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PMT17-03483 City of Menifee Permit No.: PMT17-03483 29714 HAUN RD. �CCEt_/-' MENIFEE,CA 92586 Type: Residential Electrical fmanvct 3;dlxxe MENIFEE Date Issued: 1 0/2412 01 7 PERMIT Site Address: 29468 DORSEY CT,MENIFEE,CA 92586 Parcel Number: 336-350-008 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 25 MODULES, 1 INVERTER,7.50kW, REQUIRES Work: 200AMP PANEL UPGRADE Owner Contractor PATRICIA AVERY PEAK POWER SOLUTIONS INC 29468 DORSEY CT 151 KALMUS DR STE L2 MENIFEE,CA 92586 COSTA MESA,CA 92626 Applicant Phone:7142583900 HENRY AFFRE License Number:973253 PEAK POWER SOLUTIONS INC 151 KALMUS DR STE L2 COSTA MESA, CA 92626 Fee Description ON Amount!$) 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 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $461.60 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 perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and O I am exempt from Iicensure under the Contractors State License Law for Professions Code an y license isin full force and effect. ✓ the following reason: License Class 10 LL p se No. Z' 25 3 By my signature below I acknowledge that,except for my personal residence Expires 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 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 w,n„n,.leeinfo.ca.¢ov/calaw.html. this permit Is Issued. Policy# Date Wha�ve 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 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 numberare: application and the information I have provided Is correct.I agree to comply Carrier � with all applicable city and county ordinances and state laws relating to ,Z `( ,� building construction.I authorize representatives of this city or county to Policy#R2040622ol 7Expires�/ r/ 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, /l�q I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 0 ( O workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compen ation provisions of Section 3700 of the Labor Code,I s a o ,rwi[h co 'pi, th hose p ovisions. Will the applicant or future building occupant handle hazardous material or a Applican t Date- ! 7/ /�11 mixture specified on he Hazus ardous rialMa equal In or anon that Guide he amounts specified on the Hazardous Materials Information Guides WARNING:FA RE T SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes )No UNLAWFUL,AN SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE[OST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECHON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY oYes g'fdo 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 Cade) ❑Yes XNO 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous mated l reporting. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.S � Business and Professions Code).Any city or county that requires a permit to oyes No f 1 7 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 O E I O ORI2E AGEPIT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP1 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 ❑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 o 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 forthe purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: n 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 -1--FP.YI h. • L'h1-c1-v-.� 4t0 vf9 P A S f P P �020 Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA.92586 BV Project: 40017-039611.00 Project: PMT17-03483 Reviewer: Neil Tuong Description: 7.50 kw Roof mounted Direct: 714-431-4193 solar pv system. General: 714-431-4100 Neil.tuong@us.bureauveritas.com Project 29468 Dorsey Ct. Address: Owner(s): Patricia Avery Occupancy R3 Group(s): Construction VB Type: PC 2 REVIEW COMMENTS October 23,2017 This plan has been reviewed for conformance to the minimum requirements of the 2016 California Building Codes, as amended and adopted bythe 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 �pU vp9 / D s m m raga CITY OF MENIFEE TRANSMITTAL Building Division Date: 10/10/2017 Project Location: 29468 Dorsey Ct Plan Check No.: PMT17-03483 BV Project#: 40017-039611.00 Project Description: PV Solar—Avery Reviewer Date Hour Hourly Rate Total 1't Plan Check N Tuong 10/6/2017 1.0 $110.00 $110.00 2nd Plan Check 3rd Plan Check 4th Plan Check Final Approval: $110M $ Total: Bureau Ventas North America, Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714.431.4100 F:714.825.0685 PU Vp Gl A� N Jy CITY OF MENIFEE TRANSMITTAL Building Division Date: 10/23/2017 Project Location: 29468 Dorsey Ct Plan Check No.: PMT17-03483 BV Project#: 40017-039611.00 Project Description: PVSolar—Avery Reviewer Date Hour Hourly Rate Total 1" Plan Check N Tuong 10/6/2017 1.0 $110.00 $110.00 2nd Plan Check N.Tuong 10/23/2017 0.5 $110.00 $55.00 3rd Plan Check 4th Plan Check Final Approval: N.Tuong 10/23/2017 1.5 $110.00 $165.00 Total:$165.00 Bureau Veritas North America, Inc. 1665 Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714-431.4100 F: 714.825.0685 BUILDING & SAFETY PERMIT/PLAN CHECK i • • • IVieni fee DATE: PERMIT/PLAN CHECK NUMBER ' ( -0 D J TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADD ION O ALTERATION O DEMOLITION /ELECTRICAL O MECHANICAL O N//E��W O PLUMBING b RE-ROOF NUMB` QI ER OF SQUARES /� DESCRIPTION OF WORK o 5 -1D• V • 1 WO I I*1LL PROJECTADDRESS n jgAV IO�O/�. .y�C6S j ^ ZIP � 2`•mil X•pq ASSESSOR'S PARCEL NUMBER -:/ D'� LOT t TRACT 1 OWNER NAME A"f''�. 6.1A -Nieu ADDRESS : tqq6� 0 t7i ST • UN C/ / A � ,1 V PHONE (q,SI) 8a•I' (�I GZ EMAIL APPLICANT NAME ADDRESS PHONE .• G�2. Y 5 EMAIL Vn4cf,6c w,q,( L CONTRACTOR'S NAME —Te WEPE &L.JI )0rj5 OWNER BUILDER? O YE NO BUSINESS NAME %ADDRESS 1 qLA U2 -/�� OS C A sA 1 G� a bc� PHONE (&Q ) c.S • 6 J,� EMAIL (�/ CONTRACTOR'S STATE LIC NUMBER 1 1325-S LICENSE CLASSIFICATION VALUATION$ 2s �� Q SO FT L SQ FIT L APPLICANT'S SIGNATURE DATE 0 l -ITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER D BUILDING PLANNING ENGINEERING FIFE ACCEPTE Bl#/ PERMIT FEE �.�® SMIP I GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 . nn www.cityofinenifeee.us