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
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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