PMT17-02649 City of Menifee Permit No.: PMT17-02649
29714 HAUN RD. Type: Residential Electrical
4f4CCEL/-> MENIFEE,CA 92586
MENIFEE Date Issued: 08/15/2017
PERMIT
Site Address: 25478 ROCKING HORSE CT, MENIFEE, Parcel Number: 358-540-017
CA 92584 Construction Cost: $34,800.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 24 MODULES, 1 INVERTER,6.96 KW
Work:
Owner Contractor
JEFFREY MCKAY COMPLETE SOLAR SOLUTION OF CALIFORNIA INC
25478 ROCKING HORSE CT 1850 GATEWAY DRIVE STE 450
MENIFEE,CA 92584 SAN MATEO, CA 94404
Applicant Phone:a555416703
SARAH PRADO License Number: 961988
COMPLETE SOLAR SOLUTION OF CALIFORNIA INC
1850 GATEWAY DRIVE STE 450
SAN MATEO, CA 94404
Fee Description Oft Amount 1$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 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$408.60
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_Pernit_Template.rpt Page 1 of 1
CITY OF MENIFEE
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 ❑I am exempt from Ilcensure under the Contractors State License Law for
Professions Code and my license is in full force and ff (yect, the following reason:
License ass_l —1(� License Noq `LK By my signature below I acknowledge that,except for my personal residence
Expires Signature C in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
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
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. www.le info.ca. oy .html. (x�
AJPolicy# S k y�Date V
❑I have and will maintain worker's compens@tlon 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
numb application
•l l/� application and the information I have provided is correct.i agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
O��(1 f�P9 building construction.I authorize representatives of this city or county to
Policy# _l.�"1 Expires ert/h�e(abt7o/v�e identified.AyDr(operty for inspection purposes..
(This section need not to be completed is the permit is for one-hundred C�SJY ty"'/ 11UiV�-`� I�^I�dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT Date_ -
❑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#
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 sh rthwltth� o ly w th th se provisions. C, Will the applicant or future building occupant handle hazardous material or a
Applicant �D _ -" —`5-1, mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE W 'RKER'S CIAMPENSATION COVERAGE 15 °Yes ❑No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the Intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit forthe construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7 See permitting checklist
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 for the 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
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 h dous material reporting. (�
Business and Professions Code).Any city or county that requires a permit to s ° �'
construct,alter,improve,demolish or repair any structure,prior to its Date O
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER ORAUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 Ilcensure 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 most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be 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
❑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.eov/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 Contractor's State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the ci An EPA Lead-Safe Certified Renovator will 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:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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/PLAN CHECK APPLICATION - Ilk.
Menifee
DATE PERMIT/PLAN CHECK NUMBER T /
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN
SUBTYPE: O ADDITION 0 ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
,1 lrrn'o1 d� es r,
PROJECTADDRESS IDItJ T v //��
ASSESSOR'S PARCEL NUMBER ;J�' SqQ— V 17 LOT TRACT
OWNER NAME N
ADDRESS ' VU
PHONE EMAIL
APPLICANT`NAME� ��. CO �1- .y✓ L�-f
ADDRESS `Cb fS b I 1 i4
PHONE I1�- -�j�-i'R lQj�Cj EMAIL r
CONTRACTOR'S NAMECL"fA22S l OWNER BUILDER? 0 YES Ov
BUSINESS NAME
ADDD,R..ESS
ff I �/I �
PHOfV lQ �CQ EMAIL
CONTRACTOR'S STATE LIC NUMBER �l ( LICENSE CLASSIFICATION C—
VALUATION$ �J Co SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
�� STAFFUSEONLY
[DEPARTMENT DISTRIBUTION &I CITY OF MENI�EE�U$IdESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP SVII
INVOICE r'� ��// �0 PAIDAMOUNT
AMOUNT A1 0 CASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDFfCARD VISA/MC-
[OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of ivlenifee Building&Sofet;:DepolimelrcC971-, Haun Rd. Menifee, C71 92586 951-6 72-0 77 7
www.cityofinenifee.us insoection Request Line 951-246-6213 r
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�BYB
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Huan Road
Costa Mesa, CA 92626 Menifee, CA 92586
BV Project: 40017-039374.00 Menifee Project: PMT17-02649
Reviewer: TUNG LE, P.E/Khoa Duong, P.E Description: 6.96 KW Photovoltaic system on SFD
Direct:
General: 714 4314105
Project Address: 29971 Pebble Beach Dr.
Owner(s): Frances Woolard
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 1 REVIEW—APPROVED WITH REDLINES ON SHEET 2
August 4,2017
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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 8/4/2017
Project Location: 25478 Rocking Horse Ct.
Plan Check No.: PMT17-02649
BV Project#: 40017-039374.00
Project Description: PV Solar— Jeffrey McKay
Reviewer Date Hour Hourly
Rate Total
1st Plan Check Tung Le 8/04/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
4th Plan Check
Final Approval: Tung Le 8/04/2017 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