PMT17-01060 City of Menifee Permit No.: PMT17-01060
29714 HAUN RD. Type: Residential Electrical
'5A—CCEL/-> MENIFEE, CA92586
MENIFEE Date Issued: 0612312017
PERMIT
Site Address: 29486 WOODEN BOAT DR, MENIFEE, Parcel Number: 333-720-007
CA 92585 Construction Cost: $34,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,34 PANELS,2 INVERTERS,9.69 kW
Work:
Owner Contractor
JOSE MARTINEZ DELION ELECTRICAL CONTRACTORS
29486 WOODEN BOAT DRIVE 28341 BRUNING STREET
MENIFEE,CA 92585 MURRIETA,CA 92563
Applicant Phone:9518161593
VERNON OWENS License Number: 990101
DELION ELECTRICAL CONTRACTORS
28341 BRUNING STREET
MURRIETA, CA 92563
Fee Description O0t Amount t8l
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 220 220.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$518.60
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 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_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 contractor(s)pursuantto the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o 1 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 C.. -/0 License No.
�i By my signature below I acknowledge that,exceptfor my personal residence
I Expires /- 71 14O Signature In which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION 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.leginfo-ca.xov/cataw.html.
this permit is issued.
Policy N Date
o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe 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 and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
I Carrier STs��-F (�P7/z�{� with all applicable city and county ordinances and state laws relating to
�y building construction.I authorize representatives of this city or county to
Policy A 9 Z//CSD Expires ✓y- Z 31-S- 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
❑1 certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE ff
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor r
Code,I shall fo with comply with those provisions. ill the applicant or future building occupant handle hazardous material or a
Appllcan[ i.� Date Z �� ixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes VNo
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or?See permitting
from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES - Coast Air Quality Management District(SCAQMD)?See permitting checklist
_for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes KNo
I hereby affirm that under the penalty of perjury there is a construction 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 outer boundary of a school?
(Section 3097 Civil Code) ❑Yes 9KNO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from th @0 �•
@Q California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below b �Q hazardous material rr porting;,q
checkmark(s)I have placed next to the applicable i[em(;J(0y031.5�_�,,��tf p�Yes ❑No � // Date / ^7
Business and Professions Code).Any city or county tOl Ares a per rq L �r-✓s.c� W Z
II��„'
construct,alter,improve,demolish or repair any e,prior jp lig PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the perrtFef o file as tatement
that he or she is licensed pursuant to the Provisions of[he ractor's Statj0•F' EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 Qfst%V The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt fir aV±JCJe receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Se 31.5 by residence or childcare facility to be RRP-certifled firms and comply With
an Applicant for a permit subjects the applicant to a civil pen.ty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves orthrough their
❑1,as owner of the property,or my employee with wages as their sole 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.eoa.gov/lead 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 Contractor's 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. ❑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 Contractor's 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.
FL-fiJILLO1ynjn'rfxa�tLvif�/� W�1CK,@ fyV&F cATl �Al
� I
' IVlenifee
DATE ! Zd/ PERMIT/PLAN CHECK NUMBER Q
TYPE: C COMMERCIAL ARESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION C DEMOLITION kELECTRICAL C MECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 101 6q41)
16A cmel.5 ``I c s
PROJECTADDRESS 2f' eA�ct.0-�0,(,,F,0 8O/1T�/w�
ASSESSOR'S PARCEL NUMBER !/r/rr��`�� LOT _ TRACT
ul
��J Bulldin 6 Safe y C
OWNER NAMEUG/TS,�' /"/i9�y�/o�.Z /yam/ �}�L b(� 9 � pt.
ADDRESS 2'?y ,OO&cjV gov7- Q,. iC'�/FFF' (. l T ZJ- / APR 9nu
PHONE EMAIL
APPLICANT NAME?`� ;j/�CiLJt7iV C /J j� p
ADDRESS 29,3r,,l i02Uv1,-jc S Mu99/,cTi� L,/ A/ 2 63
PHONE (�dj D 16 -16 Z? � EMAIL
CONTRACTOR'S NAME V� O� ,w OWNER BUILDER? C YES fV0
BUSINESS NAME /diU ��• j,1�2/�/C'�� �.Y,%/7�� �G��[ 7
ADDRESS 283g1 Brcu�CCZ�� ff(cV�✓
PHONE (q6l 81G - /S/� EMAIL '�G LD 7 raMA/Z, CO
CONTRACTOR'S STATE LIC NUMBER 0�0� / LICENSE CLASSIFICATION (�-/o
VALUATION$ �J y dod /fSO FT lO�s L SO FT �y
APPLICANT'S SIGNATURE --�+�'"V -"" DATE 1112 617
R
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 5'
INVOICE �.l{!O PAIDAMOUNT F n `n,
AMOUNT U/ OCASH CCHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH CCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER C YES O NO
City of!Aenifee Building &scfi.t9 Department 29714 Houn Rd. IVlenifee, CA 9258E 951-572-5777
,vw,V.cityofinenifee.us Inspection Request LinE 95i-2-E-5213
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Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee,CA. 92586
BV Project: 40017-039012.00 Project: PMT17-01060
Reviewer: N. N. Martinez Description: Roof Mounted PV System
Direct: 619 733-6676
General: 714 4314100
nabetamartinez@gmail.com Project Address: 29486 Wooden Boat Dr.
Owner(s): Martinez
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 2 REVIEW COMMENTS
June 20,2017
This plan has been reviewed for conformance to the minimum requirements of the 2016 California
Building Codes, as amended and adopted by the City of Menifee,California.
The approval of plans and specifications do not permit the violation of any section of the building code,
or any other applicable local,state or federal ordinance, rule, regulation, order,or law.
BUILDING COMMENTS
APPROVED—READY FOR PERMIT ISSUANCE
END OF COMMENTS
1665 Scenic Avenue ♦ Suite 200 *Costa Mesa,CA 92626
Phone: (714)431-4100 ♦ Fax: (714)825-0685 ♦ www.us.bureauveritas.com
An Equal Opportunity Employer
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 6/21/2017
Project Location: 29486 Wooden Boat Dr
Plan Check No.: PMT17-01060
BV Project#: 40017-039012.00
Project Description: PV Solar—MARTINES RES
Reviewer Date Hour Hourly
Rate Total
ft Plan Check N Martinez 4/17/2017 1.0 $110.00 $110.00
2nd Plan Check N Martinez 06/20/17 1.0 $110.00 $110.00
3rd Plan Check
4th Plan Check
Final Approval: N Martinez 06/20/17 2.0 $110.00 $220.00
Bureau Veritns North America,Inc.
1665 Scenic Avenue.Suite 200
Costa Mesa,CA 92626
Mt 714.401.4100 1 714.825.0685