PMT17-04261 City of Menifee Permit No.: PMT17-04261
29714 HAUN RD.
<ACCEL/? MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 12/18/2017
PERMIT
Site Address: 26332 FLAXLEAF DR,MENIFEE,CA Parcel Number: 360-631-015
92584 Construction Cost: $16,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 16 MODULES, 16 MICROINVERTERS, 5.36kW
Work:
Owner Contractor
ADRIAN AKINS PEAK POWER SOLUTIONS INC
26332 FLAXLEAF DR 151 KALMUS DR STE L2
MENIFEE, CA 92584 COSTA MESA, CA 92626
Applicant Phone:7142583900
HENRY AFFRE License Number:973253
PEAK POWER SOLUTIONS INC
151 KALMUS DR STE L2
COSTA MESA, CA 92626
Fee Description Qy Amount 1$)
Solar,Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 55 55.00
Additional Plan Review Electrical 110 110.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$460.60
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_Bidg Pennit_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 o I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. c> the following reason:
License Class C— 10 License No. `Z By my signature below 1 acknowledge that,except for my personal residence
Expires —3 /— /<.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 DECLARATI N
have built as an owner-builder if it has not been constructed in its entirety by
o 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 far which www.leginfo.ca-gov/calaw.html.permit is Issued.
Policy# :q - r�� Date
D 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 O 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 'fTi d� C r�•"t n I•r S with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 92 L O f.ry 2 7 G/ Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the pe it i for one-hundred Date
d ars($300)or less PROPERTY OWNER OR AUTHORIZED AG ENT
I certify that in the performance of the work for which this permit is issued, �($
I shall not emoloy 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
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant -'S:u_.,irzf(CQ�ct� Date z�l —/ mixture contaijngahazardous material equal to or greater that the
amounts s ified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes No
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 requirSA permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Qua' Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli s
CONSTRUCTION LENDING AGENCY ❑Yes No
I hereby affirm that under the penalty of perjury there is a construction Will the propos building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boon ryofa school?
(Section 30970vil Code) ❑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
Contractors License Law for the reason(s)indicated below by the Calif. is Health&Safety Code,Section 25505 and 2SS34 concerning
ha rdous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 dy
es o No
Business and Professions Code).Any city or county that requires a permit to Date�7 - e'L�
construct,alter,Improve,demolish or repair any structure,prior to its r—
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR 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(icensure 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-certlfied 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($500). managers who do the paint-disturbing work themselves or through their
O I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a D An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING i SAFETY PERMIT/PLAN
• • I APPLICATION
M nifee
DATE:12/1/2017 PERMIT/PLAN CHECK NUMBER
TYPE: O{OMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 16 ROOF MOUNTED P.V. MODULES, 5.36 KW, 16 MICROINVERTERS
PROJECTADDRESS 26332 F�jLMLEAF DR. ZIP 92584
ASSESSOR'S PARCEL NUMBER �./�00^�`-0,S LOT � TRACT ,$�
OWNER NAME ADRIAN AKINS
ADDRESS 26332 FLAXLEAF DR. MENIFEE, CA 92584
PHONE 951-545-7306 EMAIL
APPLICANT NAME HENRY AFFRE
ADDRESS 151 KALMUS DR. STE. L-2, COSTA MESA, CA 92626
PHONE 562-682-4511 EMAIL
CONTRACTOR'S NAME PEAK POWER SOLUTIONS OWNER BUILDER? OYES ONO
BUSINESS NAME
ADDRESS 151 KALMUS DR. STE. L-2, COSTA MESA, CA 92626
PHONE 800-265-6357 EMAIL 0\Rrej AI,"c1, 66 V✓1
CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION B
VALUATION$ 16,000,00 SO FT 281.6 L SO FT
APPLICANT'S SIGNATURE DATE 12/1/2017
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: �_nI ' CITY OF MENIFEE BUSIIC� U1)
• ' (�/1/J�—/
MBER
BUILDING PLANNING ENGINEERING FIFErr V,w.
PERMIT FEE • c> SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City Of 1✓len fee Building&Safety 0enartment 2.97J4 HGNn Rd. Menifee,CA925S6951-67Z-6777
www.cityD frnenifee.US
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IMCMUM
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 12/14/2017
Project Location: 26332 Flaxleaf Dr
Plan Check No.: PMT17-04261
BV Project#: 40017-039774.00
Project Description: 16 Roof Mounted P.V. Modules, 5.36 KW, 16 Microinverters
Reviewer Date Hour Hourly
Rate Total
12/6/2017 0.5
1't Plan Check N. Tuong 12/7/2017 0.5 $110.00 $110.00
2nd Plan Check N.Tuong 12/14/2017 0.5 $110.00 $55.00
3rd Plan Check
4th Plan Check
Final Approval: N. Tuong 12/14/2017 0.5 $110.00 $165.00
TOTAL: $165.%
Bureau Veritas North America,Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa, CA 92626
M:714.431.4100 F:714.825.0685