PMT16-03824 City of Menifee Permit No.: PMT16-03824
29714 HAUN RD.
<A-CCELA-> MENIFEE, CA 92586 Type: Residential Electrical
r-"—A S�r— MENIFEE Date Issued: 11130/2016
P E R M I T
Site Address: 29060 SNEAD DR, MENIFEE, CA 92586 Parcel Number: 338-046-007
Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
DAVID RUTHVEN SUNRUN INSTALLATION SERVICES INC
29060 SNEAD DRIVE 775 FIERO LANE STE 200
MENIFEE, CA 92585 SAN LUIS OBISPO,CA 93401
Applicant Phone:4155806900
JORDAN AUDIFFEREN License Number.750184
SUNRUN INSTALLATION SERVICES INC
775 FIERO LANE STE 200
SAN LUIS OBISPO,CA 93401
Fee Description ON 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 requidng the correction of effors 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.B1dg_Pemnft-TeMplate.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION 0 1 am exempt from ficensure under the Contracture 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 Code 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 6�-1() 1.as improvements covered by this permit,I cannot legally sell a structure that I have
Expires(P-,20-19 Signaty built as an owner-building if it has not been construcled 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:
0 1 hereby affirm under penalty of perjury one of the following declarations: htti)glwww.leginfo.m.ciovtcalaw.htmI
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 orAuthortzed Agent
Policy# 0 By my Signature below, I certify to each of the following:I am the property
0 1 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 inficurniAlon 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-
CarrieraAr(di A:n&eJ-f identified property for the inspection purposes.
Policy#WC-0 lf&A&0 9/ Expires /0. /-/& Property Owner orAuthorized Agent—Date
(This section need not be completed if the permit is for City Business License 067
one-hundred dollms—(_$100)or less)
HAZARDOUS MATERIAL DECLARATION
0 [certify that in the performance of the work for which this permit is issued,I
shall not emplo any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material Ora
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 a
,pacified on the Hazardous Materials Information Guide?
Code,I shall forthwii ith those provisions. DYES XNO
App ica [Date; VAI 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 pennitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL forguidell as
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ZO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), INADDITION TO THE COST OF COMPENSATION, Will the proposed building ormodified facility liewitfilin 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary 9f a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ;9�NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of pedury 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 material reporting.
OWNER BUILDER DECLARATIONS MfYES D NO Date (.I.S.6
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the reason(s)indicated below by the checkmark(s)I have placed PRSFE-ffT'YOWNbrO'R AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct,after, improve,demolish, EPA RENOVATION,REPAIR AND PAINTING(RRPJ
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 Contractoes State Llicense 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-certffled 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 anyApplicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more then($500).) employees.For more Information about EPXs Renovation Program Visit:
www.epa.govfiead or contact the National Lead Information Center at
1, as owner of the propeft 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 7044,13usiness and Professions Code;
The Contractor's State License Law does not apply to an owner of a property D 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, Cerfified 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 Firm Certification No.:
purpose of sale).
0 1, as owner of the property an exclusively contracting with licensed D 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 impin:ives thereon, and who cont,racts for the projects with a
---- ------- I _. .1 11.......
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4 �`M e n i fe e
DATE L PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL ORESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION )PELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Ma6ri Paml LA4204b, eXic&16 1011 A :�,q _200 A
PROJECT ADDRESS aq() tp 6 �_Jjf ad, ckp;5!�x
ASSESSOR'S PARCEL NUMBER 3-3;?6T*[) (jo LOT TRACT
OWNER NAME David Ru4 IN ye*i
ADDRESS _M�tjd �,Md, D r, SU4.1 "+y I�A qaS2 to
PHONE �7,57- EMAIL
APPLICANTNAME -AUdjf:jCttj,
ADDRESS _2jP9.1-D fl/) ):t A AAUrrie-�A C41 olaS Lp 2-
PHONE -7(po- _707 EMAI
CONTRACTOWSNAME Cjj'V0e4-+ OWNERBUILDER? OYES ONO
BUSINESSNAME 2U,*jrV,"
ADDRESS _"5_ E(er0
PHONE '70.C_- �_Z+0 -7(jej I EMAIL
CONTRACTOR'S STATE LIC NUMBER 7SO I-,�Q LICENSE CLASSIFICATION
VALUATION $ SO FT L SQ FT
APPLICANT'S SIGNATUR DATE
PRIVY owl
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PL41VNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT 11�0-w 1 1149 -(9D OCASH OCHECK# OCREDITCARD VISAIMC
P N CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 No DLNUMBER NOTARIZED LETTER 0, YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213