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PMT17-01441 City of Menifee Permit No.: PMT17-01441 29714 HAUN RD. �CCEL/? MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: O6/30/2017 PERMIT Site Address: 27723 BALBOA CT,MENIFEE, CA 92585 Parcel Number: 333-350-016 Construction Cost: $38,715.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED 38 MODULES, 19 MICROINVERTERS, 12.92KW Work: Owner Contractor DAVID HART COMPLIANCE 1ST ELECTRIC INC 27723 BALBOA CT 1142 NOLAN AVENUE MENIFEE, CA 92585 CHULA VISTA, CA 91911 Applicant Phone:6196060838 KATHLEEN PAGE License Number. 1022783 1142 NOLAN AVENUE CHULA VISTA, CA 91911 Fee Description ON Amount I51 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 55 55.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 6.00 General Plan Maintenance Fee-Electrical 1 12.60 $464.60 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_Pe"it_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from icensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my 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 gMtereby 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 this permit yyyvw.le¢info.ca.eov/calaw.h[ml. tiis issued. Policy# I DU!(pO I J I7 Date � ®Thave 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 forwhich ❑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 application and the information I have provided is correct.I agree to comply Carrier GU' 1/-7v,' with all applicable city and county ordinances and state laws relating to p i building construction.I authorize representatives of this city or county to Policy# by tGIOQ l Expires o.�y �A —o7-0 17 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, 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 kers compensation provisions of Section 3700 of the Labor Cade,I shall fo wi om with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant .( Date -.�1�—�7 mixture containing a hazardous material equal to or greaterthatthe amounts spS�ified on the Hazardous Materials Information Guide. WARNING: AILUR O SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes dNo 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES _ Coast Air Quality Management District(SCACLMD)7 See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY ❑Yes o-N�. 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 ggvo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD m under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of I hereby affirm n Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning Contractors e hazardo r taterial rep rtin9. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ` Business and Professions Code).Any city or county that requires a permit to �. Date G -30/7 construct,alter,improve,demolish or repair any structure,prior to its PROP OW R OR AUTHORIZED AGENT issuance,also requires the applicant forthe 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 MRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rube requires contractors 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-certifiedfirms 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($500). managers who do the paint-disturbing work themselves orthrough their ❑1,as owner of the property,or my employee with wages as their sole employees.For more Information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.Rov/lead or contact the National Lead Information Center at not intended oroffered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or Improves the property provided that the Improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. iL a .$ +se a e � � e e i i t o 10, v Sid r HE I Building & Safety Dept. MAY 0 4 2017 C-Menifee LKDATE N '� ( PERMIT/PLAN CHECK NUMBER �'�l.J 1 TYPE: O COMMERCIAL attESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION '-ELECTRICAL O MECHANICAL O NEW O PLUtM,�BING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK it6fGl�k -oYT 01r 010.v- QQ G( ! a I q kUJ DC. PROJECTADDRESS ;V7723 6Ab00. XjVLik 10 C-vt q2-SSS- ASSESSOR'S PARCEL NUMBER 3$3 3 5 O9 16 LOT JLP TRACT OWNER NAME ADDRESS 2-772-3 93-s,T5 PHONE / U" ;7 gE+MAIL APPLICANT NAME (�` 1`te{N P t `11S11( CflYt$fyl.t.GE-i ADDRESS Z '�0l Oak Cic- L of W dLow1Ci( cil `t2-b-q*S- PHONE EMAIL 2-2.6 y S 77 (IF CONTRACTOR'S NAME LOv.[s C'0 f Et OWNER BUILDER? O YE5 4�'90 BUSINESS NAME CO VA l 1 Cur- i L ADDRESS 33go (p8 50� VG( SQ✓\ D q 5 1( PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER i 0�a 7�3 LICENSE CLASSIFICATION C VALUATION$ 3 Y 71 SO FT L SO FT APPLICANT'S SIGNATURE . DATE I.;--- q-I 7 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT 0CASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKa 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of il4enifee Building&Safety Department 2971 A Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofrnenifee.us Inspection Request Line 951-245-6213 eie Bureau Veritas City of Menifee 1665 Scenic Avenue,Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA.92586 BV Project: 40017-039160.00 Jurisdiction No.: PMT17-01441 Reviewer: Ed Chock/Khoa Duong Description: PV System Direct:714-431-4192 General: 714-431-4123 edwin.chock@us.bureauveritas.com Project Address: 27723 Balboa Ct. Owner(s): David Hart Occupancy Group(s): R-3, U Construction Type: V-B PC2-APPROVED June 20,2017 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 �qu vF9 � n r !p N r a'ZB CITY OF MENIFEE TRANSMITTAL Building Division Date: 06/20/17 Project Location: 27723 Balboa Ct Plan Check No.: PMT17-01441 BV Project#: 40017-039160.00 Project Description: PV Solar—David Hart Reviewer Date Hour Hourly Rate Total 151 Plan Check E Chock 05/30/2017 1.0 $110.00 $110.00 2nd Plan Check K Duong 06/201/2017 0.5 $110.00 $55.00 3rd Plan Check 4`h Plan Check Final Approval: K Duong 06/20/2017 1.5 $110.00 $165.00 Bureau Verilas North America,Inc. 1665 Scenic Avenue.Suite 200 Costa Mesa,CA 02626 1.4:714.431 4100 1 : 714.825.0685