PMT18-02533 City of Menifee Permit No.: PMT18-02533
29714 HAUN RD.
'c CCELA� MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued:
05/30/2018
PERMIT
Site Address: 24752 PRAIRIE TRAIL CT,MENIFEE,CA Parcel Number: 358-470-009
92584 Construction Cost: $14,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 19 PANELS, 1 INVERTER, 6.27 KW
Work:
Owner Contractor
KELLY ANDERSON NB BAKER ELECTRIC INC
24752 PRAIRIE TRAIL COURT 2140 ENTERPRISE STREET
MENIFEE,CA 92584 ESCONDIDO, CA 92029
Applicant Phone:7605466091
RAMON LOPEZ License Number:858088
NB BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO,CA 92029
Fee Description
Oft Amount!$)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 129 129.07
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$423.67
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is In full force and effect, the following reason:
License Class C 0 _�_ C'I C License No. S$CJ
By my signature below I acknowledge that,except for my personal residence
Expires •j/- `I Signature in which I must have resided fora[least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that 1
have built as an owner-builder if it has not been constmcted 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
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. www.leginfc).m.gov/calaw.htmi.
Policy N Date
1p I have and will maintain worker's compensa Uon 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 followine: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: �p ` application and the information I have provided is correct I agree to comply
Carrier U(� V'✓-n.. h c- I_ S Lo with all applicable city and county ordinances and state laws relating to
Policyg VI z.7G }U�i ��C Expires -3—/—/� building construction.I authorize representatives of this city or county to
P enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the manner
so as to
this permit Is to the �
I shall not employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE If
worker's compensation laws of California,and agree that if I should become
subject to the worker's compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,1 shallh ith comply with those provisions. 4 Will the applicant or future building occupant handle hazardous material or
Applicant Date r'6 mixture containing a hazardous material equal to or greater that the
amounts span lied on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes p'N0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant arfuture building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forgutdelin
CONSTRUCTION LENDING AGENCY D 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) o Yes 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 for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to t3Kes D No
construct,alter,improve,demolish or repair any structure,prior to its E" Date �d��
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER ORAUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI
License Law(Chapter9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt from Iicensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facilityto he RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
O I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the o An EPA Lead-Safe Certified Renovator will be responsible for this project
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or Improvement is sold within one year of
completion,the Owner-Builder will have the burden of proving that it was Finn Certification No.:
not built or improved for the purpose of sale. O No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a
If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
SAFETYBUILDING & PERMIT/PLAN CHECK i
PPLICATION
y Menifee
DATE: S •Z L{•I$ PERMIT/PLAN CHECK NUMBER -
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK PV System - Roof Mount- No Panel Upgrade
Size 6.27 kW- 19 Module 1 Inverter
PROJECTADDRESS 24752 Prairie Ci_ ZIP ggft4f Menifee
ASSESSOR'S PARCEL NUMBER 358 470 009 LOT TRACT Building DePt.
OWNER NAME Kelly Anderson MAY Z 4 2018
ADDRESS 24752 Prairie Ct., Menifee, CA., 92584
A I0
PHONE 951-285-6939 EMAIL4.�Zrrse.�K�I�
APPLICANT NAME Ramon Lopez
ADDRESS 2140 Enterprise St., Escondido, CA., 92029
PHONE 760-546-6086 EMAIL Mehra �xkc/fioh[fgi� , - �,�
CONTRACTOR'S NAME OWNER BUILDER? O YES ONO
BUSINESS NAME Baker Electric Solar
ADDRESS 2140 Enterprise St., Escondido, CA.,92029
PHONE 760-546-6086 imonroy@bakerhomeenergy.com
EMAIL Y@ gy.com
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C10&C46
VALUATION$ 14,000 SQ FT L SQ FT
APPLICANT'S SIGNATURE l� DATE 3-- Zy-4
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586951-672-6777
www.cityojmenJfee.us