PMT17-03832 City of Menifee Permit No.: PMT17-03832
29714 HAUN RD.
�CCEL/� MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 11/0612017
PERMIT
Site Address: 26447 LAZY CREEK RD, MENIFEE, CA Parcel Number: 338-120-003
92586 Construction Cost: $24,999.00
Existing Use: Proposed Use:
Description of INSTALL ROOF M,OUNTED SOLAR PV SYSTEM 22 PANELS,22 MICROINVERTERS,7.04kW
Work:
Owner Contractor
CHRISTIAN ARSCOTT PALOMAR SOLAR LTD
26447 LAZY CREEK RD 1526 STERLING COURT
MENIFEE, CA 92586 ESCONDIDO, CA 92029
Applicant Phone:7605040388
DWIGHT ANDERSON License Number.945152
PALOMAR SOLAR LTD
1526 STERLING COURT
ESCONDIDO,CA 92029
Fee Description D_yt Amount($)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 110 110.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$406.60
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of erors in the plans and
specifications or from preventing builiding operations being carded 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_Pernit_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 licensure under the Contractors State License Law for
Professions Code and my license Is In full force and effect, the following reason:
Ucense Class I,.U License No. O\ By my signature below I acknowledge that,except for my personal residence
Expires I? Signature in which 1 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 ,,lw,y�,leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
y'I have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which D 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 �0. G �n S �'v with all applicable city and county ordinances and state taws relating to
G building construction.I authorize representatives of this city or county to
p
Policy#=LDS ' & L 3-17-Expires -U — �.o l 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
o 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# J /
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
Code,I shall forthwith comply with those provisions. WIII 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 specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes AO
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC construction
or modification
cation fro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY D Yes D Ito
I hereby affirm that under the penalty of perjury there is a construction WIII 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 VNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and!DgSCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements ad rthe State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 255 nd 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Till'es ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT C7
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 RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 700D)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 licensure receiving compensation for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 6y 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
❑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 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a D 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:
❑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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER (
TYPE: O COMMERCIAL Z RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 2 ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
7.04kW DC Solar PV installation with 22 LG panels and 22 Enphase microinverters
PROJECTADDRESS 926447lazy Creek Rd. Sun City, CA 92586
ASSESSOR'S PARCEL NUMBERS% LOT L TRACT (((—
OWNER NAME Christian Arscott
ADDRESS 226447 lazy Creek Rd. Sun City, CA 92586
PHONE 951-623-7266 EMAIL zoozoospetals5@aol.com
APPLICANT NAME Palomar Solar
ADDRESS 1526 Sterling Court Escondido CA 92029
PHONE 760-504-0388 EMAIL support@palomar.com
CONTRACTOR'S NAME Dwi htAnderson OWNER BUILDER? OYES IXNO
BUSINESS NAME Palomar Solar
ADDRESS 1526 Sterling Court Escondido, CA 92029
PHONE 760-504-0388 EMAIL support@palomarsolar.com
CONTRACTOR'S STATE LIC NUMBER 945152 LICENSE CLASSIFICATION C-10
VALUATION$ $24,999 Q Residence-1,531 sq L SO FT Roof affected-404.8 sq ft
APPLICANT'S SIGNA URE DATE / Z4 Z/
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESSSSyLICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN '-` SMIP
INVOICE ��/ _ �U PAIDAMOUNT
AMOUNT (� G CASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH CCHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED G'YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586951-672-6777
www.cityo(menifee.us Inspection Request Line 951-246-6213
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Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA.92586
BV Project: 40017-039708.00 Project: PMT17-03832
Reviewer: Neil Tuong Description: 7.04kw roof mounted pv
Direct:714-431-4193 system.
General: 714-431-4100
Neil.tuong@us.bureauveritas.com
Project 26447 Lazy Creek Rd.
Address:
Owner(s): Christian Arscott
Occupancy R3
Group(s):
Construction VB
Type:
PC 1 REVIEW COMMENTS
November 2,2017
This plan has been reviewed for conformance to the minimum requirements of the 2016 California
Building Codes,as amended and adopted bythe 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 1 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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 11/2/2017
Project Location: 26447 Lazy Creek Rd
Plan Check No.: PMT17-03832
BV Project#: 40017-039708.00
Project Description: 7.04 kw. Roof mounted solar pv system
Reviewer Date Hour Hourly
Rate Total
11/1/2017 0.5
1st Plan Check N.Tuong 11/2/2017 0.5 $110.00 $110.00
2nd Plan Check
3rd Plan Check
41h Plan Check
Final Approval: N.Tuong 11/2/2017 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