The URL can be used to link to this page

PMT17-01977 City of Menifee Permit No.: PMT17-01977 _ 29714 HAUN RD. Type: Residential Electrical �A>CCF1.A-3' MENIFEE, CA 92586 rm..,.tSAAi' MENIFEE Date Issued: 07/13/2017 PERMIT Site Address: 24932 SPRINGBROOK WAY, MENIFEE, Parcel Number: 341-213-004 CA 92584 Construction Cost: $25,114.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR-281 SOLAR MODULES AND 1 INVERTER-8.4KW Work: Owner Contractor KYLE WOULF INTEGRITY SOLAR ELECTRIC CORP 24932 SPRINGBROOK WAY 1008 MONTVIEW DRIVE MENIFEE, CA 92684 ESCONDIDO, CA 92025 Applicant Phone:7608843113 CHARLES HOLMAN License Number: 1011442 1008 MONTVIEW DRIVE ESCONDIDO, CA 92025 Fee Description ClIv Amount t51 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 55 55.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $461.60 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 O I am exempt from lcensure under the Contractors State License Law for Professions Code and 5ny license is in full force and effect. the following reason: License Class License Bo. Z By my signature below 1 acknowledge that,except for my personal residence Expires O Signature in which I must have resided for at least one year priorto completion of WORKER'S C MPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by a 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.IegInfa.ca.gov/caIaw.htm permit is issued. Policy# Date o I 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 1 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 an the property owners behalf.1 have read this number are: ee application and the information I have provided is correct.I agree to comply Carrier J� N-� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# 9C� �A. /�' .-7DI1 Expires 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 emolov any persons in any manner so as to become 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,1 shall forth h c ply�with thos visions. Will the applicant or future building occupant handle hazardous material or Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATI C VERAGE IS ❑Yes o No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMN PENALTIES Wlllthe 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 a Yes D 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) a Yes a 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 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 ciNo construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 Rcensure 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 sale 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.eav/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 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: o 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. � I +j�ilfltJDlllAt- _ � als�!iGl � I A -. �1 ;1 ' - ree DATE PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMEROAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION WELECTRICAL. []MECHANICAL ❑NE�7W []PLUMBIING� ❑RE-ROOF-NUMBER OF SQUARES eLCr1 DESCRIPTION OF WORK I Y/l L�LL13 1 'SLLLA L PROJECTADDRESS `1n{S)ZLLtI. W J'�j 11I❑li I FEL (JU "I25, ASSESSOR'S PARCEL NUMBER 6'1•219j. ov LOT I OOL TRACT PROPERTY OWNER'S NAME Iv�nAL)F� ADDRESS S PHONE ,t ` �E•MAIL �) �y APPLICANT NAME i� .t� , y LL w LOLL Ll c m�I 1,6:5 fY!7 ADDRESS/ ]1,a//7��`l 11� ,,nn22 PHONE LC)Sl I "flL�l -(23S ] EMAIL MLEWO-, (D CONTRACTOR'S NAME OWNERBUILDER? ❑YES O BUSINESSNAME 1WfEC1t-t W SUAL Vic- ADDRESS ILl ZL f7I ��i L 1ZID �l Sv eJ CLIM 11) L�+`A CI Z000 PHONE l-7 L�,n10)71Z -M) pZ l , ( ZEMAIL a ISM 1-W.-cS�apb( m CONTRACTOR'S STATE LIC NUMBER LJfMBER l ( 1 �•{� LICEN C SIFICATION U VALUATION$ 2 `` SnQ�F/T L SQ Fi APPLICANT'S SIGNATURE DATE l DEPARTMENT DISTRIBUTION tµ' •� CITY OF MENIFEE BUSINESS LICENSE `G SE NUMBER BURRING PLANNING ENGINEERING FIRE GREEN I•� SMIP 1 V Y'��exvc hef INVOICE 2°ILQ • PAID AMOUNT AMOUNT L 1 O CASH �CH AMOUNT 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD 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 925B6 951-67,z-,Ity7of MOTlifee www.cityofinenifee.us Inspection Request Line 951-246-6213 Building&Selety Dept• 9UN 19 2017 pU pEq C �B2B Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA.92586 BV Project: 40017-039234.00 Jurisdiction No.: PMT17-01977 Reviewer: Ed Chock Description: PV System Direct: 714-431-4192 General: 714-431-4123 edwin.chock@bureauveritas.com Project Address: 24932 Springbrook Way Owner(s): Woulf Residence OccupancyGroup(s): R-3, U Construction Type: V-B PC 2 APPROVED July 11, 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 1 www.us.bureauveritas.com An Equal Opportunity Employer Page 1 of 1 �pu VE9 ¢ a J y m h 18�e CITY OF MENIFEE TRANSMITTAL Building Division Date: 07/12/17 Project Location: 24932 Springbrook Way Plan Check No.: PMT17-01977 BV Project#: 40017-039234.00 Project Description: PV Solar—Woulf Residence Reviewer Date Hour Hourly Rate Total V Plan Check E Chock 06/27/17 1.0 $110.00 $110.00 2nd Plan Check E Chock 07/12/17 .50 $110.00 $ 55.00 3rd Plan Check 4th Plan Check Final Approval: E Chock 07/12/17 1.5 $110.00 $165.00 Bureau Verilas North America,Inc. 1F6b.Srni: AVenuE.P,uile^00 f..osta L1e<_n C/- SiESP 10,714.M1.4100 1 714 825 WiSS