PMT16-03827 City of Menifee Permit No.: PMT16-03827
29714 HAUN RD. Type: Residential Electrical
<A—CCEL:A—> MENIFEE,CA 92586
MENIFEE Date Issued: 11130/2016
P E R M I T
Site Address: 261143 GERMANTOWN DR, MENIFEE, CA Parcel Number: 335-144-006
92586 Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
BILLY HOPPER SUNRUN INSTALLATION SERVICES INC
26143 GERMANTOWN DRIVE 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
Services,Switchboards,Control Centers&Panels 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Elechir-al 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__B1dg_Perrnft-Temp1ate.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION 0 lam exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commenciing with secrion 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 hill force and effect which I must have resided for at least one year prior to completion of
License Class e—10 .Ge improvements covered by this permit,I cannot legally sell a structure that I have
Expires_0',90-t&_ Signaty built as an owner-building if it has not been constructed 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 pedury one of the following declarations: hfti3.,//wvvw.leciinfo.m.gov/calaw.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 or Authorized 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 information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carrier 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-
CarrierzArfa2 A:H&eJ-i identified property for the inspection purposes.
PcificyWCOISAW111 Expires /0-N& Property Owner crAuthodzed Agent Date
(This section need not be completed if the permit is for City Business License# 0 7557 ILI
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
0 1 certify that in the performance of the work for which this perafit 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 vecified on the Hazardous Materials Information Guide?
Code,I shall fbrlhwi�ilh�lth�those provisions. DYES YNO
Appl�� Date; 9f Will the intended use of the building by the applicant or future building
occupant require a pernrilit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' CoasMr Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL forguildell as
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYESZO
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 mrillim 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundarygf a school?
LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES 0
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Informallon 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.
MfYES 0 NO
OWNER BUIL13ER DECLARATIONS
I hereby affirm under penalty of pedury that I am exempt from the Contractor's Date (.I-SIRP
License Law for the reason(s)indicated below by the checkmatk(s)I have placed PH115�TY OWN�R'OR 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(RRP)
or repair any structure, prior to its Issuance, also requires the applicant for the
permit to rile 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 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-cerUfjed 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 7031.6 by any Applicant 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 EPNs Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
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.(Section 7044,Business and Professions Code;
The Contractor's 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 property,
provided that the Improvements are not intended or offered for sale.If,however, Certified Finn 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).
El 1, as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Cerfified Finn 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 imp!oves thereon, and who contracts for the pr9jects with a
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
At.... Menifee
DATE )U PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL 4RESIDENTIAL - MULTI-FAMILY 0 MOBILE HOME POOL/SPA 0'SIGN
SUBTYPE: ADDITION C, ALTERATION 0 DEMOLITION >��ELECTRICAL MECHANICAL
0 NEW `DPLUMBING RE-ROOF-NUMBER OF SQUARES—
DESCRIPTION OF WORK MAIn j2dAqej (�pqCadl_ fXis+i�i8 )aSA to ?-()oA
PROJECTADDRESS a(p 14, czvrmaAq40vv P, D OQ0ALP
ASSESSOR'S PARCEL NUMBER 3 3,S I q,+ 00 If LOT TRACT
OWNERNAME :HCJ�12gC2=
ADDRESS 941+,� (9
PHONE EMAIL
APPLICANT NAME :J_o)-da4,2 Udl 4 Cy?,O
ADDRESS c;LQ'F,)-0 H0�211? Cjr, 44A MUryj f +i cL
t-a, 6 ag&
PHONE EMAILiordam-Au6U4*crwo)sLLOrLL)ik,)iv�-
CONTRACIFOR'S NAME (a�Lllotv+ rrfJ A- OWNER BUILDER? C) YES>01\10
BUSINESS NAME (�� k2AAl i0ki _Iil/,.
ADDRESS 77,5—Fiero Layv� Ad-06 C" lw's Obispo Qq qt)qO)
PHONE lZ0,C_- 940 ' _)(P611 EMAIL
CONTRACTOR'S STATE LIC NUMBER _75() J-3q LICENSE CLASSIFICATION c— to
VALUATION $ '2-006 SO FT L SO FT
APPLICANT'S SIGNATURE DATE _L41LI
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP � )'� I
INVOICE PAIDAMOUNT 0CHECK#
LANCASH ."CREDITCARD VISA/MC
MOU T
AN CHECK FEES PAID AMOUNT
P CASH CHECK# �"CREDITCARD VISA/MC
OW U
NER B ILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES Q NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.LIS Inspection Request Line 951-246-6213