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PMT17-02364 City of Menifee Permit No.: PMT17-02364 _ 29714 HAUN RD. �►CCELA—? MENIFEE,CA 92586 Type: Residential Electrical c"'—tfil4k.— MENIFEE Date Issued: 08/04/2017 PERMIT Site Address: 27650 POTOMAC DR, MENIFEE, CA Parcel Number: 336-350-014 92586 Construction Cost: $13,500.00 Existing Use: Proposed Use: Description of INSTALL ROOD MOUNTED SOLAR PV SYSTEM 12 PANELS, 12 MICROINVERTERS, 3.96KW Work: Owner Contractor RUBEN G MIZZI INFINITY ENERGY INC 27650 POTOMAC DR 1108 TINKER ROAD STE 150 MENIFEE, CA 92586 ROCKLIN, CA 95765 Applicant Phone: 8882442513 CAMERON GRAVES License Number:998627 INFINITY ENERGY INC 1108 TINKER ROAD STE 150 ROCKLIN, CA 95765 Fee Description QQt Amount IEl 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_Bidg Permil_Template.rpt Page 1 of 1 CITY OF MEN IFEE 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 D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. /' the following reason: License Class y 7 C 16 Uceen y ,se No. I �g 027 By my signature below 1 acknowledge that,except for my personal residence Expires I 1/301/UO Signature /��= : In which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot Iegallysell a structure that WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by o 1 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 worker's 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.html.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 o 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 Carrier .,I' 1fi A d with all applicable city and county ordinances and state laws relating to / o building construction.I authorize representatives of this city or county to Policy# 9 �`7 �� Expires r� 7 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 o 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,I shall£o ith cons ly wf those provisions. 7 Will the applicant or future building occupant handle hazardous material or Applicant Date � q-- ( 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 O Yes �60 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 guild lines CONSTRUCTION LENDING AGENCY ❑Yes 7lo 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 ban,itarry of a school? (Section 3097 Civil Code) O Yes prlsio 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardo s aterial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to DYes o ryfi� /r7 Date construct,alter,improve,demolish or repair any structure,prior to its ff // PROPERTY OWNER OR AUTH RIZED 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(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). eG managers who do the paint-disturbing work themselves or through their n],as owner of the property,or my employee with wages as their silk�VP employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the stru�po.) www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and ion§P 1-800-424-LEAD(5323). Code;The Contractors State License Law does not aP o an o rof asgi� o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort, ds or imp(Les the l p property provided that the improvements are not inten 0or offerec�fo Om Certified Firm Name: sale.If,however,the building or improvement is sold withi n�ne year oTS� @O Firm Certification No.: completion,the Owner-Builder will have the burden of provir(r�t cat it waS� f not built or improved for the purpose of sale. a No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licen d 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. apu vp9 r � � n m 1820 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA.92586 BV Project: 40017-039298.00 Project: PMT17-02364 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714-431-4123 General: 714-431-4100 Khoa.duong@us.bureauveritas.com Project Address: 27650 Potomac Drive Owner(s): Ruben Mizzi Occupancy Group(s): R-3/ U Construction Type: V-B PC 2-APPROVED August 02, 2017 This plan has been reviewed and approved for conformance to the minimum requirements of the 2015 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 �ln ac ]82B 4s Iti_CI�JSi. �` CITY OF MENIFEE TRANSMITTAL Building Division Date: 8/02/2017 Project Location: 27650 Potomac Drive Plan Check No.: PMT17-02364 BV Project#: 40017-039289.00 Project Description: PV Solar—Ruben Mizzi Reviewer Date Hour Hourly Rate Total 1" Plan Check Khoa Duong 7/14/2017 1.0 $110.00 $110.00 2nd Plan Check Khoa Duong 8/02/2017 0.5 $110.00 $55.00 3rd Plan Check ,eh Plan Check Final Approval: Khoa Duong 8/02/2017 1.5 $110.00 $165,00 Bureau Veritas North America,Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714.431.4100 F:714.825.0685 J(ILID IIFTin IMPIIFelI_-U110(CCll_Q1110gccl-liiriQol l Building O- Safety Dept. JUL 9 0 20V { Menefee DATE PERMIT/PLAN CHECK NUMBER 1 -Q A TYPE: []COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION LECTRICAL ❑MECHANICAL ❑NEEW []PLUMBING ❑RE-ROOF-NUMBER O�ARES DESCRIPTION OF WORK J k-t-1 �d-kr ,s S1f7 cOh s%3/A d 12— /�1aka / )'4ltC (S /) )4 i�/ v1 p rl{r) PROJECTADDRESS 2 {j 7r7 ag�7L ASSESSOR'S PARCEL NUMBER , O J�'V Q(.PLOT 3 TRACE (� PROPERTY OWNER'S NAME Atj be M I 'Z-2-/ ADDRESS �a S1 d 4lthkC D/- PHONE EMAIL APPLICANT N /f'/AAME �- -I I1 ) 157 e?/ l C. Ps k /' #/d / CrleGht `/3' qZ5 Q4ADDRESS C PHONE /175b 30,9-17 79 .dY S EMAIL /�'I home 6 iIt{I�I� P� Al CONTRACTOR'S NAME --'' -T 4yCt' ' �jt{r- �n OWNERBUILDER? ❑YES[KNO ��// BUSINESS NAME -/-11 1/L/ k q ADDRESS 413 z 3q 13ILt b?es ) r Q / P q,4 c//- Q 2sya PHONE C95-/) 3t,'- 173 9 EMAIL CONTRACTOR'S STATE LIC NUMBER / 9�2-7 LICENSE CLASSIFICATION VALUATION$ �' SQ�J SO FT d L SQ Ff 9 APPLICANT'S SIGNATURE �li� DATE 7/ /d // -7 �1l16f7L4T.S!`i�rl��J� _ DEPARTMENT DISTRIBUTION _ I CITY OF MENIFEL13UW E NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ��J✓1(V/I�II INVOICE r/� �w v PAID AMOUNT O L OCASH CHECKN OCREDIT CARD VISA/MC N CHECK FEES PAID AMOUNT 0 CASH O CHECK# O CREDIT CARD VISA/MC UILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 i �l L7