PMT17-02879 City of Menifee Permit No.: PMT17-02879
29714 HAUN RD. T Residential Electrical
�L/> MENIFEE,CA 92586 Type:
MENIFEE Date Issued
08/24/2017
PERMIT
Site Address: 23530 ELSINORE LN, MENIFEE, CA Parcel Number: 350-113-048
92587 Construction Cost: $6,500.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 13 PANELS, 13 MICROINVERTERS,3.90 kW
Work:
Owner Contractor
EDGAR MEJIA SOUTH WEST SUN SOLAR INC
23530 ELSINORE LANE 13752 HARBOR BLVD
MENIFEE, CA 92587 GARDEN GROVE, CA 92843
Applicant Phone: 7145823909
SOUTH WEST SUN SOLAR INC License Number: 1004667
13752 HARBOR BLVD
GARDEN GROVE, CA 92843
Fee Description Cl Amount ISI
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_Permit_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 Iicensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. n /� the following reason:
License Class License No. (GOLF 6 C 7 y.m�ignature below I acknowledge that,except for my personal residence
Expires 1 O Signature�2/L�1/`'�� n which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
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 bythe Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,forthe performance of work for which
this permit Is issued. www.leginfo.m.gov/calaw.html.
Policy Date
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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: n— application and the information I have provided is correct.I agree to comply
Carrier y with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Polity Jt �� 7['`� �.�'i Expires enter the above Identified property for inspection purposes.
(This section need not to be completed is the permit is or 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 p
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 forth ovisions. Will the applicant or future building occupant handle hazardous material or a
APpl Date mixture contain' g a hazardous material equal to orgreater thatthe
T--� amounts spe 'Ted on the Hazardous Materials Informaton 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 permitanagement District(SC construction
or modification
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast AirlQua
CONSTRUCTION LENDING AGENCY ❑Yes es
I hereby affirm that under the penalty of perjury there is a construction Will the proposeobuilding or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bound of a school?
(Section 3097 Civil Code) ❑Yes Wo
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&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazar ous material reporting.
Business and Professions Code).Any city or county that requires a permit to 9Y6s ❑No
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNE OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING LRRPI
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 that receiving compensation for most work t disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to beork thartified firms and comply with
than($500).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
managers who do the paint-disturbing work themselves or through their
D 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 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a project
O An EPA Lead-Safe Certified Renovator will be responsible for this ra property who,through employees'or personal effort,builds or improves the P P J
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 bemuse:
❑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 our project does not comply
Y P 1 with EPA RRP rule please fill out the RRP
Acknowledgement.
pU vf9
m
T828
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039439.00 Project: PMT17-02879
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: 23530 Elsinore Lane
Owner(s): Edgar Mejia
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 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
N N
/628
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 8/22/2017
Project Location: 23530 Elsinore Lane
Plan Check No.: PMT17-02879
BV Project#: 40017-039439.00
Project Description: PV Solar— Edgar Mejia
Reviewer Date Hour Hourly
Rate Total
1st Plan Check Khoa Duong 8/22/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
41h Plan Check
Final Approval: Khoa Duong 8/22/2017 1.0 $110.00 $110.00
Bureau Varitas North America, Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa, CA 92626
M.714.431,4100 F: 714.825.0685
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 1 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL []MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK INSTALL ROOF MOUNT SOLAR PHOTOVOLTAIC SYSTEM
City of Menifeo
3.90 kW, 13 MODULES, 13 MICRO INVERTERS-NO PANEL UPGRADE Building & Safety Dept.
PROJECTADDRESS 23530 ELSINORE LANE, MENIFEE/QyYBrilMcPf,CA 92587
ASSESSOR'S PARCEL NUMBER !)�- W3-OL{cb LOT TRACT
PROPERTY OWNER'S NAME EDGARMEJIA Received
ADDRESS 23530 ELSINORE LANE,MENIFEE/QUAIL VALLEY,CA 92587
PHONE (951)259-3228 EMAIL
APPLICANT NAME SOUTHWEST SUN SOLAR, INC
ADDRESS 13752 HARBOR BLVD,GARDEN GROVE, CA 92843
PHONE (714)582-3909 EMAIL PERMIT@SOUTHWESTSUNSOLAR.COM
CONTRACTOR'S NAME SOUTHWEST SUN SOLAR,INC OWNER BUILDER? ❑YES ENO
BUSINESS NAME SOUTHWEST SUN SOLAR, INC
ADDRESS 13752 HARBOR BLVD, GARDEN GROVE,CA 92843
PHONE (714)582-3909 EMAIL PERMIT@1SOUTHWESTSUNSOLAR.COM
CONTRACTOR'S STATE LIC NUMBER 1004667 LICENSE CLASSIFICATION C 10
VALUATION$ $6,500.00 SO FT L SO FT
APPLICANT'S SIGNAT DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I I OCASH OCHECKM 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNi OCASH OCHECK II OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.citycfinenifee.us Inspection Request Line 951-246-6213