PMT14-01623 I
i
City of Menifee Permit No.: PMT14-01623
29714 HAUN RD. Type: Residential Electrical
<�A6ML-% MENIFEE, CA 92586
MENIFEE Date Issued: 09/16/2014
i
PERMIT
Site Address: 29339 STARRING LN, MENIFEE, CA Parcel Number: 364-270-002
92584 Construction Cost: $6,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM RESIDENTIAL-24 PANELS, 24 INVERTERS, 6.36 KW
Work:
Owner Contractor
FELIX PEREZ LEONARD ROOFING INC
29339 STARRING LANE P 0 BOX 893730
MENIFEE, CA 92584 TEMECULA, CA 92589
Applicant Phone: 9515063811
CODY MILLER License Number: 840399
LEONARD ROOFING INC
P 0 BOX 893730
TEMECULA, CA 92589
Phone: 5622507305
Fee Description Ohl Amount f$1
S i e Iv a
Building Permit Issuance 1 27.00
i iti aPP an RI I ie „Elee ncal :9
Additional Plan Review Electrical 129 129.07
SMIP RESIDENTIAL 1 1.00
$539.14
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 Cade and my license is in full a an effect. Code:The Contractor's License Law does not apply to an owner of a property
License CI ss C'.I-1 License lipwho builds or improves thereon, and who contracts for the projects with a
Expires 3` Signature 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
❑ 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
4 I have and will maintain workers' compensation insurance, as required by Business and Professions Code,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:htti)'l/www.leciinfo.ca,aQvLqalaw.html.
permit is issued.My workers'compens .on insurance carrier and policy number are:
Carrier V1S VLLi! Property Owner or Authorized Agent Date
Expires Policy#� 8:51
❑ 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 autlhonze_tepFesqtatives 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 identified ope r the inspec n purposes.
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 ,6
subject to the workers'compensation provisions of Section 3700 of the Labor Prope prized Agent ate
Code,I shall forthwith comply with those provi ions. �1 ^
F p City Business License# 0'✓`✓1��
Date; I 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, AYES 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 MNO 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 GUIDE9
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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address W40- DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
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 ❑YES 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, 4n#9U_-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 OE INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any HECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penally of not more than($500).) CODE SECTION MATERIAL 55051'<E5533 AND 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 PROPERTY OWNER OR AUTHORIZED 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 OF MENIFEE PLGK No: Permit No:
29714 Haun Road City of Menifee - pl Z-S
Building & Safety Dept. Date: Dater 1�II
Menifee, CA 92586 -7,-l-1y
Phone: (951)672-6777 JUN 2 4 2014 Amount: b ount�,�p� l�
Fax:(951)679-3843 Ck#: ck#: $ ,�O
Building Combination Pe mi�lved
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: 29339 Starring Lane, Menifee, CA 92584 Assessor's Parcel Number.
ta-00-L
D
Projecf/Tenant Name: Perez Residence Unit#: Floor#:
Name: Felix Perez Phone No. n/a Fax No.
Property n/a
Owner Address:29339 Starring Lane,Menifee,CA 92584 Unit Number Zip Code
Email Address:
92584
felix@leonardroofing.com
Name: Phone No. Fax No.
Cody Miller 562-250-7305 951-506-3801
Applicant Address: 43280 Business Park Dr.#107,Temecula,CA 92590 Unit Number Zip Code
92590
Email Address:
cody@leonardroofing.com
Name: Leonard Roofing,Inc. Phone No. Fax No.g 951-506-3811 951-506-3801
Contractor Address:43280 Business Park Dr.#107 City Stale Zip-Code
Temecula CA 92590
Contractor'sCity y Business License o. Contractor's City State of California License No. Classification:
036153 840399 C:10
Number of Squares:
Square Footage
Description of Work: Cost of Work:$
Inst anon o 6.36kW photovoltaic solar system • 6,000
Applicant's Signature
Date: 6/24/13
To Be Completed By Clty Staff Only
Indicate a R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 se[of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen Tech/Solis Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ SUuctufal Framing Wan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair' Reli Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: it Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if. Indicate all Geo-tech.Haz.Zane
At Project Sprinklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): cot o YES or NO Noise Zone
Requbed-, 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 lElec.Vehicle Charger Landmark Seismic Retrofit special case:amq.
Op.r' , roust
Expedite Projects$ Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/safety Permit Specialist I City Planning I
I Civil Engineering I EPWM-Armin Transponation Mgmi. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY