PMT19-00012 of
City HAUN RD.Menifee
29714 HA Permit No,: PMT19-00012
Ar
MENIFEE, CA 92586 Type:
MENIFEE MENIFEE Residential Electrical
Date Issued: 01/04/2019
PERMIT
Site Address: 31643 EATON LN, MENIFEE, CA 92584
Parcel Number: 360-770-005
- - - - - _ - - Construction Cost: $12,000.00
Existing Use:
Proposed Use:
Description of SOLAR TR 30142-2 PEPPERTREE
Work: 9 MODULES, 9 MICRO-INVERTERS, 3.02kW
LOT 148
Owner - - - - - - - - - - - - - - -
KB HOME COASTAL, INC Contractor
36310 INLAND VALLEY DR SUNPOWER CORPORATION SYSTEMS
WILDOMAR, CA 92595 1414 HARBOUR WAY S STE 1901
Applicant
RICHMOND, CA 94804
MASON LISTON Phone: 9417203850
SUNPOWER CORPORATION SYSTEMS License Number:890895
1414 HARBOUR WAY S STE 1901
RICHMOND, CA 94804
Fee
Solar, Residential ar Small Commercial Amount
Building Permit Issuance 1 252.00
GREEN FEE 1 27.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee_Electrical 1 200
7 12.60
$294.60
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specirica(ions 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
LICENSED DECLARATION CITY OF MENIFEE
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 ❑1 am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in Full force and effect.
License Class ABC 1 O C46 890895 the following reason:
License No.
Ex Tres �� c�/) Y - - .-- BY my signature below I acknowledge that,except for my personal residence
p Signature - -� •+- �-- - - g
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
❑I hereby affirm under penaltyaf 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 ofself-insure for worker's
compensation,Issued by the Director of Industrial Relations as provided for 7044 of the Business and Professions Code,is available upon request when
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. svww,i in€ .ca. ov calaw.html.
Policy#
Xf Date
have and will maintain worker's compensaton 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:I am the property
this permit is issued.My worker s compensation insurance carrier policy owner or authorized to act on the property owner's behalf.I have read this
number are:
Carrier
Hartford application and the information I have provided is correct.I agree to comply
with all applicable City and county ordinances and state laws relating to
Policy# WVW 0015 Expires 11/1/19 building construction,I authorize representatives of this city or co un ty to
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
❑1 cer Iffy that in the performance of the work for which This PROPERTY OWNER OR AUTHORIZED AGENT
I shall not em to an y permit is issued, �]
— � V persons in an manner so as to become subject to the CITY BUSINESS LICENSE# �� r
worker's compensation Jaws of California,and agree that if I should become
subject to the.worker's compensation provisions of Section 3700 of the Labor HAMARO PUS MATERIAL DECLARATf N
Cade,I shall forthwith comply with[hose provisions.Applicant Will the applicant or future budding occupant handle hazardous material or a
jam= — Date 1/4/19 mixture containing a hazardous material equal to or greater that the
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a]Yes
ounts specified on the Hazardous Materials Information Guide?
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 1�(No
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will 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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
CONSTRUCTION LENDING AGENCY for guidelines
❑Yes XNo
I herebyaPffrm that under the penalty of perjury there is a cniistf uction 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
(Section 3097 Civil Code) outer b0�pdary of a school?
❑Yes �fp�q
OWNER 8UILDER 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 3Yes XNo
construct,alter,improve,demolish or repair any structure,prior to its
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT Date
that he or she is licensed pursuant to the provisions of the Contractor's State
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the EPA REM1IOVATION REPAIR AND PAINTING RP
Business and Professions Cade)or that he or she is exempt from fieensure 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 facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
❑I,as owner of the property,or my employee with wages as their sole managers who do the paint-disturbing work themselves or through their
compensation,will del al!of or employees.For more information about EPA's Renovation Program visit:
( ) ( )portion of the work,and the structure is www.e a, v lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions
Code;The Contractor's State License Law does not apply to an owner of a 1-800-424-LEAD(5323).
property who,through employees'or personal effort,builds or improves the °An EPA Lead-Safe Certified Renovator will be responsible for this project
property provided that the improvements are not intended or offered for
sale.If,however,the building or improvement is sold within one year of Certified Firm Name:
completion,the Owner-Builder will have the burden of proving that It was Firm Certification No::
not built or improved for the purpose of sale.
❑1,as owner of the property am exclusively contracting with licensed °No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code;The Contractor's State License Law dues not apply to an owner of a
�Yi ��� _ If your project does not comply with EPA RRP rule please fill out the RRP
'l^0 PU-C•2, Acknowledgement.
`
City ofK4enifee Building & Safety Department | 20714HaunRd, K4enifee (951)672-6777