PMT17-01514 City of Menifee Permit No.: PMT17-01514
29714 HAUN RD. Type: Residential Electrical
�!-�CCELA-�. MENIFEE, CA 92586
MENIFEE Date Issued: 07/05/2017
PERMIT
Site Address: 26528 MEHAFFEY ST, MENIFEE, CA Parcel Number: 335-281-007
92586 Construction Cost: $10,566.86
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 10 PANELS, 10 MICROINVERTERS,2.80 kW
Work:
Owner Contractor
LINDA RUIZ VISION INSTALLATION
26528 MEHAFFEY STREET 5255 N EDGEWOOD DR 125
MENIFEE,CA 92586 PROVO, UT 84604
Applicant Phone:8887817074
KELLY BAKER License Number:853582
VISION INSTALLATION
5255 N EDGEWOOD DR_125
PROVO, CA 84604
Fee Description QQt Amount W
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 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$469.60
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 Pennit_Templale.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 perjurythat 1 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 a I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
L Z�22Z
License Class Livens No 5 By my signature below I acknowledge that,except far my personal residence
Expires �N771A' nature v�y��n 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
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by
❑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 sveyiv.leeinfo.ca.eov/calaw.h[ml.
this permit is issued.
Policy# Date
o I have 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 workfor 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: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier.X. 4 Yl J building construction.I authorize representatives of this city or county to
Policy# 1 / Expires enter the above!dent!. property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date '
dollars($100)or less PkOERTY OWNE06RAVfHORIZED AGENT
a I certify that in the performance of the work for which this permit is issued, �+/�, ( Lo
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# t `e
workers compensation laws of California,and agree that.ff I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compe tion provisions of Section 3700 of the Labor
Cade,I shall fo p with coca I w'h thos provisions. Will the applicant or future building occupant handle hazardous material or a
Applica (,�p,__Date 1—1 mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide.}
WARNI : AIL RE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes Vd"u',
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 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 forguid� /►'r^n,�es
CONSTRUCTION LENDING AGENCY a Yes ;WO
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) a Yes NNo
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 reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous5ilterial re Hin
cherkmark(s)I have placed nett to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to oyes o ( 7
� Date 1-7
construct,alter,Improve,demolish or repair any structure,prior to its PROPEW 6WER OR UT RIZED 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(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
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.epa.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 Contractors State License Law does not apply to an owner of a in 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 bemuse:
❑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.
12-vl (/ern \/IS��Ln
--�kMenifee
DATE 05/08/2017 PERMIT/PLAN CHECK NUMBER '6
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [—]ADDITION []ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL
❑✓ NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Installation of 2.80 kW photovoltaic system on existing residential roof
`b s
PROJECTADDRESS 26528 Mahaffey Street, Menifee, CA 92586
ASSESSOR'S PARCEL NUMBER 7j - ' j) .M, LOT TRACT
PROPERTY OWNER'S NAME Linda Ruiz
ity of Menitee
ADDRESS 26528 Mahaffey Street, Menifee, CA 92586 Building & Safety Dept.
PHONE EMAIL
APPLICANT NAME Sophia White
ADDRESS 5255 N Edgewood Or#125, Provo, UT 84604 Received
PHONE (888)781-7074 EMAIL Permits@ionsolar.com
CONTRACTOR'S NAME Mark Howe OWNER BUILDER? []YES ONO
BUSINESS NAME Vision Installation
ADDRESS 5255 N Edgewood Dr#125, Provo, UT 84604
PHONE (888)781-7074 EMAIL Permits@ionsolar.com
CONTRACTOR'S STATE LIC NUMBER 853582 LICENSE CLASSIFICATION C-10
VALUATION$ $ 10,566.86 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 05/08/2017
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 6)
INVOICE
AMOUNT t PAIDAMOUNT ,1
V/V O CASH O CHECK# OCREDI7 CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O. NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213
WpU vf9
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee,CA. 92586
BV Project: 40017-039153.00 Jurisdiction No.: PMT17-01514
Reviewer: Ed Chock/Khoa Duong Description: PV System
Direct:714-431-4192
General: 714-431-4123
edwin.chock@us.bureauveritas.com Project Address: 26528 Mehaffey Street
Owner(s): Linda Ruiz
Occupancy Group(s): R-3, U
Construction Type: V-B
PC2-APPROVED
June 28,2017
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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 6/28/17
Project Location: 26528 Mehaffey Street
Plan Check No.: PMT17-01514
BV Project#: 40017-039153.00
Project Description: PV Solar-
Reviewer Date Hour Hourly
Rate Total
1st Plan Check E Chock 5/23/17 1.00 $110.00 $110.00
2nd Plan Check K Duong 6/28/2017 0.5 $110.00 $55.00
3rd Plan Check
4th Plan Check
Final Approval: K Duong 6/28/2017 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