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PMT17-03582 City of Menifee Permit No.: PMT17-03582 29714 HAUN RD. '-ACCELA�. MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 11/03/2017 PERMIT Site Address: 29163 BLUE SPRUCE CIR, MENIFEE,CA Parcel Number: 339-443-002 92584 Construction Cost: $5.800.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 PANELS, 8 MICROINVERTERS,4.56kW Work: Owner Contractor JARROD HOFFMAN URBINO CONSTRUCTION INC 29163 BLUE SPRUCE CIR 9903 SANTA MONICA BLVD#745 MENIFEE, CA 92584 BEVERLY HILLS,CA 90212 Applicant Phone:2135693229 RIGO DELGADILLO License Number. 1006120 URBINO CONSTRUCTION INC 9903 SANTA MONICA BLVD#745 BEVERLY HILLS,CA 90212 Fee Description ON Amount 151 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 1.00 General Plan Maintenance Fee-Electrical 1 12.60 $458.60 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 Cade or of any other ordinance of City of Marilee.Except as otherwise staled,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_Bidg_Permit_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 contractor(s)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for Professions Cod nd my license is in full force and effect. the following reason: License rCrll�aesss.7 UcgOs No. �u(a l�--U By my signature below l acknowledge that,except for my personal residence Expires vv 3 �1 Signature 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 worker's 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 webslte: by Section 3700 of the Labor Code,for the performance of work for which vrveyr,leeinfo.ca.¢ov/calaw.html. this permit is issued. Policy# Date ❑I have and will maintain worker's 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 I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier 5-�Y��- CC:w� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# r,Z 07 -Li S Expires O 3 23 7 0 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 ci 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# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the m. rker's compensation RrOvislons of Section 3700 of the Labor Code,I shall forthwith compl with tho a provisions. Will the applicant or future building occupant handle hazardous material or a Applicant I Date (1 1.3 1�017 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAI LIRE TO SECURE W ER'S COMPENSATION COVERAGE IS ❑Yes fiNo UNLAWFUL,ANb SHALL SUBJECT AMPLOYER 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)7See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forst Air nos CONSTRUCTION LENDING AGENCY o 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 bou dary of a school? (Section 3097 Civil Cade) ❑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 Contractor's License Law for the reason(s)indicated below by the Californiaie Ith&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardpus m ferial reporting. Business and Professions Code).Any city or county that requires a permit to cKes D N 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 PROPE�TYOWNERORA ORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REP // AND PAINTING IRRPI 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.ei2a.gov/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 Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project propertywho,through employees'ar 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.: ril Of completion,the Owner-Builder will have the burden of proving that it was q�L�� not built or Improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is reFA on is project because: o I,as owner of the property am exclusively contracting with licensed Nov contractors to construct the project(Section 7044,Business and Professions 1, Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out thhe RRP Acknowledgement. Recei ea ��u vpg a � a Bze Bureau Veritas City of Menifee 1665 Scenic Avenue, Suite 200 29714 Haun Rd. Costa Mesa, CA 92626 Menifee, CA. 92586 BV Project: 40017-039642 Project: PMT17-03582 Reviewer: Neil Tuong Description: 4.56 kw roof mounted pv Direct:714-431-4193 system. General: 714-431-4100 Neii.tuong@us.bureauveritas.com Project 19163 Blue Spruce Cir. Address: Owner(s): Jared Hoffman Occupancy R3 Group(s): Construction VB Type: PC 2 REVIEW COMMENTS October 25,2017 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. 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 �Au veq r a 0 N raze CITY OF MENIFEE TRANSMITTAL Building Division Date: 10/25/2017 Project Location: 29163 Blue Spruce Cir Plan Check No.: PMT17-03582 BV Project#: 40017-039642 Project Description: 4.56 kw. Roof mounted solar pv system Reviewer Date Hour Hourly Rate Total i't Plan Check N.Tuong 10/13/2017 1.0 $110.00 $110.00 2nd Plan Check N. Tuong 10/25/2017 0.5 $110.00 $55.00 3rd Plan Check 4th Plan Check Final Approval: N. Tuong 10/25/2017 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