PMT18-01489 City of Menifee Permit No.: PMT18-01489
29714 HAUN RD.
<ACCF-UA MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 04/02/2018
PERMIT
Site Address: 24853 HIDDEN HILLS DR, MENIFEE,CA Parcel Number: 358-700-014
92584 Construction Cost: $16,000.00
Existing Use: Proposed Use:
Description of SOLAR TR 32025 THE RIDGE
Work: 12 MODULES, 12 MICROINVERTERS,4.02kW
LOT 181
Owner Contractor
RICHMOND AMERICAN HOMES SUNPOWER CORPORATION SYSTEMS
5171 CALIFORNIA AVE#120 1414 HARBOUR WAY S STE 1901
IRVINE, CA 92617 RICHMOND,CA 94804
Applicant Phone:9417203850
MASON LITVINOFF License Number:890895
SUNPOWER CORPORATION SYSTEMS
1414 HARBOUR WAY S STE 1901
RICHMOND, CA 94804
Fee Description 01t r 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 builiding operations being carried on thereunder when in violation of the Building Code prof 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 perjurythat 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 D 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 1+ 8 �/� �' License No. O 40 89 S~ y y g g p y personal residence
Y� 8 m signature below I acknowledge that,except for m
Expires a/a (�g Signature �i_� ! in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I 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
D 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 IndustriafRelations 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 w,w,,v.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
❑I have and will maintain worker's 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: /1� �,r1 application and the information I have provided is correct.I agree to comply
Carrier a 1•�TU'r Of with all applicable city and county ordinances and state laws relating to
_ building construction.I authorize representatives of this city or county to
Policy If LL/VWQ 04Y 5 Expires lL r 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
D I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant `vim/ Date y/a /g' mixture containing a hazardous material equal toargreaterthat the _
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS n Yes /No
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYERTO 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR r o ion occupant require a permit for the construct modifp[ion from South
Coast Air Q
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines uality Management District(SC Lion or See permitting checklist
CONSTRUCTION LENDING AGENCY ❑Yes p 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) D Yes p 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 al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dye rQ No �p ry Business and Professions Code).Any city or county that requires a permit to Date����1 11
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORALIT
IZED 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 RENOVATION,REPAIR AND PAINTING(RRPI
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 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( )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-BOO.424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a D 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 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.
M(.wn Lrivi r)C)F-F- 5r 41 avwec2.
PERMIT/PLAN& SAFETY APPLICATION
Y 4f1-�
Menifee
DATE 0 312 9/2 0 1 8 PERMIT/PLAN CHECK NUMBER p, CI
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [Z]ELECTRICAL [-]MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Roof Mount 4.02 kW 12 Modules with Micro Inverters
PROJECTADDRESS 24853 HIDDEN HILLS DR
ASSESSOR'S PARCEL NUMBER LOT 181 TRACT
PROPERTY OWNER'S NAME RICHMOND AMERICAN HOMES
ADDRESS 5171 CALIFORNIA AVE.SUITE 120 IRVINE,CA 92617
PHONE EMAIL
APPLICANT NAME Mason Litvinoff
ADDRESS 3979 E. Guasti Road,Suite B, Ontario, CA 91761
PHONE (408)218-6811 EMAIL Mason.LlNlnoff@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.santangelp@sunpowercorp.com
CONTRACTOR'S STATE LIC NUMBER 890895 LICENSE CLASSIFICATION B,C10. C46,A
VALUATION $ $ 16,000.00 SQ FT L SQ FT
APPLICANT'S SIGNATURE --` �j"u- DATE 03/29/2018
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITV OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP
INVOICE , QCC�� PAID AMOUNT
AMOUNT ✓' OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES :) NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
NOTES:ROOFrOP PENEPRATIONS AND/OR CONSTRUCTIONS NOT PERTAINING TO SOLAR
INSTALLATION SHALL NOT BE LOCATED UNDER ARRAY.
7 7 ARE YWIDE FIRE ACCESS PATH
DIMENSIONS OF THE INSET ARE LARGER THAN THE ARRAY AND SHALL BE
CONFIRMED BY THE BUILDER BEFORE THE INSTALLATION.
City of Menifee
Building Dept.
MAR 3 0 2018
13'-3" 1 C=
eceived cti
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UTILITY AC DISCONNECT SWITCH 4:12-
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SERVICE POINT AND _____�CONCRETE
UnLITY METERING TILE ROOF
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' AND SAFETY DEPARTMENT
'i . .: i'ROVAL
12 MODULES
PR—X21-335—BLK—D—AC
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1KHACILIA1 IKIT
tq�4tfATE
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T ,e plans shall not be construedtobe a permitfor,oran
K� dolation of any provisions of the federal,date or cky
i ..-dinances. This set of approved Ow must be kept on the
'�SMK'(PALMER) - REVERSE (SCHEME 2)
ELEVATION C (4.02 kVv�
P.
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S696(PALMER)i
1�
SUNPOWER THE RIDGE AT FLAT 11 nu W-F3-8,4§ INDIVIDUAL
� LOIAUCR I LOT PLAN
CORPORATION, SYSTEMS AUDIE MURPHY RANCH BACK ARRAY LAYOUT
1414 HARBOUR WAY SOUTH 269- 4.02 kW
RICHMOND, CA 94804 STE UXADON MRYM�TWE R MWN By RE;OA
2-STORY 47
Irl" mANImYA
5 10 1 5 4 0-0 5 5 0 RICHMOND AMERICAN HOMES 24853 HIDDEN HILLS DR ARRAY gI.m AAM
S171 CALIFORNIA AVE.SUITE 120 MENIFEE,CALIFORNIA 92584 215 SQ.FT. 3-162018
IRVINE,CA 92617 lt-On
9 181 �--�,0,3,16=_2,0,18 "1-