PMT14-02840 .II!
City of Menifee Permit No.: PMT14-02840
29714 HAUN RD.
,.i„AA> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 11/07/2014
1
1
PERMIT
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Site Address: 29944 BANKSIDE DR, MENIFEE, CA Parcel Number: 333-591-009
92585 Construction Cost: $14,400.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 12 MODULES 12 INVERTERS 3.00 KW
Work:
Owner Contractor
ROSS VAGELATOS PETERSEN-DEAN INC
29944 BANKSIDE DR 39300 CIVIC CENTER DRIVE
MENIFEE, CA 92585 FREMONT, CA 94538
Applicant Phone: 5103716500
DALLAS PEREZ License Number: 468117
PETERSEN-DEAN INC
39300 CIVIC CENTER DRIVE
FREMONT, CA 94538
Fee Description Qtv Amount
Building Permit Issuance 1 27.00
t - n evlewE otrica
GREEN FEE 1 1.00
$439.50
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 building 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 Templale.rpl Page 1 of 1
City Of Menifee �
LICENSED DECLARATION
i
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code a d my license is in full ro pnp effect. Code:The Contractor's License Law does not apply to an owner of a property
License CI ss License o. -/ who builds or improves thereon, and who contracts for the projects with a
Expires Signature � licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATIO4
❑ I am exempt from Iicensure under the Contractors'Slate License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this permit is improvements covered by this permit, cannot legally sell a structure that I have
is ued.
Polic '' built as an owner-building if It has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto:l/www leeinfo ca gov/calaw hlml.
permit Is issued.M workers'compensation insurance carrier and policy number are: Property orulonze gent
!�f I P O
Carrier /' -7/, Date
Expires )'� ) Policy#lJN�/`1y/�c3
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
El I certify that in the performance of the work for which this permit is issued,I iden'fed-property to a inspection pur o as.
shall not emolov any persons in any manner so as to become subject to the
workers'compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,I shall fo hwith comply with those provisions. Prope�y-Ogan�r Authorized geng� Dat
Date; II 7 Applicant; City Business License# 0,-35_g4w5-
WARNING: FAILURE T SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES OCCUPANT HANDLE HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: _
License Law for the reasons)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable items) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL?
or repair any structure, prior to its 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 License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or OYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from [!censure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPORIING,
compensation,will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE
PLCK No:
-
29714 Hal Road Date: Date:
Menifee, CA 92586 'O a4 /111
Phone: (951)672-6777 Amount: O�00 Amount:
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Permit I sa
To Be Completed By Applicant
Legal Description n LtFT / _ Planning Case: F: L: Rt: R:
Property Address: t Assessor's Parcel Number.
Project/Tenant Name: Unit#: Floor#:
Name: S P ne No. Fax No.
P Ownerroperty TO dress. Unit Number Zi ode
Email Address:
Nam Z P ne No. - _ i �O Fax No.
`
Applicant Address: Number 2i ode
Ern ddress:,
t2 a�
Nam . P ne Fax No.
JP
Contractor Address: 5 COO�-O-C ¢ipr ,� State Zi C�o-de�
CCa.
ontractor s City Business License No. Contractor's-Ca late of Calif is License No. Classification:
I
Number of Squares:
Square Footage I-
Deption3.
o Work: ;�1 ,I O ost of Work:$ Q
Applicant's Signat \ - ICIU
Dale: Z
To Be Completed By City Staff Only
Indicate As R-Received of N/A-Not Applicable
S Completes sets of fully dimensioned,drawn to sale plans which include: t set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gad Tech/Soils Report(on cd only)
❑ Plot I Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y.x it)
❑ Structural Calculations
El Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for else,services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition* Means/Methods
Work Type: Repair* Retrofit' Revision to Existing Permit` Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg. Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At Project Sprinklered YES or NO
Completion:
Construction that apply: Coastal Zone
Type(s): C of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch. Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special Casa:Bldg
OlfcialA royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist City Planning Civil Fngineenng EPWM-Admin I Transportation Mgmt. I Rent Conhol
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government foroui[ding safety
DATE: 11/3/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02840 SET: I
PROJECT ADDRESS: 29944 Bankside Dr.
PROJECT NAME: Vagelatos 12 microinverter rooftop PV system
® The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 10/27
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
i
Menifee PMT14-02840
11/3/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
i
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02840
PREPARED BY: Morteza Beheshti DATE: 11/3/2014
BUILDING ADDRESS: 29944 Bankside Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Aurisdictlon Code Irnnf Manual Input
Bldg. Permit Fee by Ordinance 1
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other
Repeats 21- Hou-r� 1.5 Hrs. @
EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvelue.doc+