PMT16-03826 City of Menifee Permit No.: PMT16-03826
29714 HAUN RD. Type: Residential Electrical
<A-CCELA> MENIFEE,CA 92586
MENIFEE Date Issued: 11130/2016
P E R M I T
Site Address: 26904 HOWARD ST,MENIFEE, CA 92586 Parcel Number: 335-302-G48
Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
NORMAN SNOWDEN SUNRUN INSTALLATION SERVICES INC
26904 HOWARD STREET 775 FIERO LANE STE 200
MENIFEE, CA 92586 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 Qtv Amount is
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.
AkB1dg_Penrft-Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION 0 ]am exempt from licensure under the Contraclors'State License Law for the
I hereby affirm under penalty or pedury 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
LicenseClass e'-10 150 improvements covered by this permit,I cannot legally sell a structure that I have
Expires 0-30-I& Signaty built as an owner-building if it has not been constntled in its entirety by licensed
contractors.I understand that a copy of the applicable law,Section 7044 of the
WORKER&COMPENSATION DECLARATION Business and Professions Code,is available upon request when Us application is
submitted or at the following Web site:
0 1 hereby affirm under penalty of pedury one of the following declarations
I have and will maintain a certificate of consent of self-insure for workers: hffp.*/Iwww.leginfo.m.govlcalaw.htm].
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 crAuthodzed Agent
Poficy# D 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 ownees behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the informalfrin I have provided is correct. I agree to comply
permit is issued.My workers'compensaflon 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-
Carrierzir(ch 4mei-i identified property for the inspection purposes.
Policy#WCO IS(.Pq(R 0 9 J Expires /0 - /_1(0 Property Owner orAuthorized Agent—Date
(This section need not be completed if the permit is for City Business License# 07)5710
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
0 1 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 or a
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 specified on the Hazardous Materials Information Guide?
Code,I shall fcrlh35�1�th those provisions. DYES :�&O
Appli, Date; ISle Will the intended use of the building by the applicant or future building
e:�� occupant require a permit for the construction ormodification from South
WARNING: FAILURE TO SECURE WORKERS' CoaslAir Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL forguidell es
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES=0
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 boundar;&f a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES 0
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 fending 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,Secgon 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS t9!YES 0 NO Date
I hereby affirm under penalty of pedury that I am exempt from the Contractor's
License Law for the reason(s)Indicated below by the checkmark(s)I have placed PF&_ETT_Y0WNbr6R 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, alter, 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 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-certlfied firins and comply with
she is exempt from ficensure and the basis for the alleged exemption. Any required practices.This Includes rental property owners and property
violation of Section 7031.6 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 than($500).) employees.For more information about EPA!s Renovation Program visit:
www.epa.govilead or contact the National Lead Information Center at
0 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.(Sectfon 7044,Business and Professions Code;
The Contractors State License Law does not apply to an owner of a property 0 An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or Improves the propeft
provided that the improvements are not intended or offered for sale.If,however, Certified 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 El 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 Improves thereon, and who contracts for the projects with a
I ..1 11 1 1 .-� - ., .. .. — . -_.-__ — . .I----- - -- I ........... ------
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
'%..��'Wenifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL )30RESIDENTIAL _0 MULTI-FAMILY 0 MOBILE HOME 0_ POOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION kidLECTRICAL OMECHANICAL
ONEW OPLUMBING ON RE-ROOF-N UMBER OF SQUARES_
DESCRIPTION OF WORK M611ri 19&A,1Pj_U420Y-dh CXjS+)'k)6z )QQA _:�Or 2d)DA
PROJECT ADDRESS PL0,q 0 146 W-AKd C-f, av;k5AP
ASSESSOR'S PARCEL NUMBER 30;?-Cf+2 LOT TRACT
OWNERNAME P)0 W&41)
ADDRESS ?-U,104. %, A4,114 j�_f
'a Wd" L _e CA
PHONE 90S-,1(t0 . 3-3&3: EMAIL
APPLICANT NAME' J�)Id&Pj bkUAj"eM
ADDRESS 2U'7_-2_0 J+jj�j e CirdeI-A Atrrit+ cm ajjsu-�-
PHONE -7wo - j,0ig- LPS4�3 EMAILZaAA *Ukff-WM�DsLtoy'L.Lnhoyvt. fbjv)
CONTRACTOR'S NAME bj)bU4 C.OrrtiX OWNER-BUILDER? 0 YES 0
BUSINESSNAME SLtm/" Tngj,%,t1aJ-(6i, S�f"iccs —LAc
ADDRESS ;!7S HZ4-6 LAVU 4j ,-L6() Sa�n LJLj� OWSPID 64�
PHONE 94-() . -2ul 1 EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C—10
VALLIATION$ c -006 SO FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE
AMOUNT lwp-o PAID AMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
� P' N CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYE'S 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213