PMT17-03048 City of Menifee Permit No.: PMT17-03048
29714 HAUN RD. Type: Residential Electrical
"ACCELA? MENIFEE, CA 92586
MENIFEE Date Issued: 09/06/2017
PERMIT
Site Address: 28552 LANTERN PARK LN, MENIFEE, CA Parcel Number: 372-270-016
92584 Construction Cost: $18,431.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,22 PANELS, 1 INVERTER, 6.49 KW
Work:
Owner Contractor
JOSEPH L. GEORGE N B BAKER ELECTRIC INC
28552 LANTERN PARK LANE 2140 ENTERPRISE STREET
MENIFEE, CA 92584 ESCONDIDO, CA 92029
Applicant Phone:7605466000
MENIFEE, CA License Number:858088
Phone:7605466086
Fee Description O_yt Amount(SI
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 prevenfing 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_Blog 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 o 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 Clam CID C 1-1 L Uca se No. S V By my signature below I acknowledge that,except for my personal residence
Expires_/'3)- 5 Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION (51 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
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 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
this permit is issued. www.leeinfo.ca.eov/mIaw.htmL
Policy# Date
V I have and will maintain workers compensa ton 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 l 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: ,pO ` application and the information I have provided is correct.I agree to comply
Carrier_ U�� Y-r-n.� h To 5 Co with all applicable city and county ordinances and state laws relating to
Policy# /DWG }US � 3-/- /$ building construction.l authorize representatives of this city or county to
cY 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($300)or less PROPERTY OWNER OR AUTHORIZED AGENT
o 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 shallforl ith comply with those provisions. q Z Will the applicant or future building occupant handle hazardous material or a
Applicant Date r'6' r mixture containing a hazardous material equal to or greater that the
67 amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Oyu ❑NO
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building
AND CIVIL FINES UPTO 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(SC[ion or See cation ingfrom
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 100D 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) Dyes ONO
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 2SS34 conceming
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Cade).Any city or county that requires a permit to OYes o 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 OWN ER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION.REPAIR AND PAINTING(RRP)
License Law(Chapter9(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 pre-1978
and the basis or a permit
alleged exemption.Any violation it Section of not o residence or childcare facility to be RRP-certified firms and comply with
than
Applicant fora permit subjects the applicant toacivil 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 Contractors State License Law does not apply to an owner of a p 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:
O 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.
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Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039489.00 Project: PMT17-03048
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: 28552 Lantern Park Lane
Owner(s): Joseph Lynn George
Occupancy Group(s): R-3/U
Construction Type: V-B
PC 1-APPROVED
September 01,2017
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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 9/01/2017
Project Location: 28552 Lantern Park Lane
Plan Check No.: PMT17-03048
BV Project#: 40017-039489.00
Project Description: PV Solar— Joseph Lynn George
Reviewer Date Hour Hourly
Rate Total
15t Plan Check Khoa Duong 9/01/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
41h Plan Check
Final Approval: Khoa Duong 9/01/2017 1.0 $110.00 $110.00
Bureau Veritas North America, Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa,CA 92626
M:714.431.4100 F:714.825.0685
---- --_
BUILDING & SAFETY PEP04;TPLAN CHECK APPLICATION
AUG2 �01!
Menifee
DATE FifigN17 PERMIT/PLAN CHECK NUMBER p M7- n- o6tw
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [—]ADDITION [—]ALTERATION [-]DEMOLITION QELECTRICAL ❑MECHANICAL
[-]NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Solar Installation 6A9 kW
PROJECTADDRESS 28552 Lantern Park Lane,Menifee CA 92584
ASSESSOR'S PARCEL NUMBER 372-270-016 LOT 16 TRACT 30224
PROPERTY OWNER'S NAME Joseph Lynn George
ADDRESS 28552 Lantern Park Lane,Menifee CA 92584
PHONE (760)815-3341 EMAIL josephlynngeorge@gmail.com
APPLICANT NAME Ramon Lopez
ADDRESS 2140 Enterprise St.Escondido,CA 92029
PHONE EMAIL Imvgru Q 'I(e�e�cC}nL)o�cr, cool
CONTRACTOR'S NAME Ted Baker OWNERBUILDER7 ❑YES❑✓NO
BUSINESS NAME Baker Electric Solar
ADDRESS 2140 Enterprise St. Escondido CA 92029
PHONE (760)546-6000 EMAIL rstoa@bakerelectricsolar.com
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C10
VALUATION$ $18,431.00 SQ FT 2374 L SO FT 404.8
APPLICANT'S SIGNATURE DATE 08/28/2017
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSENUMBER
2
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP 2 f
INVOICE �q ('0 PAIDAMOUNT
AMOUNT L 1 OCASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD \n Mc
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.citycfinenifee.us Inspection Request Line 951-246-6213