PMT17-01906 City of Menifee Permit No.: PMT17-01906
29714 HAUN RD. Type: Residential Electrical
<A-CCEUA->. MENIFEE,CA 92586
MENIFEE Date Issued: 06/26/2017
PERMIT
Site Address: 28015 WHISPERWOOD DR, MENIFEE, Parcel Number: 340-320-031
CA 92584 Construction Cost: $22,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR-21 MODULES AND 21 MICROINVERTERS
Work:
Owner Contractor
VIRGINIA KING CALSTATE SOLAR INC
28015 WHISPERWOOD DR 66 ARGORANT#170
MENIFEE, CA 92584 ALISO VIEJO, CA 92656
Applicant Phone: 9497897990
JOSEPH WEISS License Number: 1006247
66 ARGORANT#170
ALISO VIEJO, CA 92656
Fee Description Qtv Amount($)
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 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 Pemill Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 Code and my license is in full farce and effect. the following reason:
License Class hi- Li ns 2` 1 By my signature below I acknowledge that,except for my personal residence
Expires �i "� I Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION Improvements covered by this permit.I cannot legally sell a structure that I
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.)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 Cade,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.gov/calaw.htm1.permit is issued.
Policy# Date
❑I have and will maintain worker's Pon insurance,as required by compensation PROPERTY OWNER OR AUTHORIZED AGENT
p
section 3700 of the Labor Code,for the 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 owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier 5,WTV F0'J O with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# '110 32103 Expires 12-31-20 1'1 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
❑I 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 became 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 f� i 1 om y car those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 0(p 2� L mixture containing a hazardous material equal to or greater that the
14 — amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes Ao
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
—-. IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes rltitJo
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) ❑Yes �)No
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
hazardous ma €rlel reportin .
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes VNo /
Business and Professions Code).Any city or county that requires a permit to Date D� ti 4 I T
construct,alter,improve,demolish or repair any structure,priorto lts PROPERTY 0 R OR AUT ORIZED 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 Cade)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 fora 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.goy/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.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE (v / F PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [-]ADDITION ❑ALTERATION [-]DEMOLITION ELECTRICAL ❑MECHANICAL
❑NEW []PLUMBING FIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK MOuh 24 Mod l-ezS
PROJECTADDRESS �250�y-1 25Z1�,
ASSESSOR'S PARCEL NUMBER 6�2 3 0- � Q
O03I LOT -tJ TRACT 'lkP
PROPERTY OWNER'S NAME nla
ADDRESS
PHONE 6S1-26y—Kir EMAIL IS o w, .�
APPLICANT NAME
ADDRESS RIA6Z L [. bv-. olkAt (-,4 qz,S-fL4
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? ❑YES❑NO
BUSINESS NAME L S I4 7 C &6 /L
ADDRESS �7j OZ(y CAI CL £ �iC�
PHONE 95/-5 7-, `69 EMAIL o a se,I,,*/.CAE
CONTRACTOR'S STATE LIC NUMBER / T(D G 2 u' LICENSE CLASSIFICATION
VALUATION$ 2 fR3z) SQ FT L SO FT
APPLICANT'S SIGNATURE DATE �L(
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN �• SMIP
INVOICE PAIDAMOUNT
C'
AMOUNT L 'J 'CASH OCHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Meni ee
BuildIM41ft"POlding&Safety Deportment 29714 Houn Rd. Menifee, CA 92585 951-672-6777
JUN 14 2017 "'cityofinenifee.us Inspection Request Line 951-246-6213
fiReceived
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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: 40017-039330.00 Project: PMT 17-01906
Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System
Direct: 714 4314123
General: 714 4314100
Khoa.duong@us.bureauveritas.com Project Address: 28015 Whisperwood Drive
Owner(s): Joseph Weiss
Occupancy Group(s): R-3/U
Construction Type: V-B
PC1-APPROVED
June 22, 2017
This plan has been reviewed and approved for conformance to the minimum requirements of the 1016
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: 6/22/2017
Project Location: 28015 Whisperwood Drive
Plan Check No.: PMT17-01906
BV Project#: 40017-039330.00
Project Description: PV Solar—Joseph Weiss
Reviewer Date Hour Hourly
Rate Total
1't Plan Check Khoa Duong 6/22/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
4th Plan Check
Final Approval: Khoa Duong 6/22/2017 1.0 $110.00 $110.00
Bureau Veritas North America,Inc.
1665 Scenic Avenue.Suite 200
Costa Mesa,CA 92626
M;714.431.4100 F: 714.825.0685