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PMT17-02814 City of Menifee Permit No.: PMT17-02814 29714 HAUN RD. "A\CCEL/� MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 0 8124/2 0 1 7 PERMIT Site Address: 28045 DAKOTA DR, MENIFEE,CA 92587 Parcel Number: 350-051-003 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 16 PANELS, 16 MICROINVERTERS,4.40 kW Work: Owner Contractor CHRISTINA RAMIREZ SUNPRO SOLAR INC 28045 DAKOTA DRIVE 34859 FREDRICK STREET STE 101 MENIFEE,CA 92587 WILDOMAR, CA 92595 Applicant Phone:9516787733 BOB KORNMANN License Number: 830451 SUNPRO SOLAR INC 34859 FREDRICK STREET STE 101 WILDOMAR, CA 92595 Fee Description City Amount fE) 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 Men'ifee.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_Bidg_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[!censure under the Contractors State License Law for Professions Code and my license is in full force and effect the following reason: License Class lo/LI 6 _License No. 3o L{S By my signature below 1 acknowledge that,except for my personal residence Expires Z 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 ❑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 workers 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.leginfo-ca.goy/calaw.htmi.permit is issued. Policy# Date dl have and will maintain workers compensation 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are:Able—, application and the information 1 have provided is correct.1 agree to comply Carrier_ L6.Lf� w\ with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# C1 0, i C Z —I Li Expires �/I'i� 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 d 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 subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith complyw h those provisions. `, Will the applicant or future building occupant handle hazardous material or a Applicant u'—/ Date d Z 1 7 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o'No 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 37060E 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 for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes dfNo 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 al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. thsiness and I have placed next to the applicable item(s)(Section permit oyes QNo Business and Professions Code).Any city repair that requires a permit to ®,S��' Date Z construct,alter,improve,demolish or repair any structure,snorts its PROPERTY OWN 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(RRPI 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 Ilcensure 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 ownersand property than($500). managers who do the paint-disturbing work themselves or through their o 1,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.zov/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. O No EPA Lead-Safe Certified Firm is required for this project because: o 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. ¢pu Vf0 m m �828 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039416.00 Project: PMT17-02814 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: Dakota Dr. Owner(s): Christina Guadalupe Occupancy Group(s): R-3/U Construction Type: V-B PC 1 -APPROVED August 17, 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.corn An Equal Opportunity Employer Page 1 of 1 �Pu ves n 4t N Ig28 CITY OF MENIFEE TRANSMITTAL Building Division Date: 8/17/2017 Project Location: 28045 Dakota Drive Plan Check No.: PMT17-02814 BV Project#: 40017-039416.00 Project Description: PV Solar—Christina Guadalupe Reviewer Date Hour Hourly Rate Total 1't Plan Check Khoa Duong 8/17/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 8/17/2017 1.0 #110.00 $110.00 Bureau Veritas North America,Inc. - 1665 Scenic Avenue, Suite 200 Costa Mesa, CA 92626 M: 714,43L4100 F:714.825.0685 APPLICATION& SAFETY PERMIT/PLAN CHECK ';Menifee DATE 1 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIIA�AL RESIDENTIAL 'O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: C.YADDITION O ALTERATION O DEMOLITION .O ELECTRICAL O.MECHANICAL O NEW O PLUUM/BING O RE-ROOF-NUMBER OF SQQUARE/S� DESCRIPTION OF WORK 7 , Q /ti y/ �� Roop-p IL u IN9& SafetyO d� r✓1� / -�-rl✓C:T ,r pt. PROJECTADDRESS a mys- f3�a{ o f k Dr, AUG 0 8 20 ASSESSOR'S PARCEL NUMBER � / �' l.C,.LJ LOT TRACT Reeove OWNER NAME C_ Ar15(j C fyi. ADDRESS 5- CIJC<l or- PHONE 760-6 X9- YQJ3 EMAIL APPLICANT NAME b Vlclfrollelta.IA ADDRESS 5 T� k S PHONE fl5/—F13- jyc y EMAIL Gf' . n c:J S� r,;, -SClttr.cc,n CONTRACTOR'S NAME , OWNER BUILDER? O YES NO BUSINESS NAME 5,n1 ro talc r/� /' ' &en & VQ- ff; G ADDRESS +C5 F2 /2r ��. ,� /Vj1� 'VIt/�U/�'1t✓�f' C� qdS-T.S PHONE `5 � -- /g/ J Syc, EMAIL CONTRACTOR'S STATE LIC NUMBER 1 30 ,.(,LICENSE CLASSIFICATION C" IO VALUATION$ ,Z? 00(�) SO FT / v L SQ FT i p APPLICANT'S SIGNATURE DATE CJ DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE QPAID AMOUNT MOUNTWO O CASH €3 CHECK# �?CREDITCARD VISA/MC EA N CHECK FEES PAID AMOUNT CiCASH OCHECK# :%CREDIT CARD vlsA/Mc UILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO Tit b✓. l i dv�. jB'.rf5 _JGa . r L-__ J:IE _ c _-,...__