PMT14-02830 City of Menifee Permit No.: PMT14-02830
29714 HAUN RD, Type: Residential Electrical
4GCI"'1..I�# MENIFEE, CA 92586
c me sm"ten MENIFEE Date Issued: 11/10/2014
PERMIT
Site Address: 29680 BROOKFIELD DR, MENIFEE, CA Parcel Number: 338-234-019
92586 Construction Cost: $17,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 17 MODULES 17 MICROINVERTERS 200 AMP
Work: PANEL UPGRADE
Owner Contractor
ANTHONY FRANKS V B A SYSTEMS INC
29680 BROOKFIELD DR 4741 LAUREL CANYON BLVD
MENIFEE, CA 92586 STE 105
Applicant Phone: 8005222045
MENIFEE, CA License Number: 967884
Fee Description Oty Amount l$1
Soma,r>. gsidenY�dl o7SrnallE q r�e,.rcld
Building Permit Issuance 1 27.00
ra I ton If:a Re-iew,Electr4 -': i 15 157750
GREEN FEE 1 1.00
$440.50
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 staled,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 j
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and e. ffgc';. ,i Code:The Contractor's License Law does not apply to an owner of a property
License Class C.t0 License No.�( _ t who builds or improves thereon, and who contracts for the projects with a
Expires Signature 1\ • '-o ' 1' 5 licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from Ilcensure under the Contractors'State License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of work for which this which 1 must have resided for at least one year prior to completion of
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
Policy# built as an owner-building if it has not been constructed In its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the _
I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http-Dwww leoinfo ca oovlcalaw htmi.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier N-e� " � -�, Property Owner or Aut prized Agent Date
Expires -�- 'k(O �--D Policy#
Name of Agent Phone# A2 By my Signature below, I certify to each of the following: I am the property
owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the Information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and stale laws relating to building
construction. I authorize representatives of this city or county to enter the above-
that in the performance of the work for which this permit is issued, I identified property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Pfeperfy Owner or Authorized Agent Date
Date; \ 1 . 1 \--� Applicant; " City Business License#
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($900,000), IN ADDITION TO THE COST OF COMPENSATION, WILL THE APPLICANT OR FUTURE BUILDING
❑
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE YES OCCUPANT HANDLER HAZARDOUS MATERIAL ORA
LABOR CODE, INTEREST,AND ATTORNEYS FEES �0 MIXTURE CONTAINING A HAZARDOUS MATERIAL
.L9"N EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section
3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address C�'N/0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DISTRICT (SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: �,/ BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, �v0 SCHOOL?
or repair any structure, prior to its 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 License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to p-NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500),) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
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 property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIIFEE PLCK No: Pemit
29714 Hal Road �)�
Dell fe:
Menifee, CA 92586 �� a�I ly a��,
Phone: (951)672-6777 Amount;$3c<� Amount:
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Permit G1s3
To Be Completed By Applicant
Legal Description: Planning Case:
Property dress -(^ t--� Assessor's Parcel Number.
�-��QT�V "'1—IPA c, Yam• ''a"68 13�f O l�
ProJecVTenant Name: Unit#: Floor
Name:�^ . Phone No. E4Fax No.
1•'701.it S of
Property Addle Unit Number i Code �G
Owner :-GCOr•'o0�-�P�C, Zip
Email Address: Y.6 a•},1 f1 1
Name: ��,q C Phone N�'.
P. ��a moo. 1c�c
.co�•� "sfn,
Applicant Address: Unit Number Zi Code
�-7-�-0 �dd�•ts—c_z� W gtc�'-11 •
Email Address: �harv,t
Name- Ghat Phone No. Fax No.
1t�1•Sca1o7-T��
ConUactor Adye w City State Zi Code
2 —o" �- -'C-� tZo .•It2.rFor� C� `ec143 is
ontractor s Ity usmess tense o. Conlractor�s C :State o California License No. Classific6y'o`O
Number of Squares:
Square Footage C
cri tipq of Wo���SO�tr: 15� P( e�UIPS lyi'n„r6a p'fnr� Co r�r Urnr
Applicant'sSignature yJ. �v
To Be Completed By City Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Constmdion Alteration' Addition' Means/MethWs
Work Type: Repair• Retrofit` Revision to Exisling Pemut' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: tl Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At Project Spnnklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C of o YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special case:Bldg.
OffidalA royal
Expedite Project(s): Child Care City Project Green Building Landmark I ABardaho Housing
For Staff Use Only
Building/safety I Permit Specialist City Planning I Civil Engineering I EPWM-Admin I Transportation Agmt I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Menifee PMT14-02830
10/31/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02830
PREPARED BY: John Le Vey DATE: 10/31/2014
BUILDING ADDRESS: 29680 Brookfield Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
PV system
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnt Manual Input
_Bldg. Permit Fee by Ordinance._ _ W J
Plan Check Fee by.Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑❑Repetitive Fee Other
Repeats ❑ Hourly 1.5 Hrs.
� p @
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+
= ice Copy