PMT15-00925 City of Menifee Permit No.: PMT16-00925
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 05104/2015
P E R M I T
Site Address: 26146 BALDY PEAK DR, MENIFEET CA Parcel Number: 338-251-020
92586 Construction Cost: $4�596.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 8 PANELS 1 INVERTER 2.08KVV
Work:
Owner Contractor
STEVE LEACH SOLARCITY CORPORATION
26146 BALDY PEAK DR 3055 CLEARVI EW WAY
MENIFEE, CA 92586 ATTN ZOE STEELE
Applicant Phone: 6509635630
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Fee Description Qtv Amount($
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$438.50
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 bulliding 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_Bdg_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 0 1, 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 Cc and my license is in full forc and act, Code:The Contractor's License Law does not apply to an owner of a property
i Class . 0 �L ��q who builds or improves thereon, and who contracts for the'Projects with a
Signature_11��,__ licensed contractor(s)pursuant to the Contractors State License Law),
W I —
WORKERS'COMPENSATION DECLARATION
[I I am exempt from licensure under the Contractors'State License Law for the
El 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
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
Policy# built as an owner-bullding if It has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
[I 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 slte�httoWwww[eginfo,ca qoWcalaw,hEril,
permit is issu y�workers'comlpensation psyrance carrier and policy number are:
Card Property Owner or Authorized Agent
Date
Expires Policy ft
Name of Agent Phone# 0 By my Signature below, I certify to each of the following: I am the property
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 S1 00)or less) with ad applicable city and county ordinances and state laws relating to building
construction. I authorize representatives of this city or county to enter the above-
E I certify that in the performance of the work for which this permit is Issued, I identified proqe� a Inspection 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
subject to the workers'compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provislops Property Owner arAuthorized Agent Data
Date; Applicant /�>= City Business License# o (o4
WARNING: FAILURE 4 SECURE WORKERS'
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL HAZARDOUS MATERIAL DECLARATION
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITIOWTO THE COST OF COMPENSATION CIYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THI� MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST, AND ATTORNEYS FEES ONO 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
3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
[I NO 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 OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable tem(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER E30UNDARY OF A
Any city or county that requires a permit to construct, sitar, improve, demolish, ONO 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
pmViSions 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 E]YES 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 11 NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than ($500).) CODE, SECTION 25505 25533, AND 25534 CONCERNING
0 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING
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 of 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),