Safety Dept pate: n gate: Menifee, CA 92586 Amount:JUN 0 2 2014 Amour Phone: (951)672-6777 W Fax:(951)679-3843 ck ck#: e d�o�� Building Combination Permit UPS[ To Be Completed By Applicant Legal Description: Planning Case: F: Rt: R L: Property Address: Assessor's Parcel Number. Project/Tenant Name: Unit#: Floor#: Name: f� Phone No. Fax No. Property Address: Unit Number 2c Zip Code Owner St P et c/�"coQ� la Email Address: Name: ^ Phone No. Fax No- Applicant Applicant Address: Unit Number Zip Code ZQ% �• Mo.�.T G.00'~rE(Z 7. S: � Email Address: LNe Phone N Fax No. Contractor City State Zip Code I-ldeao_r)- ropy So _,-1—tors City Business License No. Contractor's City State of Califomia License No. Classification: 8sess5 3 Number of Squares: Square Footage - Description of Work: Cost of Work:$ Applicant's Signature Date: C..e Z il}. To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on a/x 11) ❑ Foundation Plan ❑ Structural Calculations❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' MeanslMethods Work Type: Repair' Retrofit' Revision to 6dsting PeflNP Requtred9 YES NO Proposed Building Use(s): Existing Building Deals): #Buildings: #Units: tl Stories: Will the Building Have a Basement? 81d Code Occupancy Group Y of N 9- P Y P Indicate if Geo-tech.Haz-Zone Indicate YES or NO Indicate all At mplProjectiConstruction Sprinklered that apply: Coastal Zone Completion: T e s YP ( ) C Of O YES or NO Noise Zone Required? Lis[ed 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. OfficialA raval Expedite Project(s): Child Care City Project [4Green Building Landmark Affordable Housing For Staff Use Only Building/Safely I Permit Specialist City Planning Civil Engineering I EPWM-Admin Transportation Mgmt- I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY