PMT15-03752 City of Menifee Permit No.: PMT15-03752
29714 HAUN RD. Type: Residential Electrical
�d-►CCELA? MENIFEE, CA 92586
MENIFEE Date Issued: 1 2104/2 01 5
PERMIT
Site Address: 26910 HOWARD ST, MENIFEE, CA 92586 Parcel Number: 335-302-042
Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of ELECTRICAL PANEL UPGRADE TO 125 AMPS FOR SOLAR PERMIT PMT15-03581
Work:
Owner Contractor
ABDULAHAD SHARA SUNRUN INSTALLATION SERVICES INC
26910 HOWARD ST 775 FIERO LANE STE 200
MENIFEE,CA 92586 SAN LUIS OBISPO, CA 93401
Applicant Phone: 8886576527
DULCE CORREA License Number:750184
SUNRUN INSTALLATION SERVICES INC
775 FIERO LANE STE 2D0
SAN LUIS OBISPO, CA 93401
Fee Description QQtt( Amount lSl
Receptacle, Switch, Outlet&Fixture 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
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 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 sire months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penalty or perjury that I am licensed under provisions of
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 Cbde and my license is fn full force arideffecL —which-I must have resided for at-lent one year poor to completion o
License Class C— 1 0 License N OS improvements covered by this permit,1 cannot legally sell a structure that I have
Expires lD 1 lie 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:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto:!/www.leolnfo.ca.eov/calaw.html.
I have and will maintain a certificate of consent 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# v my Signature below, I certify to each of the following:I am the property
I have and will maintain workers' compensation insurance, as required by aw_ner or authorized to act on the property owner's behalf. I have read this
#ection 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 slate laws relating to building
construction.I authorize representatives of this city or county to enter the above-
Carrier 2_\x2%C. H' identified property for the inspection purposes.
Policy#W Co13t0`1(noo0 Expires C1 30 Il0 Sri sm«.J Date I S
Property Owner orAuthodzed Agent C,y(�
(This section need not be completed if the permit is for City Business License# Q 3 J ( !Q
one-hundred dollars($100)or less)
-1110
HAZARDOUS MATERIAL DECLARATION
certify that in the performance of the work for which this permit is issued,I
hall not emolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or
workers'compensation laws of California,and agree that if I should become mixture containiDg a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts sp red on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. DYES
Applicant; 5.,._^zs�t� Date; (ZI a I r C. 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 guideline/
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES C.�NO
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 gfa school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES d NO
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 Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous m�terial reporting.
OWNER BUILDER DECLARATIONS DYES G7'NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 1 I S
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 701.5.Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION.REPAIR AND PAINTING IRRPI
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 licensure 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:
www.epa.gov/lead or contact the National Lead Information Center at
O 1, as owner of the property, or my employees with wages as their sole 1-800.424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is
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 Finn 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 Firm Cerfification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Fro 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