PMT16-01575 City of Menifee Permit No.: PMT16-01575
_ _ 29714 HAUN RD, Type: Residential Electrical
'SnCCEL/-> MENIFEE, CA92586
MENIFEE Date Issued:
05/19/2016
PERMIT
Site Address: 23067 HECHT RD, MENIFEE, CA 92587 Parcel Number: 351-193-059
Construction Cost: $2,500.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
JANINE ZUBIA SOLARCITY CORPORATION
23067 HECHT ROAD 3055 CLEARVIEW WAY
MENIFEE, CA 92587 ATTN ZOE STEELE
Applicant Phone:6509634722
ARWEN LOTT License Number:888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Phone:8582452080
Fee Description ON Amount($I
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_aldg_Permit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjurythat 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License C//l��assl^:A!Oz�l_j 4 L J Licens �� By my signature below I acknowledge that,except for my personal residence
Expires Qr Gd-,SH 1,0 Signature Q in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION 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 wehsite:
by Section 3700 of the Labor Code,for the performance of work for which v,,yzw,leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
ve 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 o By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: 1 application and the information I have provided is correct.I agree to comply
Carrier 2t Ay'r k Pwylt, I can -lnstn2 nCe with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#1/312-0 11-('000 xpires Q-1-1 L 0 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
Icertify that in the performance of the work for which this permit is issued,
shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provision of Section 3700 of the Labor
Code,I shall f hwitl rtply w t the pro ions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture
I mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO RE W ER'S COMPENSATION COVERAGE IS o Yes/ZKo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0001,IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Qua'ty Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid es
CONSTRUCTION LENDING AGENCY a Yes ❑No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bou ry of a school?
(Section 3097 Civil Code) o Yes No
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
California Health&Safety Code,Se n 2550 nd 25534 concerning
Contractors License Law for the reason(s)indicated below by the haz dous material r
checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5 g
es o o
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY 0 NER 0 U ORIZE GENT
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, PAIR AND PAINTING(RRP)
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 a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil 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
o 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.epa.cov/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 o 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:
o I,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 RRP
Acknowledgement.
I
K
o0
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 05/03/2016 PERMIT/PLAN CHECK NUMBER •
TYPE: O COMMERCIAL ✓J RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ,C ELECTRICAL O MECHANICAL
C NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Install(28 )rooftop solar panels,( 7.42 ) kW
1 Inverter with a Main Panel Upgrade to 200A
PROJECTADDRESS 23067 Hecht Road Canyon Lake, CA 92587
ASSESSOR'S PARCEL NUMBER 21- 133- CkeR LOT TRACT
OWNER NAME Janine Zubia
ADDRESS same
PHONE 9512310601 EMAIL jggarcia@rocketmail.com
APPLICANT NAME Arwen Lott
ADDRESS 43320 Business Park.Dr. Suite B-104,Temecula, CA 92590
PHONE (858) 245-2080 EMAIL aloft@solarcity.com
CONTRACTOR'S NAME OWNER BUILDER? O YEStkNO
BUSINESS NAME SOIarCity
ADDRESS 3055 Clearview Way San Mateo, CA 94402
PHONE 650-638-1028 EMAIL
CONTRACTOR'S STATE LIC NUMBER 888104 LICENSE CLASSIFICATION B, C10, C:46
VALUATION$ $ WOM cD '/SOFT 420 L SQ FT
APPLICANT'S SIGNATURE �'I-f � •'--� DATE 05/03/2016
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP 1 24
INVOICE PAID AMOUNT
AMOUNT —PI • 1 O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES C NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213