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PMT17-03545 City of Menifee Permit No.: PMT17-03646 29714 HAUN RD. <AC CELA'O MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 10/19/2017 PERMIT Site Address: 28567 CHAUCER RD, MENIFEE, CA Parcel Number: 336-432-005 92584 Construction Cost: $37,050.00 Existing Use: Proposed Use: Description of ROOF MOUNTED SOLAR INSTALL Work: 26 MODULES 7.410KW Owner Contractor JUDY FOWLER PARAGONSUN 28567 CHAUCER ROAD 126 NEWALL MENIFEE,CA 92584 IRVINE,CA 92618 Applicant Phone: 8583860463 126 NEWALL License Number: 1025115 IRVINE, CA 92618 Phone: 8583860463 Fee Description MY Amount($I 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 5.00 General Plan Maintenance Fee-Electrical 1 12.60 $408.60 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 1 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class Gy b License No. 10 By my signature below I acknowledge that,except for my personal residence Expires Signature w 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 DECLARATI have built as an owner-builder if it has not been constructed in Its entirety by ❑ ereb mm under penalty of perjury one of the foll ing decla ns:I licensed contractors.I understand that a copy of the applicable law,Section have will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when pens n,Issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: y Section 3 of the Labor Code,for the performance of work for which this permit is iissfs d. www.leginfo.m.gov/mlaw.html. Policy# "is1 LO"116"'i Date ❑I have and will maintain workers campensaton 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 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 s-h- e f unA W C01jt^ C CLt10Y) With all applicable city and county ordinances and state laws relating to Q building construction.I authorize representatives of this city or county to Policy# -1 2D97 124 Expires Z 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 ❑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 rk rs cam nation provisions of Section 3700 of the Labor Code,I shall rth th cam y ith those eevRions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the 74 amounts specified on the Hazardous Materials Information Guide? WARNING: ILURE TO S URE WORKER'S COMPENSATION VERAGE IS ❑Yes &,No UNLAWFUL, NO SHALL BJECr 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 OE THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY ❑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) ❑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 C ,Section 25505 and 25534 concerning hazardous in 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 0construct,alter,improve,demolish or repair any structure,prior to its PROPERTY NER OR AU RI 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 RENO ATION REP AND PAINTING RRP License Law(Chapter9(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 Ilmnsure 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 o I,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.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-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: D 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. �exe J Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee,CA. 92586 BV Project: 40017-039638 Project: PMT17-03545 Reviewer: Neil Tuong Description: 7.410 kw roof mounted pv Direct: 714-431-4193 system. General: 714-431-4100 Neil.tuong@us.bureauveritas.com Project 28567 Chaucer Rd. Address: Owner(s): Judy Fowler Occupancy R3 Group(s): Construction VB Type: PC 1 REVIEW COMMENTS October 13,2017 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 COMMENT 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 CPU Vf9 � Y N N raTa CITY OF MENIFEE TRANSMITTAL Building Division Date: 10/13/2017 Project Location: 28567 Chaucer Rd Plan Check No.: PMT17-03545 BV Project#: 40017-039638.00 Project Description: 7.410 kw. Roof mounted solar pv system Reviewer Date Hour Hourly Rate Total 1st Plan Check N.Tuong 9/13/2017 1.0 $110.00 $110 Zed Plan Check 3rd Plan Check 4th Plan Check Final Approval: N.Tuong 9/13/2017 1.0 $110.00 $110.00 TOTAL: $110.00 Bureau Veritas North America,Inc. 1665:Scenic Avenue,Suite 200 Costa Mesa,CA 92626 M:714.431.4100 F:714.825.0685 Men-Fee DATE: ON . PERMIT/PLAN CHECK NUMBER-PW I-1—� TYPE: COMMERCIAL o RESIDENTIAL "MULTI-FAMILY o.MOBILE HOME O POOL/SPA o SIGN SUBTYPE: C ADDITION O ALTERATION t,DEMOLITION OELECTRICAL 'O MECHANICAL :O NEW O PLUMBING P RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Roof Mount Solar install 26 Modules 7.41 OKW PROJECTADDRESS 28567 Chaucer road ZIP 92584 ASSESSOR'S PARCEL NUMBER 336432005 LOT 7 TRACT v OWNER NAME Judy Fowler ADDRESS 28567 Chaucer road PHONE (951) 529-5726 EMAIL Jennifer@permitrunner.net APPLICANTNAME Randy, Jennifer Cole ADDRESS 9880 Magnolia Ave#119, Santee, CA 92071 PHONE 619-933-4868 EMAIL jennfer@permitrunner.net CONTRACTOR'S NAME OWNER BUILDER? YES G NO BUSINESSNAME PARAGONSUN ADDRESS 126 NEWALL IRVINE, CA 92618 PHONE (858) 386-0463 EMAIL CONTRACTOR'S STATE LIC NUMBER 1025115 LICENSE CLASSIFICATION C46 VALUATION$ 37,050 FT L SQ FT APPLICANT'S SIGNATU DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES f? NO DRIVERS LICENSES NOTARIZED LETTER G YES G NO Cit of Menifeo City of Menifee Building&5afet y Deportment 29714 Haun Rd. Menifee, CA 92586 954awks A7Safety Dept. www.ciryofineni;ee.us Received