PMT16-01112 City of Menifee Permit No.: PMT16-01112
29714 HAUN RD. - Type: Residential Electrical
�CCELA? MENIFEE, CA92586
MENIFEE Date Issued: 05/18/2016
PERMIT
Site Address: 28670 AVENIDA MARBELLA, MENIFEE, Parcel Number: 364-093-003
CA 92584 Construction Cost: $1,800.00
Existing Use: Proposed Use:
- Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
CHAD SNYDER 360 SOLAR ENERGY INC
28670 AVENIDA MARBELLA 28M OLD TOWN FRONT STREET
MENIFEE, CA 92584 SUITE 202
Applicant Phone:9512453788
JESSICA IRWIN License Number:943547
360 SOLAR ENERGY INC
28822 OLD TOWN FRONT STREET
SUITE 202
TEMECULA, CA 92590
Fee Description Oft Amount I$1
Services, Switchboards, Control Centers& Panels 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 six months,shall expire,and fees paid shall be
forfeited.
AA Bldg Pennit_Tempiate.rpt Page 1 of 1
CITY OF MENIFEE
ISED DECLARATION property who builds or improves thereon,and who contracts for the projects
ereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
.4apter9(commencing with section 7000)of Division 3 of the Business and in I am exempt from licensure under the Contractors State License Law for
;Professions Code and my�lice/gse,is in full force and effect. the following reason:
License Clas Cl0 Licensee No. �"//LEI✓� `� By my signature below I acknowledge that,except for my personal residence
% Expires ( Signature ![ in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.eov/calaw.htmi.
Policy# Date
o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT .
section 3700 of the Labor Code,for the performance of the work for which /ownemryr
signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and polity authorized to act on the property owners behalf.I have read this
number are: p1 C ppication and the information I have provided is correct.I agree to comply
Carrier S'"� Corr `fLS \V�G with all applicable city and county ordinances and state laws relating to
/� /' 2� building construction.I authorize representatives of this city orcounty to
Policy#_/��7 S�tO^ Expires VILIJ17 enter the above identi property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
#FJVKRTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, Dw`
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# (e
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwltitcompiy wit those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date -s ' mixture containing a hazardous material equal to or greater that the
1 amounts s ecified on the Hazardous Materials Information Guide?
WARNINfi- (LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes�N0
UNLAWFUL,AND SHALLSUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building bythe applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC[ion or See permitting South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast
AirlQua
CONSTRUCTION LENDING AGENCY in Yes r
0
I hereby affirm that underthe penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency forthe performance of the workwhich this permit is issued outer boundary of a school?
(Section 3097 Civil Code) oyes INo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazard material reporting. (y
Business and Professions Code).Any city or county that requires a permit to uYgs-, 5�2N� Date S d
construct,alter,improve,demolish or repair any structure,prior to its SRN OWNER ORAUTHORIZEDAGENT
149
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving or childcare facility to be RRP-certified firms and comptywith
than
Applicant fora permit subjects the applicant toativil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a u An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or Improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
in 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RAP
Acknowledgement.
BUILDING i SAFETY PERMIT/PLAN CHECKAPPLICATION
°Menifee
DATE 04/12/2016 PERMIT/PLAN CHECK NUMBER -01%ka.
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY [-]MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
[DESCRIPTION OF WORK PV roof mount solar,30 modules, 7.80 panel upgrade 200A
PROJECTADDRESS 28670 Ave Marbella Menifee,Ca 92584
ASSESSOR'S PARCEL NUMBER '3LPfA► CAS- 00'6 LOT TRACT
PROPERTY OWNER'S NAME Chad Snyder City Buili d Menifee
ADDRESS 28670 Ave Marbella Menifee,Ca 92584
• APR 13 2W
PHONE (951)946-1034 EMAIL
APPLICANT NAME Jessica Irwin Received
ADDRESS 28822 Old Town Front St.#202 Temecula,Ca 92590
PHONE (951) 245-3788 EMAIL jessica@360solarenergy.com
CONTRACTOR'S NAME 360 Solar Energy OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME 360 Solar Energy
ADDRESS 28822 Old Town Front St.#202 Temecula,Ca 92590
PHONE (951)245-3788 EMAIL
CONTRACTOR'S STATE LIC NUMBER 943547 LICENSE CLASSIFICATION C10,C46
VALUATION$ $ SOFT L SQ FT
APPLICANT'S SIGNATURE DATE 04/12/2016
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION v CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN ' SMIP T
INVOICE PAID AMOUNT
AMOUNT 14011 -M O CASH O CHECK# O CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213