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PMT17-01661 City of Menifee Permit No.: PMT17-01661 29714 HAUN RD. ' ►CCEU/ MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 06/27/2017 PERMIT Site Address: 25810 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-122-017 92586 Construction Cost: $14.500.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 21 MODULES, 1 INVERTER 6.090KW Work: Owner Contractor RONALD EDGINGTON SUNRUN INSTALLATION SERVICES INC 25810 BALTRUSTROL DR 775 FIERO LANE SUITE 200 MENIFEE, CA 92586 SAN LUIS OBISPO, CA 93401 Applicant Phone:4155806900 JORDAN AUDIFFEREN License Number:750184 SUNRUN INSTALLATION SERVICES INC 775 FIERO LANE SUITE 200 SAN LUIS OBISPO, CA 93401 Fee Description OQtt Amount lSl 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 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 propertywho 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 D I am exempt from licensure under the Contractor's State License Law for Professions Codeand my license is in full force and effect. f L the following reason: License Class (- 1 V Lice Lo. -S(] "'( By my signature below I acknowledge that,except for my personal residence Expires _Signatur in which I must have resided for at least one year priorto 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 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 Cade,for the performance of work for which www.leginfo.ca.gov/calaw.htmi. this permit is issued. Policy# Date aye and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT Von 3700 of the Labor Code,for the performance of the work for which o By my signature below 1 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 2_f I „/_ A ��(' C with all applicable city and county ordinances and state laws relating to Carrier ��rr Af cA A 1 building construction.l authorize representatives of this city or county to Policy#y v CA-3(9 6117/6 UExpires 10 - I I I+ 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 )Ml certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESSLICENSE# 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 mixture containing a hazardous material equal to or greater that the Applic Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes OiJ0 UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Willthe 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 ciYes z�No 1 hereby affirm that under the penalty of perjury there is a construction Will th/e proposed building or modified facility be within 3000 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 /RNo 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardo s material reporting. 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 (n.� f� construct,alter,improve,demolish or repair any structure,prior to its pROPE ER RA HORIZEDAGENT 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 tRRP) 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 he 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 ❑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.eoa.gov/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 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. ❑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 tyl Me Ito`' DATE 05/24/2017 PERMIT/PLAN CHECK NUMBER F1_ 1 1 1� -0 1�1 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 K'A' -6 6 Modules(ZI )Inv(I ) . No panel upgrade/PV residential roof mount PROJECTADDRESS P-,S (Q al- )�US-1—r-0 j! r�7 ASSESSOR'S PARCEL NUMBER �Bg- 1ZZ' 01--- LOT TRACT Z55lr' PROPERTY OWNER'S NAM! ,„( _ ADDRESS pZSgjQ R� lfI-ta.S-E-yn �', tv� 1 e� �5-8 PHONE qSI. n . (e —�� 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? ❑YESONO BUSINESS NAME Sunrun Installation Services Inc. ADDRESS 775 Fiero Lane Suite#200 San Luis Obispo CA 93401 PHONE (805)540-7691 EMAIL _ CONTRACTOR'S STATE LIC NUMBER 750184 LICENSE CLASSIFICATION C-10 VALUATION$ $ 14,500.00 SO,FT L SQ FT APPLICANT'S SIGNATURE ,dc.r,.N DATE 05/24/2017 DEPARTMENT DISTRIBUTION - - - _(1 do CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN !Y SMIP INVOICE a1 / AMOUNT PAID AMOUNT OCASH 0 CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Depo gment 29714 Houn Rd. Menifee, C4.92585 951-672-6777 I,vswv.cityofinenij a.us Inspection Request Line 951-246-6213 �pU VF9 C x �820 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA.92586 BV Project: 40017-039169.00 Project: PMT17-01661 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: 25810 Baltrustrol Drive Owner(s): Ronald Edgington 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 Page 1 of 1 CPU VF9 Q®y � a m m r820 KIKEEM CITY OF MENIFEE TRANSMITTAL City of Menifee Date: 6/22/2017 Building Division JUN 2 6 2017 Received Project Location: 25810 Baltrustrol Drive Plan Check No.: PMT17-01661 BV Project#: 40017-039169.00 Project Description: PV Solar—Viridiana Medrano Reviewer Date Hour Hourly Rate Total 1st Plan Check Khoa Duong 6/02/2017 1.0 $110.00 $110.00 2nd Plan Check Khoa Duong 6/22/2017 0.5 $110.00 $55.00 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 6/22/2017 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 a. sunrun- 6/12/2017 AHJ: CA- City Menifee Building Department RONALD EDGINGTON 258 10 BALTRUSTROL DR, The following revisions have been made to the plans: 1. Updated plans with 3' fire setback for Array-2 near valley. Thank you for your time, Sayali Hakepatil PV System Designer Sunrun CAV of ated M Dept. guild S to I gt2011 �eCewed