PMT17-03488 City of Menifee Permit No.: PMT17-03488
29714 HAUN RD.
"A-C:CELA—> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 10/13/2017
PERMIT
Site Address: 29522 GREENBELT CIR, MENIFEE, CA Parcel Number: 333-550-051
92585 Construction Cost: $20,928.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 MODULES, 16 MICROINVERTERS,5.232kW
Work:
Owner Contractor
DANIEL COX PRECIS DEVELOPMENT INC
29522 GREENBELT CIR 36625 KEVIN ROAD STE 147
MENIFEE, CA 92585 WILDOMAR, CA 92595
Applicant Phone:9516969400
ANDREW JAMES License Number. 952305
PRECIS DEVELOPMENT INC
36625 KEVIN ROAD STE 147
WILDOMAR, CA 92595
Fee Description Glyt Amount ISI
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 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$406.60
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 forthe 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 a 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 & C (O Licens Jo. By my signature below I acknowledge that,except for my personal residence
la
Expires 1 S0 Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATI N 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.leRinfo.ca.gov/calaw.html.
this permit is issued.
Policy# Date
o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the tabor 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 carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are::: application and the information 1 have provided is correct.I agree to comply
Carrier 9,, romp with all applicable city and county ordinances and state laws relating to
/� �� building constru n.I authorize representatives of this city or county to
Policy# "IOLT'rr0.�l Expires ente the above entified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred �(, ' -7
dollars($100)or less ,IAIK Date
PERTY ER OR AUTHORIZED AGENT
rrt certify that in the performance of the work for which this permit is issued, O^/��
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# L^C�g1
RS
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/mpg ly with those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant bTSu1P l LLlC�Tu✓ Date �' 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 "o
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture 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(SCtionor See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airl
CONSTRUCTION LENDING AGENCY ❑Yes d 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 bou�ary of a school?
(Section 3097 Civil Code) ❑Yes G 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 Co ,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous mater' I reportin .
Business and Professions Code).Any city or county that requires a permit to does ❑No Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY ER OR ORIZED 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 REN TION REPAIR AND PAINTING IFIRPI
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
❑I,as owner of the property,or my employee with wages as theirsole 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.goy/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:
o 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.
& SAFETY PERMIT/PLAN CHECK APPLICATION
:1enifee
DATE: 1014117 / PERMIT/PLAN CHECK NUMBER I ` $ J
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA SIGN
SUBTYPE: O ADDITION 0 ALTERATION 0 DEMOLITION eELECTRICAL 0 MECHANICAL
" NEW O PLUMBING 1 RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK HOTOJ0LTAiC 2NStAUp7i0 N 5-,2 32 Kw? O c, g g{eve
PROJECTADDRESS 2952-2 G26EN BeLG-Tw Cs2 MfNZFE6 CA ZIP Ct259s
ASSESSOR'S PARCEL NUMBER �3'6 - L-5I LOT 61 TRACT 1 -
OWNER NAME DAM t-L COX
ADDRESS 2q522 GL'EEMBOST C=R«E
PHONE IN -708- ysg-+ EMAIL
APPLICANTNAME IkNO'Q.ICW S19't-AVS' 1
ADDRESS 34025 Kwi, l 2d Ste 147/ 14%
PHONE q'$ t - 553- cila1 EMAIL
CONTRACTOR'S NAME CN121STSAN NOYL✓rnoJ OWNER BUILDER? YES 'JNO
BUSINESS NAME Pr-ECTS 90LA2
ADDRESS 36(o2�5 K-evfN 20 ST@ 147/ y$
PHONE C)$1-(0`11° - R4CC) EMAIL 1�11C116�US� PfCCiSSOIarCal�
CONTRACTOR'S STATE LIC NUMBER 9 52 30�' LICENSE CLASSIFICATION CC.9 S 5 6
VALUATION$ Z 01 cl 2`6 SQ FT 27 2 L SO FT
/1
APPLICANT'S SIGNATURE v' DATE 10 Z /7
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CFFY OF MENIFEE BUS ESS I,LCF,j�SE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: (11jA 76(�((J
PERMIT FEE A5.00 SMIP GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED 0 YES U NO DRIVERS LICENSE# NOTARIZED LETTER 0, YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us
iota►
W�U Vf9
m
e:e
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039610.00 Project: PMT17-03488
Reviewer: Neil Tuong Description: 5.232 kw Roof mounted
Direct:714-431-4193 solar pv system.
General: 714-431-4100
NeiI.tuong@us.bureauveritas.com
Project 29522 Greenbelt Cir.
Address:
Owner(s): Daniel Cox
Occupancy R3
Group(s):
Construction VB
Type:
PC 1 REVIEW COMMENTS
October 11, 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
W�U ✓p9 �
t �
D >
m®in
re7g
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 10/11/2017
Project Location: 29522 Greenbelt Cir
Plan Check No.: PMT17-03488
BV Project#: 40017-039610.00
Project Description: PVSolar—Cox
Reviewer Date Hour Hourly
Rate Total
lst Plan Check N Tuong 10/6/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
4th Plan Check
Final Approval: N Tuong 10/6/2017 1.0 $110.00 $110.00
Tota 1:
Bureau Veritas North America,Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa,CA 92626
M:714.431.4100 F: 714.825.0685