PMT17-01264 City of Menifee Permit No.: PMT17-01264
29714 HAUN RD. Type: Residential Electrical
-5A—CCEL/? MENIFEE, CA 92586
MENIFEE Date Issued: 0 510 312 01 7
PERMIT
Site Address: 27089 TOGA LN, MENIFEE,CA 92584 Parcel Number: 360-433-016
Construction Cost: $27,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 27 PANELS,27 MICROINVERTERS,6.272KW
Work:
Owner Contractor
ROBERT&VIRGINIA RUND NEW DAY SOLAR
27089 TOSA LN 23811 WASHINGTON AVE STE C110
MENIFEE, CA 92584 #224
Applicant Phone:8554446329
TIM STONEKING License Number:812958
NEW DAY SOLAR
23811 WASHINGTON AVE STE C110
#224
MURRIETA, CA 92562
Fee Description DQt Amount fE)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 110 110.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$407.60
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 carded 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
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and u I am exempt from licensure underthe Contractors State License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class C—A 0 License No g Fr g m si nature below l acknowledge that,except form Y Y g g p y personal residence
Expires Signature in which I 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
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 website:
by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. svvvw.leeinfo.ca.eov/calaw.html.
Policy H Date
D I 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 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 owners behalf.I have read this
number are: ('� + application and the information I have provided is correct.I agree to comply
Carrier�f'T�{1rc,(.-.C' with all applicable city and county ordinances and state laws relating to
Policy# y Expires �
9 _ ^ -(J/� building construction.l authorize representatives of this city or county to
��� - 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, O
I shall not emnlov 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 ofthe Labor
Code,I shall forth -th comply with t e provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applic3n r� Dates .3-/ ` amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes �fJo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII the 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 Duality Management Dfstric[(SCAQMD)?see permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes /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) D Yes o 4-
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand 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(s)(Section 7032.5 hazardous aterial reportin .
Business and Professions Code).Any city or county that requires a permit to oyes
construct,alter,Improve,demolish or repair any structure,signets its PRO RTY OWNER OR AUTHORIZED AGENT Date
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 fRRP)
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 apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving or childcare facility to be work
that
firms and comply 978
than
Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($SOD). managers who do the paint-disturbing work themselves ar through their
o 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.vov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-SOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o
property who,through employees'or personal effort,builds or improves the An EPA Lead-Safe Certified Renovator will be responsible for this project
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:
a 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.
pU vE9
'®N
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA.92586
BV Project: 40017-039063.00 Project: PMT17-01264
Reviewer: N. N. Martinez Description: Roof Mounted PV System
Direct:619 733-6676
General: 714 4314100
nabetamartinez@gmail.com Project Address: 27089 Tosa Ln
Owner(s): Rund
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 1 REVIEW COMMENTS
May 1,2017
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
Page 1 of 1
CPU Vf9
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rate
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 05/01/17
Project Location: 27089 Tosa Ln
Plan Check No.: PMT17-01264
BV Project#: 40017-039063.00
Project Description: Roof Mounted PV System
Reviewer Date Hour Hourly
Rate Total
15t Plan Check N Martinez 05/01/17 1.00 $110.00 $110.00
2nd Plan Check
3rd Plan Check
4th Plan Check
Final Approval:
Bureau Veritas North America,Inc.
1666 Scenic Avenue.Suite 200
Costa Mesa,CA 92626
M:714.431.4 100 r:714.825.0685
• • ww
SAFETYPERMIT/PLAN CHECK APPLICATION
',-'Menifee
DATE DATE 04/24/2017 PERMIT/PLAN CHECK NUMBER 1�—
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL El MECHANICAL
❑NEW [—]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Roof Mounted Residential Solar.27 Panels,27 Micro Inverters.No Upgrades.6.272kW
PROJECTADDRESS 27089Tosal.n.
ASSESSOR'S PARCEL NUMBER 360-443-016 LOT _ TRACT A Mill- I
PROPERTY OWNER'S NAME Bob&Ginny Rund
ADDRESS 27089 Tosa Ln, Menifee,CA 92584
PHONE (951)760-6689 EMAIL
APPLICANT NAME Tim Stoneking
ADDRESS 23811 Washington Ave.Murrieta,CA 92562
PHONE (855)444-6329 EMAIL timstoneking@newdaysolar.com
CONTRACTOR'S NAME Scott Carlson OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME New Day Solar
ADDRESS 23811 Washington Ave. G-110#224 Murrieta,CA 92562
PHONE (855)444-6329 EMAIL timstoneking@newdaysolar.com
CONTRACTOR'S STATE LIC NUMBER 812958 LICENSE CLASSIFICATION C-10
VALUATION$ $27,000.00 SQ FT L SQ FT
APPLICANT'S SIGNATU DATE 0 4124/2 01 7
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN Q� SMIP
INVOICE PAID AMOUNT
AMOUNT •� OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKII OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O 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.cityofmenifee.us Inspection Request Line 951-246-6213