PMT17-01635 City of Menifee Permit No.: PMT17-01635
29714 HAUN RD. T Residential Electrical
�CCEL/� MENIFEE,CA92586 yam'
MENIFEE Date Issued:
06/06/2017
PERMIT
Site Address: 24546 CONEJO DR,MENIFEE,CA 92584 Parcel Number: 341-170-033
Construction Cost: $48,386.00
Existing Use: Proposed Use:
Description of INSTALL GROUND MOUNTED SOLAR SYSTEM,33 PANELS, 33 MICROINVERTERS, 11.39 kW
Work:
Owner Contractor
PETE DEPALMA N B BAKER ELECTRIC INC
24545 CONEJO DRIVE 2140 ENTERPRISE STREET
MENIFEE,CA 92584 ESCONDIDO, CA 92029
Applicant Phone:7605466000
KEN RYAN License Number:858088
N B BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO, CA 92029
Fee Description ON Amount(El
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 110 110.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 7.00
General Plan Maintenance Fee-Electrical 1 12.60
$410.60
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_Bidg_Permit_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 perjurythat 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 ❑I am exempt from Iicensure under the Contractors 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
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that 1
have built as an owner-builder if it has not been constructed in its entirety by
o 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 workers 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 www.IegInfo.ca.gov/mlaw.htmI.permit Is issued.
PPolicy# Date
As1,have and will maintain workers compensaton insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o 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
Carrier r7 ycar with all applicable city and county ordinances and state laws relating to
�y building construction.I authorize representatives of this city or county to
Pogn#1&ze3d97(o!i Expir 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
o I certify that in the performance of the work for which this permit is Issued,
1 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 workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwi t comply wit hose provisions. WIII the applicant or future building occupant handle hazardous material or a
Applicant IX/�7 Date 6 f7 mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o No
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 forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes o No
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 o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
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 al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes o No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER OR AUTHORIZED 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(RRPI
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 Iicensure 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 sale 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.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o 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 because:
o 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.
�pU VF9
C
�92B
Bureau Veritas City of Menifee
1665 Scenic Avenue,Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA.92586
BV Project: 40017-039161.00 Project: PMT 17-01635
Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System
Direct: 714 4314123
General: 714 4314100
Khoa.duong@us.bureauveritas.com Project Address: 24545 Conejo Drive
Owner(s): Pete Depalma
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 1-APPROVED
June 01,2017
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
�pU VF9
c �
� a
m m
r82B
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 6/01/2017
Project Location: 24545 Conejo Drive
Plan Check No.: PMT17-01635
BV Project#: 40017-039161.00
Project Description: PV Solar—Pete Depalma
Reviewer Date Hour Hourly
Rate Total
15i Plan Check Khoa Duong 6/01/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
41h Plan Check
Final Approval: Khoa Duong 6/01/2017 1.0 $110.00 $110.00
Bureau Veritas North America,Inc.
1666 Scenic Avenue,Suite 200
Costa Mesa.CA 97676
h4:71'4.431.4100 f:714.825M85
Menifee
DATE 05/22/2017 PERMIT/PLAN CHECK NUMBE �-j"0kU'Z)5
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ADDITION ❑ALTERATION ❑DEMOLITION [Z]ELECTRICAL ❑MECHANICAL
❑NEW [:]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES > City Of Menife
Fey )ept.
DESCRIPTION OF WORK Ground Mount Solar Installation 11.39 kW w/Main Electric Panel Upgrade 200A
7. MAYZ320
PROJECT ADDRESS 24545 Conejo Drive vi �,
ASSESSOR'S PARCEL NUMBER 341-170-033 LOT 60 TRAGT 27/26
PROPERTY OWNER'S NAME Pete Depalma
ADDRESS 24545 Conejo Drive,Menifee CA 92587
PHONE (951)316-8809 EMAIL Pete@islandsinthesunbbq.com
APPLICANT NAME Ken Ryan
ADDRESS 2140 Enterprise St.Escondido,C 92029
PHONE (760)803-7890 yw5.-)D•c ^10 EMAIL kryan@bakerelectricsolar.com
CONTRACTOR'S NAME Ted Baker OWNER BUILDER? ❑YES❑J NO
BUSINESS NAME Baker Electric Solar
ADDRESS 2140 Enterprise St.Escondido CA 92029
PHONE (760)546-6000 EMAIL rsWa@haIwfeWctrieseler:eem
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C10
VALUATION$ $48,386.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 0 5/2 212 01 7
-F USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE /5^^ PAIDAMOUNT
AMOUNT ° U0 OCASH OCHECKR OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT I 0CASH 0CHECK# OCREDITCARD VISA/Mc
OWNER BUILDER VERIFIED OYES O N0 DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213