PMT17-03765 City of Menifee Permit No.: PMT17-03765
_ 29714 HAUN RD. Type: Residential Electrical
'�!- ccr=L/-> MENIFEE, CA 92586
MENIFEE Date Issued: 12/27/2017
PERMIT
Site Address: 26065 MUSICK RD, MENIFEE, CA 92584 Parcel Number: 360-160-010
Construction Cost: $40,000.00
Existing Use: Proposed Use:
Description of INSTALL GROUND MOUNTED SOLAR SYSTEM, 30 PANELS,2 INVERTERS,9.9 KW
Work:
Owner Contractor
TRAVIS HOLSTON ,
26065 MUSICK ROAD
MENIFEE, CA 92584
Applicant License Number:
TRAVIS HOLSTON
26065 MUSICK ROAD
MENIFEE, CA 92584
Phone:9518307973
Fee Description OQt Amount($1
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 2.00
SMIP RESIDENTIAL 1 6.00
General Plan Maintenance Fee-Electrical 1 12.60
$464.60
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 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).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractors State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION 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.le ' vcalaw tm
this permit Is Issued. 7
Policy# Date /Z -2 7- 17
❑I have and will maintain workers compensation insurance,as required by ROPER 0 NER 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
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified prop or inspection purposes. -7 7
(This section need not to be completed is the permit is for one-hundred Date -
dollars($100)orless p� ERN K R OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, C/
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 workers compensation provisions of Section 3700 of the Labor
Cade,I shall forthwith comply with those provisions. 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
amounts sspecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes Q[V0
UNLAWFUL.,AND SHALL SUBJECT 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 PROVIDED
F R 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 OF THE TABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli es
CONSTRUCTION LENDING AGENCY OYes 7No
1 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) o Yes 1<N0
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 Lawfor the reason(s)Indicated below by the California Health&Safety Code,Section 2550S and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Xel Business and Professions Code).Any city or county that requires a permit to Date /Z —2 7- //
construct,alter,improve,demolish or repair any structure,prior to its P RTY Q NB OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement G
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI
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 fro mend
and the basis for the alleged exemption.Anyviolation of Sectio3 De,,i receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty }}}���0'mi9 M` residence or childcare facility to be RRP-certified firms and comply with
than($500). ryry ' required practices.This includes rental property owners and property
/ pp9q��((`` 4U�-j managers who do the paint-disturbing workthemselves or through their
yQ I,as owner of the property,or my employee with wages as thei + 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.ena.gov/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions s 1- 0-424-LEAD(5323).
Code;The Contractors State License Law does not apply to o a� EPA Lead-Safe Certified Renovator wilt be responsible for this project
property who,through employees'or personal effort,builds..r [W6swfli@="
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:
❑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.
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�BRB
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039683.00 Project: PMT17-03765
Res. Solar
Reviewer: Roger Banowetz Description:
Cell:714-401-5980 Residential Solar Panels
Direct:714-431-4192 w/Mrico. inverters
General: 714 4314100
Roger.banowetz@us.bureauvertias.com Project Address: 26065 Musick
Owner(s): Holston
Occupancy): Group R-3
Construction Type: V-B
PC2 Approval Letter
December 05 2017
This plan has been reviewed for conformance to the minimum requirements of the 2013 California
Building Standards Code,as amended and adopted by the City of Menifee, California.
INFORMATIONAL COMMENTS
Note:This section is for information only
1. 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.
2. The review does not necessarily include errors and omissions. Complete compliance is the
responsibility of the designer.
3. To aid in the plan review process—please indicate in the space adjacent to each comment or on a
separate sheet, the sheet and the exact location on the sheet where corrections have been made
(e.g., Detail S of Sheet3.
4. All comments shall be resolved on the plans prior to the issuance of the building permit.
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 2
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 12/5/2017
Project Location: 26065 Musick Rd
Plan Check No.: PMT17-03765
BV Project#: 40017-039683.00
Project Description: 9.9kw ground mounted solar pv system
Reviewer Date Hour Hourly
Rate Total
1't Plan Check N.Tuong 10/26/2017 1.0 $110.00 $110.00
2nd Plan Check R. Banowetz 12/5/2017 0.5 $110.00 $55.00
3rd Plan Check
4th Plan Check
Final Approval: R. Banowetz 12/5/2017 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