PMT17-01826 City of Menifee Permit No.: PMT17-01826
29714 HAUN RD.
�CCEL-A- MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 612112 01 7
PERMIT
Site Address: 25327 CLEAR CANYON CIR, MENIFEE, Parcel Number: 339-372-036
CA 92584 construction cost: $13,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR-13 PV MODULES, 1 WALL MOUNTED STRING INVERTER,3.705
Work: KW
Owner Contractor
ANTHONY GANCI PEAK POWER SOLUTIONS INC
25327 CLEAR CANYON CIRCLE 1542 EDINGER AVENUE SUITE D
MENIFEE,CA 92584 TUSTIN, CA 92780
Applicant Phone:7142583900
HENRY AFFRE License Number.973253
PEAK POWER SOLUTIONS INC
1542 EDINGER AVENUE SUITE D
TUSTIN,CA 92780
Fee Description OQt Amount 151
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 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$404.60
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_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 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 a I am exempt from licensure under the Contractor's State License Law for
Professions Code an y license is in full force and effect. _ the following reason:
License Class U g se No. rU ' 255
3( r � By my signature below I acknowledge that,except for my personal residence
Expires Signatur i in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legallysell 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 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
this permit is issued. www.leginfo.ca.eov/calaw.html.
Policy g Date
have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
se ion 3700 of the Labor Code,for the performance of the work for which a 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 / with all applicable city and county ordinances and state laws relating to
D �1 Z/ I / E building construction.I authorize representatives of this city or county to
Policy# 1 2n406220I 7 Expires E 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
D I certify that in the performance of the work for which this permit is issued, /y ? Cn7 2 �J
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compen ation provisions of Section 3700 of the Labor
Code,I s a o with cogapl th hose p visions. Will the applicant or future building occupant handle hazardous material or
r mixture containing a hazardous material equal to or greater that the
A ARNIn - Date f amounts specified on the Hazardous Materials Information Guide?
WARNING:FA RET SECURE WORKER'S COMPENSATION COVE GE IS ❑Yes �No
UNLAWFUL,AN 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($100,00),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(SC[ion or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airlines
Qua
CONSTRUCTION LENDING AGENCY o Yes g'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 XNo
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
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to oYes No 1
construct,alter,improve,demolish or repair any structure,signets its DatePROPERTY O 0 ORIZE 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 IRRPI
License Law(Chapter9(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 apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to he R k that disturbs
firms and comply with
than
Applicant fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($SOD). 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.eoa.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 ❑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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
44
"Menifee
DATE 06/08/2017 PERMIT/PLAN CHECK NUMBERPun I 92
TYPE: El COMMERCIAL QRESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION [-]ALTERATION [—]DEMOLITION ✓❑ELECTRICAL [:]MECHANICAL
[]NEW [-]PLUMBING [-IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 13 ROOF MOUNTED P.V. MODULES, 1 WALL MOUNTED STRING INVERTER,3.705 KW
PROJECTADDRESS 25327 CLEAR CANYON CIRCLE,MENIFEE,CA 92584
ASSESSOR'S PARCEL NUMBER 3�jq. 3-12'V3l�OT 3� TRACT
PROPERTY OWNER'S NAME ANTHONY GANCI
ADDRESS 25327 CLEAR CANYON CIRCLE,MENIFEE,CA 92584F�)t4 }
PHONE (951)545-2353 EMAIL
APPLICANT NAME HENRY AFFRE
ADDRESS- 1542 EDINGER AVE.SUITED,TUSTIN,CA92780 - - Received
PHONE (562)682-4511 EMAIL haffre562@gmail.com
CONTRACTOR'S NAME PEAK POWER SOLUTIONS OWNER BUILDER? ❑YES❑✓NO
-- ---._ _BUSINESS NAME - __. - - - _- - - - - -- - ---- ---_ _ - - --_ ------ -
ADDRESS 1542 EDINGER AVE.SUITED,TUSTIN,CA 92780 -- -- _ - - -
PHONE (800)265-6357 EMAIL
CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION B
VALUATION$ $ 13,009,00N S FT 228 L SQ FT
APPLICANT'S SIGNA RE DATE 0 610 8/2 01 7
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN Ofl SMIP Z' g'
INVOICE //nn PAID AMOUNT
AMOUNT .W O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT ' CASH 0 CHECK# 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 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
pu vea
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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: 40017-039222.00 Project: PMT 17-01826
Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System
Direct: 714 4314123
General: 714 4314100
Khoa.duong@us.bureauveritas.com Project Address: 25327 Clear Canyon Circle
Owner(s): Anthony Ganci
Occupancy Group(s): R-3/U
Construction Type: V-B
PC1-APPROVED
June 19, 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: 6/19/2017
Project Location: 25327 Clear Canyon Circle
Plan Check No.: PMT17-01826
BV Project#: 40017-039222.00
Project Description: PV Solar—Anthony Ganci
Reviewer Date Hour Hourly
Rate Total
1rt Plan Check Khoa Duong 6/19/2017 1.0 $110.00 $110.00
2nd Plan Check
3`d Plan Check
41h Plan Check
Final Approval: Khoa Duong 6/19/2017 1.0 $110.00 $110.00
Bureau Veritas North America.Inc.
16ES Scenic Avenue.Suite Teo
Costa Me=a C:A mfiif
M:714.4,M,4100 1 714 o2511u&ri