PMT17-04019 City of Menifee Permit No.: PMT17-04019
29714 HAUN RD.
"A-CCEL/-> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 11/17/2017
PERMIT
Site Address: 29182 BRIDALVEIL LN, MENIFEE, CA Parcel Number: 339-441-009
92584 Construction Cost: $30.600.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 17 PANELS, 17 MICROINVERTERS,6.12 KW
Work:
Owner Contractor
JESSE SHANK SEMPER SOLARIS CONSTRUCTION INC
29182 BRIDALVEIL LN 1805 JOHN TOWERS AVENUE
MENIFEE,CA 92584 EL CAJON, CA 92020
Applicant Phone:6197154054
ALICIA ANDREWS License Number: 978152
SEMPER SOLARIS CONSTRUCTION INC
1805 JOHN TOWERS AVENUE
EL CAJON, CA 92020
Fee Description gyt Amount t$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_Pe=it Template.rpt Page 1 of 1
LICENSED DECLARATION CITY OF MENIFEE
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 Contradms State License Law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contrdctors5tate License Law for
Professions Cade and my license fs in II force and effect.
�lo' . -- the following reason:
License Clas --
Si2_._. _._ g
License No. � - ..
Expires � '�( jY Signature By my signature below l acknowledge that,except for my personal residence
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 legallysell a structure that I
°I hereby affirm under penalty of perjury one of the following declaration:) have bultas an owner-builder if it has not been constructed in its entirety by
have and will maintain a certificate of consent of self-insure forworkers licensed contractors.I understand that a copy of the applicable law,Section
compensation,issued by the Director of Industrial Relations as provided for 7044 of the Business and Professions Code,is available upon request when
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued.
www.IeidnfiO-ca.goy/caIaw.l1tmL
Polity#
sDate
eI have and will maintain workers Compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
se tion 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:
nA ,r(7 �� _ �� application and the information 1 have provided is conect.l agree to Comply
Carrier,\ 1,�,f/yI�y17T7 q✓cM- with all applicable city and county ordinances and state laws relating to
Policy# 901- q21 ;' Expires I- building Construction.I authorize representatives of this city or county to
(7 (0 I 17 enter the above identified property for inspection purposes.
(This section need not to he completed is the permit is for one-hundred
dollars($100)or less
Date
❑Icertify that in the performance of the work for which this permit is issued, PROPERTY OWNER OR AUTHORIZED AGENT G �/
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# Q5,q'5 t)
workers compensation laws of California,and agree that if I should become
subject to the workers compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I shall fortw h comply with those provisions Will the applicant or future building occupant handle hazardous material or
Applicant Date , S mixture containing a hazardous material equal to orgreater thatthe
WARNING:FAILURE TO SECURE Wmounts"""'sA!e'cified on the Hazardous Materials Information Guide?
'S COCOMPENSATIO OVERAGE IS ❑Yes gpv0
UNLAWFUL,AND SHALLSUBIECTAN EMPLOYE PTo ENSA IO PENALTIES
AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a perm it for the construction or modification from South
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7 See permitting checklist
CONSTRUCTION LENDING AGENCY forguid�elii w
❑Yes ]No
I hereby affirm that under the penalty of perjury there is a construction
ing
lending agency for the performance of the work which this permit is issued utter boundary of a ld sll the proposedschool7r modified facility be within 1000 feet pfthe
(Section 3097 Civil Code) �,,rr''
°Yes [PC
OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l am exempt from the permitting checklist l understand my requirements under the State of
Contractors 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 hazardous materialreporting.
Business and Professions Code). city county that requires apermit to Dyes °iO
construct,alter,improve,demolishish or repair
r any structure,prior to its �pER QGr� 'ale Ci /
issuance,also requires the applicant forthe permit to file a signed statement P TYOWNER OR ALIT GENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRP1
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not mare residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
a 1,as owner of the roe managers who do the paint-disturbing work themselves or through their
p p rty,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.eoy/lead or Contact the National Lead Information Center at
not intended or offered forsale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the °An EPA Lead-Safe Certified Renovator will be responsible for this project
property provided that the improvements are not intended or offered for
sale.If,however,the building or improvement is sold within one Certified Firm Name:
completion,the Owner-Builder wLll have the burden of proving that it was
Firm Certification No.:
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
a I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade:The Contractors State License Law does not apply to an owner of a
If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
i
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE 04111 PERMIT/PLAN CHECK NUMBER Q 1 01
TYPE: ❑COMMERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[—]NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK - Z Y-W J)CG •
M511144 CLrcC.T��h�-
PROJECTADDRESS M{qZ WD L l: LiJ Cb k
ASSESSOR'S PARCEL NUMBER Z61• LHI LOT of Menifee
�� Buikit�$�p
PROPERTY OWNER'S NAME VTMZ y
ADDRESS Z It1I1Z 3 L 1; L L
PHONE EMAIL
APPLICANT NAME ALICIA ANDREWS
ADDRESS 1218 SPRING ST. RIVERSIDE,CA 92507
PHONE (619)357-0383 EMAIL alicia.andrews@sempersolads.com
CONTRACTOR'S NAME SEMPERSOLARIS OWNERBUILDER? ❑YESQNO
BUSINESS NAME
ADDRESS 1805 JOHN TOWERS AVE. EL CAJON,CA 92020
PHONE (619)357-4142 EMAIL
CONTRACTOR'S STATE LIC NUMBER 978152 LICENSE CLASSIFICATION B,C10, C46,C36
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE DATE G
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Wru vF9
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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: 40017-039735.00 Project: PMT17-04019
Reviewer: Neil Tuong Description: 6.12 kw roof mounted pv
Direct:714-431-4193 system.
General: 714-431-4100
Neil.tuong@us.bureauveritas.com
Project 29182 Bridalveil Ln
Address:
Owner(s): Jesse Shank
Occupancy R3
Group(s):
Construction VB
Type:
PC 1 REVIEW COMMENTS
November 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 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 ve9
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828
CITY OF MENIFEE
TRANSMITTAL
Date: 11/14/2017 Building Division
I '
I
pro j ect Location: 29182 Bridalveil Ln
Pla n Check No.: PMT17-04019
BV project#: 40017-039735.00
Project Description: 6.12 kw. Roof mounted solar pv system
Reviewer Date
Hour Hourly
Rate Total
1st Plan Check N. Tuong 11/13/2017
1.0 $110.00 $110.00
2nd plan Check
3rd Plan Check
4" plan Check
Final Approval: N. Tuong 11/13/2017
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