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PMT17-01717 City of Menifee Permit No.: PMT17-01717 29714 HAUN RD. Type: Residential Electrical 4ACCEL/? MENIFEE, CA 92586 MENIFEE Date Issued: 06/06/2017 PERMIT Site Address: 30557 FALCON NEST DR, MENIFEE,CA Parcel Number: 358-681-004 92584 Construction Cost: $22,000.00 Existing Use: Proposed Use: Description of SOLAR TR 32025 DAKOTA Work: 12 MODULES,4.02KW MASTER PC PMT16-02535 LOT 86 Owner Contractor WOODSIDE HOMES SUNPOWER CORPORATION SYSTEMS 11870 PIERCE ST#250 77 RIO ROBLES RIVERSIDE,CA 92505 SAN JOSE,CA 95134 Applicant Phone:9417203850 TYLER SANTANGELO License Number..890895 SUNPOWER CORPORATION SYSTEMS 77 RIO ROBLES SAN JOSE,CA 95134 Fee Description Qtv Amount lSl Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $295.60 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_8ldg_Perm1t_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 o 1 am exemptfrom licensure underthe Contractors5tate License Lawfor Professions Code and my license is in full force and effect. /� the following reason: I License Class Ucense No. By my signature below I acknowledge that,except for my personal residence Expires PZ2 ,Signature in which 1 must have resided for at least one year prior to completion of - improvements covered bythis permit.I cannot legallysell a structure that] WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o 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 workers 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,for the performance of work for which vv .le=info.ca.eov/calaw.html. this permit is issued. Po cy# - Date I have 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 D By my signature below I certify to each of the following: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 are: rr,, application and the information I have provided is correct.I agree to comply Carrier 2 L with all applicable city and county ordinances and state laws relating to AA�� / building construction.I authorize representatives of this city or county to Policy# E'1�iV�� r Exist,. 1 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less " PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit Is issued, /sY I shall not em 03y ploy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9 workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Cade,l shall fort th cor p r t ns. """"��!�j��777 Will the applicant or future building occupant handle hazardous material or a � ! mixture containing a hazardous material equal to or greater that the Applicant Date amounts sp cified on the Hazardous Materials Information Guide? WARyag FAIL fro SECURE WORKER'S COMPENSATION COVERAGE 15 0 Yes tlo 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 ON TO THE COST LABOR CODE,INTERTION,DAMADATTOGES AS R ATTORVIDEDNEYS FOR Coast Air Quality Management District(SCAQMO)?See permitting checklist IN SECf10N 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES farguide�li•"JG�s CONSTRUCTION LENDING AGENCY 0Yes I hereby affirm that under the penalty of perjury there is a construction Will the prop sed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bou ary of a school? (Section 3097 Civil Code) o Yes o 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 Contactors License Law for the reason(s)indicated below by the California Health&Safety Code,Sect' 5534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ives ha rdous material report! 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 Issuance,also requires the applicant for the permit to file a signed statement ERTYOWNERO IZED AGENT that he or she is licensed pursuant to the provisions of the Contactors State EPA RENOVA .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 contactors 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 td be RRP-certified 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 sole 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.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). Cade;The Contractors State License Law does not apply to an owner of a oAn 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. o No EPA Lead-Safe Certified Firm is required for this project because: o I,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 APPLICATION ...... Menifee DATE 0 5/0 312 0 1 7 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN SUBTYPE: []ADDITION []ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Roofmount Solar Installation 4.02kW �) 12 Modules w/Micro-Inverters PROJECTADDRESS 30557 FALCON NEST DRIVE al I?, ✓J g ASSESSOR'S PARCEL NUMBER V' J —In j) f ON LOT S6 TRACT PROPERTY OWNER'S NAME WOODSIDE HOOMES ADDRESS 11870 PIERCE ST. SUITE 250, RIVERSIDE,CA 92505 PHONE EMAIL APPLICANT NAME Tyler Santangelo ADDRESS 3979 E. Guest!Road, Suite B, Ontario,CA 91761 PHONE (951)303-5386 EMAIL tyler.santangelo@sunpowercorp.com CONTRACTOR'S NAME Neil Del-ucenay OWNER BUILDER? ❑YES❑✓ NO BUSINESS NAME SunPower Corporation, Systems ADDRESS 1414 Harbour Way South, Suite 1901, Richmond, CA 94804 PHONE (941)720-3850 EMAIL neil.delucenay@sunpowercorp.com CONTRACTOR'S STATE LIC NUMBER 890895 LICENSE CLASSIFICATION B, C10, C46,A VALUATION$ $22.000.00 So.FT 210 L SO FT APPLICANT'S SIGNATURE DATE 05/03/2017 DEPARTMENT DISTRIBUTION ,..�,�n CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN L SMIP I!J0 INVOICE ; (jQ PAID AMOUNT AMOUNT ' CLASH OCHECKIJ GCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECKR OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 NOTES: ARE T WIDE FIRE ACCESS PATH City of ivtenitee Building Dept 3' 21 ' MAY 3 1 1 er ---------------------------- ROOF ACCESS POINT I) I _ I lT) -J JUNCTION BOX CITY OF MENIF -CONCRETE TILE ROOF BUILDING AND SAFETY DEPl*MENT / Q PLAN APPROVAL UTILITY AC DISCONNECT SWITCH (OUTSIDE GARAGE WITHIN SIGHT FROM THE MAIN SERVICE PANEL) 1lte DAT '4pproval of these plans sh no constrbR a )3 ermmt r,or an approval of,any viol&U anyiet rovisions of the federal,state r city regulations and ord(nanceR phis of approved plans must be keppt on the 12 MUDULES jobsite until completion. SPR—X21-335—BLK—C—AC TILE HOOK (S—TILE) INVISIMOUNT (ABOVE TILE) PLAN 2 (SCHEME 2) ELEVATION A (4.02 k)X/) WNMEM 1111E S U N P WE R DAKOTA AT AUDY MURPHY RANCH S-TILE A ATI.. INDIVIDUAL S15TF1I UOAnO„ PLOT PLAN CORPORATION, SYSTEMS BACK ARRAY LAYOUT I414 HA0.BOU0. WAY SOUTH 2680o rrtnno 402 (W Dh.NBv ✓£'IzIO„ RICHMOND, CA 94804 NSTOXE0. SRE lOUT10N 5lO0.Y n..E"E OOF>RCH JGENDRANO O 2-STORY 4:12 ORE (st9) 54o-Osso WOODSIDE HOMES 30557 FALCON NEST DRIVE 11870 PIERCE ST.SUITE 250 MENIFEE,CALIFORNIA 92584 0 �� 12-22-2016 snEn RIVERSIDE,CA 92505 APN#:358-6BO-004 vwsE R Butt ��, 2 8 3/32"=1'-0- 1