PMT17-02255 City of Menifee Permit No.: PMT17-02255
29714 HAUN RD.
�CCELA> MENIFEE, CA 92586 TYI� Residential Electrical
MENIFEE Date Issued:
07/24/2017
PERMIT
Site Address: 31469 DAYBREAK, MENIFEE,CA 92584 Parcel Number: 372-400-017
Construction Cost: $13,605.00
Existing Use: Proposed Use:
Description of INSTALL ROOFTOP 4.13K N 14 MODULES 1 INTERVERTER NO MAIN ELECTRIC PANEL UPGRADE
Work:
Owner Contractor
KEN RYAN N B BAKER ELECTRIC INC
31469 DAY BREAK 2140 ENTERPRISE STREET
MENIFEE, CA 92584 ESCONDIDO,CA 92029
Applicant Phone:7605466000
TED BAKER License Number:858088
N B BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO,CA 92029
Fee Description O_yt Amount 1$1
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 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$459.60
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
hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuantto 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 imd my lice�n/se is in full force and effect the following reason:
License Class /��/� 7 e License No. ��O_�I� By my signature below I acknowledge that,except for my personal residence
Expires -._7U I/ Signature ,( .—C�- /�./ 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
❑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.IegInfo.ca.gov/caIaw.htmI.permit is Issued. .
Policy# Date
AI have and will maintain workers compensaton 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 coj�pensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
numberare: r // application and the information I have provided is correct.I agree to comply
Carrier �� 4�1r with all applicable city and county ordinances and state laws relating to
tt 2 building construction.I authorize representatives ofthis city or county to
Policy# Gf J 6 ���14ires 3 � � 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, hqq
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 92 41W
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 fork viih comply ' h those provisions. . Will the applicant or future building occupant handle hazardous material or a
Applicant Date .: mixture containing a hazardous material equal to or8reater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATI COVERAGE IS ❑Yes )0o
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 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 for guidelines
CONSTRUCTION LENDING AGENCY o Yes /V 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) D Yes bNo
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)indicted below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5
,r-AI�,s ❑No <
Business and Professions Code).Any city or county that requires a permit to 7"` / Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNERDR AUTHORIZED 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 fRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for y to be RRP-certified
that disturbs paint in a ply w78
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility es 6e RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
ci 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.aov/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 D An EPA Lead-Safe Certified Renovatorwlll be responsible forthis project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certlfied 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:
❑1,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.
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1828
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA.92586
BV Project: 40017-039276.00 Jurisdiction No.: PMT17-02255
Reviewer: Ed Chock Description: PV System Revision
Direct: 714-431-4192
General: 714-431-412 3
edwin.chock@bureauveritas.com Project Address: 31469 Daybreak Court
Owner(s): Bebout Residence
OccupancyGroup(s): R-3, U
Construction Type: V-B
PC 2 APPROVED
July 20,2017
This plan has been reviewed and approved for conformance to the minimum requirements of the 2016
California Building Standards Cade,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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CPU Vf9
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 07/20/17
Project Location: 31469 Daybreak Court
Plan Check No.: PMT17-02255
BV Project#: 40017-039276.00
Project Description: PV Solar—Bebout Residence
Reviewer Date Hour Hourly
Rate Total
1st Plan Check E Chock 07/11/17 1.0 $110.00 $110.00
2Id Plan Check E Chock 07/20/17 .50 $110.00 $ 55.00
3rd Plan Check
4th Plan Check
Final Approval: E Chock 07/20/17 1.5 $110.00 $165.00
Bureau Veritas North America,Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa,CA 92626
M:714.431.4100 F:714.825.0685