PMT17-04289 City of Menifee Permit No.: PMT17-04289
29714 HAUN RD. Type: Residential Electrical
'ACCELh7 MENIFEE, CA 92586
MENIFEE Date Issued: 1 2/1 212 01 7
PERMIT
Site Address: 27630 CHARLESTOWN DR, MENIFEE, Parcel Number: 335-242-001
CA 92586 Construction Cost: $16,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 MODULES, 1 INVERTER,4.8kW
Work:
Owner Contractor
DONALD SMITH PEAK POWER SOLUTIONS INC
27630 CHARLESTOWN DR 151 KALMUS DR STE L2
MENIFEE, CA 92586 COSTA MESA, CA 92626
Applicant Phone:7142583900
DONALD SMITH License Number:973253
151 KALMUS DR STE L2
COSTA MESA, CA 92626
Fee Description City Amount(81
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 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$405.60
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 staled,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_Permft_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
1 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 1 am exempt from licensure under the Contractor's State License Law for
Professions Code an y licenseisin full force and effect the following reason:
License Class 10 73253U B se No. By my signature below I acknowledge that,except for my personal residence
Expires 3t I�'Signatur in which l 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 DECLARATION 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 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.leeinfo.ca.eov/calaw.html.
Policy g Date
tWha've and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
secion 3700 of the Labor Code,for the performance of the work for which o By my signature below l 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 ownefs behalf.I have read this
number are: _ application and the information I have provided is correct.I agree to comply
Carrier ) ��� with all applicable city and county ordinances and state laws relating to
�7 rA qq ��^^ Z `I / r building construction.I authorize representatives of this city or county to
Policy It 2og0t 22017Expires_2—A 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
o I certify that in the performance of the work for which this permit is issued, V��
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If y I
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compen cation provisions of Section 3700 of the Labor
Code,Is a o t with co pl th hose p ovisions. Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to or greater that the
Applican Date f amounts specified on the Hazardous Materials Information Guide?
WARNING:FA RE T SECURE WORKER'S COMPENSATION COVE GE IS ❑Yes pNo
UNLAWFUL,AN SHALLSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UPTO 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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY o Yes 100
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 boundary of a school?
(Section 3097 Civil Code) o Yes XNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the
C California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the
hazardous mated I reporting.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 Dyes No '
Business and Professions Code).Any city or county that requires a permit to pate f7
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY-0—&EA OKWWZORIZE 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(RRP)
License Law(Chapter9(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 licensure 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 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
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.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 Contractor's State License Law does not apply to an owner of a o 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. o No EPA Lead-Safe Certified Firm is required for this project because:
Is 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
Acknowledgement.
Ila A-(I-r__ _
BU ILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menife
DATE:12/04/2017 PERMIT/PLAN CHEC UMBER
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O LE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ELECTRICA
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 16 ROOF MOUNTED P.V. MODULES, 1 WALL MOUNTED STRING-
INVERTER, 4.8 KW
PROJECTADDRESS 27630 CHHARLESTOWN�-yDyR. ZIP 92586
ASSESSOR'S PARCEL NUMBER J ����' �M LOT 11—1 TRACT 4
OWNER NAME DONALD SMITH
ADDRESS 27630 CHARLESTOWN DR. SUN CITY, CA 92586
PHONE 951-679-6575 EMAIL
APPLICANT NAME HENRY AFFRE
ADDRESS 151 KALMUS DR. STE L-2, COSTA MESA, CA�912626 p
PHONE 562-682-4511 EMAIL Q k- q� 61M
CONTRACTOR'S NAME PEAK POWER SOLOUTIONS OWNER BUILDER? OYES NO
BUSINESS NAME
ADDRESS 151 KALMUS DR. L-2, COSTA MESA,CA 92626
PHONE 800-265-6357 EMAIL
CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION
VALUATION$ 16,000.00 281.6 L SO FT
APPLICANT'S SIGNATURE I DATE 12/04/2017
CITYSTAFF USE ONLY ._. . (�
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
ACCEPTED BY__��
PERMIT FEE too SMIP 1 -5 — GREEN I�
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Ivienifee Building&Safety Department 29714 Naun Rd. l4enifee, CA 92586 951-672-6777
www.city0ftnenifee.us
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TBRB
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039789.00 Project: PMT17-04289
Res. Solar
Reviewer: Roger Banowetz Description:
Cell:714-401-5980 Residential Solar Panels
Direct: 714-431-4192
General: 714 4314100
Roger.banowetz@us.bureauvertias.com Project Address: 27630 Charlestown Dr.
Owner(s): Donald Smith
Occupancy): Group R-3
Construction Type: V-B
Approval Letter
December 08 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 Sheet 3.
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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 12/8/2017 Z)
1_1
Project Location: 27630 Charlestown dr 4
Plan Check No.: PMT17-04289
BV Project#: 40017-039789.00
Project Description: 16 Roof Mounted PV Modules, 1 Wall mounted String-Inverter, 4.8 KW
Reviewer Date Hour Hourly
Rate Total
1't Plan Check R. Banowetz 12/8/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
4th Plan Check
Final Approval: R. Banowetz 12/8/2017 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