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PMT17-01179 City of Menifee Permit No.: PMT17-01179 29714 HAUN RD, Type: Residential Electrical <A—CCF-LA— MENIFEE, CA 92586 MENIFEE Date Issued: 06/07/2017 PERMIT Site Address: 26234 BRANDYWINE DR, MENIFEE,CA Parcel Number: 335-142-016 92586 Construction Cost: $10,600.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 2.8KW 10 MODULES, 10 MICROINVERTERS AND Work: NO PANEL UPGRADES Owner Contractor KAY MARTIN BURKE ELECTRIC INC 26234 BRANDYWINE DRIVE 3283 TRADE CENTER DRIVE MENIFEE,CA 92586 RIVERSIDE, CA 92507 Applicant Phone: 9517879800 BURKE ELECTRIC INC License Number: 1000555 3283 TRADE CENTER DRIVE RIVERSIDE, CA 92507 Phone: 9517879800 Fee Description 0_yt Amount(S) 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_Bldg_Permit_Template.rpl 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 ❑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 L-1`0 Ucens S — By my signature below l acknowledge that,except for my personal residence Expires (— U^/ Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by o 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.leefnfo.ca.aov/celaw.html. this permit is Issued. Policy it Date In l have and will maintain worker's 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:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.1 have read this number are: application and the information I have provided is correct.I agree to comply Carrier r�l'with all applicable city and county ordinances and state laws relating to c building construction.I authorize representatives of this city or county to Policy N,g LJ L(r 48623 z 5-6Expires 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 p 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,)shall forthwi mply with provisions. �7 Will the applicant or future building occupant handle hazardous material pica rif/ /�� �_/ rT mixture containinga hazardous material equal toorgreaterthatthe Applica i 9 Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o 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($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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines 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 boundary of a school? (Section 3097 Civil Code) o Yes o No 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 perjurythat I am exempt from the Californiaealth al Safety Code,Section 25505 and 25534 concerning Contractor h s License Law for the reason(s)indicated below by the checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Dyes ❑No 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(RRPI 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 of 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 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.kov/lead 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 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. 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. Wp{U VE9 6 {, 0 V 828 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA.92586 BV Project: 40017-039045.00 Project: PMT17-01179 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: 26234 Brandywine Drive Owner(s): Kay Martin Occupancy Group(s): R-3/U Construction Type: V-B PC 2-APPROVED June 02, 2017 This plan has been reviewed and approved for conformance to the minimum requirements of the 2016 California Building Standards Cade, as amended and adopted by the City of Menifee, California. Please see sheet PV 103 for condition of approval! 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 VF9 � a m m re20 City of Menifee CITY OF MENIFEE JUN 0 6 2017 TRANSMITTAL Received Building Division Date: 6/02/2017 Project Location: 26234 Brandywine Drive Plan Check No.: PMT17-01179 BV Project#: 40017-039045.00 Project Description: PV Solar—Kay Martin Reviewer Date Hour Hourly Rate Total 1s` Plan Check Khoa Duong 4/28/2017 1.0 $110.00 $110.00 2nd Plan Check Khoa Duong 6/02/2017 0.5 $110.00 $55.00 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 6/02/2017 1.5 $110.00 $165.00 Bureau Verilas North America.Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa.CA 42626 1,4:714,431.4100 1 :714.825,0685 i i ♦ • • ► ♦ APPLICATION &4 . Meniiee DATE 04/19/2017 PERMIT/PLAN CHECK NUMBER VAK 11-011-1 1 TYPE: ,." COMMERCIAL V ESIDENTIAL ') MULTI-FAMILY C MOBILE HOME CI POOL/SPA SIGN SUBTYPE: "" ADDITION C% ALTERATION O DEMOLITION '' ELECTRICAL (D MECHANICAL C NEW 0 PLUMBING 0 RE-ROOF-NUMBEROFSQUARES DESCRIPTIONN OF/WORK Roof Mount Solar Photovoltaic System L,. LJ10 ModLAP-5pled lS '� I 2 don& PROJECTADDRESS 26234 Brandywine Drive Le ASSESSOR'S PARCEL NUMBER 335-142-016 LOT 16 TRACT 3638 PROPERTY OWNER'S NAME Kay Martin ADDRESS 26234 Brandywine Drive,Sun City, CA 92586 PHONE (909)241-3966 EMAIL kmart1939@gmail.com APPLICANT NAME ,lose Pasillas ADDRESS 3283 Trade Center Dr, Riverside, CA 92507 PHONE (951)787-9800 EMAIL mauker@fluentsolar.com CONTRACTOR'S NAME Aaron Burke OWNER BUILDER? I YES C: NO BUSINESS NAME Burke Electric ADDRESS 3283 Trade Center Dr, Riverside, CA 92507 PHONE (951)787-9800 EMAIL mauker@fluentsoiar.com CONTRACTOR'S STATE LIC NUMBER 1000555 LICENSE CLASSIFICATION C-10 VALUATION$ $ 10,600.00 SQ FT 2�1 �,3 5 L SQ FT 1 S . $ APPLICANT'S SIGNATURE DATE 04/1 912 01 7 O o! .� l DEPARTMENT DISTRIBUTION tlp CITYOF MENNIIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 1 SMIP INVOICE 4 �/7 L/��1�,py PAID AMOUNT -, �, AMOUNT '� 1 l - CASH 0CHECK# =CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT < CASH .'CHECK# CREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES C.: NO DL NUMBER NOTARIZED LETTER =% YES C NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cltyofinenifee.us Inspection Request Line 951-246-6213