PMT17-02728 City of Menifee Permit No.: PMT17-02728
29714 HAUN RD. Type: Residential Electrical
�ACCELA� MENIFEE,CA 92586
ro,m,-,sM..=,• MENIFEE Date Issued: 08/03/2017
PERMIT
Site Address: 28700 SNEAD DR, MENIFEE, CA 92586 Parcel Number: 337-374-005
Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of PANEL UPGRADE 100A TO 200A
Work:
Owner Contractor
TRUDY COHEN SOLARCITY CORPORATION
28700 SNEAD DRIVE 3055 CLEARVIEW
MENIFEE,CA 92586 ATTN ZOE STEELE
Applicant Phone:6509635100
CODY THURMAN License Number:888104
SOLARCITY CORPORATION
3055 CLEARVIEW
SAN MATEO, CA 94402
Fee Description ON Amount 151
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.
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 o I am exempt from licensure under the Contractor's State License Law far
Professions Code and my license is in full force and effect.
the following reason:
License Class 6W)— !�/4 License No._ M K IOCI By my signature below l acknowledge that,except for my personal residence
Expires R-3j'« 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 constmcted 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 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,for the performance of work for which ,yww.leeinfo.ca.eov/calaw.lstml.
this permit is issued. _
Policy# Date
jZl have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the follovring:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier ZL/�%G f7/ with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires 07-,-/7 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,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
/�;� mixture containing a hazardous material equal to or greater that the
Applicant G-�- �2�� Date �"3��%'� amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes arNo
UNLAWFUL,AND SHALLSUB1ECfAN 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 permit for the construction or madiRcationfram South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District constSCtionor odifinionfroee permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines
Qua
CONSTRUCTION LENDING AGENCY o Yes q 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) o Yes A'No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
hereby affirm under penalty of perjury that l 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
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.Ayes o No �.-�/'
Business and Professions Code).Any city or county,that requires a permit to - - Date 3-3/F-%'"�'
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter9(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 permit subjects the applicant to a civil penalty of not more required practices.This includes rental property ownersand property
than($500). - managers who do the paint-disturbing work themselves or through their
01,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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of o An EPA Lead-Safe Certified Renovator Will he 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:
01,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 RAP rule please fill outthe RRP
Acknowledgement
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
'Menifee
DATE 0 810 3/2 01 7 PERMIT/PLAN CHECK NUMBER F"T 72
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[_]NEW []PLUMBING ❑RE-ROOF-NUMBEROFSCLUARES
DESCRIPTION OF WORK Main Panel Upgrade to 200A
PROJECT ADDRESS 28700 Snead Drive,Menifee,CA 92586 V
ASSESSOR'S PARCEL NUMBER 33� • 3�-I-Oo'S LOT TRACT
PROPERTY OWNER'S NAME Trudy Cohen
ADDRESS Same
PHONE EMAIL
APPLICANT NAME SolarCity DBA Tesla — "x- wlcw-%
ADDRESS 43320 Business Park Dr.Suite B-104,Temecula,CA 92590
PHONE (951)331-0373 EMAIL arlott@tesla.com
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑NO
BUSINESS NAME SolarCity DBATesla
ADDRESS 43320 Business Park Dr.Suite B-104,Temecula,CA 92590
PHONE (951)331-0373 EMAIL arlott@tesla.com
CONTRACTOR'S STATE LIC NUMBER 888104 LICENSE CLASSIFICATION B C10 C46
VALUATION$ 2d oo SO FT L SO FT
APPLICANT'S SIGNATURE DATE 08/03/2017
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN '•Cbl SMIP IV
INVOICE PAID AMOUNT
AMOUNT I 1 OCASH 0 CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
Menifee
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-67& rrRg&fafety Dept.
www.citycfT enifee.us Inspection Request Line 951-246-6213
AUG 0 3 2LI i
Received