PMT17-03349 City of Menifee Permit No.: PMT17-03349
29714 HAUN RD.
";N EL/-> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 10/02/2017
PERMIT
Site Address: 27647 POTOMAC DR, MENIFEE, CA Parcel Number: 336-350-W8
92586 Construction Cost: $13,000.00
Existing Use: Proposed Use:
Description of INSTALL 13 ROOF MOUNT P.V. MODULES 3.9 KW, 1 WALL MOUNT STRING INVERTER
Work:
Owner Contractor
HOWARD CLUNE PEAK POWER SOLUTIONS INC
27647 POTOMAC DRIVE 151 KALMUS DR STE L2
MENIFEE, CA 92586 COSTA MESA, CA 92626
Applicant Phone: 7142583900
HENRY AFFRE License Number.973253
PEAK POWER SOLUTIONS INC
151 KALMUS DR STE 12
COSTA MESA,CA 92626
Fee Description Qty Amount 151
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 ❑1 am exemptfrom Iicensure under the Contractor's State License Law for
Professions Code an y license is in full force and effect. the following reason:
License Class I ILD U ise No. By my signature below 1 acknowledge that,except for my personal residence
Expires-5/3( Signatur 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 www,leeinfo.ca.Rov/calaw.html.
this permit is issued.
Policy# Date
have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
se ion 3700 of the Labor Code,for the performance of the work for which D By my signature below 1 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 _ ��r-6 with all applicable city and county ordinances and state laws relating to
(�
A building construction.I authorize representatives of this city or county to
Policy#4�01922017 Expires ?�( 1S entertheabove 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
❑1 certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# lJ 1
workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compen anon provisions of Section 3700 of the Labor
Code,1 s a o with co p1 th o(-th-ise p/yovisions. Will the applicant or future building occupant handle hazardous material or a
Applican V Date / mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FA RE T SECURE WORKER'S COMPENSATION COVE GE IS O Yes prNo
UNLAWFUL,AN 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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes ??Jo
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) ❑Yes /0`No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand 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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous materi@l 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. f r ' 7
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY O 0 ORIZ 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 Iicensure receiving wmpensation 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
❑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.Rov/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 Itwas
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
n� Acknowledgement.
+4-e-n Y-.v A' -.o .
C
m /
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039573 Project: PMT17-03349
Reviewer: Neil Tuong Description: 3.90kw roof mounted pv
Direct: 714-431-4193 system.
General: 714-431-4100
Neii.tuong@us.bureauveritas.com
Project 27647 Potomac Dr.
Address:
Owner(s): Howard Clune
Occupancy R3
Group(s):
Construction VB
Type:
PC 1 REVIEW COMMENTS
September 27,2017
This plan has been reviewed for conformance to the minimum requirements of the 2015 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
lenifee II
DATE: { .7 PERMIT/PLAN CHECK NUMBE MT l-1 - 0�52_)W
TYPE: O COMMERCIAL /RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN
SUBTYPE: C ADDITION ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES C�
DESCRIPTION OF WORK 2op� V. 460 tiS 9
OdLL dhoOl S Q�67 //J0EQTE5K.
PROJECTADDRESS •2 -7 /�y -j .ra�pr{.gL DIZ ZIP
ASSESSOR'S PARCEL NUMBER 3" •3�('• LOT �� TRACT
OWNERNAME w.A p 1�
ADDRESS •2 b VC) r dM P)C. Q . SOK) G 7'111
PHONE(G,51) _W- d,5C 2 EMAIL
APPLICANT NAME ))�� F n /' �r
ADDRESS �� V V s F- ��S -A' (H fs f} C� 2 G J t.
PHONE �6�' 6s;),- LI I i i EMAIL hq r F.- ��'� '�^'Y�^t� C 0
CONTRACTOR'S NAME �i2 SBLU I C)k)1 OWNER BUILDER? OYES NO
BUSINESS NAME
ADDRESS pp��►,��,, p `ALPHJS C65-, A.
PHONE CoU,ll2p�` b3�7O�-7 �EMAIL
CONTRACTOR'S STATE LIC NUMBER 1 12 J LICENSE CLASSIFICATION
VALUATION$ 3 QQ� a o SQ2 Z L SO FT ?
APPLICANT'S SIGNATURE DATE 3
QTY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE �,G�L SM GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED O YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER :l YES 0 NO
Ck
w ng a ty Dept.
�li of A/�,iif..,. EL:!r nu 7
�c Ls SEP 2 2 2011
Received