PMT17-04388 City of Menifee Permit No.: PMT17-04388
29714 HAUN RD.
'!-kCCELA— MENIFEE,CA 92586 Type: Commercial Electrical
rw.,,.... xMr."" MENIFEE Date Issued 12127/2017
PERMIT
Site Address: 29758 TIERRA SHORES LN, MENIFEE, Parcel Number: 340-470-022
CA 92584 Construction Cost: $43,440.00
Existing Use: Proposed Use:
Description of INSTALL SOLAR POOL HEATING SYSTEM FOR HOA POOL AT TIERRA SHORES COMMUNITY
Work:
Owner Contractor
TIERRA SHORES HOA SUNTREK INDUSTRIES INC
5927 PRIESTLY DR#200 5 HOLLAND#215
CARLSBAD, CA 92008 IRVINE, CA92618
Applicant Phone: 9493489276
AARON HILL License Number. 859460
SUNTREK INDUSTRIES INC
5 HOLLAND#215
IRVINE, CA 92618
Fee Description OQt Amount($)
Solar Water Heating System 1 133.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 55 55.00
Additional Plan Review Electrical 110 110.00
GREEN FEE 1 2.00
SMIP COMMERCIAL 1 13.00
General Plan Maintenance Fee-Plumbing 1 6.65
$346.65
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_Penf1 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)pursuantto 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 Contractor's State License Law for
Professions Code and my license is In full force and effect. Q the following reason:
License Class C�—Y�l G License No. r y L 0 B my signature below 1 acknowledge that,except for my personal residence
Expires '3 o Signature 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 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 Cade,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 ,„,nsy,leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
BI have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
r 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 carder 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 (p"� S T s4 J'C /y S� with all applicable city and county ordinances and state laws relating to
b G•/ building cons�cpction.I author" presentatives of this city or county to
Policy# d 559 O Expires ^� "� entert e26ove identified prop fo ' action purposes.
(This section need not to be completed is the permit is for one-hundred Date /Z Z
dollars($100)or less PROPERTY owrilfit 6R 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
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the work5jfs compensation-pro isions of Section 37DO of the Labor
Code,I shall fort mply with thos Q ro�wsioo . / 7 /S/ Will the applicant or future building occupant handle hazardous material or a
Applica Date Z' LXl mixture containing a hazardous material equal to or greater that the
amoun sp fied on the Hazardous Materials Information Guide.
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS k,Yes r o
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($301),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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid�����`eIIIIIJJ'������PPPPas
CONSTRUCTION LENDING AGENCY ❑Yes o
I hereby affirm that under the penalty of perjury there is a construction Will th 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 bougdary of a school?
(Section 3097 Civil Code) ❑Yes o
OWNER BUILDER DECLARATIONS I have re d 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
Ca
Contractors License Law for the reason(s)indicated below by the ifornia Health&Safety Code, ection 2550 nd 25534 concerning
h zardous mates eporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 as ❑No 7
Business and Professions Code).Any city or county that requires a permit to Date /G"7�2 _
construct,alter,improve,demolish or repair any structure,prior to its PgalrE DINNER OR AUTHORIZED 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 comply
th
an Appliant for a permit subjects the applicant to a civil penalty of not more residence ra childcare facility to he rental
propertyfied firms and d prop rty
than($500). required practices.This includes rental properly owners and property
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.(Section7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors 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:
sate.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:
O 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.
D 1 ♦ s ♦ CHECK APPLICATION
F.a .
.�W
DATE: z - I z- - 17 PERMIT/PLAN CHECK NUMBER PV T11-C) :77
TYPE: JeCOMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOUSPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ELECTRICAL O MECHANICAL
O NEW ' PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTIONOF..IW�O.RK / �Af � -T11) -J 1/ d ,4P- dOL
/��O�LL el 6p 1 q p(]
PROJECTADDRESS ,� -/ 7✓8 Tern- ! `4E�r"'LSLam✓ ZIP
ASSESSOR'S PARCEL NUMBER ../40 - 4-ID-C h.b01 LOT 2!5I06 TRACT
OWNER NAME XeS5I,^ c PrCIf e-' r., ,f-J /♦'IR//N�pp%��s�-, rr
ADDRESS Zq 76y 174r, eres 4,v Alfe.✓i7 .1' 1 Sb'�
PHONE 13, `ye ( G n✓4 Z EMAIL 4C,4A//4Z�t fto,✓a �C!}.c .cG.
APPLICANT NAME qj2%,j r I I
ADDRESS cl 4 # Z IY
PHONE ctq� -JqF-'?276 EMAIL
CONTRACTOR'S NAME �CN}ram v I`r c OWNER BUILDER? O YES WNO
BUSINESS NAME /
ADDRESS 1 /� �/O�Jq^-� Zls (KVj� a 6
PHONE 4/ (`Ir/ - 349-q 2�7C EMAIL La _;,L U,✓�''t�S6 q-.cc>/4
CONTRACTOR'S STATE LIC NUMBER (J.� [ �� LICENSE CLASSIFICATION C- G
c�7 Qq
VALUATION$ / J L � SOFT L SO FT
APPLICANT'S SIGNATURE _��J
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION /c7�)ACCEPTED BY: _ CITY OF MENIFEE BUSINESS LICENSE NUMBER
X✓��i///
BUILDING PLANNING ENGINEERING FIBS 1
PERMIT FEE $ (oS� SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE N NOTARIZED LETTER O YES. O NO
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xBureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee, CA. 92586
BV Project: 40017-039806.00 Project: PMT17-04388
Reviewer: Neil Tuong Description: Swimming pool heating
Direct:714-431-4193 system.
General: 714-431-4100
Neil.tuong@us.bureauveritas.com
Project 29758 Tierra Shores Ln
Address:
Owner(s): Keystone Management
Occupancy R3
Group(s):
Construction VB
Type:
PC 2 REVIEW COMMENTS
December 20,2017
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 permitthe violation of any section of the building code,
or any other applicable local,state orfederal 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 2
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UZZIEM
CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 12/20/2017
Project Location: 29758 Tierra Shores Ln
Plan Check No.: PMT17-04388
BV Project#: 40017-039806.00
Project Description: Installation of solar pool heating system for HOA Pool
Reviewer Date Hour Hourly
Rate Total
1" Plan Check N. Tuong 12/15/2017 1.0 $110.00 $110.00
2nd Plan Check N.Tuong 12/20/2017 0.5 $110.00 $55.00
3rd Plan Check
4th Plan Check
Final Approval: N. Tuong 12/20/2017 1.5 $110.00 $165.00
TOTAL: $165.00
Bureau Veritas North America,Inc.
1665 Scenic Avenue,Suite 200
Costa Mesa,CA 92626
M:.714,431.4100 F:714.825.0685