PMT17-03523 City of Menifee Permit No.: PMT17-03523
29714 HAUN RD. Type: Residential Electrical
�CCELA� MENIFEE,CA 92586
MENIFEE Date Issued: 1 0/0 312 01 7
PERMIT
Site Address: 32115 HOOK LN, MENIFEE, CA 92584 Parcel Number: 372-130-004
Construction Cost: $2,500.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 400A
Work:
Owner Contractor
TONY FALCO NEW DAY SOLAR
32115 HOOK LANE 23811 WASHINGTON AVE STE C110
MENIFEE, CA 92584 #224
Applicant Phone:8554446329
BRANDON CARLSON License Number:812958
NEW DAY SOLAR
23811 WASHINGTON AVE STE C110
#224
MURRIETA, CA 92562
Fee Description Oft Amount($)
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 underthe Contractors5tate License Law for
Professions Code and my license is in full force and effect, the following reason:
License Class C--t 17 Ucense o
� By mysignature below I acknowledge that,except formy personal residence
Expires��Signature in which 1 must have resided for at least one year prior to completion of
improvements covered by this permit.)cannot legally sell a structure that I
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
this permit is issued. wvvw.Iexinfo.ca.goy/caiaw.html.
Polity# Date
D 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: application and the information I have provided is correct I agree to comply
Carrier
.S't r��f Q.4 e, with all applicable city and county ordinances and state laws relating to
a.� building construction.I authorize representatives of this city or county to
Policy# 26—fA y y Expires 'q —Cp,,,/may-- 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 '
❑I certify that in the performance of the work for which this permit is issued, p
I 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 if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the labor
Code,I shall finqhUssidth comply with t e provisions. Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to or greater that the
APPIic3r1� Date .S` amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o
UNLAWFUL,AND SHALLSUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Willthe 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 cons ruction or See permitting South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelenes
st
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 51X0
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.)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 conceming
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous aterial reportin .
Business and Professions Code).Any city or county that requires a permit to DYes o �F
�l Date
construct,alter,Improve, applicantsh for hepermiany t to
a prior to
statement
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 IRRP)
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 703M by receiving or childcare facility to beork that
rums and comply with
than
Appn($50nt fora permit subjects the applicant toacivil 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
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.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, D No EPA Lead-Safe Certified Firm is required for this project bemuse:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7D44,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 BII out the RRP
—r-� �+— _ Acknowledgement
I AIM c� fuvi,,'VL ln� — 1.t .�..�`1�.�4t�aso
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
ri:
Menifee
DATE: to 1 1 PERMIT/PLAN CHECK NUMBER - Q
TYPE: 0 COMMERCIAL 'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN
SUBTYPE: 0 ADDITION C,ALTERATION G DEMOLITION -"ELECTRICAL O MECHANICAL
O NEW O PLUMBING O:RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK (jjkMjAKjeLAQ)
vu
PROJECT ADDRESS 3 Z �/ t ' ZIP gz5W
ASSESSOR'S PARCEL NUMBER ,?j LOT TRACT
OWNER NAME CItYMBIII}88�}
ep .
ADDRESS ?
PHONEA.
3� EMAIL
APPLICANT NAME ' / �e
ADDRESS 3 W,Av Cl
//0 'zZy/1�� Ga �z
PHONE 77" I E�J EMAIL !6g6 ,vyL � � Sala7_
CONTRACTOR'S NAME OWNER BUILDER? O YES t7 NO
BUSINESS NAME 2
ADDRESS 81f ll�ZZj CA N
PHONE (>^� > �QEMAIL /G//�
/
CONTRACTOR'S STATE LIC NUMBER 'D Z.�`�"J LICENSE CLASSIFICATION /0`CYO
VALUATION$ 4 LC) S L SQ FT
APPLICANT'S SIGNAT DATE Io ��—
OTYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE ,�OI . SMIP y GREEN '-
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES NO DRIVERS LICENSE# NOTARIZED LETTER '= YES Q NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6777
www.cityofmenifee.us