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PMT17-02329 City of Menifee Permit No.: PMT17-02329 29714 HAUN RD. Type: Residential Electrical �A-CCELA? MENIFEE,CA 92586 MENIFEE Date Issued: 0 713112 01 7 PERMIT Site Address: 28230 COTTONTAIL DR, MENIFEE, CA Parcel Number: 350-094-002 92587 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of . INSTALL ROOF MOUNTED SOLAR SYSTEM,22 PANELS, 1 INVERTER, 6.38 kW Work: Owner Contractor JOSE SILLAS 360 MANAGEMENT GROUP INC 28230 COTTONTAIL DRIVE 6727 ODESSA AVENUE MENIFEE,CA 92587 VAN NUYS,CA 91406 Applicant Phone:8183968070 VIC LUNA License Number: 992379 360 MANAGEMENT GROUP INC DBA SUNTIME ENERGY 6727 ODESSA AVENUE VAN NUYS, CA 91406 Fee Description ON Amount 1$) Solar, Residential or Small Commercial 1 262.00 Building Permit Issuance 1 27.00 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 $406.60 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_Blog_Pe"it_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of 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 y license is in full force and effect. 7 the following reason: License Class 1U Li c} s N . Z ` By my signature below I acknowledge that,except for my personal residence Expires Signature!/ ✓`- in which I must have resided for at least one year priorta 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.leeinfc.ca.eov/calaw.htmL this permit Is issued. Date Policy# PROPERTY OWNER OR AUTHORIZED AGENT EI have and will maintain workers compensation Insurance,as required by 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: application and the information I have provided is correct.I agree to comply zN� with all applicable city and county ordinances and state laws relating to Carrier cc--9fttf7'� � building construction.I authorize representatives of this city or county to Policy Al O�7 Expites !(� enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is Issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if 1 should became HAZARDOUS MATERIAL DECLARATION subject to the work9ifs compensation provisions of Section 3700 of the Labor Code,Ishall th comply ith those provisions. Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant /A`� Date 3 amounts specified on the Hazardous Materials Information Guide? WARNING:FAILUR CURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o Mo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($SOO,ol10),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 guidell'}'i[es CONSTRUCTION LENDING AGENCY ❑Yes ,h-IJo 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 bo ary of a school? (Section 3097 Civil Code) o Yes Xa 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 Heal/ale� ety Code,Section 25505 and 25534 concerning h ardous torting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s o Business and Professions Code).Any city or county that requires a permit to Date l construct,alter,improve,demolish or repair any structure,prior to its P RO P E IRTYY4 NER R 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 RENOVATIO . EPAIR 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 Iicensure receiving compensation for most work that disturbs paint in apre-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.ena.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-SOD-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a Property who,through employees'or personal effort,builds or Improves the O An EPA Lead-Safe Certified Renovatorwill be responsible for this project 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: D 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. BUILDINGAPPLICATION Menifee DATE —7 1; 17 PERMIT/PLAN CHECK NUMBER —Q TYPE: O COMMERCIAL > RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 'V ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES /' DESCRIPTION OF WORK' �DU/v % �jL/t`L 2 Z ��}P�f (ram• 3�j /JG ANe-Z 1bAA0e PROJECTADDRESS ASSESSOR'S PARCEL NUMBER Zeo -o�pvi- LOT e1TR,tj%T OWNER NAME Sose- s' 114-r Building & Safety Dept. ADDRESS 2 Z'`6 3d L� 1:) �„^ �®�� JUL 0 6 2017 PHONE 41 5-/ -35-11 EMAIL Received APPLICANT NAME �l l/ L1""Y'/J�, ADDRESS §� (��J PHONE `fl/ � `� & G J EMAIL CONTRACTOR'S NAME ! O�{JI,r//J'!C �/VB/L,V//J OWNER BUILDE— OYES ONO BUSINESS NAME ,q ADDRESS ((j / ry T// �/ e U zr PHONE �r7 �P�,/ / EMAIL / CONTRACTOR'S STATELICNrUMBER �yZ379 LICENSE CLASSIFICATION l 0 VALUATION $ G SOFT L SO FT / APPLICANT'S SIGNATURE / DATE O DEPARTMENT DISTRIBUTION CITY OF fvlEyl�E5ry11$IpIFi55}�CENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP �/-�y✓l�p�]I 'O]- INVOICE 1 , AA PAIDAMOUNT O AMOUNT ���/ W CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECKk O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Naun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 �pu vE9 m � BRB Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA. 92586 BV Project: 40017-039288.00 Project: PMT 17-02329 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714 4314123 General: 714 4314100 Khoa.duong@us.bureauveritas.com Project Address: 28230 Cottontail Drive Owner(s): Jose Sillas OccupancyGroup(s): 11-3/ 1-1 Construction Type: V-B PC1 -APPROVED July 13, 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 CPU VF9 ¢ a � a N N rasa CITY OF MENIFEE TRANSMITTAL Building Division Date: 7/13/2017 Project Location: 28230 Cottontail Dr Plan Check No.: PMT17-02329 BV Project#: 40017-039288.00 Project Description: PV Solar—Jose Sillas Reviewer Date Hour Hourly Rate Total 1st Plan Check Khoa Duong 7/13/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 7/13/2017 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