PMT15-01869 i
City of Menifee Permit No.: PMT16-01869
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
swn.mart swags° MENIFEE Date Issued: 07/15/2016
PERMIT
Site Address: 29936 CORTE CRUZADA, MENIFEE, CA Parcel Number: 340-083-008
92584 Construction Cost: $16,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 18 PANELS, 18 MICROINVERTERS, 5.130 kW
Work:
Owner Contractor
CHARLES& MONIQUE CARTER GROUND UP BUILDERS AND DESIGN INC
29936 CORTE CRUZADA 222 N MOUNTAIN AVENUE STE 216
MENIFEE, CA 92584 UPLAND, CA 91786
Applicant Phone: 8442476863
CHRISTINE CHAMPENOIS License Number: 911849
GROUND UP BUILDERS AND DESIGN INC
222 N MOUNTAIN AVENUE STE 216
UPLAND, CA 91786
Phone: 9099217766
Fee Description QtVt ri Amount 1$1
Building Permit Issuance 1 27.00
dl 1bre�i�P eVle .E e c'P; 6 '
GREEN FEE 1 1.00
p R�S�t�E T'1. � ., ,x , ,•� 3'a 0..
$440.50
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_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
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 ji�d my is in full force arid!, 'effect. Code:The Contractor's License Law does not apply to an owner of a property
License Clas License No. \ who builds or improves thereon, and who contracts for the projects with a
Expires (o Signature 1 licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State 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 improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued.
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
contrac,trprs. I understand that a copy of the applicable law, Section 7044 of the
have and will maintain workers' compensation insurance, as required by Busirrrr}}}}Essi nd Pr f s;1 q�s Code,is available upon request when this application is
ection 700 of the Labor Code, for the performance of the work for which this subr itte or at 611 ing Web site:htt alwww.le info.ca. ovlcal w.html.
permit is issued.Myworkers'compensation insurance carrier and policy number are: 11``
Carrier --Y'C +"b��..-� .y ^��7 Prop rty-0 ner or Authorize Agent Date
Expires— Policy# )V ,)q'7
J'By
my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# wn`er..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 ap ' ble city and county ordinances and state laws relating to building
construc' n.:I authorize re esentalives of this city or county to enter the above-
❑ certify that in the performance of the work for which this permit is issued,I 11dentifie pro erty r th ins ection purposes.
shall not emnlov 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 f Section 3700 of the Labor property Owner orA rued Agent Date
Code, I shall forthwith comply with those pro sio S.
/0 City Business License#
Date; Applicant;
WARNING: FAILURE TO ECURE 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, DYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ,-n, "N0 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
,�„0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address
`/rdN 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 reason(s)indicated below by the checkmark(s)I have placed AYES 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, 0 SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for the 4 \-
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 DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensurs and the basis for the alleged exemption. Any �l� CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to UNDER THE SATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SEC O 25505 25 ggg3 AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOU MA ERIAL ff RTING,
compensation,will do( ) all of or( ) porting of the work, and the structure is PROPERT OW ER O UT R(ED 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).
EsGil Corporation
In Partnership with Government for Buikfing Safety
DATE: 07/09/2015 ❑ APPLICANT
Ll JURt_S,:
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-01869 SET: I
PROJECT ADDRESS: 29936 Corte Cruzada
PROJECT NAME: CHARLES & MONIQUE CARTER 18 @ 250 Watts Micro-inverters
Solar Photovoltaic 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 building 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: ) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Eric Jensen (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 07/06/2015
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858) 560-1576
City of Menifee PMT15-01869
07/09/2015
[DO NOT PAY- THIS IS NOT AN INVOICE]
1
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-01869
I
PREPARED BY: Eric Jensen (SA) DATE: 07/09/2015
BUILDING ADDRESS: 29936 Corte Cruzada
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F--XR-E-A-7 Valuation Reg. VALUE ($)
PORTION ( Sq. Ft) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE _
Jurisdiction Code rn of Manuallnput
Bldg. Permit Fee by Ordinance x
Plan Check Fee by Ordinance s
Type of Review: ❑ Complete Review ❑ Structural Only
[_]Repetitive Fee ❑ Other
Repeats E—tLo� 1.5 Hrs. @
EsGil Fee $105.00 $957.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+