PMT15-03150 City of Menifee Permit No.: PMT15-03150
29714 HAUN RD. Type: Residential Electrical
�CCEL/_. MENIFEE,CA 92586
A 9'1" ' MENIFEE Date Issued: 10/09/2015
PERMIT
Site Address: 27097 HOWARD ST, MENIFEE, CA 92586 Parcel Number: 335-303-006
Construction Cost: $12,000.00
Existing Use: Proposed Use:
Description of ELECTRICAL PANEL UPGRADE FOR SOLAR PERMIT PMT15-03149
Work:
Owner Contractor
ANGELA HUNTER VISION INSTALLATION
27097 HOWARD ST 5255 N EDGEWOOD DR
MENIFEE, CA 92586 PROVO, UT 84604
Applicant Phone:8887817074
KELLY BAKER License Number: 853582
VISION INSTALLATION
5255 N EDGEWOOD DR
PROVO, CA 84604
Fee Description City Amount I51
.:Receptacle, Switch,Outlet_&Fixture _ _ 1 116.00
Building Permit Issuance 1 27.00
GREEN F'EE - 17067
General Plan Maintenance Fee--Electrical 1 5.80
$149.80
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 slated,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_Pennil Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Cod and my license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class I O License No. 'S `��Z improvements covered by this permit, I cannot legally sell a structure that I have
Expires 1-31 1'i Signature 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one the followingdeclarations: htto�//www.leoinfo.�.gov/calaw.htmi.
I have and will maintain a certificate of consenttforworkers'
of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code,for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carder and policy number are: 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-
Carrier 1�)(yj identified property for the inspection purposes.
Policy#can Ut4ID —j?;; Expires 2-—1 Date
Property Owner or Authorized Agent lfn(This section need not be completed if the permit is for City Business License#_ _ in `yam 3�+ 1 r
one-hundred dollars($100)or less)
❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts s ified on the Hazardous Materials Information Guide?
Code,I shall forthwith ,ply with those provisions. q 1� DYES NO
Appli Date; 0 I �CY� Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelineJ�
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES 70
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of chool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Has &Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous enal reporting.
OWNER BUILDER DECLARATIONS DYES O
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable items)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from Iicensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit:
El 1, as owner of the property, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at
compensation,will do ( )all of or( )porting of the work, and the structure is 1-800-024-LEAD(5323).
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the Improvements are not intended or offered for sale.If,however, Certified Firm Name:
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). Firm Certification No.:
❑ 1, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or Improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledaement.
a
BUILDING iSAFETY PERMIT/PLAN APPLICATIONi tJ V�
MR Z �} r
S
`,Menifee
DATE 10/2/2015 PERMIT/PLAN CHECK NUMBER Is— C-3v5�
TYPE: ❑COMMERCIAL X❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL []MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Installation of photovoltaic solar Panels on roof of home.7.02 KW total 27 modules. AAPA
And an upgrade of the main service panel to a 200A panel with a 125A main. Z�- fYl]CYO—7 I/2Y�-C!S
PROJECTADDRESS 27097 Howard St,Sun City,C2A 92586
ASSESSOR'S PARCEL NUMBER LOT 011 TRACT �OZ'
PROPERTY OWNER'S NAME An ela Hunter
ADDRESS 27097 Howard St,Sun City,CA 92586
PHONE ]:?-IL] ) -47:3--97-22 EMAIL
APPLICANT NAME
ADDRESS n `
PHONE O C54 a1-A�_ EMAIL 151 ILQ!
CONTRACTOR'S NAME OWNER BUILDER? ❑YES NO
BUSINESS NAME
ADDRESS 5255 N Ed ewood Drive Ste#125 Provo,UT 846D4
PHONE 888-781-7074 EMAIL chende@vlslonsolar.com
CONTRACTOR'S STATE LIC NUMBER 853582 LICENSE CLASSIFICATION C10
VALUATION$ S L SQ FT �y
)C APPLICANT'S SIGNATUR CL /L DATE
vI ,il
DEPARTMENT DISTRIBUTION r` CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 1{ SMIP
INVOICE y+vr PAIDAMOUNT
AMOUNT 1 ' 1• I I OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
[OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building& Safety Deportment 29714 Noun Rd. Menifee, CA 92585 951-672-6777
wwt,v.C;t;,o rvi eni/ee.us Inspection Request Line 951-246-6213