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PMT17-01205 City of Menifee Permit No.: PMT17-01205 29714 HAUN RD.' Type: Residential Electrical �CCELJ' MENIFEE, CA 92586 MENIFEE Date Issued: 05124/2017 PERMIT Site Address: 31198 ENSEMBLE DR, MENIFEE, CA Parcel Number: 360-563-007 92584 Construction Cost: $23,554.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 22 PANELS, 1 INVERTER,7.26 kW Work: Owner Contractor DANA GALAZZO N B BAKER ELECTRIC INC 31198 ENSEMBLE DRIVE 2140 ENTERPRISE STREET MENIFEE, CA 92584 ESCONDIDO,CA 92029 Applicant Phone:7605466000 TERRY MCARTHUR License Number. 858088 N B BAKER ELECTRIC INC 2140 ENTERPRISE STREET ESCONDIDO, CA 92029 Fee Description O_yt Amount lEl 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 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $461.60 The issuance of this pennit 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.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 hereby affirm under penalty of perjury that I 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 D 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 Claasss 96 license No. �� Qxr- By mysignature below I acknowledge that,exceptfor my personal residence Expires Signature in which I must have resided for at least one year prior to completion of ell improvements covered by this permit.I cannot Iegalty 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 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 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 webshe: by Section 3700 of the Labor Code,for the performance of work for which www.IeRinfo.ca.Rov/caIaw.htmL permit is issued. Policy# Date .91 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 D 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 owners behalf.I have read this number area�::] application and the information I have provided is correct.I agree to comply Carrier U�C� Z,a i/� with all applicable city and county ordinances and state laws relating to I building construction.I authorize representatives of this city orcounty to Polity If "Ar Expires enterthe 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, I shall not emoloV 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 complyy(iU rose provisions. Will the applicant or future building occupant handle hazardous material or Applicant C Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes D 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($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC construction or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY o Yes D No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous material reporting.$)(Section 7031.5 Dyes ❑No Business and Professions Code).Any city or county that requires a permitto 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 IRRP) 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 or through their D 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 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. D No EPA Lead-Safe Certified Firm Is required for this project because: ❑1,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. : APPLICATION Menifee 012 OS DATE S— — PERMIT/PLAN CHECK NUMBER ►MIT-I1 TYPE: O COMMERCIAL & RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O'.SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �O Q/,( 7 nij (,(`Z�-j PROJECTADDRESS 3// f ewl"045-/����y,�5 7 ASSESSOR'S PARCEL NUMBER�C) 3•�//� LOT I TRACT 3d -1 0Z OWNER NAME ADDRESS ..S�jt7 (�G PHONF(rG,s�L� f EMAIL lG of APPLICANT NAME ADDRESS / /7, 45:' ST % CQ,//IJffJ D G/j PHONE �?(�Q'� L�w0/'� EMAILAak&1-20 �� J � iL�Om CONTRACTOR'S NAME OWNER BUILDER? O YES *NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SQ.FT Zu ?S' Tb71r-L L SO FT APPLICANT'S SIGNATURE DATE 05 Uk DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT II II AMOUNT OCASH OCHECKp OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 9256ftf p}-Mynjfe7d7 www.cityofinenifee.us Inspection Request Line 951-246-6B1;L1lding & Safety Dept. MAY 0 0 2017 Received �pV vEN m �010 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039050.00 Project: PMT17-01205 Reviewer: Khoa Duong, P.E/Ed Chock, P.E Description: Roof Mounted PV System Direct: 714-431-4123 General: 714-431-4100 Khoa.duong@us.bureauveritas.com Project Address: 31198 Ensemble Drive Owner(s): Dana Galazzo Occupancy Group(s): R-3/U Construction Type: V-B PC 2 APPROVED May 19, 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 �pu ve9 ¢ a m m +aze CITY OF MENIFEE TRANSMITTAL Building Division Date: 5/19/2017 Project Location: 31198 Ensemble Drive Plan Check No.: PMT17-01205 BV Project#: 40017-039050.00 Project Description: Roof Mounted PV System Reviewer Date Hour Hourly Rate Total 1st Plan Check K Duong 04/28/17 1.0 $110.00 $ 110.00 2nd Plan Check E Chock/K Duong 5/19/2017 0.5 $110.00 $ 55.00 3`d Plan Check 4th Plan Check Final Approval: E Chock/K Duong 5/19/2017 0.5 J $110.00 $ 55.00 Bureau Veritas North America,Inc. 1665 Scenic Avenue.Suite 200 Costa Nlesa.CA 92626 MA 714.431.4100 F. 714.825.0685