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PMT17-02727 City of Menifee Permit No.: PMT17-02727 29714 HAUN RD. -A-CCEL/� MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 08/18/2017 PERMIT Site Address: 30531 SHORELINE, MENIFEE,CA 92584 Parcel Number: 364-081-003 Construction Cost: $21,060.00 Existing Use: Proposed Use: Description of INSTALL 26 SOLAR PANELS,26INVERTERS 7.02 KW SYSTEM Work: Owner Contractor ANISSA TOPETE BARNES SOLAR INC 30531 SHORELINE DRIVE 16560 HARBOR BLVD UNIT R FOUNTAIN VALLEY, CA 92708 Applicant Phone: 9493516217 ADAM LOPEZ License Number:943909 BARNES SOLAR INC 16560 HARBOR BLVD UNIT R FOUNTAIN VALLEY, CA 92708 Fee Description Oty Amount 151 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_Permit_Template.ryt 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 underthe Contractors State License Law for Professions Code and my license Is in full force and effect. p �t tt` the following reason: License Class C-Id7 `1c0 Lice k3-1✓ By my signature below I acknowledge that,except for my personal residence Expires 7iJZS*/I' Signature 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 o 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 webslte: by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.htmi. this permit is issued. Policy# 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 work for which ❑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 `l7 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# (a 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 in 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 subjectto the workers compensation provisions of Section 3700 of the Labor Code,I shall fo(r�yh%/LtI camp T 1 �ith th provisions. Will the applicant or future building occupant handle hazardous material or a Applicant [fie ' Date �L_ff/L-7 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILVOrTO SECURE W RKER'S COMPENSATION COVERAGE IS ❑Yes 300 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 ❑Yes 16o 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 Cade) ❑Yes )[No 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous materi r rtin checkmark(s)I have placed next to the applicable items)(Section 7031.5 ,yY es ❑No '/ p.1�R �/ / 7 Business and Professions Code).Any city or county that requires a permit to Date / 1 construct,alter,improve,demolish or repair any structure,prior t0 its PROPERTY OWN R AUTHORI D 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 I 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 RRPcertified fines 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-Sa ,C��±f� property who,through employees'or personal effort,builds or improves the �uI1LT D�yIt��i 00 be responsible for this project property provided that the improvements are not intended or offered for Certified Firm NFA- fty Dam sale.If,however,the building or improvement is sold within one year of Firm CertifiAIMH!Nq.: completion,the Owner-Builder will have the burden of proving that it was {�✓1177 9 �y not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firrri Is dJfed for this project because: ❑I,as owner of the property am exclusively contracting with licensed®r contractors to construct the project(Section 7044,Business and Professions 60 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. pU VF9 reie Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039405.00 Project: PMT17-02727 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: 30531 Shoreline Drive Owner(s): Anissa Topete Occupancy Group(s): R-3/ U Construction Type: V-B PC 1-APPROVED August 10, 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 �p,U VF9 � a 6t N 1a28 CITY OF MENIFEE TRANSMITTAL Building Division Date: 8/10/2017 Project Location: 30531 Shoreline Drive Plan Check No.: PMT17-02727 BV Project#: 40017-039405.00 Project Description: PV Solar—Anissa Topete Reviewer Date Hour Hourly Rate Total 1st Plan Check Khoa Duong 8/10/2017 1.0 $110.00 $110.00 2"d Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 8/10/2017 1.0 $110.00 $110.00 Bureau Veritas North America, Inc. 1665 Scenic Avenue, Suite 200 Costa Mesa, CA 92626 M: 714.431,4100 F:714,825.0685 BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE Y' } PERMIT/PLAN CHECK NUMBER? 'V 71-1— C)Z:l Z 1 TYPE:. C?COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: "ADDITION O ALTERATION O DEMOLITION D<ELECTRICAL O MECHANICAL ONEW OPLUMBING O(RE-ROOF-NUMBER OF SQUARES `fin DESCRIPTION OF WORK d Ulm Z /�mr . LJ (/ S LI� PROJECT ADDRESS 30 I ti 1\yl,— ��' 1 IL✓1-.yk( L>1S2_\ ASSESSOR'S PARCEL NUMBER aLO LA- 0 S 1 - O°3 LOT 2 "J TRACT OWNER NAME ADDRESSg3 O 53 1 p1 PHONE 1 iQ -S-�3 —33 (D o l EMAIL APPLICANT NAME ADDRESS G PHONE `�� 1( �,�, \ EMAIL CONTRACTOR'S NAME \J SO`G,J- OWNER BUILDER? O YES NO BUSINESS NAME ] S}D ADDRESS \�A9 J(-00 1`1 0.`('"OC' r I V' * PHONE qA \ —�St'CO�L`� t EMAIL U pver`. J' 'a•L-h y� CONTRACTOR'S STATE LIC NUMBER C1"13 Ql 0 Ct LICENSE CLASSIFICATION V U '�{ llLflf 1J VALUATION$ .t- V o SO FT � �„ Q L SQ FTT Z1 APPLICANT'S SIGNATURE l�G� -G DATO O� CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENI�, E�eL151 55 LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN $MIP �� b ✓ INVOICE ''T Qc- koo PAID AMOUNT ,.. AMOUNT L 1'J 'O CASH OCHECK# C CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES ; NO CIty'bf Menitee Building h Safety Dept. AU', ' i 2017 _; lvad