PMT17-03061 City of Menifee Permit No.: PMT17-03061
29714 HAUN RD.
<-4-=EL/" MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 812 912 01 7
PERMIT
Site Address: 30532 LONE PINE DR, MENIFEE, CA Parcel Number: 358-652-002
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of SOLAR TRACT 32025-THE RIDGE LOT 154
Work: 5.03 KW 15 MODULES WPMICRO-INVERTERS
Owner Contractor
RICHMOND AMERICAN HOMES SUNPOWER CORPORATION SYSTEMS
5171 CALIFORNIA AVENUE SUITE 120 77 RIO ROBLES
IRVINE, CA 92617 SAN JOSE, CA 95134
Applicant Phone: 9417203850
NEIL DELUCENAY License Number:890895
SUNPOWER CORPORATION SYSTEMS
77 RIO ROBLES
SAN JOSE. CA 95134
Phone: 9417203850
Fee Description Qtr Amount f$1
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_Bldg_PermR_Template.rpt Page 1 of i
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 for
Professions Cade and my license is in full force and effect the following reason:
License Class 0 1A/13Ucens By my signature below l acknowledge that,except for my personal residence
Expires Signature in which l must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally Sella structure that I
WORKER'S COMPENSATION DECIARAT 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 www.lexinfo.ra.eov/calaw.html. _
this permit is Issued.
Policy# Date
o I have and will maintain workers compensaton 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 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: application and the information I have provided is correct 1 agree to comply
Carrier Z with all applicable city and county ordinances and state laws relating to
.m1 building construction.I authorize representatives of this city or county to
Policy tt can,-Lt5- Expires 11 Zz 71� 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 1 certify that in the performance of the work for which this permit is Issued, KZRyv-1�
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If \JJ✓�.cJ
workers compensation laws of California,and agree thatif should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisio ction 3700 of the Labor
Code,I shall forthwith co with revisions. ) Will the applicant or future building occupant handle hazardous material or a
Applicant Date 7,�71f,{ mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING: RE TO SEC WORKER'S COMPENSATION COVERAGE IS O Yes O No
UNLA 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
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 ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes o 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 o 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 25So d-28534concerning
hazardous material reporl!DIll
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes o Now
Business and Professions Code).Any city or county that requires a permit to ate
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY AUT EDAGENT
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 RE OVATION.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 Cade)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 fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($S00). managers who do the paint-disturbing work themselves or through their
o1,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).
Code,The Contractors State License Law does not apply to an owner of a o 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. o No EPA Lead-Safe Certified Firm is required for this project bemuse:
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.
_. / I ' -' A e ' n
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
"Menifee
DATE 08/21/2017 PERMIT/PLAN CHECK NUMBER PI I I I I—D�)Du
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: ADDITION []ALTERATION ❑DEMOLITION [Z]ELECTRICAL ❑MECHANICAL
[]NEW ❑PLUMBING FIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Roofmount Solar Installation 5.03kW
15Modules w/Micro-Inverters
PROJECT ADDRESS 30532 LONE PINE DRIVE 2
ASSESSOR'S PARCEL NUMBER 3�i8 1p820D2 LOT 154 TRACT 'J201 F1
PROPERTY OWNER'S NAME RICHMOND AMERICAN HOMES
ADDRESS 5171 CALIFORNIA AVE.SUITE 120, IRVINE, CA92617
PHONE EMAIL
APPLICANT NAME Tyler Santangelo
ADDRESS 3979 E.Guastl Road,Suite B, Ontario, CA 91761
PHONE (951)303-5386 EMAIL h'ler.santangelo@sunpowercorp.com
CONTRACTOR'S NAME Neil DeLucenay 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,CIO,C46,A
VALUATION$ $20,000.00 SQ FT L SQ FT
11 APPLICANT'S SIGNATURE DATE 08/21/2017
Oman
DEPARTMENT DISTRIBUTION CITY OF MEN IFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN
INVOICE PAIDAMOUNT `/
AMOUNT L 1 .SL°i O CASH OCHECKH CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT - 0CASH !`)CHECK# %CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED Q YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Sgfety Department 29714 Noun Rd. Menifee, CA 92586 951-672-677 7
www.Cityofinenifee.us Inspection Request Line 951-245-6213
NOTES:ROOFTOP PENETRATIONS AND/OR CONSTRUCTIONS NOT PERTAINING TO SOLAR
INSTALLATION SHALL NOT BE LOCATED UNDER ARRAY.
ARE T WIDE FIRE ACCESS PATH
DIMENSIONS OF THE INSET ARE LARGER THAN THE ARRAY AND SHALL BE
CONFIRMED BY THE BUILDER BEFORE THE INSTALLATION.
15'-6" 7'-5am one
3'
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CONCRETE
TILE ROOF
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(OUTSIDE GARAGE SERVICE
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SERVICE POINT AND
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PLAN S24P (PAIGE) (SCHEME 4)
ELEVATION B (5.03 W)
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t au x„ PLOT PLAN
CORPORATION, SYSTEMS o,rxnu ARRAY LAYOUT
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1414 HARBOUR WAY SOUTH 169^„w 5.03 kW 9ravmm „ensIory
RICHMOND, CA 94004 MER AENRIQUE2 O
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