The URL can be used to link to this page

PMT17-02841 City of Menifee Permit No.: PMT17-02841 29714 HAUN RD. T Residential Electrical �AICELA—? MENIFEE,CA 92586 yam' MENIFEE Date Issued: 08/2512017 PERMIT Site Address: 27126 SAWYER RD, MENIFEE, CA 92584 Parcel Number: 360-061-002 Construction Cost: $7,500.00 Existing Use: Proposed Use: Description of INSTALL 19 ROOF MOUNTED PV MODULES, 1 INVERTER, 19 OPTIMIZERS 5.32 KW Work: Owner Contractor HERIBERTO RAMIREZ PACIFICSKY SOLAR LLC 27126 SAWYER ROAD 6617 INDEPENDENCE AVE CANOGA PARK, CA 91303 Applicant Phone: 8772376477 MENIFEE, CA License Number: 1004379 Phone:8182196194 Fee Description Qtv Amountl$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 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Electrical 1 12.60 $403.60 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_Pemnit_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 contractors)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 C'(0 License N t 10 C'J L(37 C/C/ By my signature below I acknowledge that,except for my personal residence Expires L Signature in which 1 must have resided for at least one year pnorto completion of (l improvements covered by this permit.I cannot legally sell a structure that 1 WORKERS C SA ON DECIARATIO 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 www.lezdnfo.a.Rov/slaw html. this permit is issued. Polity it Date ❑I have and will maintain worker's 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the Information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier P building construction.I authorize representatives of this city or county to Policy# 5 -7 xpires G-( .f S 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 ❑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 shall forthwith comply wit those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date of s 3 mixture containing a hazardous material equal to or greater that the e amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO 5 I:URE WORKER'S COMPENSATION COVERAGE 15 ❑Yes 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 the t(SCtionor See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast Airitne� CONSTRUCTION LENDING AGENCY ❑Yes A o I hereby affirm that under the penalty of perjury there is a construction Will the propo d building or modified facility be within 3000 feet of the lending agency for the performance of the work which this permit is issued outer bou ry of a school? (Section 3097 Civil Code) ❑Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD 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 California Health -Safety Code,Section 25505 and 25534 concerning hazardous erial reporting checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes D o Business and Professions Code).Any city or county that requires a permit to -j �— Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNfFFOh THORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(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 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 o 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. �pu vF� m �N 1828 K Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA. 92586 BV Project: 40017-039431.00 Project: PMT17-02841 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: 27126 Swayer Rd Owner(s): Heriberto Ramirez Occupancy Group(s): R-3/U Construction Type: V-B PC1-APPROVED August 21, 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 1 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 vF9 a � a m m r628 CITY OF MENIFEE TRANSMITTAL Building Division Date: 8/21/2017 Project Location: 27126 Swayer Rd Plan Check No.: PMT17-02841 BV Project#: 40017-039431.00 Project Description: PV Solar— Heriberto Ramirez Reviewer Date Hour Hourly Rate Total 15L Plan Check Khoa Duong 8/21/2017 1.0 $110.00 $110.00 2"d Plan Check 3rd Plan Check 41h Plan Check Final Approval: Khoa Duong 8/21/2017 1.0 $110.00 $110.00 Bureau Veritas North America, Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa, CA 92626 N1:714.431.4100 F 714.825.0685 . �; DATE PERMIT/PLAN CHECK NUMBERI V I —OZ 3`41 TYPE: O COMMERCIAL ' SIDENTIAL O MULTI-FAMILY ) MOBILE HOME C1 POOL/SPA O SIGN SUBTYPE: ;O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUMBING « RE-ROOF-NUMBER OF SQUARES Q-SC:ie"(, DESCRIPTION OF WORK 1: r PROJECTADDRESS ASSESSOR'S PARCEL NUMBER �� c l.�- LOT TRACT OWNER NAME '^ ADDRESS :-bji2 C) PHONE I EMAIL APPLICANT NAME 4 ;L ? ADDRESS PHONE 7 ICI _ �a C% �- EMAIL I CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME ADDRESS a �// 7 PHONE <2 -7-7- -> �" yOl ��' EMAIL /• CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C I O VALUATION$ L S E - SO,FT L SO,FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION /� ,r-�1 CITY OF MENIPEE U$I,�JESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I 'V_ SMIP I 00 U � LOESS INVOICEZg2 PAIDAMOUNT n AMOUNT `�J 'CASH O CHECK R O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT QCASH 0CHECKIt OCREDITCARD VISA/MC OWNER BUILDER VERIFIED DYES :% NO DLNUMBER NOTARIZED LETTER is YES ',% NO City of Menifee Building R Wety Dept. AUG 10 201r Received