PMT17-01338 City of Menifee Permit No.: PMT17-01338
29714 HAUN RD. Type: Residential Electrical
'e—ACCELA-> MENIFEE, CA92586
MENIFEE Date Issued:
07I20/2017
PERMIT
Site Address: 27164 CELTIC CIR, MENIFEE, CA 92585 Parcel Number: 331-461-034
Construction Cost: $20,000.00
Existing Use: Proposed Use-
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,23 PANELS,23 MICROINVERTERS,6.44 kW
Work:
Owner Contractor
JOSE VELASCO SST CONSTRUCTION LLC
27164 CELTIC CIRCLE 2731 CITRUS ROAD SUITE D
MENIFEE, CA 92585 RANCHO CORDOVA, CA 95742
Applicant Phone:9168796648
ADAM YUNT License Number: 1009107
SST CONSTRUCTION LLC
2731 CITRUS ROAD SUITE D
RANCHO CORDOVA, CA 95742
Phone: 9516752907
Fee Description fQti Amount l$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 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$460.60
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_Pernit_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 contr'actor(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 Cod
/e,<pndmy license is m full force and ee ecct the following reason:
License Class f-%�C(� Livens Ga. l By my signature below 1 acknowledge that,except for my personal residence
Expires Z�17 Signatur in which I must have resided for at least one year priorto 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
Sereby affirm under penalty of perjury one he ollowmg 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 ,N, .Ieeinfo.ca.eov/calaw.html.
this permit is issued.
Policy It Date
PROPERTY OWNER OR AUTHORIZED AGENT
have and will maintain workers compensa Lion insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which ❑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:- /�p /J / application and the information I have provided is correct.I agree to comply
CarrierdlrX f<•4P(r �%C C'w_oi _far with all applicable city and county ordinances and state laws relating to
//II
1 building construction.I authorize representatives of this city or county to
Policy#.AIGPJ14�I� Expires &gllellg' enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
ertlfy 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 It
workers compensation of ia;and agree that if I should become
HAZARDOUS MATERIAL DECLARATION
subject to the war s compen revisions of Section 3700 of the Labor
Cade,I shall fy wi ppywith the/ie rovisions. Will the applicant or future building occupant handle hazardous material or a
APpIs'" �` �/ Date Ate' mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SE[ORE WORKER'S COMPENSATION COVERAGE IS o Yes o No
UNLAWFfI P'�1RSHP.LL SUBIECT 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($1DO,OOD),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 for guidelines
CONSTRUCTION LENDING AGENCY ❑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) ❑Yes o 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 reasons)Indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable R hazardous material reporting.em(s)(Section 7031.5 oyes ❑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 fRRPI
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
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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o 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:
❑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.
l
S
Men ifeeT�
DATE q' a -"-I •T PERMIT/PLAN CHECK NUMBER -C in - o 33,is
TYPE: ❑COMMERCIAL [RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL
❑NEW ❑PLL�UxMJJBING ❑RE-ROOF-`NU1MB-ER'OFSQUARES
DESCRIPTION OF WORK e51 1 �4 diL/I"r 6eL� + 93 A4jO5 I &,�' q
Z 3 m I U-D - 1 rl\l t rA-CrS NgLJ 9" A- 1&i ii
Pi. I -(s
- 1
PROJECTADDRESS �/'L e G , �to6P66 ��11
ASSESSOR'S PARCEL NUMBER 33 -y LOT TRACT dClI195-
PROPERTY OWNER'S NAME Q� SC-d
J
ADDRESS p�'�) I to ef ttjc/ Gli r A I fT
yj City of Menifee
r
PHONE / b � r ( /% D EMAIL /v
APPLICANT NAMEA lbiA )ADDRESS V- l k 4 Avy 61
d // Un i f I eived
�G �7f
PHONE -67- 16 -�- EMAIL
exm
CONTRACTOR'S NAME ��I Y3S1"ruIT .��-'�- OWNER BUILDER? ❑YES[L}iQ0
BUSINESS NAME,�` K1 /
ADDRESS Q�I`C b� S. Vi6QAra4 )�V. B I J
PHONE EMAIL
CONTRACTOR'S STATE
LIC NUMBER /040 LICENSE CLASSIFICATION (�
VALUATION $ d` i �gG SQ FT 'SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GRE SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH OCHECKN OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUM OCASH OCHECKH 0CREDIT CARD 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.cityofinenifee.us Inspection Request Line 951-246-6213
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 5/30/2017
Project Location: 27164 Celtic Circle
Plan Check No.: PMT17-01338
BV Project#: 40017-039095.00
Project Description: PV Solar—Luis Velasco
Reviewer Date Hour Hourly
Rate Total
1st Plan Check Khoa Duong 5/10/2017 1.0 $110.00 $110.00
2n6 Plan Check Khoa Duong 5/30/2017 0.5 $110.00 $55.00
3rd Plan Check
4th Plan Check
Final Approval: K Duong 1.5 $110.00 $165.00
Bureau Veritas North America,Inc.
1665 Scenic Avenue.Suite 200
Costa Mesa.CA 92626
M:714.431.4100 F'714.825.0685