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PMT17-02684 City of Menifee Permit No.: PMT17-02684 29714 HAUN RD. <N=EL^> MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 08/10/2017 PERMIT Site Address: 29511 CAMINO CRISTAL, MENIFEE, CA Parcel Number: 340-412-007 92584 Construction Cost: $9,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 14 PANELS, 14 MICROINVERTERS,4.06 kW Work: Owner Contractor PASTOR SOTELO CALIFORNIA SOLAR SYSTEMS INC 29511 CAMINO CRISTAL 1400 N BURTON PLACE MENIFEE, CA 92584 ANAHEIM, CA 92806 Applicant Phone: 8552276527 IVAN MEDINA License Number: 920108 CALIFORNIA SOLAR SYSTEMS INC 1400 N BURTON PLACE ANAHEIM, CA 92806 Fee Description qy Amount($ 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 2.00 General Plan Maintenance Fee-Electrical 1 12.60 $404.60 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_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 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 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 (:� —q4� Lice es . / D 09, By my signature below I acknowledge that,except for my personal residence Expires Signature in which 1 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 this permit is issued. www.leainfo.ca.eov/calaw.html. r /P�/ f� Policy# Lw&�P000 sr-t 3Z1y Date 9h pave and will maintain worker's coin ensatbn insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT s "ion 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�:11 r/' application and the information I have provided is correct.I agree to comply Carrier T-IV 171011a) �vYfrIC.Q rJfary with all applicable city and county ordinances and state laws relating to � ��31 ` 7- building construction.I authorize representatives of this city or county to Policy# �i ykA 00rj 2-q P PxpInes © enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date ��\��\ ������"""""" PROPERTY OWNER OR AUTHORIZED AGENT erft that in the performance of the work for which this permit is issued, e3 !/u shall not emolov any persons in any manner so as to become subject to the ITY BUSINESS LICENSE# `�" D L y worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION i subject to the worker's compensation provisions of Section 3700 of the Labor I Code,I shall forthwith-cornply wt ose provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date a -(O-(� mixture containing a hazardous material equal to or greater that the amounts�Eified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 0 UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture 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)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideCoast Airlines Qua CONSTRUCTION LENDING AGENCY ❑Yes "o 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 boyr1dary of a school? (Section 3097 Civil Code) ❑Yes ;kNo 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 Contractor's License Law for the reason(s)indicated below by the VD California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Segtipn 7031.5 hazardous material rree7porting. �7 Business and Professions Code).Any city or county that req vies a peW t0 K ,dyes ❑N!%//./S Date L:p construct,alter,improve,demolish or repair any structure,ar to it O PROPERTY OWNER OR AUTHORIZED AGENT Issuance,also requires the applicant for the permit to file a wed statement that he or she is licensed pursuant to the provisions of the Cioractor's- to I"m EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencing with Section 7000)of Son 3 oe ?. The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she Is exempt tr Iicens ®® receiving compensation for most work that disturbs paint In a pre-1978 and the basis for the alleged exemption.Any violation of Sec 7031.S�y ID residence or childcare facility to be RRP-certifled firms and comply with an Applicant for a permit subjects the applicant to a civil pen f not more `5 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: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 ❑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 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. BUILDINGAPPLICATION Menifee DATE y PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOUTION0ELECTRICAL ❑MECHANICAL ©NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES ffl DESCRIPTION OF WORK �04� r`' V mw I L WVICS Gw` N/ I✓LV y. bL kw a PROJECTADDRESS g=j-Djj Y` �1 / �I of M ASSESSOR'S PARCEL NUMBER L{Q ZDo�- LOT 3S:�{ TRACT 1L7 .2- & Sa ty Dept. PROPERTY OWNER'S NAME 2017 ADDRESS )_C(, II q, PHONE C) g7,A�Dl EMAIL �, " ecei d e APPLICANTNAME � yi V 11'Vl iVIGt ADDRESS ILAOl7 A • I )V- fl , A \A : C)& PHONE liq - L1S°I - 539,01 EMAIL rj SCrA I . (-ovA CONTRACTOR'S NAME C()t.l` yi I(,iY' OWNER BUILDER? t4YES❑NO BUSINESS NAME (p ^j Wt ADDRESS jq00 4/. n bl jW-, jZRna PHONE l'ffN) uSq - S3Sa EMAIL CONTRACTOR'S STATE LIC NUMBER 120I O, 2 L CENSE CLASSIFICATION VALUATION $ -I O O SQ FT L SO,FT APPLI DATE DEPARTMENT DISTRIBUTION �1 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIPINVOICE O'r A PAID AMOUNT MOUNT r� -)CASH ^CHECK# .CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH C%CHECK# t?CREDITCARD VISA/MC OWNER BUILDER VERIFIED `..%YES '% NO DLNUMBER NOTARIZED LETTER C; YES C NO �pU VE9 p®m m �020 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Huan Road Costa Mesa, CA 92626 Menifee,CA 92586 BV Project: 40017-039376.00 Menifee Project: PMT17-02684 Reviewer: TUNG LE, P.E/Khoa Duong, P.E Description: 4.06 KW Photovoltaic system on SFD Direct: General: 714 4314105 Project Address: 29511 Camino Cristal Owner(s): Pastor Sotelo Occupancy Group(s): R-3/U Construction Type: V-B PC 1 REVIEW-APPROVED August 5,2017 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 �Pu ve�s c � � n m N r828 CITY OF MENIFEE TRANSMITTAL Building Division Date: 8/5/2017 Project Location: 29511 Camino Cristal Plan Check No.: PMT17-02684 BV Project#: 40017-039376.00 Project Description: PV Solar— Pastor Sotelo Reviewer Date Hour Hourly Rate Total lst Plan Check Tung Le 8/05/2017 1.0 $110.00 $110.00 2nd Plan Check 3`a Plan Check 4th Plan Check Final Approval: Tung Le 8/05/2017 1.0 $110.00 $110.00 Bureau Verites North America,Inc. 1665 Scenic Avenue, Suite 200 Costa Mesa: CA 92626 M: 714.431A 100 F:714,825.0685