Loading...
PMT17-02478 City of Menifee Permit No.: PMT17-02478 29714 HAUN RD. T Residential Electrical ��CCELA7. MENIFEE, CA 92586 yam' MENIFEE Date Issued: 0 810 212 01 7 PERMIT Site Address: 25385 ROCKING HORSE CT, MENIFEE, Parcel Number: 358-541-008 CA 92584 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 18 MODULES, 18 MICROINVERTERS 4.950KW Work: Owner Contractor SUSAN RYAN INLAND EMPIRE SOLAR 25385 ROCKING HORSE CT 13653 COBALT RD MENIFEE, CA 92584 VICTORVILLE, CA 92392 Applicant Phone:9512518902 CARLOS SERRANO License Number: 1002207 INLAND EMPIRE SOLAR 13653 COBALT RD VICTORVILLE,CA 92392 Fee Description Qtv Amount ISI 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_Pennit_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 Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C4 o License No. WOZZ0-7 By my signature below I acknowledge that,except for my personal residence Expires q•5t- (g( Signature CA44d 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 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.IegInfo.ca.jzov/caIaw.htmI. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain worker's compensa ton 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# 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($300)or less PROPERTY OWNER OR AUTHORIZED AGENT ,Mlcertty 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 If worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith co ty with those provisions. Will the applicant or future building occupant handle hazardous material or a ��2—(� mixture containing a hazardous material equal to or greater that the Date Applicant (.flV/ amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes a Vo 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 ci Yes zcNo I hereby affirm that under the penalty of perjury there Is a construction WIII 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 sfNo 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 hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 jVes ❑N� � Business and Professions Code).Any city or county that requires a permit to C..ra7ti� Date _ construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 0 HORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter9(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 forthe alleged exemption.Anyviolation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicantto 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.epa.goy/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professlons 1-800-424-LEAD(5323). Code;The Contractor's 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 not built or improved for the purpose of sale. da--No EPA Lead-Safe Certified Firm is required for this project because: ❑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. BUILDING & SAFETY PERMIT/.PERMIT/PLAN CHECK APPLICATION Ali =*Memee DATE 7 PERMIT/PLAN CHECK NUMBER TI rl - OaL- g TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA v SIGN SUBTYPE: O ADDITION O'ALTERATION O DEMOLITION O-ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK r PROJECTADDRESS pp ASSESSOR'S PARCEL NUMBER LOT TRACT 3� OWNER NAME ADDRESS t3 i PHONE - EMAIL APPLICANT NAME GAY[" ADDRESS jojg6 ` PHONE 01Cj , 2eo7 19Ij EMAIL CONTRACTOR'S NAME 1�'I OWNER BUILDER?` O YES 0 BUSINESS NAME 1p./ ADDRESS re Q1, CA 72_ 2 PHONE 9(1'%- ?r�)•.5'rIC�' EMAIL %C_ @q6wAvl ,(p{M CONTRACTOR'S STATE LIC NUMBER 16D22U'7 LICENSE CLASSIFICATION C VALUATION$ SO FT i3ze) L SO FT t[DEPARTMENIT SIGNATURE DATE STRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER NING ENGINEERING FIRE GREEN SMIP�] PAID AMOUNTQ`q OCASH OCHECKB OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD 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 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 -7 spa va9 �®s m' A raze Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039318.00 Project: PMT 17-02478 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714 4314123 General: 714 4314100 Khoa.duong@us.bureauveritas.com Project Address: 25385 Rocking Horse Ct Owner(s): Susan Ryan Occupancy Group(s): R-3/ U Construction Type: V-B PC1-APPROVED July 24,2017 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 4 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 P� VF9 ¢0 i 3C 82B CITY OF MENIFEE 40 TRANSMITTAL , -/0 Building Division obi 9 6 Date: 7/24/2017 �✓-� �!0 Project Location: 25385 Rocking Horse Ct Plan Check No.: PMT17-02478 BV Project#: 40017-039318.00 Project Description: PV Solar—Susan Ryan Reviewer Date Hour Hourly Rate Total 1" Plan Check Khoa Duong 7/24/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 7/44/2017 1.0 $110.00 $110.00 Bureau Veritas North America,Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714A31.4100 F:714.825.0685