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PMT17-01929 City of Menifee Permit No.: PMT17-01929 29714 HAUN RD. 'q�CCELJ-> MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 06126/2017 PERMIT Site Address: 24795 SUNSET VISTA AVE, MENIFEE, Parcel Number: 341-231-002 CA 92594 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTAL SOLAR 20 MODS,5.9KW, 1 INVERTOR Work: Owner Contractor TRINA WINTER SULLIVAN SOLAR POWER OF CALIFORNIA INC 24795 SUNSET VISTA AVE 8949 KENAMAR DRIVE STE 101 MENIFEE,CA 92584 SAN DIEGO, CA 92121 Applicant Phone:8582717758 JUSTIN PARNSH License Number: 839077 SULLIVAN SOLAR POWER OF CALIFORNIA INC 8949 KENAMAR DRIVE STE 101 SAN DIEGO, CA 92121 Fee Description Oy Amount fbl 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_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 perjurythat 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 Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: c License Class ,-- /V License No. 7 3 Ci U_7 /�/ By my signature below I acknowledge that,except for my personal residence Expires 3% //7 Signature% in which I must have resided for at least one year prior to completion of 7 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 ❑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 Code,for the performance of work for which www.leginfo.ca.gov/calaw.htmi.permit is issued. Policy M Date inI have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: / —7 application and the information I have provided is correct..I agree to comply Carrier % S� i.-C> with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy q JQ l4//-JE� -3 n 1,2 S'{ Expires 12-1 / �/ enter the above identified property for inspection purposes. (This section need notto be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT i/{,,/ ///�� ❑I certify that in the performance of the work for which this permit is issued, /Y} // shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N ,?;6 l� J 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 forthwi omplyth those provisions. Will the applicant or future building occupant handle hazardous material or a L mixture containing a hazardous material equal to or greater that the Applicant Date G amounts spo Tied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes No UNLAWFUL,AND 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($100,000),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 forguideli s CONSTRUCDON LENDING AGENCY ❑Yes Xo I hereby affirm that under the penalty of perjury there is a construction Will the prop sed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bou ary of a school? (Section 3097 Civil Code) ❑Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjurythat I am exempt from the Contractors License Law for the reason(s)indicated below by the Califor ' Health&Safety Code,Section 25505 and 25534 concerning haz dous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 � ❑No Business and Professions Code).Any city or county that requires a permit to �� Date 6124 construct,alter,improve,demolish or repair any structure,prior to its PROPER OWNER ORIZED AGENT issuance,also requires the applicant forthe 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 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($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure Is www.eoa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,.the building or Improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. ak5k /Vl5 h= Su LLL v a. o-, a t" Fbw4-t . BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION City of Menl ee Building &Safety Dept. Menifee DATE PERMIT/PLAN CHECK NUMBER SMI ��1//-1�33 TYPE: COMMERCIALZRESIDENTIAL []MULTI-FAMILY [:]MOBILE "W095 A [-]SIGN SUBTYPE: [-]ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 5 c; 20 420dS PROJECT ADDRESS oZ. ?9S LInSe. ��$�+ /'✓�``e "lZ JTJ ASSESSOR'S PARCEL NUMBER 3 It 31--0(2 Z, LOT I jq TRACT PROPERTY OWNER'S NAME Vj ADDRESS 7 q S J 6M _ V PHONE 15/— EMAIL APPLICANT NAME G/i ADDRESS p�// - V'✓C- ZP 12 PHONE -?:"S EMAIL VS'F'% c. r�SL vf�ll�cvr`�oGv/ �u—f.I. l"1^l CONTRACTOR'S NAME OWNER BUILDER? [_]YE S NO BUSINESS NAME 5 L,//i VC 1 50 [i Ol -r ? ADDRESS p CJ Ll el ✓l/i l^'I C' /. 4` O PHONE �(',5 oL? - f is EMAIL Pi 7. CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION $ UCI O SO FT L SO,FT APPLICANT'S SIGNATURE DEPARTMENT DISTRIBUTION I j^ CITY OF.WNIFEEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN • SMIP T3•V, br J +Ll4 INVOICE PAIDAMOUNT O n AMOUNT ,� CASH CHECKA CCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 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 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 �pu vE9 e n axa Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA.92586 BV Project: 40017-039336.00 Project: PMT17-01929 Reviewer: N. N. Martinez Description: Roof Mounted PV System Direct:619 733-6676 General: 714 4314100 nabetamartinez@gmail.com Project Address: 24795 Sunset Vista Ave Owner(s): Winter OccupancyGroup(s): R-3/U Construction Type: V-B PC 1 REVIEW COMMENTS June 22,2017 This plan has been reviewed for conformance to the minimum requirements of the 2016 California Building Codes,as amended and adopted by the City of Menifee, California. The approval of plans and specifications do not permit the violation of any section of the building code, or any other applicable local,state or federal ordinance, rule, regulation, order,or law. BUILDING COMMENTS APPROVED—READY FOR PERMIT ISSUANCE END OF COMMENTS 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 � n m w �920 �e CITY OF MENIFEE TRANSMITTAL Receiveq Building Division Date: 06/22/17 City of Menifee JUN 2 6 2017 Project Location: 24795 Sunset Vista Ave Plan Check No.: PMT17-01929 Received BV Project#: 40017-039336.00 Project Description: PV Solar—Winter Reviewer Date Hour Hourly Rate Total 1st Plan Check N Martinez 06/22/17 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: N Martinez 06/22/17 1.0 $110.00 $110.00 Bureau Verilas North America, Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M: 714.431.4100 F:714.825.0685