PMT17-03247 City of Menifee Permit No.: PMT17-03247
29714 HAUN RD.
�ACC.ELI MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 912 6/2 01 7
PERMIT
Site Address: 28039 CRYSTAL SPRING DR, MENIFEE, Parcel Number: 340.320-004
CA 92584 Construction Cost: $12,600.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED PV SOLAR SYSTEM 6.20KW 21 MODULES, 1 INVERTER AMD 21
Work: OPTIMIZERS
Owner Contractor
GARY ROBERTS N B BAKER ELECTRIC INC
28039 CRYSTAL SPRING DRIVE 2140 ENTERPRISE STREET
MENIFEE, CA 92584 ESCONDIDO,CA 92029
Applicant Phone:7605466000
N B BAKER ELECTRIC INC License Number:858088
2140 ENTERPRISE STREET
ESCONDIDO, CA 92029
Fee Description City Amount($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 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 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_Pennit_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 perjurythat 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 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 CIO _�_ C cl L Lice se No. $(J
By my signature below i acknowledge that,except for my personal residence
Expires y'3 L /I Signature in 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 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.leginfo.n.gou/calaw.litmi.permit is issued.
Policy# Date
,A1 have and will maintain workers compensagon insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which a 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: application and the information I have provided is correct.I agree to comply
Carrier C) 'TWn�+�� o 5 eo with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# /1WG 3 Expires 3-1-19 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
O I certify that in the performance of the work for which this permit is issued,
1 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,1 shalt /vrrth comply with those provisions. �r Will the applicant or future building occupant handle hazardous material or a
Applicant (Cy" / pate !•6•/ 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 D No
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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo ast Airlines
Qua
CONSTRUCTION LENDING AGENCY ❑Yes ONo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) D Yes ❑No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed nenexttothe applicable item hazardous material reporting.$)(Section 7031.5 oyes o No
Business and Professions Cade).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its 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 fRRP1
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 licensure 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 pmperty
than($500). - managers who do the paint-disturbing work themselves or through their
❑1,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 ❑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:
a 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
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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: 40017-039555.00 Project: PMT17-03247
Reviewer: Neil Tuong Description: New 6.20kw roof mounted pv
Direct: 714-431-4193 system.
General: 714-431-4100
Project Address: 28039 Crystal Springs
Owner(s): Gary Roberts
Occupancy Group(s): R3
Construction Type: VB
PC 1 REVIEW COMMENTS
September 21,2017
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.
ARCHITECTURAL COMMENTS:
APPROVED. READY FOR PERMIT ISSUANCE.
END OF COMMENTS
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: 9/21/2017
Project Location: 28039 Crystal Springs
Plan Check No.: PMT17-03247
BV Project#: 40017-039555.00
Project Description: 6.2 kw. Roof mounted pv system
Reviewer Date Hour Hourly
Rate Total
lst Plan Check N.Tuong 9/21/2017 1.0 $110.00 $110
2nd Plan Check
3rd.Plan Check
4th Plan Check
Final Approval: N.Tuong 9/21/2017 1.0 $110.00 $110.00
TOTAL: $110.00
Bureau Ventas North America,Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa,CA 92626
M:714.431.4100 F:714.825,0685
Ce , i; I..A 3,cr
-Menifee
IIII
DATE:9-14-17 PERMIT/PLAN CHECKNUMBERFNITI�
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: C ADDITION O ALTERATION C DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OFSOUARES
DESCRIPTION OF WORK Solar Photovoltaic System Roof Mount
System Size 6.20 kW- (21) Module (1) Inverter (21) Optimizer No Panel Upgrade
PROJECTADDRESS 28039 Crystal Spring Dr- zip 92584
ASSESSOR'S PARCEL NUMBER 340320004 . LOT 40 TRACT
OWNER NAME Gary Roberts
ADDRESS 28039 Crystal Spring Dr., Menifee, CA., 92584
PHONE 949-584-5410 EMAIL etanner@bakerelectricsolar.com
APPLICANT NAME Ramon Lopez
ADDRESS 2140 Enterprise St., Escondido, CA., 92029
PHONE 760-546-6023 EMAIL etanner@bakerelectricsolar.com
CONTRACTOR'S NAME OWNER BUILDER? OYES O NO
BUSINESS NAME Baker Electric Solar
ADDRESS 2140 Enterprise St., Escondido,CA., 92029
PHONE 760-546-6000 EMAIL etanner@bakerelectdcsolar.com
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C10 &C46
VALUATION$ 12,600 SO FT L SQ FT
APPLICANT'S SIGNATURE
DATE 9-14-17
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BU INESS LICENSE NUMBER
ACCEPTED BY:
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE aOI LA , (a.10 SMIP GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED C YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES C NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us City Of Menifee
Building & Safety Dept.
SEP 15 2017