PMT17-01659 City of Menifee Permit No.: PMT17-01669
_ 29714 HAUN RD. Type: Residential Electrical
�CCEL/-> MENIFEE, CA 92586
MENIFEE Date Issued: 0 612 712 01 7
PERMIT
Site Address: 29366 MURRIETA RD, MENIFEE, CA Parcel Number: 338-091-048
92586 Construction Cost: $10,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 13 MODULES, 1 INVERTER 4.290KW
Work:
Owner Contractor
GEORGE TAYLOR SUNRUN INSTALLATION SERVICES INC
29366 MURRIETA RD 775 FIERO LANE SUITE 200
MENIFEE,CA 92586 SAN LUIS OBISPO, CA 93401
Applicant Phone:4155806900
JORDAN AUDIFFEREN License Number.750184
775 FIERO LANE SUITE 200
SAN LUIS OBISPO, CA 93401
Fee Description City Amount I$)
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
$459.60
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 building operations being carded 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_Pernit_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 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 ❑I am exempt from licensure under the Contractor's State License Law for
Professions
sC�Code
��andl1my license is in full force and effect. Q/ ( the following reason:
License CIITS-: 2fJ L - �0 Lich lo. S(] u `f By my signature below l acknowledge that,except for my personal residence
Expires_Signatu •/ in which l 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
❑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 Seaton 3700 of the Labor Code,for the performance of work for which www.leRinfo.ca.Rov/calaw.html.
this permit is issued.
Policy If Date
�,�h,ave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
peczi0.3700 of the Labor
Code,for the performance of the work forwhich 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 �w I (.�l'I J`t with all applicable city and county ordinances and state laws relating to
!- r-�c building construction.I authorize representatives of this city or county to
Policy#KGQ1.3(0 61(0 60 Expires � 0 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
Nrl 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 workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith co I ith those provisions. Will the applicant or future building occupant handle hazardous material or a
I ,,.�-7 j mixture containing a hazardous material equal to or greater that the
Appli Date W amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes �lVa
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 modllication 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 for guidelines
CONSTRUCTION LENDING AGENCY D Yes .]`No
I hereby affirm that under the penalty of perjurythere 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 6J.flo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Seaton 25505 and 25534 concerning
hazardoi s material reporting.
checkmark(s)I have placed next to the applicable Items)(Section 7031.5 Dye r
Business and Professions Code).Any city or county that requires a permit to Date lr, � •
construct,alter,improve,demolish or repair any structure,prior to its PROPERfifi 6W EII ER R�Al1MHORIZED 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
D I,as owner of the property,or my employee with wages astheir 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 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 ❑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 forthis project because:
D 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.
_... --
r '1U,11
1
Menifee
DATE 05/24/2017 PERMIT/PLAN CHECK NUMBER e
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY []MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL El MECHANICAL
❑NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Kw(¢•26()Modules(13)Inv( )
No panel upgrade/PV residential roof mount
PROJECTADDRESS �2A " (p(p M1,P,rt�
ASSESSOR'S PARCEL NUMBER • (J� • ()¢R LOT 30� TRACT (p
PROPERTY OWNER'S NAME
ADDRESS 2q:`j (p(Q MLLrrl-(/I+0- �. �1-S 7(y
PHONE _(p (�• ZL��•6G(_.`f(0 EMAIL
APPLICANT NAME Jordan Audifferen
ADDRESS 26820 Hobie Circle Unit#A Murrieta CA 92562
PHONE (760)798-6548 EMAIL Jordan.Audifferen@sunrunhome.com
CONTRACTOR'S NAME Gilbert Correia OWNER BUILDER? ❑YES❑NO
BUSINESS NAME Sunrun Installation Services Inc.
ADDRESS 775 Fiero Lane Suite 9200 San Luis Obispo CA 93401
PHONE (805)540-7691 EMAIL
CONTRACTOR'S STATE LIC NUMBER 750184 LICENSE CLASSIFICATION C-10
VALUATION$ t 10 00() SO FT L SQ FT
APPLICANT'S SIGNATURE .dA DATE 05/24/2017
DEPARTMENTDISTRIBUTION ' GO CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT 0CASH 0 CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECKIf 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Depa;tment 29714 Houn Rd. Menifee, CA 92586 951-572-6777
a vswv.cityofinenifee.us Inspection Request Line 951-245-6213
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Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039171.00 Project: PMT17-01659
Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System
Direct: 714-431-4123
General: 714-431-4100
Khoa.duong@us.bureauveritas.com Project Address: 29366 Murrieta Road
Owner(s): George Taylor
Occupancy Group(s): R-3/U
Construction Type: V-B
PC2-APPROVED
June 22,2017
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
Date: 6/22/2017 Building Division JUN 2 6 2017
Received
Project Location: 29366 Murrieta Road
Plan Check No.: PMT17-01659
BV Project#: 40017-039171.00
Project Description: PV Solar—George Taylor
Reviewer Date Hour Hourly
Rate Total
1't Plan Check Khoa Duong 6/02/2017 1.0 $110.00 $110.00
2nd Plan Check Khoa Duong 6/20/2017 0.5 $110.00 $55.00
3rd Plan Check
4th Plan Check
Final Approval: Khoa Duong 6/20/2017 1.5 $110.00 $165.00
Bureau Veritas North America,Inc.
16C5 Scenic Avenue.Suite 200
Costa Mesa.CA 9262C
M 7144314100 F 714.825.0685