PMT17-01898 City of Menifee Permit No.: PMT17-01898
29714 HAUN RD.
<ACCEL/-> MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued:
06126/2017
PERMIT
Site Address: 27061 BLUE HILL DR, MENIFEE, CA Parcel Number: 336-111-001
92586 Construction Cost: $21,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,21 PANELS, 1 INVERTER,5.985 kW
Work:
Owner Contractor
JAY HARRIS PEAK POWER SOLUTIONS INC
27061 BLUE HILL DRIVE 1542 EDINGER AVENUE SUITE D
MENIFEE, CA 92586 TUSTIN, CA 92780
Applicant Phone:7142583900
HENRY AFFRE License Number..973253
PEAK POWER SOLUTIONS INC
1542 EDINGER AVENUE SUITE D
TUSTIN,CA 92780
Fee Description Q�t rr Amount($)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 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 Bldg_Pennit_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 hat 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 o I am exempt from licensure under the Contractor's State License Law for
Professions Code an y license is in full farce and effect. n the following reason:
License Class U se No. `' �� By my signature below I acknowledge that,except for my personal residence
Expires 3( Signatur 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
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 K, ,,,.leeinfo.a.¢ov/calaw.html.
this permit is issued.
Policy#
Date
Wha�ve and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
s-eeon 3700 of the Labor Code,for the performance of the work for which ❑By my signature below l 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
numberare: application and the information I have provided is correct.I agree to comply
Carrier rr �Qr`4 r with all applicable city and county ordinances and state laws relating to
`. building construction.I authorize representatives ofthis city or countyto
Policy#4 2 q040t JZ 20I 7 Expires ?A LS 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, (��9
1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 0 `
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compen ation provisions of Section 370D of the Labor
Code,I s a o��twith co p th hose p ovisions. Will the applicant or future building occupant handle hazardous material or
Appliran t Date J mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FA RE T SECURE WORKER'S COMPENSATION COVE GE IS ❑Yes �Ao
UNLAWFUL,AN SHALL SUBJECTAN 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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY o Yes p flo
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
California Health&Safety Code,Section 25505 and 25534
Contractor's License Law for the reason(s)indicated below by the concerning hazardous materipi reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7033.5 oyes No
Business and Professions Code).Any city or county that requires a permit to Date r / ( 7
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY—OWJEXO O9IZEkVAGENT
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
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-SOD-424-LEAD(5323).
Code,The Contractor's 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 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.
LBUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee OAR 1
DATE 06/13/2017 PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL []MECHANICAL
[]NEW []PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 21 ROOF MOUNTED P.V.MODULES,5.985 KW, I WALL MOUNTED STRING INVERTER
200A PANEL UPGRADE
PROJECT ADDRESS 27061 BLUE HILL DR.MENIFEE,CA 92586
ASSESSOR'S PARCEL NUMBER 3ag-J%1. 001 LOT city offTlfee
Building & Safety EIP .
PROPERTY OWNER'S NAME JAY HARRIS
ADDRESS 27061 BLUE HILL DR.MENIFEE,CA 92586 JUN 13 201
PHONE (951)679-2174 EMAIL Received
APPLICANT NAME HENRY AFFRE
ADDRESS 1542 EDINGER AVE.TUSTIN,CA 92780
PHONE (562)682-4511 EMAIL haffFe562@gmail.com
CONTRACTOR'S NAME PEAK POWER SOLUTIONS OWNERBUILDER3 ❑YES❑NO
BUSINESS NAME
ADDRESS 1542 EDINGER AVE.SUITE D,TUSTIN,CA 92780
PHONE (800)265-6357 EMAIL
CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION B
VALUATION$ $21,000.0 1p369.6 LSQFT
APPLICANT'S SIGNATU DATE 06/13/2017
i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH OCHECKtt --'CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH GCHECK# •OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER :, YES NO
City of Menifee Building&Safety Deportment 29714 HDun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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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: 40017-039332.00 Project: PMT 17-01898
Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System
Direct: 714 4314123
General: 714 4314100
Khoa.duong@us.bureauveritas.com Project Address: 27061 Blue Hill Drive
Owner(s): Jay Harris
Occupancy Group(s): R-3/U
Construction Type: V-B
PC1-APPROVED
June 21,2017
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: 6/21/2017
Project Location: 27061 Blue Hill Drive
Plan Check No.: PMT17-01898
BV Project#: 40017-039332.00
Project Description: PV Solar—Jay Harris
Reviewer Date Hour Hourly
Rate Total
1't Plan Check Khoa Duong 6/21/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
4th Plan Check
Final Approval: Khoa Duong 6/21/2017 1.0 $110.00 $110.00
Bureau Veritas North America,Inc.
1665 Scenic Avenue.Suite 200
Costa Mesa.CA 92626
M:714.431.4100 1 714.825.0685