PMT17-03237 City of Menifee Permit No.: PMT17-03237
29714 HAUN RD.
`A\CCEl MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 10/04/2017
PERMIT
Site Address: 28881 HILLSIDE DR, MENIFEE,CA 92584 Parcel Number: 372-244-007
Construction Cost: $12,375.00
Existing Use: Proposed Use:
Description of INSTALL 6.875 KW DC ROOF MOUNTED SOLAR SYSTEM,25 MODULES
Work:
Owner Contractor
DEMETRIC HENRY 1ST LIGHT ENERGY INC
28881 HILLSIDE DRIVE 1869 MOFFAT BLVD
MENIFEE, CA 92584 MANTECA, CA 95336
Applicant Phone;2098245500
RANDY COLE License Number:921371
1869 MOFFAT BLVD
MANTECA, CA 95336
Fee Description Qtv Amount 1Si
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 55 55.00
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
$459.60
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_Bidg_Pernit_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 ❑1 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 G d License No. ZI
By my signature below I acknowledge that,except for my personal residence
Expires O 1 Slgnatu 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
this permit is sue . ()Ala
n - www.IeRinfo.ca.Rov/calaw.htmI.
Policy# IA Q 61, � V A 1 a y\ F\ r` _ Date
❑I 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 carder and polity owner or authorized to act on the property owners behalf.I have read this
number are;
a} �7�- application and the Information I have provided is correct.I agree to comply
Garner 2 V —.-Z Z7 e- with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#u 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($100)or less 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 It
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 co I p o sons. Will the applicant or future building occupant handle hazardous material or a
Applic nt Date mixture containing a hazardous material equal to or greater that the
amounts�recified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes I No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
WIII 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 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 guidelines
CONSTRUCTION LENDING AGENCY °Yes b,
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 bo ndary of a school?
(Section 3097 Civil Code) ❑Yes�No
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 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to
construct,alter,Improve,demolish or repair any structure,prior to Its ✓ Date
PROPERTY OWNER 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(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
a),as owner of the property,or my employee with wages as th�e,ii6665Atee employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the coo &'ja,690- www.eoa.Rov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Bugqsi��n��??t� dons 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does novepbl'y to an owner of ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,buifr,(Ta(i"Orgveml
property provided that the Improvements are not intend 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 provin tFj�t' w
not built or improved for the purpose of sale. me l ❑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 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.
y�U YE9
m J183
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039549.00 Project: PMT17-03237
Reviewer: Neil Tuong Description: 6.875 kw. Roof mounted
Direct:714-431-4193 solar pv system.
General: 714-431-4100
Neil.tuong@us.bureauveritas.com
Project 28881 Hillside Drive
Address:
Owner(s): Demetric Henry
Occupancy R3
Group(s):
Construction VB
Type:
PC 2 REVIEW COMMENTS
October 2, 2017
This plan has been reviewed for conformance to the minimum requirements of the 2016 California
Building Codes, as amended and adopted by the City of Menifee, California.
The approval of plans and specifications do not permit the violation of any section of the building code,
or any other applicable local, state or federal ordinance, rule, regulation,order, or law.
BUILDING COMMENTS
APPROVED-READY FOR PERMIT ISSUANCE. Q�
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END OF COMMENTS w
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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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KEEMEM
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 9/19/2017
Project Location: 28881 Hillside Dr
Plan Check No.: PMT17-03237
BV Project#: 40017-039549.00
Project Description: 6.875 kw. Roof mounted solar pv system
Reviewer Date Hour Hourly
Rate Total
V Plan Check N.Tuong 9/19/2017 1.0 $110.00 $110
N.Tuong
2ndPlan Check 10/2/2017 0.5 $110.00 $55
3`d Plan Check
4`h Plan Check
N.Tuong
Final Approval: 10/2/2017 0.5 $110.00 $165.00
TOTAL: $165.00
6cre=..i ' eri[as N; 'th. America Icy..
1665 Scenic Avenue,suite 200
Costa Mesa.CA 02626
M 71,431 :100 F. 71-825.0685
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE:9/13/17 PERMIT/PLAN CHECK NUMBER T " I I-1`O
TYPE: 0"COMMERCIAL A RESIDENTIAL 6 MULTI-FAMILY ^— MOBILE HOME 0 POOL/SPA "'SIGN
SUBTYPE: OADDITION <i ALTERATION G DEMOLITION '(ELECTRICAL 1% MECHANICAL
O' NEW 'O PLUMBING { RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Installing 6.875 kW DC roof mounted solar system. 25 modules
PROJECTADDRESS 28881 Hillside Drive ^ ZIP 925584 p�
ASSESSOR'S PARCEL NUMBER 372244007 LOT e��j TRACT
OWNER NAME Demetric Henry
ADDRESS 28881 Hillside Drive
PHONE (909) 732-6476 EMAIL Jennifer@permitrunner.net
APPLICANT NAME Randy, Jennifer Cole
ADDRESS 9880 Magnolia Ave #119, Santee, CA 92071
PHONE 619-933-4868 EMAIL jennifer@permitrunner.net
CONTRACTOR'S NAME OWNER BUILDER? 0 YES ONO
BUSINESS NAME 1ST LIGHT ENERGY INC
ADDRESS 1869 MOFFAT BLVD MANTECA, CA 95336
PHONE (209) 824-5500 EMAIL
CONTRACTOR'S STATE LIC NUMBER 921371 LICENSE CLASSIFICATION B, C10, C46
VALUATION$ 12,375.00 SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE 9/13/17
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
ACCEPTED BY.
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE 2014 . (Q( SMIP GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED ':YES .' NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO
City of Menift,,
City of Menifee Building&Safety Deportment 29714 Houn Rd. j#�4(�;him�8&,,9.51-572-6777
www.cityofinenifee.us
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