PMT17-03819 City of Menifee Permit No.: PMT17-03819
_ 29714 HAUN RD. Type: Residential Electrical
!�-CCELA� MENIFEE,CA 92586
`°'"°"""qA— MENIFEE Datelssued: 1 110 812 01 7
PERMIT
Site Address: 27573 CAMDEN WAY, MENIFEE,CA Parcel Number: 335-231-006
92586 Construction Cost: $29,772.00
Existing Use: Proposed Use:
Description of INSTALL ROOFTOP PV SOLAR SYSTEM,7.67KW, 1 INVERTER AND 26 PANELS
Work:
Owner Contractor
RUSSELL DRAPER N B BAKER ELECTRIC INC
27573 CAMDEN WAY 2140 ENTERPRISE STREET
MENIFEE,CA 92586 ESCONDIDO,CA 92029
Applicant Phone:7605466000
RAMON LOPEZ License Number.858088
2140 ENTERPRISE STREET
ESCONDIDO, CA 92029
Phone:7605466057
Fee Description Qty Amount($1
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 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$407.60
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_Permil_Template.rpt Page 1 of 1
CITY OF MENIFEE
�-"CENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
l ;nereby affirm under penalty of perjury that lam under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
`apter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's Slate License Law for
.rofessions Code and my license is in full force and effect. the following reason:
License Class C/G /Cy6 Llcense No. Ics'-s'Oks,
y-� By my signature below lacknowledge that,except for my personal residence
Expires �/'3�' /5 Signature in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
a 1 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 website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.Ieginfo.ca.eov/alaw.html.
Policy q Date
64 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 o 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
numberare: application and the Information I have provided is correct.I agree to comply
Carrier. 0 C "1-j i L S Lp with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
PolicyH I'1'IWG30 �6 � Expires .3' �- / � enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT
a I certify that in the performance of the work for which this permit is issued, � �
Ishallnotem �q
olov 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 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
"ode,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
,plicant Date-Cl 'a-O' /-74- amounts spe filed on the Hazardous Materials Information Guide?
1RNING:FAILURE TO SE RE WORKER'S COMPENSATION COVERAGE IS a Yes f3Tlo
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($100,000),IN occupant require a permit for the construction or modification from South
IN SECTIODITION N
3 THECOSTLAB OF OR CODE,INTERDAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR[ODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY a Yes eKo
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 boun ary of a school?
(Section 3097 Civil Code) D Yes N,
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 California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ha rdous material reporting.
Business and Professions Code).Any city or county that requires a permit to c3Fes ONO
Date / 2O
construct,alter,improve,demolish or repair structure,prior to its PROPERTY OWNER OR AU 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING fRRP1
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 Rcensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7032.5 by residence compensation
for
eork that
point
nina pre
-1978
anApplicant for a permit subjects the applicant to a civil penalty of not more required or childcare
facility
to rental property than($500). q P p p rty ownersand property
managers who do the paint-disturbing work themselves or through their
❑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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-024-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
--operty who,through employees'or personal effort,builds or improves the
perty provided that the improvements are not intended or offered for Certified Firm Name:
-le.If,however,the building or improvement is sold within one year of Firm Certification No.:
apletion,the Owner-Builder will have the burden of proving that it was
r(dt built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
a I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
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 the RRP
RO-M014 LarPe&,-V'-- Acknowledgement.
�pU vE9
m
/82b
nmm
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039706.00 Project: PMT17-03819
Reviewer: Neil Tuong Description: 7.67 kw roof mounted pv
Direct: 714-431-4193 system.
General: 714-431-4100
Neil.tuong@us.bureauveritas.com
Project 27573 Camden Wy.
Address:
Owner(s): Russell Draper
Occupancy R3
Group(s):
Construction VB
Type:
PC 1 REVIEW COMMENTS
Novem ber 4,2017
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
�pU VF9
R a
7 D
N N
rg2$
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 11/6/2017
Project Location: 27573 Camden Wy
Plan Check No.: PMT17-03819
BV Project 4: 40017-039706.00
Project Description: 7.67 kw. Roof mounted solar pvsystem
Reviewer Date Hour Hourly
Rate Total
1st Plan Check N. Tuong 11/4/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
41h Plan Check
Final Approval: N. Tuong 11/4/2017 1.0 $110.00 $110.00
TOTAL: $110.00
Bureau Veritas North America,Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa,-CA.RZ626
M:714.431.4100 F:714.825.0685
r
i
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4
„�
°Menifee
DATE 10/25/2017 PERMIT/PLAN CHECK NUMBERF0 I-I I — 02) 0 I q
TYPE: ❑COMMERCIAL 0 RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION QELECiRICAL ❑MECHANICAL
❑✓ NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Photovoltaic Rooftop system; 7.67kw; 1 Inverter/26 Panels
PROJECTADDRESS 27573 Camden Way,Menifee CA 92586
ASSESSOR'S PARCEL NUMBER 335-231-006 • LOT 04q TRACT 4567
PROPERTY OWNER'S NAME Russell Draper
ADDRESS 27573 Camden Way,Menifee CA 92586
PHONE (949)257-5864 EMAIL blueyukon@yahoo.com
APPLICANT NAME Ramon Lopez
ADDRESS 2140 Enterprise St, Escondido CA 92029
PHONE (760)5'Vt- 6C,54- EMAIL �t '�rr�kx.)(✓2)Yct-i�c�elri, c�:�
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑/NO
BUSINESS NAME Baker Electric Solar
ADDRESS 2140 Enterprise St, Escondido CA 92029
PHONE (760)546-6000 EMAIL
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C10&C46
VALUATION$ $29,772.00 SQ FT 1538 L SO FT
APPLICANT'S SIGNATURE DATE /01
c •
DEPARTMENT DISTRIBUTION CITY OF MENIF,EE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP -I//
INVOICE I Q '^ PAIDAMOUNT
AMOUNT \�. "' I O CASH OCHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I 0CASH 0CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
i"t f M . 11fae
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 9-jJ& ; .p ty Dept.
www.citycfinenifee.us Inspection Request Line 951-246-6213
XT 2 5 All
R.0 .6;iv(-;d