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PMT17-01159 City of Menifee Permit No.: PMT17-01159 29714 HAUN RD. 't;kCCELA—> MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 06/02/2017 PERMIT Site Address: 27508 TERRYTOWN RD, MENIFEE, CA Parcel Number: 336-340-001 92586 Construction Cost: $10,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 10 PANELS, 10 MICROINVERTERS, 2.85 KW Work: Owner Contractor JOAN MARTIN PEAK POWER SOLUTIONS INC 2750E TERRYTOWN ROAD 1542 EDINGER AVENUE SUITE D MENIFEE, CA 92586 TUSTIN, CA 92780 Applicant Phone:7142583900 HENRY AFFRE License Number: 973253 PEAK POWER SOLUTIONS INC 1542 EDINGER AVENUE SUITE D TUSTIN, CA 92780 Fee Description OQt Amount!$1 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 165 165.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Electrical 1 12.60 $459.60 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_Bidg_Pemiit_Templalespt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code an y license is in full force and effect. r� the following reason: License Class Lip se No. Z' 2v By my signature below I acknowledge that,except for my personal residence Expires 31 3" Signatur in which l 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 01 hereby affirm under penalty of perjury one ofthe 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.leeinfo.ca.aov/calaw.html. this permit is issued. Policy If Date Wha've and will maintain worker's compensa join insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT sectFon 3700 ofthe Labor Code,for the performance of the work for which o By my signature below l 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 owners behalf.I have read this number are: /` application and the information I have provided is correct.I agree to comply _ Carrier 16 00Hf� with all applicable city and county ordinances and state laws relating to qq building construction.I authorize representatives ofthis city or county to PI2ngnt)Z20 17 Expires Z—/ ( / a enter the above identified property for inspection purposes. i (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, ��I 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N ` workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compen ation provisions of Section 3700 of the Labor Code,I s a with corpplyv thithhoose p/yovisions. Will the applicant or future building occupant handle hazardous material or a Applican r �/ Date / mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FA RE T SECURE WORKER'S COMPENSATION COVE GE IS ❑Yes �No UNLAWFUL,AN SHALL SUBIECF 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($500,000),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(SCACII See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY o Yes g'FIo 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) o Yes XNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 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 hazardouornias Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous materi�l reporting. Business and Professions Code).Any city or county that requires a permit to oyes No Date 17 7 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY O Elt O OIRIZ4 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 IRRPj 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 Iicensure 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 or through their o I,as owner ofthe property,or my employee with wages as theirsole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion ofthe work,and the structure is www.epa.aov/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 Contractors 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: D 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 Ifyour project does not comply with EPA RRP rule please fill out the RRP �/� Acknowledgement. H ifs KY s—I BUILDING & SAFETY PERMIT/PLAN CHECK A. . Menifee DATE 04/18/2017 PERMIT/PLAN CHECK NUMBER TYPE: [I COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA []SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL [_]NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES City of Menifee t P DESCRIPTION OF WORK 10 ROOF MOUNTED P.V. MODULES(2.85 KW), 10 ATTATCHED MICROINVERTERS PROJECT ADDRESS 27508 TERRYTOWN,SUN CITY, CA 92586 Ce 0vE) ASSESSOR'S PARCEL NUMBER 3310- 3rAb-00j LOT 6)y TRACT PROPERTY OWNER'S NAME JOAN MARTIN ADDRESS 27508 TERRYTOWN,SUN CITY,CA 92586 PHONE (951)672-6777 EMAIL APPLICANT NAME HENRY AFFRE ADDRESS 1542 EDINGER AVE.TUSTIN,CA 92780 PHONE (562)682-4511 EMAIL haffre562@gmail.com CONTRACTOR'S NAME PEAK POWER SOLUTIONS OWNER BUILDER? ❑YES O BUSINESS NAME ADDRESS 1542 EDINGER AVE.TUSTIN,CA 92780 PHONE (800)265.6357 EMAIL CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION B VALUATION$ $ 10,000.00 FT L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT I I O CASH O CHECK# O CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC OWNER BUILDER VERIFIED . YES C' NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 'U Uf9 G g�B Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039048.00 Project: PMT17-01159 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714-431-4123 General: 714-431-4100 Khoa.duong@us.bureauveritas.com Project Address: 27508 Terry-town Road Owner(s): Joan Martin Occupancy Group(s): R-3/U Construction Type: V-B PC 2-APPROVED May 30, 2017 This plan has been reviewed and approved for conformance to the minimum requirements of the 2016 California Building Standards Code,as amended and adopted by the City of Menifee, California. 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 CPU VE9 � a m ut CITY OF MENIFEE TRANSMITTAL Building Division Date: 05/30/17 Project Location: 27508 Terrytown Road Plan Check No.: PMT17-01159 BV Project#: 40017-039048.00 Project Description: Roof Mounted PV System Reviewer Date Hour Hourly Rate Total 1st Plan Check K Duong 04/26/17 1.00 $110.00 $110.00 2nd Plan Check K Duong 05/30/17 .50 $110.00 $55.00 3rd Plan Check 4th Plan Check Final Approval: K Duong 5/30/17 1.5 $110.00 $165.00 Bureau Verilas North America,Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa.CA 92626 D,1:714 4 31 4100 1 714.825.0685