PMT17-03477 City of Menifee Permit No.: PMT17-03477
29714 HAUN RD.
7%CCEL/� MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 1 0104/2 01 7
PERMIT
Site Address: 26364 MALLORY CT, MENIFEE, CA Parcel Number:
92584 Construction Cost: $12,000.00
Existing Use: Proposed Use:
Description of SOLAR TR 30142 CYPRESS
Work: 9 MODULES, 9 MICROINVERTERS 3.02KW
LOT 42
Owner Contractor
KB HOMES COASTAL, INC SUNPOWER CORPORATION SYSTEMS
36310 INLAND VALLEY DR 77 RIO ROBLES
WILDOMAR,CA 92595 SAN JOSE, CA 95134
Applicant Phone: 9417203850
TYLER SANTANGELO License Number:890895
SUNPOWER CORPORATION SYSTEMS
77 RIO ROBLES
SAN JOSE, CA 95134
Fee Description ,gyt Amount l5)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$294.60
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_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 a I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class d UcenseNoBy 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 sell a structure that 1
WORKER'S COMPENSATION DECLARAT 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 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
this permit is issued. www.IEgInfo.ca.aov/calaw.html.
Pogo,p Date
O 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 ❑By my signature below 1 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.1 have read this
number are: application and the information I have provided is correct.I agree to comply
2 with all applicable city and county ordinances and state laws relating to
Carrier hAffn2',lit, ���cyc�/ building construction.I authorize representatives of this city or county to
Policy# WWW& .L� Expires 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,
1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that ffl should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provlsio ction 3700 of the Labor
Code,lshall forthwith co with revisions. Will the applicant or future building occupant handle hazardous material or
Applicant .� Date mixture containinga hazardous material equal to orgrea[er 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 forguidellnes
CONSTRUCTION LENDING AGENCY ❑Yes ❑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) ❑Yes D 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
Contractor's License Law fort he perjury that Ica indicated below from
the California Health&Safety Code,Section 255 d-25534`concerning
hazardous material reportin
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 _
oyes O No _ . ��j/)^/-7
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 qW FIFO AUT OAGENT
issuance,also requires the applicant for the permit to file a signed statement IT//
that he or she is licensed pursuant to the provisions of the Contractors State EPA RE OVATION.REPAIR AND PAINTING(RRP)
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 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($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.eoa.aov/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 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.
BUILDIN & SAFETY PERM IT/PLAN CHECK APPLICATION
Menifee
DATE 10/02/2017 PERMIT/PLAN CHECK NUMBER (-7 -(); 47 7
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION [Z]ELECTRICAL ❑MECHANICAL
❑NEW [—]PLUMBING [-IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Roofmount Solar Installation 3.02kW
9 Modules w/Micro-Inverters
PROJECTADDRE55 26364 MALLORY COURT
ASSESSOR'S PARCEL NUMBER LOT 42 TRACT
PROPERTY OWNER'S NAME KB HOME
ADDRESS 36310 INLAND VALLEY DRIVE,WILDOMAR, CA 92595
PHONE EMAIL
APPLICANT NAME Tyler Santangelo
ADDRESS 3979 E.Guasti Road, Suite B, Ontario, CA 91761
PHONE (714)351-3396 EMAIL tyler.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 (951)581-5483 EMAIL tyler.santangelo@sunpowercorp.com
CONTRACTOR'S STATE LIC NUMBER 890895 LICENSE CLASSIFICATION B, C10, C46,A
VALUATION$ $ 12,000.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 10/02/2017
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN F SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menefee, CA 92586 951-672-6777
ww.Iw.&yafinenifee.us Inspection Request Line 951-246-6213
NOTES:ROOFTOP PENETRATIONS AND/OR CONSTRUCTIONS NOT PERTAINING TO SOLAR
INSTALLATION SHALL NOT BE LOCATED UNDER ARRAY.
ARE 3'WIDE FIRE ACCESS PATH
........ DIMENSIONS OF THE INSET ARE LARGER THAN THE ARRAY AND SHALL BE
........ CONFIRMED BY THE BUILDER BEFORE THE INSTALLATION.
Mene
Building&f afety Dept.
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ROOF ACCESS POINT--. .. .. .... i. UTILITY AC DISCONNECT SWITCH
(OUTSIDE GARAGE WITHIN SIGHT
p FROM THE MAIN SERVICE PANEL)
SERVICE POINT AND
ITY OF MENIFEE o u UTILITY METERING
. O
WILDING AND AFETI DEPARTMEN
<— OW9E1169Y
LAN APPROVAL UTTILITYGRID
0000.0
REVIEWED BY eeTTFF
SMODULES
SPR—X21-335—BLK—D—AC
Approval of these plans shall not be construed to be apermit for,offlEf S—TILE)
pproval of,airy violation of any provisions of the federal,state or cmiNVISI 0UNT
-egulations and ordinances. This set of approved planslnust be kept on the
obsiteuntPOmkW OPT. EXT. COV. PATIO - REVERSE (SCHEME 1)
ELEVATION A (3.02 kW)
APN EIEVPTILH CIXIIMEMTIIIE
S U N P W E R CYPRESS AT HIDDEN HILLS SUE A INDIVIDUAL
_« L—`n x PLOT PLAN
CORPORATION. SYSTEMS FRONT ARRAY LAYOUT
1919 HARBOUR WAY SOUTH I81°Pumnnan 3.02.02 kW
OPrwx BY x[VCi1Pl1
RICHMOND, CA 94804 1=xs'°Mm Sn[I.aunax siaxY xOMe IYPE wov P.. REBRUAL 0
15.101540-0550 KB HOME-SO CAL-INLAND EMPIRE 26364 MALLORY COURT 1-STORY 4:12 mn
q61 ssgg..FT' ENO' 09-29-2017 -WTn
36310 W11-DO AR,C VALLEY DRIVE MENIFEE,CALIFORNIA 92684 I61 SO.Fi.
WILDOMAR,CA 92695 PMeg suu
CUSTOM 1