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PMT17-03316 City of Menifee Permit No.: PMT17-03316 D. MENIFEE, EE, C 92 Type: Residential Electrical �lICCEIA�. MENIFEE, CA 92586 MENIFEE Date Issued: 10/05/2017 PERMIT Site Address: 31911 RUXTON ST, MENIFEE,CA 92584 Parcel Number: 360-581-004 Construction Cost $27,630.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,24 PANELS, 1 INVERTER,6.96 kW Work: Owner Contractor CHARLENE&JOHN CAMP ENERGY SERVICE PARTNERS INC DBA:ESP 31911RUXTON STREET CONTRACTING MENIFEE, CA 92584 1010 ESPLANADE#2 Applicant Phone:6028184070 KELLY CONKLIN License Number:619149 ENERGY SERVICE PARTNERS INC DBA:ESP CONTRACTih 1010 ESPLANADE#2 REDONDO BEACH, CA 90277 Fee Description gyt Amount 1S1 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 110 110.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $407.60 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 1 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 licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. /� the following reason: License Class 6 Licensee No. G r.1 By my signature below I acknowledge that,except for my personal residence Expires j� -36 �7 Signature L�-C i9'G9—� 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 this permit is issued. www.leginfo.ca.eov/calaw.htmL Policy# Date �-F ave 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 o 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 am: �//� application and the information I have provided is correct 1 agree to comply Carrier STar Le rt,-r al with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# yiSa�5 1 Expires - �y � enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date 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 shall forthw,i(�{h� ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant f ��l Date s �7 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 15 ❑Yes o 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(SC construction or modification permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airllnes Qua CONSTRUCTION LENDING AGENCY o Yes ❑No 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) o Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of per)urythat I am exempt from the permitting checklist.I understand my requirements under the State of California Contractor hazardous s License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning rdo hus material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No Business and Professions Code).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(RRPI 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 property than($500). managers who do the paint-disturbing work themselves or through their 01,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.epa.gov/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: ❑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. & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE: ZI I 1 PERMIT/PLAN CHECK NUMBER 1 Lo TYPE: LJ COMMERCIAL C RESIDENTIAL X MULTI-FAMILY C MOBILE HOME 0 POOL/SPA C SIGN SUBTYPE: C ADDITION O ALTERATION C DEMOLITION O ELECTRICAL C MECHANICAL O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK J�i.S+A.I I 6• Rlo KW pV 5� gee r,,, n0 a hCl v, rlid e_ ' PROJECTADDRESS 3j -I II � u,>e4oh S-f- ZIP —12.9' ASSESSOR'S PARCEL NUMBER '5111d— !M � — A LOT TRACT OWNER NAME CY a-I- I e;he - o kv-\ C6L Irm/ yG, I f BUIIdl g Z Safety Dap ADDRESS 31q 1 ( (�I.C}�•'l'Dh �'{�• r l tK ^Y eG CA "1 SI^4 SEP 2 1 201.. PHONE _ �gSI) 5�'�' 2g� 6 /fEMAIL APPLICANT NAME F-sp bell Cc-KL -_II ✓� Received ADDRESS S&m e A S c, Y7n r&&-fr r PHONE 951' g�'I- �{-Ilg EMAIL EC12C Pe-rmi @gmc�i. I.Cor✓� CONTRACTOR'S NAME S P OWNER BUILDER? O YES KNO BUSINESS NAME e5 7p� ` /� ADDRESS/' _I t^o W. (90-l" 5,�(-• lDYra.nC-e- CA gb50-)- PHONE (,31 d JqI D 4- b I3q EMAIL CONTRACTOR'S STATE LIC NUMBER �o I Q j'"T Lq I LICENSE CLASSIFICATION VALUATION$ �--7I V30 •D° SQ FT L SQ FT APPLICANT'S SIGNATURE L^'— DATE VI lad DEPARTMENT DISTRIBUTION ACCEPTED BY: Wb CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE o'?q�1,Is0 SMIP (A - GREEN PLAN CHECK FEE INVOICETOTAL �-i , to PLAN BUILDER VERIFIED t>YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER :% YES :% NO �U vE9 m �exa Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039595.00 Project: PMT17-03316 Reviewer: Neil Tuong Description: 6.96 kw Roof mounted Direct: 714-431-4193 solar pv system. General: 714-431-4100 Neii.tuong@us.bureauveritas.com Project 31911 Ruxton St. Address: Owner(s): Charlene John Camp Occupancy R3 Group(s): Construction VB Type: PC 1 REVIEW COMMENTS October 3, 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. 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 WpU VF9 � a O] N 1aYe CITY OF MENIFEE TRANSMITTAL Building Division Date: 10/4/17 Project Location: 31911 Ruxton St Plan Check No.: PMT17-03316 BV Project#: 40017-039595.00 Project Description: PVSolar—Camp Reviewer Date Hour Hourly Rate Total 1st Plan Check N Tuong 10/3/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: N Tuong 10/3/2017 1.0 $110.00 $110.00 Total: $110.00 Bureau Veritas North America,Inc. 1665 Scenic Avenue, Suite 200 Costa Mesa,CA 92626 M: 714,431.4100 F:714.825.0685