PMT17-04519 City of Menifee Permit No.: PMT17-04519
_ 29714 HAUN RD. Type: Residential Electrical
�ACCIELA_ MENIFEE, CA92586
Wk- MENIFEE Date Issued: 12/27/2017
PERMIT
Site Address: 27697 VANILLA CT, MENIFEE, CA 92585 Parcel Number: 331-380-033
Construction Cost: $18,225.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 18 MODULES, 18 MICRO-INVERTERS,4.95kW
Work:
Owner Contractor
ROBERT ROMAN INFINITY ENERGY INC
27697 VANILLA CT 1108 TINKER ROAD STE 150
MENIFEE,CA 92585 ROCKLIN,CA 95765
Applicant Phone: 8882442513
CESAR CERVANTES License Number:998627
INFINITY ENERGY INC
1108 TINKER ROAD STE 150
ROCKLIN, CA 95765
Fee Description OQrt Amount f$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 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 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_Sidg_Permit_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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 700D)of Division 3 of the Business and a I am exempt from Ilcensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class CI0 License No. 9gy- eL-1 By my signature below I acknowledge that,except formy personal residence
Expires Signature -C. -Gr- in which l must have resided for at east 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-bullder 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 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 fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which www leeinfo.a.¢ov/calaw.html.
this permit is Issued.
Policy R Date
,zl have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which a By my signature below I 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 owner's behalf.I have read this
number are:: (� application and the information I have provided is correct.I agree to comply
Carrier y 44.'K rd'k PPn14.d'�ert . .nt� 2rt� with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy W 4/Y 661 3 /1 Expires 11113117 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
D 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 k
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply wltIithose provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to orgreater that the
Applicant y// Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes D 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($1(10,000),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 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes a No
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) ❑Yes D 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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)Indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes D 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
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 IRRPt
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 licensure 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-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 sale 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.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractor's State Ucense Law does not apply to an owner of a ❑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 bemuse:
u 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.
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192E
Bureau Veritas City of Menifee
1665 Scenic Avenue, Suite 200 29714 Haun Rd.
Costa Mesa, CA 92626 Menifee,CA.92586
BV Project: 40017-039828.00 Project: PMT17-04519
Reviewer: Neil Tuong Description: 4.95 kw roof mounted
Direct: 714-431-4193 solar pv system.
General: 714-4 31-4100
Neil.tuong@us.bureauveritas.com
Project 27697 Vanilla Ct.
Address:
Owner(s): Robert Roman
Occupancy R3
Group(s):
Construction VB
Type:
PC 1 REVIEW COMMENTS
December 26,2017
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
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CITY OF MENIFEE
TRANSMITTAL
Building Division
Date: 12/26/2017
Project Location: 27697 Vanilla Ct
Plan Check No.: PMT17-04519
BV Project#: 40017-039828.00
Project Description: 4.95KW, 18 Trina TSM275 Modules, M-Tile
Reviewer Date Hour Hourly
Rate Total
1st Plan Check N. Tuong 12/26/2017 1.0 $110.00 $110.00
2nd Plan Check
3rd Plan Check
41h Plan Check
Final Approval: N.Tuong 12/26/2017 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
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE: —ZU' I PERMIT/PLAN CHECK NUMBER 'Will
TYPE: O COMMERCIAL 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 Ate/ '�//��
DESCRIPTION OF WORK w /� /� /'/ — IL
PROJECTADDRESS 2� ' (JG'[17i(/GL �n(�(V'T ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME Y c/' ?cL
ADDRESS Z�G �crn� CI<r cY O/'�O� Gt C ! 7 9 ZS65
PHONE EMAIL
APPLICANT NAMEC.�rko (JC[i'� /
ADDRESS Z GCS /1e55 7c.+�,� ZDF"` $r�GQ
PHONE EMAIL
CONTRACTOR'S NAMEj� hercrLf OWNER BUILDER? OYES O NO
BUSINESS NAME
ADDRESS �ZS?
PHONE CgSl� S- I �38 EMAIL GGM
CONTRACTOR'S STATE LIC NUMBER ggC6Cp7� I•� LICENSE CLASSIFICATION
VALUATION$ 1� 22v • �� S L n4y LSQFT
APPLICANT'S SIGNATURE DATE 1
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
D .
BUILDING PLANNING ENGINEERING FIRE ACCEPTE B
PERMIT FEE GJ (p� SMIP �-- GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Naun Rd. Menifee, CA 92586 951-572-6777
www.cityofmenifee.us
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