PMT17-03370 City of Menifee Permit No.: PMT17-03370
29714 HAUN RD. T Residential Electrical
<A�CCELA? MENIFEE,CA 92586 Type:
MENIFEE Date Issued: 09/28/2017
PERMIT
Site Address: 32115 HOOK LN, MENIFEE, CA 92584 Parcel Number: 372-213-000
Construction Cost: $32,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED PV SYSTEM 14.26KW,56 MODULES AND 26 MICRO-INVERTERS, 19.5kw
Work: GENERAC GENERTATOR,AND GENERAC TRANSFER SWITCH
Owner Contractor
TONY FALCO NEW DAY SOLAR
32115 HOOK LANE 23811 WASHINGTON AVE STE C110
MENIFEE, CA 92584 #224
Applicant Phone:8554446329
BRANDON CARLSON License Number: 812958
NEW DAY SOLAR
23811 WASHINGTON AVE STE C110
#224
MURRIETA, CA 92562
Fee Description QtV Amountl$ _
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 65 64.55
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$363.16
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_Pennit 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 1lcensure under the Contractors State License Law for
Professions Code and my license is' full force and effe . the fallowing reason:
t ^
License Class
t lV Lice9sz No. By my signature below I acknowledge that,except for my personal residence
Expires in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DEC RATIO improvements covered by this permit.I cannot legally sell a structure that 1
have built as an owner-builder if it has not been constructed in Its entirety by
in 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.leainfo.ca-eov/calaw.html.
this permit is issued.
Policy# Date
ei'1 ave 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 workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this
number are: ��9 application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 20 xpues 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
a 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 If
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker�pensa .visions of Section 3700 the Labor
Code,I sh o wi comply w ase provisions. / 3 / Will the applicant or future building occupant handle hazardous material or a
Appli nt r Date X 1/ mixture containing a hazardous material equal to or greater that the
amounts spe d on the Hazardous Materials Information Guide?
WARNING. AILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occI the intended use of the building st the applicant orfutu reion building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require Manage enor theconstructionormodificationfrom South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7 See permitting checklist
for guldelin�a'
CONSTRUCTION LENDING AGENCY a Yes ;
I hereby affirm that under the penalty of perjury there is a construction Will the propose Ilding or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bound96 of a school?
(Section 3097 Civil Code) ❑Yes 4rlgo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 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 Callforni ealth&Safety Cod coon 25505 and 25534 concerning
repo
checkmark(s)I have placed nett to tire m hazous material
e applicable Item(s)
s)(Section 7031.5 es
Business and Professions Code).Any city or county that requires a permit to effl
Dat
construct,alter,Improve,demolish or repair any structure,prior to its pR R OWNER UTHORIZED 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 IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
The EPA Renovation,Repair and Painting(RRP)Rule requiresincontractors
Business and Professions Cade)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in apre-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 owners and property
than($500).
managers who do the paint-disturbing work themselves or through their
❑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( I all of or( I 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
p 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. 0 No EPA Lead-Safe Certified Firm is required for this project because:
D 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 projeq does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
DATE: y Z F PERMIT/PLAN CHECK NUMBE I_1-'Q J 00
TYPE: O COMMERCIAL eRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O E CTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK `
PROJECTADDRESS _ ?Z11 11vp'k W. Aft-Aw_ N`l 72�ftIP
ASSESSOR'S PARCEL NUMBER 2j�'ZZ(3-�'�Y LOT TRACT
OWNER NAME X "? 11VB
ADDRESS
PHONE � l3-y/z/RY EMAIL
APPLICANT NAMMEQ/ ay�;7f � t �,I A�-� �+ C� /
ADDRESS 0J V/ /wdJ"1L7 CCi'+ Aw-- o[ ` C D ! 1 /� cA fz
PHONE �� �3Z EMAIL ,�i'ay(6l1(y�Y�2 5'6'd(= C-4-?
CONTRACTOR'S NAME ew J)o/ 5/,✓tom/ OWNER BUILDER? O YES 990'
BUSINESS NAME
ADDRESS Z� I� 2//S jc 5UI4e /10 *22 .,4,tVYr`I�� C��1ZZ
PHONE g `b J} T EMAIL a � 6ta`�- �C: tGf�
CONTRACTOR'S STATE LIC NUMBER q53 LICENSE CLASSIFICATION
VALUATION$ 3Z D® D FT O'er L SQ FTT�'
APPLICANT'S SIGN R. = ' DATE
CITYSTAFF USE ONLYL___�
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE Lo g6l4g SMIP GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE## NOTARIZED LETTER O YES O NO
City Of Aeniiee;
Building & Safety Dept.
SEP 2 5 2017