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.
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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
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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