Loading...
PMT17-00715 City of Menifee Permit No.: PMT17-00715 29714 HAUN RD. �CCEL/4�. MENIFEE,CA 92586 Type: Commercial Electrical ciw— "W.t— MENIFEE Date Issued: 04/12/2017 PERMIT Site Address: 27587 LA PIEDRA RD, MENIFEE, CA Parcel Number: 360-110-020 92584 Construction cost: $57,000.00 Existing Use: Proposed Use: Description of INSTALL ADDITIONAL SOLAR PANELS TO EXISTING ROOF MOUNTED SYSTEM ON GYM,64 Work: PANELS, 1 INVERTER,20.48 kW Owner Contractor SANTA ROSA ACADEMY SKELLY ELECTRIC INC 27587 LA PIEDRA ROAD 440 NORTH HALE AVE MENIFEE,CA 92584 ESCONDIDO, CA 92029 Applicant Phone:7604804400 DAVID WAHLQUIST License Number: 328332 SKELLY ELECTRIC INC 440 NORTH HALE AVE ESCONDIDO, CA 92029 Fee Description OQt Amount($ Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 158 157.50 GREEN FEE 1 3.00 SMIP COMMERCIAL 1 16.00 General Plan Maintenance Fee-Electrical 1 12.60 $468.10 The issuance of this permit shall not prevent the building official from thereafter requiring the collection 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_Pennil_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 perjurythat 1 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 a I am exempt from licensure underthe Contractor's State License Law for Professions Code and my license is in full force and effect. cy the following reason: License Class `C—)Ci License No. e2 O �--' By my signature below I acknowledge that,except for my personal residence Expires)(-30 I'd Signature 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 I WORKER'S COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by ❑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 for worker's 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,forthe performance of work for which www.leginfo-ca.gov/calaw.litini. this permit is issued. Policy N Date gave 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 in By my signature below I certify to each of the fallowing: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.I have read this number/nac�re: p application and the information I have provided is correct.I agree to comply Carrier C.. PQe SS .fin/S with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to PolicyaS/ We:1110 C/1 Expires O,rj�'LO�l7 entertheabove Identified property for inspection purposes. (This section need notto be completed is the permit is for one-hundred Date dollars($SOD)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit Is issued, O I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE ff workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shal with comply w'h those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant —Date mixture containing a hazardous material equal to or greater thatthe amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes d.Plp 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 require a permit for the construction or modification from South IN SECTION 3 ADDITION T3 THE COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist 7060F THE HE LABOR[ODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes rtli0 1 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) �4es ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 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 al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ,yK, Business and Professions Cade).Any city or county that requires a permit to `Y`s�Date 7 —�.�� construct,alter,improve,demolish or repair any structure,prior to Its pROPchUTHORIZ 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 IRRPI 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 faculty to be RRP-certifled firms and comply with an Applicant for a permit subjects the applicant to 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 o I,as owner of the property,or my employee with wages as their sale 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 ❑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. sNo EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed l 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 APPLICATION c. :. 'Aenifee DATE 03/08/2017 PERMIT/PLAN CHECK NUMBER �5 TYPE: ❑✓ COMMERCIAL ❑RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION QELECTRICAL []MECHANICAL []NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Install an additional 20.48kW of solar on gymnasium building at Santa Rosa Academy. 64 solar modules. 1 string inverter PROJECT ADDRESS 27587 La Piedra Rd Qa,o ASSESSOR'S PARCEL NUMBER 360.110-020 LOT 9 TRACT ( Of Menifee PROPERTY OWNER'S NAME Santa Rosa Academy Uilding (S Bafety DO A. ADDRESS 27587 La Piedra Rd,Menrfee CA 92584 MAR 0 9 2017 PHONE (951)672-2400 EMAIL Ibadillo@sra.mn +. APPLICANT NAME David Wahlquist ADDRESS 440 N Hale Ave, Escondido CA 92029 PHONE (760)480-4400 EMAIL davew@skellyelectric.com CONTRACTOR'S NAME Skelly Electric OWNER BUILDER? ❑YES©NO BUSINESS NAME ADDRESS 440 N Hale Ave,Escondido CA 92029 PHONE (760)480-4400 EMAIL davew@skellyelectdc.com CONTRACTOR'S STATE LIC NUMBER 328332 LICENSE CLASSIFICATION C-10 VALUATION$ $57,000.00 SQ FT L SQ FT APPLICANT'S SIGNATURE DATE 03/08/2017 DEPARTMENT DISTRIBUTION CITY OF/�_t��N/ �E BUS ES,�LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP �`Q �V O U INVOICE , PAIDAMOUNT AMOUNT O- �4M1�01 S •V(V OCASH OCHECKq OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0 CASH O CHECK# O CREDITCARD 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