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PMT17-01663 City of Menifee Permit No.: PMT17-01663 29714 HAUN RD. Type: Residential Electrical <ACCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 0611212017 PERMIT Site Address: 27630 CAMDEN WAY, MENIFEE, CA Parcel Number: 335-232-022 92586 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED PV SOLAR 5.7KW W/19 PANELS AND 19 INVERTERS Work: Owner Contractor DAVID&BETTY KUEBLER DONNOR ENTERPRISES INC 27630 CAMDEN WAY 20221 PEAR CIRCLE MENIFEE,CA 92586 PERRIS,CA 92570 Applicant Phone:9519433344 DONNOR ENTERPRISES INC License Number.800984 20221 PEAR CIRCLE PERRIS, CA 92570 Fee Description 31 Amount ISI Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $405.60 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 roe who builds or improves thereon,and who contracts for the projects LICENSED DECLARATION property rtY P P 1 with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjurythat 1 am under provisions of 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 jProfessions Code and my license is in full force and effect. the following reason: License Class License No. DD R I+ By my signature below I acknowledge that,except for my personal residence Expir O 2 Signatu ° L 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 RKER'S COMPENSATION DECLA ON 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 7D44 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.leginfo.ca.Loy/calaw.htmi. this permit is issued. Policy#�C_`�6Z2�`1 'Ol — 0�3 Date PROPERTY OWNER OR AUTHORIZED AGENT o I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,forthe performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the Information I have provided Is correct.I agree to comply � l-IGn UJ��Rt�(r.�R.tT .� with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires 2_w�1-V 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 ceriffy 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 theLS�AUR�ODEU�f�IN BUSINESS LICENSE# �,r�,Jworker's compensation laws of Califomia,and agree that if I should becomeZARDOUS MATERIAL DECLARATIONsub act to the worke's compensation provisions of Section 3700 of the Labor e,I shal rtfiwith comply with those provisions. ll the applicant or future building occupant handle hazardous material or a pplica "A_ Date& 12-2017ture containing a hazardous material equal to or greater that the 17 ounts specified on the Hazardous Materials Information Guide? WARNIN :FAILURE TO SECURE WORKERS COMPENSATION COVERAGE ISYes "oUNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESll the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),INupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FORast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES guidelinesCONSfRUCDON LENDING AGENCY es gNoI hereby affirm that under the penalty of perjury there is a constructionII the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is Issuedter boundary of a school?(Section 3097 Civil Code) es X NoOWNER BUILDER DECLARATIONS ve read the Hazardous Material Information Guide and the SCAQMD rmitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the 'fornia Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law forthe reason(s)indicated below by the a dous material reporting.checkmark(s)I have placed next to the applicable item(s)(Section 7031.5es NoBusiness and Professions Code).Any city or county that requires a permit toDate 2f31construct,alter,improve,demolish or repair any structure,prior to ItsOPE OWNER OR A THORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING FIRM 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 ❑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.gov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-80OA24-LEAD(5323). Code;The Contractor's 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 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 Contractor's 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. Menifee DATE 6 L Z017 PERMIT/PLAN CHECK NUMBER rr -1—V 4' 1p TYPE: O COMMERCIAL YLRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES f DESCRIPTION OF WORK 40 auo4c'd Soler n�lr,( GLt1101'7 I--NJ �. �� (9 Ivtllelra,cV.3 PROJECTADDRESS �y ASSESSOR'S PARCEL NUMBER 7� '�'� LOT ZZ TRACT q'54 1 OWNER NAME b AV d � EJe-F� ,Z,r l ADDRESS 2 O �j W e-0f e. _ 2� ��P PHONE- 9�( - 2- t(e- /"7Z5 EMAIL ' - C I rr �7l CI Q� MaC . C.r7.