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PMT17-02551 City of Menifee Permit No.: PMT17-02551 29714 HAUN RD. <AC A—> MENIFEE, CA 92586 Type' Residential Electrical MENIFEE Date Issued: 08/15/2017 PERMIT Site Address: 30279 SHORELINE DR, MENIFEE, CA Parcel Number: 364-043-047 92584 Construction Cost: $26,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR. 5.325 KW-15 PANELS& 15 MIRCO INVERTERS-355 WATTS Work: Owner Contractor GREGG&ROXIE SNYDER SMART SOLAR DESIGN CONSTRUCTION LLC 30279 SHORELINE DR 13715 POWAY RD SUITE-A MENIFEE,CA 92584 POWAY, CA 92064 Applicant Phone: 8582434059 DUAYNE WEBSTER. License Number: 1016878 SMART SOLAR DESIGN CONSTRUCTION LLC 13715 POWAY RD SUITE-A POWAY,CA 92064 Fee Description .99f Amount I$1 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $407.60 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 ��V property who builds or improves thereon,and who contracts for the projects 888 with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty perjury that I am under provisions of Chapter9(commencing wit ection 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effectt.f.]j the following reason: License ClassWRKq Uc n5 No. /6 By my signature below I acknowledge that,except for my personal residence Expires `3 ignature In which I must have resided for at least one year prior to completion of improvements covered bythis 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 yvww.leginfo.ca.Rov/calaw.html. this permit'' d1. !1 �C7 /��/ Policy# /;Y" Ll f V U 7(L Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the workfor which ❑By my signature below I certify to each of the following:I am the property this permit is lined.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 v'tiv )A^0— with all applicable city and county ordinances and state laws relating to //�� — building construction.I authorize representatives of this city or county to Policy# Y1- 32fS-,5—`�� 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($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 emolov any persons in any manner sous to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should b come HAZARDOUS MATERIAL DECLARATION subject to the riser's com enplon provisions of Section 3700 of a Labo Code,I shall f with com it th se provisions. �- �r _ WIII the applicant or future building occupant handle hazardous material or a Applicant Date ///� mixture containing a hazardous material equal to or greaterthat the amounts specified on the Hazardous Materials Information Guide. WARNIN :FAILURE T SECURE WORKER'S COMPENSATI VERA EIS ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES 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 70 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 ❑Yes ❑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 forthe performance of the work which this permit is Issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I herebyaffirm under permitting checklist I understand my requirements underthe State of penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 2SS34 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair anystructure,priorto its PROPERTY OWNER OR 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 JRRP1 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 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.eoa.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 ❑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. ❑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. & SAFETY PERMIT/PLAN CHECK APPLICATION a _,.z.kMenifee DATE -7 Z PERMIT/PLAN CHECK NUMBER TMT n — ozewl TYPE: ❑ OMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL [-]MECHANICAL []NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES W+ DESCRIPTION OF WORK J 0 (_&7G �tie 4s x3 w � PROJECT ADDRESS 30 'Llq 9 14bKt It, ec IA2.5 ASSESSOR'S PARCEL NUMBER 31#q ' 0+6" 04'+ LOT "L.t. TRACT PROPERTY OWNER'S NAME 61QC-676- f' iQ ADDRESS C) '7ROP- E • `Os/ �/rl �L�v1`I�`-f `]2J PHONE L151 a L4 4,S o 12 EMAIL APPLICANT NAME r ADDRESS t3 lIS - WOLI CA'A r 064 PHONE �J j-�ZICJ ' O"1 EMAIL S'6A.V C CONTRACTOR'S NAME MeLrZT OWNER BUILDER? [:]YE§MNO BUSINESS NAME ADDRESS 3_ S7 hpttl�� _ 2 D PHONE '37 EMAIL CONTRACTOR'S STATE LIC N�IUUMBER# /b ZS �i5 LICENSE CLASSIFICATION VALUATION$ lQ V SQ FT I DOO L SQ FFT1 ` d 06 APPLICANT'S SIGNATURE /DATE ZI j DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP �• ( O INVOICE Q AMOUNT Z�a'.�� PAID AMOUNT OCASH --CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT --CASH O CHECK 9 OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 �pU VF9 �8R8 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039349.00 Project: PMT 17-02551 Reviewer: Khoa Duong, P.E Description: Roof Mounted PV System Direct: 714 4314123 General: 714 4314100 Khoa.duong@us.bureauveritas.com Project Address: 30279Shoreline Owner(s): Roxie Snyder Occupancy Group(s): R-3/ U Construction Type: V-B PC 1-APPROVED July 28,2017 This plan has been reviewed and approved for conformance to the minimum requirements of the 2016 California Building Standards Code, as amended and adopted bythe 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 typtl VE9 r a � a m N )g2a CITY OF MENIFEE TRANSMITTAL Building Division Date: 7/28/2017 Project Location: 30279 Shoreline Plan Check No.: PMT17-02551 BV Project#: 40017-039349.00 Project Description: PV Solar—Roxie Snyder Reviewer Date Hour Hourly Rate Total 1st Plan Check Khoa Duong 7/28/2017 1.0 $110.00 $110.00 tad Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 7/28/2017 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