PMT17-03535 City of Menifee Permit No.: PMT17-03535
29714 HAUN RD.
�ACCELA> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 1 0/0412 0 1 7
PERMIT
Site Address: 26357 MALLORY CT,MENIFEE, CA Parcel Number:
92584 Construction Cost: $16,000.00
Existing Use: Proposed Use:
Description of SOLAR TR 30142 CYPRESS
Work: 12 MODULES, 12 MICROINVERTERS,4.02kW
LOT 30
Owner Contractor
KB HOMES COASTAL, INC SUNPOWER CORPORATION SYSTEMS
36310 INLAND VALLEY DR 77 RIO ROBLES
WILDOMAR, CA 92595 SAN JOSE, CA 95134
Applicant Phone:9417203850
TYLER SANTANGELO License Number:890895
SUNPOWER CORPORATION SYSTEMS
77 RIO ROBLES
SAN JOSE,CA 95134
Fee Description QtV Amount 1$)
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 building operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a pennit 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 forthe 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 Code and my license is in full force and effect the following reason:
License Class License No By my signature below l acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year priorto completion of
improvements covered bj'this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARAIRY 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 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
this permit is issued. www.leeinfo.ca.eov/calaw.html.
Policy It
Date
o I have and will maintain worker's compensagon 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 worker's 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
2 with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy p WWW&I S� 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 cerllfy that in the performance of the work for which this permit is issued, KL yw. �
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N olbf ����9
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisio fction 3700 of the Labor
Code,1 shall forthwith co with ovisions. Will the applicant or future building occupant handle hazardous material or a
f ) mixture containing a hazardous material equal to or greater that the
Applicant Date ` ( amounts specified on the Hazardous Materials Information Guide?
WARNING:,F RE TO SE061 WORKER'S COMPENSATION COVERAGE IS o Yes o No
UNIA 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(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
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 1 am exempt from the permitting checklist I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California hazardous material
al Safety ode,Section 255 .�353d concerning
reportin
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �— .
Business and Professions Code).Any city or county that requires a permit to oyes o No
ate
construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY AUT ED 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 Contractor's State EPA RE OVATION.REPAIR AND PAINTING(RRPI
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 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
❑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.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 Contractor's 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 Contractor's State Ucense 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
...&,.-..Menifee
DATE 1 0104/20 1 7 PERMIT/PLAN CHECK NUMBER tr '
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL [—]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL
[-]NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Roofmount Solar Installation 4.02kW
12 Modules w/Micro-Inverters
PROJECT ADDRESS 26357 MALLORY COURT
ASSESSOR'S PARCEL NUMBER LOT 30 TRACT
PROPERTY OWNER'S NAME KB HOME
ADDRESS 36310 INLAND VALLEY DRIVE,WILDOMAR,CA 92595
PHONE EMAIL
APPLICANT NAME Tyler Santangelo
ADDRESS 3979 E.Guest!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 $ $ 16,000.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 10/04/2017
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING. PLANNING ENGINEERING FIRE GREEN I SMIP 5
INVOICE PAID AMOUNT
AMOUNT • O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER YES C; NO
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. City Of Menitee
Building & Safety Dept.
OCT 114 1017
Received,
14' 3'
ROOF ACCESS POINT
2 LID U
CO2'
U7
UTILITY AC DISCONNECT SWITCH + ,
(OUTSIDE GARAGE WITHIN SIGHT
FROM THE MAIN SERVICE PANEL) 5:1 2
SERVICE POINT AND
UTILITY METERING
SOIADECK
CITY OF MENIFEE TO ELECTRIC ORNENAY —>
UTILITY GRID
BUILDING AND SAFETY DE ARTMENT 12 MODULES
PLAN APPROVAL SPR-X21-335-BLK-D-AC
INSET FLAT TILE)
000 to VI IMOUNT
REVIEWED Y DATE
"Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of th
reguiRlgA&rinWiRlbisTs prO—V(D?V PATIO (SCHEME 2)
)obsi EjW PION C (4.02 kW)
rwu euvnnon o«urrexrrms
S U N P WE RZ CYPRESS AT HIDDEN HILLS FLAT D INDIVIDUAL
BNCK`aunax PLOT PLAN
CORPORATIDN, SYSTEMS ARRAY LAYOUT
1414 HARBOUR WAY SOUTH 181^on�rvnn° 402 kW
wawx ev xmmw�
0.tCH MON D, CA 948 Oq anO sO m eunqu ioxORY 5:12 rtm REBRUAL O
(5 10) S.......
D-DSsB KB HOME-SO CAL-INLAND EMPIRE 26357 MALLORY COURT r °A1E
35330 INLAND VALLEY DRIVE MENIFEE,CALIFORNIA 9251:4 215 SQ.FT. xD.^�O 10-03-2017 sxsn
aoawowTM.o° +e o. R" r '.umo.iv.,m, WILDOMAR,CA 92595 exnsE J
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