✓t APPLICANT NAME `�c (l I L ADDRESS 5 j � Jf7✓IGc- 5'�". L,Q�ec 5 DI^ti `G4. 2-.S 0 PHONE /� EMAIL 0.��5 I-poMt a ✓ 20✓1. VU4 CONTRACTOR'S NAME p�(jQoyi j� c nn Sb(6L Y OWNER B.,UIILDE IR?^ O YES 'R�'NO BUSINESS NAME ,cLVe. � t/+ /mod' SO� ADDRESS 2dZZ( T'<� CIVJe ?< WI5 PHONE 9s1 -C7 �,3- 3344 EMAIL CONTRACTOR'S STATE LIC NUMBER j�QD� 1�f 4 LICENSE CLASSIFICATION VALUATION$ 6Uo SO FT L SQ FT APPLICANT'S SIGNATUR DATE Sl ZDI' DEPARTMENT DISTRIBUTION 6D 2 D(� CITY OF MIEENIIFEEEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP J' ' '✓✓ L� INVOICE PAIDAMOUNT AMOUNT �' f� O CASH O CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 g51-IPStB-917Mnifee www.cityofinenifee.us Inspection Request Line 951-246-5213 Building & Safety Dept, MAY 2 5 av Received 4>U VfP �82B Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039181.00 Project: PMT 17-01663 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714 4314123 General: 714 4314100 Khoa.duong@us.bureauveritas.com Project Address: 27630 Camden Way Owner(s): David& Betty Kuebler Occupancy Group(s): R-3/U Construction Type: V-B PC1-APPROVED June 06,2017 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 r � D m N 1a28 CITY OF MENIFEE TRANSMITTAL Building Division Date: 6/06/2017 Project Location: 27630 Camden Way Plan Check No.: PMT17-01663 BV Project#: 40017-039181.00 Project Description: PV Solar—David & Betty Kuebler Reviewer Date Hour Hourly Rate Total 1" Plan Check Khoa Duong 6/06/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 41h Plan Check Final Approval: Khoa Duong 6/06/2017 1.0 $110.00 $110.00 Bureau Veritas North America,Inc. 1666 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714.431.4100 F:714.825.0685 �q CONTRACTORS STATE LICENSE BOARD STATE OF CALIFORNIA dMono` 9821 Business Park Drive, Sacramento,California 95827 Governor Edmund G.Brown Jr. Mailing Address: P.O.Box 26000, Sacramento, CA 95826 800.321.CSLB(2752) 1 www.csfb.ca.gov 1 CheckTheLicenseFirst.com JACK HOWARD DOYLE DATE: 12/02/2015 16525 SEDONA STREET LAKE ELSINORE, CA 92530 REGISTRATION: 100739 AA IMPORTANT INFORMATION 1. Your pocket identification card is below. Keep this card with you and show it to potential customers as proof of your registration. 2. If your address changes, you are required to notify the Contractors State License Board's (CSLB) Headquarters Office within 90 days of the change. 3. This registration is nontransferable. It can only be used by you to work as a Home Improvement Salesperson for the contractor listed on your pocket identification card. 4. If you stop working for the contractor listed on your pocket identification card,you are required to notify the CSLB's Headquarters Office within 90 days. 5. A renewal application will be sent to you approximately 60 days before the registration expires. If you do not receive your renewal application at least 30 days before the registration expires, contact the CSLB's Headquarters Office at 1-800-321-CSLB and request a duplicate Home Improvement Salesperson renewal application. POCKET IDENTIFICATION CARD BELOW - PUNCH OUT CARD SLate 01 alllomim , ��M....,. CONTRACTORSS-�TFLICENSE80ARD� — C Consumer:— HOME IMPRS?VE�EMSRLESPFRSON �4 _ �(falis IDErII'I OATION — _ Regtstratlon Number 10�739 Ala _ �: Exptrafton Date_'11/30/ZO]7 _� JACKJO111LARD DOYLE_ - _ - SalesgeTsonpONP10F,ENTERPRISES_INB =r DBA]IARCO ROOFING SOLAFT_CONSTRUG-TION --cootracfors.Gcense-Number 800984- . - ATTENnON HOMEOWNEe$ CaIH-8003?JCSLBantl Veiily Eu',"�98.� thesontiactor sl censeas cunenl dcll¢eaatl iayoodstan8ing 1.aE' _ 131-1-3(Rev. 10/2015)