PMT15-01763 i
City of Menifee Permit No.: PMT15-01763
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 6/2 612 01 5
i
PERMIT
Site Address: 30460 BUCKBOARD LN, MENIFEE, CA Parcel Number: 358-442-007
92584 Construction Cost: $7,600.00
Existing Use: Proposed Use:
Description of SOLAR 14 PANELS 3.64KW
Work: MPC#PT12-1605
LOT 7
Owner Contractor
BROOKFIELD HOMES SOLARCITY CORPORATION
3090 BRISTOL ST#110 3055 CLEARVIEW WAY
COSTA MESA, CA 92626 ATTN ZOE STEELE
Applicant Phone: 6509635630
CRYSTAL MORRIS License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Fee Description Qty Amount I$1
Building Permit Issuance 1 27.00
QRE N.IFE, ar:- ';.- , . «•�. .f. � 1ii1 :_
SMIP RESIDENTIAL - 1 1.00
$281,00
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 Templatexpt 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 C�i e,an my license is in ful,f roe and e act. Cade:The Contractor's License Law does not apply to an owner of a property
L License No. )G who builds or improves thereon, and who contracts for the projects with a
ExpireslZALP—_ Signature- licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'Stale 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 b this permit, cannot legally sell a structure that Ihave -permit is issued P Y P 9 Y
Policy# �c�. O(�(PZ(p�CSL`•r built as an owner-building 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
❑ 1 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:http:l www leginfo ca gov/calaw,htmi.
permit is/Iissued.My workers'
ccompe/n�sation insurance carrier and policy number are:
Carrierh 'C/� ( p1( 11 VGL>C Property Owner or Authorized Agent
Date
Expires (�`l I(LJ Policy# G� /I G� -
Name of Agem�ri+ sh Phone# �I�. >'�"1 "-/�5� ❑ 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($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-
El I certify that in the performance of the work for which this permit is issued,I identif-d property for the inspection purposes,
shall not emolov 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 P e caner r thorized Agent Code, 1 shall forthwith comply with those provisions. �P '� geneyt Date
<' �.�- City Business License# 0 r
Date; Applicant; --
4
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, OYES 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 �.,y�0 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
0 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 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,
In
SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for
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 '�i7 ES 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
El1, 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 THORIZED.AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;The Contractor's Contractor's State License Law does not apply to an owner of a property X �;y
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 MENIIFEE PLCK No: P "
29714 Haun Road Mis;-I6o5 1 -
Date: Data:
Menifee, CA 92586 I "
Phone: (951)672-6777 an a tti
Fax:(951)679-3843 ck#: k#:
Building Combination Permit 615]
lb To BeCom letedBy Appilllcant 5 -Cl o
Lega Desc p n: Plarimna Case: F: L Rt: R
Property Address_ 7�,//�/� 1 Assessof's Parcel Number. L�
T is
Pro ectlTenanl Nama: (QS'�K aV�(�' MvR-PHH R-Ahk H Unit#' Floof#:
Name: g�001<t" � OM�S Phorsn nl 7 -7WS Fax No.
Property gddress: Unit
Owner }/.lu her Zip Code
Own
Emell Addrosa: G06
Name: m
_ Fax No.
(� � 1 •/ /� ill � .
Applicant d roes: Unit Nambef Tip Code
Emal dross: �'i7'I
P Fe No.
Name:�OLfkR-+f'1"y 1 2-7 ;Nq�
Connector Address: city stale 2i coda
I76s- 6 It7wAi, Ad✓lks• JCTE-CfDl� CA 25a7
on W� 2h nees eene. o. Conhactar's_�CI�INl Stet.of ellmmla Licence No. Classification:
1�8Io CIO G•46
Number of Squares:
Square Footage
DescrlptlonalWork: ROOF, 11 e vO .;T' ry SYSTEM
p leant a 515nature VG�iJ
To Be Completed By Clly Staff Only
Indlcala As R-ReCialved a NIA-Nol Applicable
6 Completes sale of fully dimensional.drawn 10 sale plans which include: t set of documents which include
❑ Title Sheet ❑ El vations ❑ Electrical Plan ❑ Gen Techl5ulls Report(on ad only)
❑ Plot 1 Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on B'/.x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plen ❑ Structural Calculations
❑ Fhor Plan ❑ Single Line diagram for oleo.services over 400 AMP
❑ S61poWrdlFmmplg Plan&Delano ❑ Sharing Plan ❑ Sound Report-Residential
Class Code: Indicate LJNW Construction Alteration' Addition` MeanslMedads
Work Type. Repash, Retrogl• gsiddonlo ExIsIngPemtlP Required? YES NO
Proposed Building Usa(a): Existing Building Veels):
#Buildings: #Units: H Stales: Will the Building Have a Basement'!
Y of N
Bldg.Code Occupancy Group indicate indlole If Indicate all Gea-tech.Haz Zone
At Project Spinklered YES or NO that e
Completion: Cpe(5)! ion apply: Coastal Zone
Type(s): RaC ci o YES or NO Noise Zone
qulrea7 Listed on Historic Resources Invento
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch-ReWew Board Lantlrrmrk Comm. Planning Comm.Zcfing Administrator
Fee Exempt: city Project Else.Vehicle Charger Landmark Sakai;Ratrogt olydm rsval
Expedite Pro)ect(s): Chid Care City Project Green Building J 11-andmil I Affordable Housing
For Stag Ilse Only
Buildin ISalel Parnul apeclallsl Cily PlennMg Civi n neenng min Transportation gal. Rani convoi
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY