PMT17-01416 City of Menifee Permit No.: PMT17-01416
29714 HAUN RD. T Residential Electrical
�AICCEL/� MENIFEE, CA 92586 Type:
MENIFEE Date Issued: 0611612017
PERMIT
Site Address: 25881 LAZY CLOUD WAY, MENIFEE,CA Parcel Number: 335-500-024
92585 Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,22 PANELS, 1 INVERTER,6.380 kW
Work:
Owner Contractor
ROBERT MESTYANEK SUNRUN INSTALLATION SERVICES INC
25881 LAZY CLOUD WAY 775 FIERO LANE STE 200
MENIFEE, CA 92585 SAN LUIS OBISPO, CA 93401
Applicant Phone:4155806900
JORDAN AUDIFFEREN License Number:750184
SUNRUN INSTALLATION SERVICES INC
775 FIERO LANE STE 200
SAN LUIS OBISPO, CA 93401
Phone:7607986548
Fee Description O_Yt Amount($1
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 220 220.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$514.60
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 Btdg_Permit Ternplate.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from ficensure under the Contraclare State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence in
Professions Code and my license is in full force and effect.5I(Z q which I must have resided for at least one year prior to completion of
License Class _ •seas 'i improvements covered by this permit,I cannot legally sell a structure that I have
Expires(D-u0-1 f Signatu built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a ropy of the applicable law,Section 7044 of the
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application Is
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: httoJ/wwwlecinfo.ca.cov/calaw.html.
I have and will maintain a certificate of consent of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner orAulhorized Agent
Policy# ❑ By my Signature below, 1 certify to each of the following:I am the property
❑ 1 have and will maintain workers' compensation Insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city,and county ordinances and slate laws relating to building
construction.I authorize representatives of this city or county to enter the above-
Camfer,airf al 2k nier'I CCu'L identified property for the inspection purposes.
Policy# Cg(3(.Ogtpd0 Expires/0* 1-1(0 Date
Properly Owner arAuthorizedAgent , j �
(This section need not be completed if the permit is for City Business License# 0:5 1 i 0
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ 1 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 Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California. and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith ith those provisions. ❑YESNO
Applica Date; J 5' Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli es
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES C9-N0
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be Wthin 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary fa school?
LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES 1< HO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS .YES ❑NO
i hereby affirm under penalty of perjury that I am exempt from the Contractor's Date HS-UO
License Law for the reason(s)indicated below by the checkmark(s)I have placed P E TY OWN OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct,alter,improve,demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
or repair any structure, prior to its issuance, also requires the applicant for the
permit to rile a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more Information about EPA's Renovation Program visit:
roe www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the p p rty, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, - Certified Firm Name:
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the Finn Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
WpU VF9
IIG// y
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee,CA. 92586
BV Project: 40017-039088.00 Project: PMT17-01416
Reviewer: N. N. Martinez Description: Roof Mounted PV System
Direct:619 733-6676
General: 714 4314100
nabetamartinez@gmail.com Project Address: 25881 Lazy Cloud Wy
Owner(s): Mestyanek
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 2 REVIEW COMMENTS
June 10,2017
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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 06/12/2017
Project Location: 25881 Lazy Cloud Way
Plan Check No.: PMT17-01416
BV Project#: 40017-039088.00
Project Description: PV Solar- MESTYANEK
Reviewer Date Hour Hourly
Rate Total
15t Plan Check N Martinez 5/10/2017 1.0 $110.00 $110.00
2"d Plan Check N Martinez 06/10/17 1.0 $110.00 $110.00
3rd Plan Check
4th Plan Check
Final Approval: N Martinez 06/10/17 2.0 $110.00 $220.00
Bureau Veritas North America.Inc.
1665 Scenic Avenue. Suite 200
Costn Mesa CA 92626
h4:714 4 1.4100 1 :714.8'25.08S.;