PMT18-04345 City of Menifee Permit No.: PMT18-04345
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE MENIFEE Date Issued: 0 910 712 01 8
PERMIT
Site Address: 27858 SENECA CT,MENIFEE,CA 92585 Parcel Number: 333-731-014
Construction Cost: $19,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM WITH 28 PANELS, 1 INVERTER, 8.54 KW
Work:
Owner Contractor
JAMIELYNN ALFTER RAYKER INC
27858 SENECA COURT 3130 WILSHIRE BLVD STE 200
MENIFEE, CA 92585 SANTA MONICA, CA 90403
Applicant Phone:3104777686
RAYKER INC License Number: 1018241
3130 WILSHIRE BLVD STE 200
SANTA MONICA,CA 90403
Phone:3104777686
Fee Description gtv Amount I$1
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 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 contractar(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 Contractor's State License Law for
Professions Code and my license is in full force and effect. /�� the following reason:
License Class e — o License No. J T By my signature below I acknowledge that,except for my personal residence
Expires W105 Signature in which 1 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
❑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 Code,for the performance of work for which WWW.Iepinfo.ca.gov/calaw.html.permit is issued.
Polity g 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:)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
numberare: application and the Information I have provided Is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy K Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
,$Lcertlfythat in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to became subject to the CITY BUSINESS LICENSE g
worker's compensation laws of California,and agree that if I should became 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
ApplicantLL e27�c �,��Date 6 l amoure nts specified o hazardous material
Ma equal In or abate that the
/�— amounts specified on the Hazardous Materials Information Guide?
WARNI :FAILtdG URE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes dNo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN WIII the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY o Yes &
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the
lending agency for the performance of the work which this permit is issued outer bou dary of a school?
(Section 3097 Civil Code) ❑Yes 7No
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 Califomia 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 r es a /��/
1/- 4 Date l0
construct,alter,r,quiresheeplicansh ofrthe any structure,signets its RTY OWNER OR UTH 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 IRRPI
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 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.epa.gov/!ead 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 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-Buitder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑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 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 MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER O 'J
PLANNING CASE NUMBER
TYPE: O COMMERCIAL "RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION kELECTRICAL OMECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK G.Jradef, In cLn
A
PROJECiADDRE55 ,s8 ZIP
ASSESSOR'S PARCEL NUMBER ��", �� dI�'!" LOT TRACT
OWNER NAME C qv/j „� C�hr Of Menifee
2luildhi9 uept.
ADDRESS fr (/) /Y)tryij^Ce
PHONE g5-J �s" 07 EMAIL 4 018
v
APPLICANT NAME
ADDRESS Wi L,fY� �I/GI S /+TG»�C CJ CJ
PHONE CJC? LJ I EMAIL SfiY7, &L Pi /lam.
CONTRACTOR'S NAME —qreenaanc, OWNER BUILDER? O YES ONO
BUSINESS NAME
ADDRESS Gory O O
PHONE 3lG 6 EMAIL a C
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ /9j CJC)C),Crj SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION ACCEPTED BY:� CITY OF MENIFEEB SINE SLI ENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE b4I
INVOICE TOTAL 2- le;7-• (Q 0 1 GREEN 1 SMIP ,vv
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.cityofmenifee.us
NIP