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PMT17-02079 City of Menifee Permit No.: PMT17-02079 29714 HAUN RD. Type: Residential Electrical49- CCELA? MENIFEE,CA 92586 MENIFEE Date Issued: 0711212017 PERMIT Site Address: 31826 HARDEN ST, MENIFEE,CA 92584 Parcel Number: 360-592-014 Construction Cost: $18.000.00 Existing Use: Proposed Use: Description of INSTALL 6.96 KW-ROOF MOUNTED SOLAR PV SYSTEM,(24)29OW MODULES,(24)IQ6 Work: MICROINVERTERS Owner Contractor CARLOS MULLER CALIFORNIA SOLAR SYSTEMS INC 31826 HARDEN ST 1400 N BURTON PLACE MENIFEE,CA 92584 ANAHEIM, CA 92806 Applicant Phone:8552276527 ARMANDO CARRERA License Number:920108 CALIFORNIA SOLAR SYSTEMS INC 1400 N BURTON PLACE ANAHEIM, CA 92806 Fee Description Div 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 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 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 Iicensure under the Contractor's State License Law for Professions Cade and my license Is In full force and effect. the following reason: License Class C- License By my signature below I acknowledge that,except for my personal residence Expires .3v Signatu in which I must have resided for at least one year priorto 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 ❑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.le ov law.h this permit is issued. Policy# _ — Date �Z 0i0/ nave and will maintain workers compensation insurance,as required by �PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,for the performance of the work for which xLy 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: L application and the information I have provided Is correct.I agree to comply Carrier ` % y� with all applicable city and county ordinances and state laws relating to > building construction.I authorize representatives of this city or county to Policy If 3Z6 6 �_Expires enterthhe eve i ified propertyf inspection purposes. (This section need not to he completed Is the permit is for one-hundred / Date 7�l dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT �!� �rtlfy that in the performance of the work for which this permit Is Issued, 0�if.01�i•` '. I shall not employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE If !> {{ 7 � workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject to the workers co sation provisions of Section 3700 of the Labor Code,I shall forth ' c y 'Ifth e- r9sions. Will the applicant or future building occupant handle hazardous material or a Applican i Date za � 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 COMPENSATION COVERAGE IS 0 Yes ii*ro UNLAWFUL,AND SHALLSUBIECTAN EMPLOYERTO 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY 0 Yes XTO 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 30&0 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 perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous ayt�at re rung. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �,� o� '�77 Business and Professions Code).Any city or county that requires a permit to Date ��T construct,alter,improve,demolish or repair any structure,priorto Its PROPERTY OWNER AUTHORIZED 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 fRRPI 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 Iicensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis farthe alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicantfor 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 workthemselves or through their ❑1,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 7not fit or improved for the purpose of sale. 0 No EPA Lead-Safe Certified Firm is required for this project because: 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 BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION _.Menifee DATE PERMIT/PLAN CHECK NUMBER T I —0 LV,01 TYPE: O COMMERCIAL ESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK q - 0 / -7Q•�y.�-C �� .� Z90cr/ a N�iGs—DiGi vG�� PROJECTADDRESS ASSESSOR'S PARCEL NUMBER F_-4 V'S 12.014' LOT TRACT OWNER NAME ADDRESS ,j�� _ ' ..,l.Ci 92 5dle PHONE q.S/. 'Z 15-• -j0Je-7. EMAIL APPLICANT NAME vliJAti/ O r✓G ADDRESS /-99�70 4" PHONE elf. 4,5-7�. 5:Te F EMAIL CONTRACTOR'S NAM `G � `/�4 Shcg J OWNER BUILDER? O YES V.O BUSINESS NAMEq�f O ml/'yGY�i L A ADDRESS ��!/O PHONE _ EMAIL CONTRACTOR'S STATE LIC NUMBER 92o/0,p LICENSE CLASSIFICATION — g6 VALUATION$ Ov0 SO FT L SO FT / C�CGGGs'ir-s-- APPLICANT'S SIGNATURE :� DATE _ I - ' DEPARTMENT DISTRIBUTION �•�{\ CITY OF MENIFEE BUSINESS ICEN EN`UMBBER BUILDING PLANNING ENGINEERING FIRE GREEN I �� SMIP INVOICE PAID AMOUNT AMOUNT 9s O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES 1. PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO L Af�gg��fety Dept. City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586SAid 6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 JUN 2 3 2017 Received 06�U Vpq C m �P eze Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA.92586 BV Project: 40017-039262.00 Project: PMT 17-02079 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714 4314123 General: 714 4314100 Khoa.duong@us.bureauveritas.com Project Address: 25774 Harden Street Owner(s): Carlos Muller Occupancy Group(s): R-3/U Construction Type: V-B PC1-APPROVED July 05,2017 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 Page 1 of 1 �pU VF9 C � ❑ y m N 1a26 CITY OF MENIFEE TRANSMITTAL Building Division Date: 7/05/2017 Project Location: 25774 Harden Street Plan Check No.: PMT17-02079 BV Project#: 40017-039262.00 Project Description: PV Solar—Carlos Muller Reviewer Date Hour Hourly Rate Total 15t Plan Check Khoa Duong 7/05/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 7/05/2017 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