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PMT14-02832 City of Menifee Permit No.: PMT14-02832 29714 HAUN RD. ''W6CF—,. ? MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 11/10/2014 PERMIT Site Address: 26555 CHAMBERS AVE, MENIFEE, CA Parcel Number: 335-231-021 92586 Construction Cost: $16,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 MODULES 16 MICROINVERTERS 200AMP Work: PANEL UPGRADE Owner Contractor ARTHUR PETERSON V B A SYSTEMS INC 26555 CHAMBERS AVE 4741 LAUREL CANYON BLVD MENIFEE, CA 92586 STE 105 Applicant Phone: 8005222045 MENIFEE, CA License Number: 967884 Fee Description Qtty Amount 1$1 Building Permit Issuance 1 27.00 AdtJitlo�eti I P an` eV ,EI Ctfi�a��.. F.r"'Y'nr; a ��""�`'`•`-�� 15$ s � N" _'�*a`-, 7'�50:'; GREEN FEE 1 1.00 $440.60 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 slated, 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_Eldg_Permil_Templale.rpl Page 1 of 1 i City Of Menifee LICENSED DECLARATION 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 andgc.� _ r Code:The Contractor's License Law does not apply to an owner of a property License Class C t0 License No. eff_ —t who builds or improves thereon, and who contracts for the projects with a Expires Signature 1 licensed contractor(s)pursuant to the Contractors State License Law). , WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 1 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 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://Low.leq!Dfo.ca,gov/calaw.html. permit is Issued.My workers'compensation insurance carrier and policy number are: Carrier �"�" � �, Property Owner or Aul prized Agent Date Expires_ej Policy# Name of Agent Phone# V dy 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 state laws relating to building construction.I authorize representatives of this city or county to enter the above- 4i,rcertify 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. PFpperty Owner or Authorized Agent Date Date; 1 1 . t O '\--� Applicant; i/ 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 WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE � MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES _CM"N0 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 �'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 Ux� Any city or county that requires a permit to construct, alter, improve, demolish, 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 REPOR7 ING. 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 PLCKNo: Irom-0-CM1 29714 Haun Road Date: Date' Menifee, CA 92586 O a319 Phone: (951)672-6777 Am1 g,��a Amount: Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit S3 LtrTTo Be Completed By Applicant Legal Description: �� Planning Case: F: L: Rt: R: Property Address: Assessor's Parcel Number. "ZCP'�iS•5 C�o—m.�T Ave • 'Tj"�`S 2:%\ c:,?—IL Project/Tenant Name: Unit#: Floor#: Name: t- vr pQ � Phone No. Git• 31o(-llOt`1� Fax No. Property Address: Unit Number Z' Code Owner 7-fLr;J�j"FJ G'1-s earn $t Email Address: 2'S � Na/mn c40 y./\q h}2 ilej S S t Phone Address: � Applicantanl Unit Number umber Zip Code Email Address:(:�c:A,, 1-�l Q moul •cr�++•-, ame: Phone No. Fax No. Contractor Address: \v0 Cry , Stale Zi Code 7-''''00 thl Or-ar� �2`i'J33 ontractar s City Business cleanse No. Contraclo j5tate�f Califomla License No. Classiflcaliop:, Number of Squares: Square;Footage D cd of Work: �ry�0✓rl�� p�j.-: \Cp {�� ^.+��-.\..t`$ (fa Migoi.-wl@r�(� Cos[o(Wo 8 Applicants Signature Date: (o•1� • l�-1 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/Solis Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Tide 24 Energy(on 8'/,x il) ❑ Structural Calculations ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for else.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan B Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Aheration' Addition' MeansiMelhods Work T(pe:FJ Repair. Retrofit' "Revision MFbsting P81rit'l Required? YES NO Proposed Bullding Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: WIII fhe Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate ff Indicate all Geo-tech.HU Zone At Project Spdnklered YES or NO Completion: Construction that apply: Coastal Zone I ype(s): Colo YES or NO Noise Zone Required? Listed on FIlst "c 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 pecia Case:Bmg. 'ficial Aipproyal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only ituildinitibafeiy IPermit Specialist Cily Planning Civi Engineering EPWM-Admin Tmnsporlalion Mgmt. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY CITY OF MENIFEE PLCKNo: P ly - 29714 Haun Road v1 11410 ?� Date: Date: Menifee, CA 92586 ?�Iky Phone: (951)672-6777 Amount: Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R Property Address: Assessor's Parcel Number ZcP�Sy Cb.—t'Qur— Ave • 35 2S� o x l Project/Tenant Name: Unit#: Floor#: Name: 1� PF�one No. (�\1�ki-1V1(— �1*7t• mA"-llOy'f\ Fax No. Property Address: Unit Number Owner ` j Gha.vs�,er 2 Email—Address: Name Pho Nq. �G♦r0 ne 1✓�otr�}e(j�S6f KiW -4 Fax No. Applicant Address: ��f"" Unit Number Zip God � �o {�cca•ScY1 Email Address: Name: ho a No. Fax No. Fhoz r(pk C)25 Contractor Address: Ctyh� x� State Zi Code -'tj00 NJ Or-�rr� IK'7 C Contractor s 1ty Busness roense o. Contractor's City Statef Ca olifomla License No. Classification L7 Number of Squares: �� ' Square Footage Zc2)Z D,C$cri J�tifX1 o�f�W�o,,rk�J kj 4 _�K Cost of Wo T �S (IO Mi OrOu'Ne�-I�C'f (•0�� i000 Applicant's Signature Date: To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Gompletes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech]Solls Report(on call only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y x 11) ❑ Foundation Plan ❑ Plumbing Plan ❑ Structural Calculations ❑ Cross Section ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan 8 Detaus ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Methods Work Type: Repair, Retrofit` Revision to Existing Pentlit' Required? YES NO Proposed Building Use(s): El Existing Building Use(s): #Buildings: #Units: ll Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate if At Project Indicate YES or NO Indicate all Geo-tech.Haz.Zone I Construction 5pdnkleretl [hat apply: Coastal Zone Completion: PP y' 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 spec'case.Bldg OmualA royal Expedite Projec[(s): Child Care City Project Green Building I I Landmarkj Affordable Housing For Staff Use Only Buildin ISalety Permit Specialist City Planning I Civil Engmeenng kf�yv --dplmin Transpablation Mgmi I Rent Control THANK YOU FOR HELPING US CREATE A BET R O NI '" '+.a" r " Menifee PMT14-02832 10/31/2014 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02832 PREPARED BY: John Le Vey DATE: 10/31/2014 BUILDING ADDRESS: 26555 Chamber Ave. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. PV s stem Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manual Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review. ❑ Complete Review ❑ Structural Only ❑ Other ❑Repetitive Fee Repeats Hours 1.51 Hrs. @ EsGil Fee $105.00 $157.50 ` Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc+