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PMT17-01096 City of Menifee Permit No.: PMT17-01096 29714 Type: Residential Electrical �CCEL/k7. MENIFEEEE,,C CA 92 92586 MENIFEE Date Issued: 07/1312017 PERMIT Site Address: 27444 EMBASSY ST, MENIFEE, CA Parcel Number: 335-323-020 92586 Construction Cost: $28,514.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 20 PANELS,20 MICROINVERTERS,5.6 kW Work: Owner Contractor MELVIN FRIEDLANDER BURKE ELECTRIC INC 27444 EMBASSY STREET 3283 TRADE CENTER DRIVE MENIFEE,CA 92586 RIVERSIDE, CA 92507 Applicant Phone:9517879800 JOSE PASILLAS License Number. 1000555 BURKE ELECTRIC INC 3283 TRADE CENTER DRIVE RIVERSIDE, CA 92507 Fee Description Oft Amount ISI Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 55 55.00 Additional Plan Review Electrical 55 55.00 Additional Plan Review Electrical 110 110.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $627.60 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 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_peonit_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 1 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 O I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C-to U Dt�. 000 Ss� B m signature below I acknowledge that,except form/ y y g g p yperspnal residence Expires Signature in which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLA ION improvements covered by this permit.I cannot legallysell a structure that I have built as-an owner-builder if it has not been constructed in its entirety by o 1 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 workers 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,forthe performance of work for which thisap application ora this permit is issued. Policy# yi("4 e 91 s69-F "C9 y Date ❑1 have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:1 am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: // application and the information I have provided is correct I agree to comply Carrier 0� T �fSO C,;,g- 2 S with all applicable city and county ordinances and state laws relating to ��[[ building construction.I authorize representatives of this city or county to Policy# 014f l Q/3,5T��Expites 1?4/21/20f7 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 o I certify that in the performance of the work for which this permit is issued, 3!!501 I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 1 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers co en Lion provisions of Section 3700 of the Labor Code,I shall forlrt)r'th c pi ith those provisions. Will the applicant or future building occupant handle hazardous material or Applica e Date 1 ?mixture containing a hazardous material equal to orgreater that the a nt L mounts specified on the Hazardous Materials Information Guide? WARNING: (LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes ONO 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 occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management heconstSCAQMDr?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forst Ai.r ines Qua CONSTRUCTION LENDING AGENCY o Yes ONO 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 o No 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 underthe State of California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below bythe hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes ONO Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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 Contractors State EPA RENOVATION.REPAIR AND PAINTING(RRP) 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 ownersand property than($500). managers who do the paint-disturbing work themselves or through their a 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.epa.eovAead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a oAn 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. O No EPA Lead-Safe Certified Firm is required for this project because: o 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 a rU VE Bureau Veritas City of Menifee 1665 Scenic Avenue,Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA.92586 BV Project: 40017-039027.00 Project: PMT17-01096 Reviewer: N. N. Martinez Description: Roof Mounted PV System Direct:619 733-6676 General: 714 4314100 nabetamartinez@gmail.com Project Address: 27444 Embassy St. Owner(s): Friedlander Occupancy Group(s): R-3/U Construction Type: V-B PC 4 REVIEW COMMENTS June 26,2017 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 Page 1 of 1 WPU Vf9 C a J � D 0. N I 11�a'j9 CITY OF MENIFEE TRANSMITTAL Building Division Date: 06/26/2017 Project Location: 27444 Embassy Street Plan Check No.: PMT17-01096 BV Project#: 40017-039027.00 PC4-Approval Project Description: PV Solar—FRIEDLANDER RES Reviewer Date Hour Hourly Rate Total I" Plan Check N Martinez 4/20/2017 .50 $110.00 $ 55.00 2ed Plan Check N Martinez 5/24/17 1.0 $110.00 $110.00 3rd Plan Check N Martinez 6/10/17 1.0 1 $110.00 $110.00 4`h Plan Check N Martinez 06/26/17 .50 $110.00 $ 55.00 Final Approval: N Martinez 06/26/17 3.0 $110.00 $330.00 Bureau Veritas North America,Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714.431.4100 F:714.825.0685 f` r , � � T ��t�. r � vr., /I n @F 4 d 7� :��ro_ Tevn� u�``�r:'��fi�� -4,��iJ<... .''fi �r�rr"..,, �" "��• •�- • �..e. .;,� � ' ��_�Z::7e { �,:ivioe3'�£�f+.�1..u:e+ ry2�Menifee DATE PERMIT/PLAN CHECK NUMBER " -Q " ity of enifee ' afety Dept. ,a TYPE: 0 COMMERCIAL rE'RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPAS O SIGN ^017 SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANIC-4L G O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES ,,/n',,/, p,,,R� DESCRIPTION OF WORK ill,,, — ��/ �V e,S/V' 'L ` La ��`'`p.� `- �2 rvl�G�d�Lrlue�f�v2 5 Q �Rn2/ U PROJECTADDRESS 7�2 � h s Sr (/J/( �� 2256 r ASSESSOR'S PARCEL NUMBER ;J —3 LOT � TRACT 4 �1 PROPERTY OWNER'S ,t"NAME loe/ ( L l ,eo-- ADDRESS 2' / -7 (i(/t/! lt" f9 PHONE 9 �/ 3Ll / 72 EMAIL, {2L4� C" • ✓B f�llJt�1.✓� ! APPLICANT NAME ADDRESS ;o C> 0J rJ•2�( //Q l to PHONE 6U/ `I 1 EMAIL CONTRACTOR'S NAME{{ rG(it �tll OWNER BUILDER? OYES ONO BUSINESSNAMEt� (�(3ue4K ADDRESS PHONE Z ]Ql�� ( Z ��/v EMAIL Q�U✓�E -e /-e C( (/f�G ./LP. CONTRACTOR'S STATE LIC NUMBER ( UU��_ LICENSE CLASSIFICATION �7 D VALUATION$ 2 FT �;7 ( L SQ FT L• ss APPLICANT'S SIGNATURE �i� DATE 7 �11: IN 1111 IM !2 - M �- YCy>'r r k DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE �� PAID AMOUNT AMOUNT L0 0CASH 0 CHECK N OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK R OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd.Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213