PMT16-02056 City of Menifee Permit No.: PMT16-02056
29714 HAUN RD. T Residential Electrical
<ACCEL/A. MENIFEE, CA 92586 Type:
MENIFEE Date Issued: 06/30/2016
PERMIT
Site Address: 29567 COOL MEADOW DR, MENIFEE, Parcel Number: 339-382-003
CA 92584 Construction Cost: $1,500.00.
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 225A BUS 200A MAIN
Work:
Owner Contractor
ANTHONY& BRENDA VILLA SUNCREST SOLAR INC
29567 COOL MEADOW DRIVE 420 E SOUTH TEMPLE SUITE 280
MENIFEE, CA 92584 SALT LAKE CITY, UT 84111
Applicant Phone:8019241100
KESTER SARRAN License Number: 987868
SUNCREST SOLAR INC
420 E SOUTH TEMPLE SUITE 280
SALT LAKE CITY, CA 84111
Fee Description oy Amount
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 Permit_Template.rpl Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the follawmg reason:
License Class /' 1 f7 License No. V Q By my signature below I acknowledge that,except for my personal residence
Expires J., ��,Jgnature 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
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 forworkers 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 Www.lealn1o.ca.eoy/calaw.html.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
I have and will maintain workers compensation insurance,as required by
/action 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.1 have read this
number ar application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier 6/ -! �/L �-4�� � building construction.l authorize representatives of this city or county to
`257—/ (� 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
o I certify that in the performance of the work for which this permit is issued,
I 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 l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith col ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant — Date —n 'l� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING: /LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o No
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($300,000),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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY o Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes o 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,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 DYes o No
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 OWNER OR AUTHORIZED AGENT
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 IRRPj
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 applicantto 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
❑I,as owner of the property,or my employee with wages as theirsole 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.eov/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 itwas
not built or improved for the purpose ofsale. o No EPA Lead-Safe Certified Firm is required for this project because:
o 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 RRP
Acknowledgement.
CITY OF ME1VIFEE PLCK No: Permit No:
29714 Haun Road f dO
Date: ate:
Menifee, CA 92586 %lW
Phone: (951)672-6777 City of Menifee Amount: Amount:
Building & Safety Dept. I"�S
Fax:(951)679-3843 Ck#: Ck#:
JUN 3 0 2016
Building Combination Permit
To Be orefecT 8k AVplicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number.
29567 Cool Meadow or Menifee,CA 92584-8585 ?J. _
Pro/ectfTenant Name:Anthony and Brenda Villa Unit#: Floor#:
Name:Anthony and Brenda Villa Phone No. Fax No.
Property Address:29567 Cool Meadow Dr Menifee, CA 92584-8585 p Codea�
Owner Unit Number Zi
Email Address: VIIIaville5@mSn.com
Name: Suncrest Solar Phone No. 800-376-4115 Fax No.
Applicant Address: 420 E. South Temple Unit Number 4 V aW F Zip Code 84111
Email Address: process@suncrestsolar.com
Name: Suncrest Solar Phone No. Fax No.
800-376-4115
Contractor Address:420 E. South Temple, Suite 280 City Salt Lake Ci StateUT Zip Code 84111
Contractors City Business License No. Contract 786C8ty State of California License No. Classification: C-10
Number of Squares:
Square Footage
Description of Work: MSP UPGRADE S Cost of Work:$ —
Applicant's Signature Date:
�l
mpletAd By.City Staff only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: t set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/.x 11)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' MeanslMethods
Work Type: Repair Retrofit' Revision to Exisfing Permir' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg. Code Occupancy Group Indicate Indicate 8 YES or NO Indicate all Geo-tech.Haz.Zone
At Project Construction Sprinklered that apply: Coastal Zone
Completion:
Type(s): C of o YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Sp-gal Case: I g.
OfficialApprovai
Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing
For Staff Use Only
Building/Safely Permit Specialist I Cily Planning I Civil Engineering EPWM-Admin I Transportation Mgmt. 1 Rent Contra: