PMT18-03666 City of Menifee Permit No.: PMT18-03666
29714 HAUN RD. Type: Residential Electrical
MEN[FEE, CA 92586
MENIFEE MENIFEE Date Issued: 08/01/2018
PERMIT
Site Address: 26574 SUN CITY BLVD, MENIFEE,CA Parcel Number: 337-351-014
92586 Construction Cost: $1,500,00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE FROM 100A TO 200A.
Work:
owner Contractor
RANDAL KVENBO SUNRUN INSTALLATION SERVICES INC
26574 SUN CITY BLVD 775 FIERO LANE SUITE 200
MENIFEE, CA 92586 SAN LUIS OBISPO, CA 93401
Applicant Phone:4155806900
JORDAN AUDIFFEREN License Number:750184
SUNRUN INSTALLATION SERVICES INC
775 FIERO LANE SUITE 200
SAN LUIS OBISPO,CA 93401
Fee Description o_yt Amount f$1
Services, Switchboards, Control Centers 8 Panels 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 5.80
$149.80
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_Permil_Templale.rpl Page 1 of 1
Chair�da - c� � �p
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 o I am exempt from licensure under the Contractors State License law for
Professions Code and my license fs in full force and effect. 1( the following reason:
License Class C- 10 License No.A7.�� S�I By my signature below l acknowledge that,except forary personal residence
Expires 30 ZD Signature�--Y.,.✓��-ecc /-M�J� in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
a 1 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 workers 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 webslle:
by Section 3700 of the Labor Code,for the performance of work for which thisap application
is
ra this permit Is issued.
Policy tf Date
,Ft 1 have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 or the Labor Code,for the performance of the work for which aBy my signature below l certify to each of the following:I am the property
this permit is issued.My workers 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 Z tz Yl cl A P,,P_y- with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy ff W Co f 3G q(;003 Expires )0 —b j _ i cg 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
01 certify that in the performance of the work for which this permit is issued,
I shall not empki any persons in any manner so as to become subject to the CITY BUSINESS LICENSER _ (�
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
(VY
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I she] to with c9mply}yyi�hose provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant ni..d,..ri! /J- Date mixture containing a hazardous material equal to orgreater that the
amounts speeifred on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes KNo
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($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 hecoDistrict(SCtionor See icatio from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines
Qua ,
CONSTRUCTION LENDING AGENCY OYes <No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within IODD feet of the t T+
lending agency for the performance of the work which this permit is issued outer boundary of a school? V
(Section 3097 Civil Code) D Yes .l 0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
herebyaffirmunderpenalty of perjurythatIam exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License laced naw for ext
reason(s)indicated below by the hazardous material reporting.
chsiness and
I have placed next to the applicable item(s)(Section 70375
Business and Professions Code).Any city or[aunty that requires permit to Date
O
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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 1RRP11
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
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 facility to be RRP-certified firms and complywith
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
ol,as owner of the properly,or my employee with wages as their sole employees.For more information a bout EPA's Renovation Program visit:
compensation,will do I )all of or I )portion of the work,and the structure is wvnv.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(S323).
Code;The Contractors State License Law does not apply to an owner of 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. a No EPA Lead-Safe Certified Firm is required for this project because:
❑1,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 Lawdoes not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.