PMT17-01140 City of Menifee Permit No.: PMT17-01140
29714 HAUN RD.
'ACCELA? MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE
Date Issued: 05/02/2017
PERMIT
Site Address: 23762 CHEYENNE CANYON DR, Parcel Number: 351-222-008
MENIFEE,CA 92587 construction Cost: $35,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 26 MODULES,26 MICROINVERTERS,8.71 KW
Work:
Owner Contractor
MARK&JACQUELINE VANDERWENDE SUNPRO SOLAR INC
23762 CHEYENNE CANYON DR 34859 FREDRICK STREET STE 101
MENIFEE,CA 92587 WILDOMAR,CA 92595
Applicant SOLAR
INC Phone: 9516787733
SUNPRO SO
BOB KO License Number:830451
34859 FREDRICK STREET STE 101
WILDOMAR, CA 92595
Fee Description
n1 Amount lSl
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 83 82.50
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$381.10
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_Pemlit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractors)pursuantto 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 Cade andJmy/li/ce'nse is in full force and effect. Q the following reason:
License Class �1p LD`/(J License No. J -- By my signature below I acknowledge that,except for my personal residence
Expires O-D'T l R Signature 4r—�l in which I must have resided for at least one year priorto completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that 1
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 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,for the performance of work for which
this permit is issued, www.leginfo.ca.gov/calaw.html.
Policy# Date
erllh_.ve 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 ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this
number are: II"" a application and the information I have provided is correct.I agree to comply
Carrier .S•)(Y pu/I rA with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# �Lt_) Si -1 yr Expires y— I— 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
❑I 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#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. y� Will the applicant or future building occupant handle hazardous material or a
Applicant Date J mixture containing a hazardous material equal to or greater that the
amounts spe�j:fled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes &No
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 District(SCAQM D)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guldeline
CONSTRUCTION LENDING AGENCY o Yes o'No
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 boundory of a school?
(Section 3097 Civil Code) ❑Yes aflo
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 under the State of
Contractors License Law for the reason(s)indicated below by the Califo nia Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 h rdous material reporting.
Business and Professions Code).Any city or county that requires a permit to es ❑Now / )
iT?_/� I Date .� O
construct,alter,Improve,demolish or repair any structure,priorto its PROPERVOWNER ORAUTHOIREDAGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuantto the provisions ofthe 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 owners and property
than($500), managers who do the paint-disturbing work themselves orthrough their
❑I,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.eov/lead or contact the National Lead Information Centerat
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible forthis 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:
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.
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/%' PERMIT/PLAN CHECK NUMBER I�
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: O COMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
�EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
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APPLICANT NAME �jU '+.' J an A tosl)V S
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ADDRESS � ,
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PHONE %751- EMAIL X0kNh' AAIA) Son)P�— - _cr4
CONTRACTOR'S c�lv �� S 4 0 OWNER BUILDERS OYE
BUSINESS NAME �� S
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CONTRACTOR'S STATE LIC NUMBER �3a�sl LICENSE CLASSIFICATION
VALUATION$ SO FT _ L� 71 1 L SQ FT
APPLICANT'S SIGNATURE C--DATE y
DEPARTMENT DISTRIBUTION _
BUILDING PLANNING ENGINEERING FIRE GREEN ev IZ=IgV' CITY OF MENIFEE BUSINESS LICENSE NUMBER
INVOICE SMIP (/
AMOUNT (PO PAIDAMOUNT
0 CASH 0 CHECK Al O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT
O CASH 0 CHECK If 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER
NOTARIZED LETTER 0 YES 0 NO
City D'Menijee Building 15D%atV De,Dartmeof 29711 Houo Rd. A,ie,7ileB, C4 97536 95L677-6777
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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: 40017-039029.00 Project: PMT 17-01140
Reviewer: N. N. Martinez Description: Roof Mounted PV System
Direct: 619 733-6676
General: 714 4314100
nabetamartinez@gmail.com Project Address: 23712 Cheyenne Canyon Dr.
Owner(s): Vanderwende
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 1 REVIEW COMMENTS
April 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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