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PMT17-02849 City of Menifee Permit No.: PMT17-02849 29714 HAUN RD. '-ACCEL/1.. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 08/23/2017 PERMIT Site Address: 29510 DUNKIRK ST,MENIFEE, CA 92586 Parcel Number: 338-255-001 Construction Cost: $14.000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR 7.84 KW AC-CEC WITH 26 MODULES Work: Owner Contractor JOHN MARCO 29510 DUNKIRK STREET MENIFEE,CA 92586 Applicant License Number: JOHN MARCO 29510 DUNKIRK STREET MENIFEE,CA 92586 Phone:9516795790 Fee Description Otty Amount fbl 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 carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise slated,a permit for construction under which no won(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_Terncate.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION J 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 �am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of Improvements covered bythis 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 "an ubmitted orat the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. alaw.html. Policyri Date OR AUTHORIZED AGENT ❑I have and will maintain workers compensaton insurance,as required bysection 3700 of the Labor Code,for the performance of the work for which elow 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 with all appl ble city and county ordinances and state laws relating to Cartier k constr ion.I authorize representatives of this city or county to Policyri Expires abovei ifi d property for inspection purposes. (This section need not to be completed is the permit Is for one-hundreddollars($S00)or less ateY OWN OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is Issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE A 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 comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 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 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 guideli pes CONSTRUCTION LENDING AGENCY ❑Yes No 1 hereby affirm that under the penalty of perjury there is a construction WIII 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 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 ermitting the list.I understand my requirements underthe State of Contractors License Law for the reason(s)indicated below by the C iforl is Health Safety Code,Section 25505 and 25534 concerning ha do materlal 9 Ling. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to es ❑ o NkN Date construct,alter,improve,demolish or repairany structure,priorto its PRO E OWNER ORA 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 Contractors State EPA RE VATION,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 Iiansure 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 ts owner of e property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: nded or sation,will do( )all of or portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at inted 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: i sale.If,however,the building or improvement is sold within one year of j completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑1,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 VF9 C gpg Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039433.00 Project: PMT17-02849 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: 29510 Dunkirk St Owner(s): John Marco Occupancy Group(s): R-3/ U Construction Type: V-B PC 1-APPROVED August 22, 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 bythe City of Menifee, California. Condition of approval - Plans must be sign by electrical engineer of licensed solar contractor. 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 � a m N 182a CITY OF MENIFEE TRANSMITTAL Building Division Date: 8/22/2017 Project Location: 29510 Dunkirk St Plan Check No.: PMT17-02849 BV Project#: 40017-039433.00 Project Description: PV Solar— John Marco Reviewer Date Hour Hourly Rate Total 15L Plan Check Khoa Duong 8/22/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: Khoa Duong 8/22/2017 1.0 $110.00 $110.00 Bureau Veritas North America, Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa, CA 92626 M:714,431.4100 F:714.825.0685 & SAFETY PERMIT/PLAN CHECK APPLICATION Menifel DATE '�� \ \ PERMIT/PLAN CHECK NUMBER TYPE: 0 COMMERCIAL )(RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: C ADDITION C)ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW C>PLUMBING O RE-ROOF-NUMBER OF SQUARES p� DESCRIPTION �OF WORK � ' n�\cnv" - '^ V \ ` �( PROJECTADDRESS �MQ a.Jtiv� \v`�\ J� vim\ �� q� ASSESSOR'S PARCEL NUMBER '©a \ LOT TRACT OWNER NAME \�,C ADDRESS �Q� p��ry.�v��/��C� v�� -( PHONE VJ� \ \�V EMAIL APPLICANT NAME �'\..�� 1 \� �aYC G e ADDRESS PHONE��\ \� J� -\Q EMAIL CONTRACTOR'S NAME �O�"� C^v C OWNER BUILDER? IsZYES 0 NO BUSINESS NAME City of Men ifee null t. ADDRESS PHONE EMAIL CONTRACTOR'S STATE LLICNUMBER LICENSE CLASSIFICATION e VALUATION$\" \\ b SQ L SQ�FT/ APPLICANT'S SIGNATURE \ DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINE S LICENSE INU BEER !� BUILDING PLANNING ENGINEERING FIRE GREEN I v' SMIP ST VV� V �I ` -ev INVOICE ?(�� PAIDAMOUNT AMOUNT -` 0CASH OCHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT C,+CASH 0 CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER `> YES '� NO