PMT18-03446 City of Menifee Permit No.: PMT18-03446
29714 HAUN RD.1**® MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE MENIFEE Date Issued: 07/12/2018
PERMIT
Site Address: 31007 ALTAI LN, MENIFEE, CA 92584 Parcel Number:
Construction Cost: $6,527.00
Existing Use: Proposed Use:
Description of ROOF MOUNTED SOLAR SYSTEM, 14 PANELS, 1 INVERTER,4.41 KW
Work: KADENCE TR 32277-3
LOT 104
Owner Contractor
PARDEE HOMES TESLA ENERGY OPERATIONS, INC.
1250 CORONA POINTE COURT,STE 210 6800 DUMBARTON CIRCLE
CORONA, CA 92879 ATTENTION LICENSING
Applicant Phone:6506815100
ARWEN LOTT License Number: 888104
TESLA ENERGY OPERATIONS, INC.
6800 DUMBARTON CIRCLE
FREMONT, CA 94555
Fee Description OQt Amount($)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Electrical 1 12.60
$293.60
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 ❑I am exempt from Ilcensure 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 I acknowledge that,except for my personal residence
Expires Signature .I ;C,( Vc 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 1
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 copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure forworkers 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 fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which www,leeinfo.ca.em/calaw.html.
this permit is issued.
Policy# Date
ul have and will maintain worker's compensa Ion insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 370D of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the fallowing:I am the property
this permit is Issued.My worker's compensation insurance carrier and policy owner or authorized to act an the property owner's behalf.i have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier'z k r;0 L1 A WuW r, with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#i-sWS �q-.'I'-)-js� Expires %E 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,
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 worker's 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 .1 Date '� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide.
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o No
UNLAWFUL,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 1$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(SCAQMDj?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY DYes afiNo
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) Dyes dNo
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 Health&Safety Code,Section ZSSOS and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
oyes „ No
Business and Professions Cade).Any city or county that requlresapermitto
r, Dale
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OW?I R 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(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 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
D 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.epa.Roy/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 a 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 because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
de:,he Contractors Slate 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
APPLICATION& SAFETY PERMIT/PLAN CHECK
0 0
Menifee
DATE 07/09/2018 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL v6 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/ A %S GN,
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ' ELECTRICAL O MECH 98hg Dept.
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Install( 14 )rooftop solar panels, ( 4.41 ) kW JUL 11 2018
1 wall-mounted inverter
PROJECTADDRESS 31007 Altai Lane, Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER LOT ►04 TRACT
OWNER NAME Kadence Spec Lot 104 Phase 1-1
ADDRESS 31007 Altai Lane Menifee, CA 92584
PHONE N/A EMAIL N/A
APPLICANT NAME Arwen Lott
ADDRESS 43320 Business Park Dr. Suite B-104, Temecula, CA 92590
PHONE (951)331-0373 EMAIL TemeculaPermits@tesla.com
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME Tesla Energy Operations, Inc.
ADDRESS 3055 Clearview Way San Mateo, CA 94402
PHONE 650-638-1028 EMAIL
CONTRACTOR'S STATE LIC NUMBER 888104 LICENSE CLASSIFICATION B, C10, C46
VALUATION $ $ 6,527.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 07/09/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE / PAID AMOUNT
AMOUNT igu 0 1 OCASH OCHECKH OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT I 1 O CASH O CHECK it O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213