The URL can be used to link to this page

PMT18-03636 City of Menifee Permit No.: PMT18-03636 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 07/25/2018 PERMIT Site Address: 25975 FARMINGTON RD, MENIFEE, CA Parcel Number: 358-100-056 92584 Construction Cost: $18,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 25 MODULES,25 OPTIMIZERS, 1 INVERTER, Work: 7.38kW Owner Contractor KENNETH COX SUNERGY CONSTRUCTION INC 25975 FARMINGTON RD 1641 COMMERCE ST MENIFEE, CA 92584 CORONA, CA 92880 Applicant Phone:9517820372 MARK ALONZO License Number: 1005730 SUNERGY CONSTRUCTION INC 1641 COMMERCE ST CORONA,CA 92880 Fee Description ,O�t Amount fSl 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 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $424.67 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 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_81dg Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE UMM911 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 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 I.)d 5 73'Z License No. Y By my signature below I acknowledge that,except for my personal residence Expires - 3( -M Signetu in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 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 Cade,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.html. Policy N Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier &t&7 (A MRJ t C-. with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this City or county to Policy N f' G± d'zc 4 Expires P-( •4'{ 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 work for which this permit is Issued, D3 -1� I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It —1 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 fort ompl ith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 7/9 fig- mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING: AILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes fSNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant car future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN g 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 forguldelines CONSTRUCTION LENDING AGENCY ❑Yes 6Jo 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 �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 Dyes GWO r-. // � construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROP TY r 0 A ORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA REND MOM 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 most work that disturbs paint in apre-1978 receiving compensation for m and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility o be RRP-certified arms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required radices.This includes rental property than($500). 9 P p P rty owners and property managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sale 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 Contractors State License Law does not apply to an owner of a D An EPA Lead-Safe Certified Renovator will he 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 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 fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MEMWEE �J BUILDING & SAFETY DATE: PERMIT/PLAN CHECK NUMBER WTV (p::� GRADING/PLANNING CASE NUMBERR/OTHER RELATED CASES TYPE: C COMMERCIAL :__'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: 06 ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK \ G d'eg 45- p3a.0 OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES 0 NO PROJECTADDRESS 2RzT_ cLpvn.nWf„�r� eeMp ZIP ASSESSOR'S PARCEL NUMBER 58 locy)5-c LOT _ TRACT OWNER NAME ADDRESS aT3_?S— :: mti PHONECm81 Qpj-( MSA EMAIL APPLICANT NAME c, (,gyp ADDRESS PHONE �� , 7(a�'-Lr � EMAIL Q 6-,J',q L rK- CONTRACTOR'S NAME OWNER BUILDER? C YES a1NO BUSINESS NAME ADDRESS cf a, //(�/(} + Z PHONE Aft-1Z��-.��Z EMAIL IA • CONTRACTOR'S STATE LIC NUMBER IGo37_30 LICENSE CLASSIFICATION VALUATION$ l O r 0-" L SO FT APPLICANT'S SIGNATURE 4YT DATE 7,4.3//6. Sr.'+✓a O DEPARTMENT DISTRIBUTION ACCEPTED BY: /�,A_ CITYpF�IEyIfFEEQ)SINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE (V'1/J,(�r��jL INVOICETOTAL S (pQ GREEN SMIP 5— OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us i �-