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.
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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
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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