PMT17-00362 City of Menifee Permit No.: PMT17-00362
29714 HAUN RD. Type: Residential Electrical
<ACCEL/? MENIFEE,CA 92586
MENIFEE Date Issued: 0 210 7/2 01 7
PERMIT
Site Address: 30566 SIERRA VISTA DR, MENIFEE, CA Parcel Number: 360480-039
92584 Construction Cost: $2,400.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
RANDALL RUPLE SOLAR SYMPHONY CONSTRUCTION INC
30566 SIERRA VISTA DRIVE 341 ENGEL STREET
MENIFEE,CA92584 ESCONDIDO, CA 93420
Applicant Phone:7603004141
JASON ROOKS License Number.988146
SOLAR SYMPHONY CONSTRUCTION INC
341 ENGEL STREET
ESCONDIDO, CA 93420
Fee Description OQt Amount(51
Services,Switchboards, Control Centers R 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.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 perjury that I 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 ❑I am exempt from licensure under the Contractor's State License Law for
Professions Cade and y license is in full force and effect. the following reason:
License Class License No By my signature below I acknowledge that,except for my personal residence
Expires 2d�� Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARA improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
❑1 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 worker's 70"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
this permit is issued. www.leginfo.ca.gov/calaw.litmi.
Policy p Date
4have 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 ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation Insurance carrier and policy owner or authorized to act on the property owner's behalf:I have read this
number are: ,/j,f/ .2 application and the information I have provided is correct.I agree to comply
Carrier /"`B1,r �r-p with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy tJ Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit' for ne-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the workfor which this permit Is issued,
I shall not employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workerj' )r ensation revisions of Section 3700 of the Labor
Code,I shall forth PI se provisions. Will the applicant or future building occupant handle hazardous material or a
Applk: Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WAR AIL RE TO SECURE WORKER'S COMPENSATIO CO ERAGE IS ❑Yes ❑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($100,000),IN occupant requires 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 AT FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑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) ❑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
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes ❑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 Contractor's State EPA RENOVATION,REPAIR 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 permitsubjects 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 orthrough their
❑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( I all of or( )portion of the work,and the structure is www.epa.gov/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 ❑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. ❑No EPA Lead-Safe Certified Firm Is required for this project because:
❑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.
BUILDING & SAFETY PERMIT/PLAN CHECK A• •
Men ifee
DATE 02/07/2017 PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION [-]DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL
❑NEW [-]PLUMBING []RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Maqin panel upgrade 100A to 200A end fed with 200A Main Breaker 225A x 1.2=270A
200+40=240A
PROIECTADDRE55 30566 Sierra Vista Drive Menifee,CA 92584
ASSESSOR'S PARCEL NUMBER 360-480-039 LOT TRACT Building &Safety D t.
PROPERTY OWNER'S NAME Randall Ruple FEB 0 7 2017
ADDRESS 30566 Sierra Vista Drive Menifee,CA 92584
PHONE (760)809-2922 EMAIL
APPLICANT NAME Jason Rooks
ADDRESS 341 N Engel St Escondido CA 92029
PHONE (760)300-4141 EMAIL design@solarsymphony.com
CONTRACTOR'S NAME Solar Symphony OWNERBUILDER? ❑YESONO
BUSINESSNAME Solar Symphony
ADDRESS 341 N Engel St Escondido CA 92029
PHONE (760)300-4141 EMAIL desogn@solarsymphony.com
CONTRACTOR'S STATE LIC NUMBER 988146 LICENSE CLASSIFICATION C46
VALUATION$ SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
s
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I SMIP X
INV
AMOUNT I PAID AMOUNT 1C1,
O CASH CHHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O No DL NUMBER NOTARIZED LETTER O YES O 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