PMT18-04846 City of Menifee Permit No.: PMT18-04846
29714 HAUN RD.
JF MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE MENIFEE Date Issued: 10/25/2018
PERMIT
Site Address: 28194 SPRING CREEK WAY, MENIFEE, Parcel Number: 333-600-004
CA 92585 Construction Cost: $10,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF-MOUNTED SOLAR SYSTEM 15 PANELS 15 MICROINVERTERS KW 4.65
Work:
Owner Contractor
PHILIP VINER SOLAR OPTIMUM INC
28194 SPRING CREEK WAY 501 WEST GLENOAKS BLVD#555
MENIFEE, CA 92585 GLENDALE, CA 91202
Applicant Phone: 8188043122
NICHOLAS KATSENIS License Number: 972228
501 WEST GLENOAKS BLVD#555
GLENDALE, CA 91202
Phone: 8188043122
Fee Description Qtv Amount($)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 153 152.60
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$447.20
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_Permit_Template.rpt Page 1 of 1
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CITY OF MENIFEE cXJ ofPiMvnrn
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 ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. o the following reason:
License Class 0,0 License No. :,71 By my signature below I acknowledge that,except for my personal residence
Expires Signature S(/1 UC�GC 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 DECLARATION have built as an owner-builder 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 following website:
by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.html.
this permit is issued.
Policy# Date
�'1 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 ❑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
sfyk1y V(M Jo f—n Pf with all applicable city and county ordinances and state laws relating to
1 building construction.I authorize representatives of this city or county to
Policy# a l3Lf q0 Expires S �`� _ l�1 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
❑I certify that in the performance of the work for which this permit is issued, O"'1,�a /�1
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# _ 1 J
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 with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant /V( �LdCGk� Date I A_/o,s AV, mixture containing a hazardous material equal to or greater that the
f amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑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 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 for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes KNo
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 or,No
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 California Health&Safety Code,Section 25505 and 25534 concerning
Contractors 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 1es QNo
Business and Professions Code).Any city or county that requires a permit to '41f i/l,1*t } Date
construct,alter,improve,demolish or repair any structure,prior to its PROPRO E�WNER 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(RRP)
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
❑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 ❑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:
❑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.
SOLAR
OPTIMUM
Local Experts. Real Relationships. Honest Talk.
June 11, 2018
To Whom It May Concern,
This letter is to serve as an authorization for Nicholas Katsenis to act as an agent of Solar
Optimum Inc. in all matters associated to filing and obtaining business license and permits for
the named entity.
�a
Christopher Biller, Construction Manager
Solar Optimum Inc. License Number 972228
A r"Y pudic or other offloer CXRO 4 t1►ts ontiftate rerlffef 0*dw
Wo tr of the In"dusl wtw stoned the dwwar t to wlid,Oft- W re a
is atiad�ed,arSd not the truthfuH+ess,amracX or rNidllr d that dtlC{MtgIR.
State of Californis � —
`j ANELKA KHANLIAN !�
covnAv of n lei ;sF Commission 2108683 L
Subaaibed and sworn to(or rnkd)bsfors rna tMs �M z =o E Notary Public- California z
7$ G` l Los Angeles County D
2A�'rY of
My Comm. Expires May 7,2019�
proved to me on LI11t b"
of wwac"evidence be the who appeared before tee.
L
sgrrwr fs�W . -
63.4 W.Colorado Street,Glendale,CA 91204
800.552.997o Toll-Free 1818.804.3122 Office 1 818.804.3123 Fax
www.SolarOptimum.com
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
PERMIT/PLAN CHECK NUMBER
GRADING PLANNING CASE NUMBER OTHER RELATED CASES
TYPE: 0-- COMMERCIAL J9 RESIDENTIAL G)MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0. SIGN_
SUBTYPE: (2)ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL 0 MECHANICAL
ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK &S
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERSOYES ONO
ASSESSOR'S PARCEL NUMBER GOD LOT TRACT
OWNERNAME fk�tje
ADDRESS IT-1 �13,61S*
PHONE EMAIL
APPLICANT NAME P kntT��*v
BUSINESS NAME UVJ(A M
ADDRESS (0(e/V) 64k3 a44SS5 G[tay0�nCA91aod,
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
'S SIGNATURE DATE
CITYSTAFFUSE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MIMIFEE-BUSINE! rNSE-NUMBER
BUILDING PLANNING ENGINEERING FIRE
YES No DRIVERS LICENSE# YES
OWNER BUILDER VERIFIED NOTARIZED LETTER NO
City ofW1enifee Building & Safety Department | 29714HaunRd, K8enifee (951)672-6777
wwvvz/rymrnnen/ree.us