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PMT17-01423 City of Menifee Permit No.: PMT17-01423 29714 HAUN RD. 't;kCCELA— MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 05/17/2017 PERMIT Site Address: 29383 LAKE FOREST DR, MENIFEE, CA Parcel Number: 336-192-024 92586 Construction Cost: $18,000.00 Existing Use: Proposed Use: Description of INSTALL 18 ROOF MOUNTED P.V. MODULES(5.13 KW), 1 WALL MOUNTED STRING INVERTER Work: Owner Contractor DONALD KELLEY PEAK POWER SOLUTIONS INC 29383 LAKE FOREST DRIVE 1542 EDINGER AVENUE SUITE D MENIFEE,CA 92586 TUSTIN,CA 92780 Applicant Phone:7142583900 PEAK POWER SOLUTIONS INC License Number.973253 1542 EDINGER AVENUE SUITE D TUSTIN, CA 92780 Phone:7142583900 Fee Description Oft t Amount I$ Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 1,00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $405.60 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 canted 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_Pennit 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)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and in I am exempt from licensure under the Contractor's State Ucense Law for Professions Code a'n[��,�ny license is in full force and effect. the following reason: License Class fir_U e se No. �� By my signature below I acknowledge that,except for my personal residence Expires-6/3( 0 Signatu 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 D 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 w,w,w,leeinfo.ca.eov/calaw.html. this permit is Issued. Policy# Date have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT se jean 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier fr l ��'-4 r with all applicable city and county ordinances and state laws relating to /� building construction.I authorize representatives of this city or county to Policy#�T 2o4Oq 26i ? Expires /�) S enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($IGO)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, �1 rX-tz 1 shall not emolov any persons In any manner so as to become subject to the CITY BUSINESS LICENSE# O l worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compen ation provisions of Section 3700 of the Labor Code,I s a o Lwith to i PU th hose p ovisions. Will the applicant or future building occupant handle hazardous material or a Apde.'splican r - Date 1 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FA RE T SECURE WORKER'S COMPENSATION COVE GE IS D Yes �No UNLAWFUL,AN 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCOON LENDING AGENCY Dyes y1flo 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 Iz'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 California Health al Safety Code,Section 25505 and 25534 con Contractor's License Law for the reason(s)indicated below by the hazardous hazardous material reporting. checkmark(s)I have placed next to the applicable item(5)(Section 7031.5 oyes No I - Business and Professions Code).Any city or county that requires a permit to Date f ( 7 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OV O ORIZ 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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( I all of or( I 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 Contractor's State License Law does not apply to an owner of a D 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: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 05/03/2017 PERMIT/PLAN CHECK NUMBER TYPE: [-]COMMERCIAL ❑✓ RESIDENTIAL [:]MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION [-]DEMOLITION ❑✓ ELECTRICAL El MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 18 ROOF MOUNTED P.V.MODULES(5.13 KW), 1 WALL MOUNTED STRING INVERTER PROJECT ADDRESS 29383 LAKE FOREST DR.SUN CITY, CA 92586 ASSESSOR'S PARCEL NUMBER I�12 • O2� LOT Z b TRACT PROPERTY OWNER'S NAME DONALD KELLEY ADDRESS 29383 LAKE FOREST DR.SUN CITY,CA 92586 PHONE (951)672-6793 EMAIL APPLICANT NAME HENRY AFFRE ADDRESS 1542 EDINGER AVE.TUSTIN,CA 92780 PHONE (562)682-4511 EMAIL haffre562@gmail.com CONTRACTOR'S NAME PEAK POWER SOLUTIONS OWNER BUILDER? ❑YES❑NO BUSINESS NAME ADDRESS 1542 EDINGER AVE.SUITED,TUSTIN,CA 92780 PHONE (800)265-6357 EMAIL CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION B VALUATION$ $ 18,000.00 SO 315 L SO FT APPLICANT'S SIGNATURE DATE 05/03/2017 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT O CASH IDCHECK N O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O �0 QQ0�Q City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 9258690�} 6777 www.cityofinenifee.us Inspection Request Line 951-246-621 \� T., q rAC40 WpO VF9 a � m raze Bureau Veritas City of Menifee 1665 Scenic Avenue,Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA. 92586 BV Project: 40017-0390108.00 Project: PMT17-01423 Reviewer: N. N. Martinez Description: Roof Mounted PV System Direct: 619 733-6676 General: 714 4314100 nabetamartinez@gmail.com Project Address: 29383 Lake Forest Dr. Owner(s): Kelley Occupancy Group(s): R-3/U Construction Type: V-B PC 1 REVIEW COMMENTS May 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 �pU VF9 � y 9 N I828 CITY OF MENIFEE TRANSMITTAL Building Division Date: 5/12/2017 Project Location: 29383 Lake Forest Dr Plan Check No.: PMT17-01423 BV Project#: 40017-039108.00 Project Description: PV Solar—KELLEY RES Reviewer Date Hour Hourly Rate Total 1st Plan Check N Martinez 5/10/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: N Martinez 5/10/2017 1.0 $110.00 $110.00 Bureau Veritas North America,Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 tA:714A31.4100 F:714.825,0685