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PMT16-00814 City of Menifee Permit No.: PMT16-00814 29714 HAUN RD. �A_CCELA_> MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Datelssued: 04/05/2016 PERMIT Site Address: 29528 AVIDA DR, MENIFEE, CA 92584 Parcel Number: 339-223-005 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 26 MODULES,26 MICROINVERTES,7.28KW Work: Owner Contractor JOSHUA STITT PETERSEN-DEAN INC 29528 AVIDA DR 39300 CIVIC CENTER DRIVE MENIFEE, CA 92584 FREMONT, CA94538 Applicant Phone:5103716500 JENNY ENCISO License Number:468117 PETERSEN-DEAN INC 39300 CIVIC CENTER DRIVE FREMONT, CA 94538 Fee Description Ott, Amount Isl Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 158 157.50 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $465.10 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 carded 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 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 Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class (de�/UJJ By my signature below I acknowledge that,except for my personal residence Expires Signatu No. A 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 WORKE 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 7 Business gd ions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this p�i to I bt the f I ing websiteby Section 3700 of the labor Code,forthe performance of work forwhlch ' .e calo a ov this permit is Issued. info ...� Policy q ate PR E_ WNEI AUTHORIZED AGE ❑I have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑ y my signature below I certify to each t following:I am the property this permit is issued.My workers compensation insurance carrier and policy ('Wwnerx authorized to act on the property owners behalf.I have read this number are: `J�e/� cation and the information I have provided is correct.I agree to comply CarrierY c 7�-V'�,��/11 / II 'cable c' d county ordinances and state laws relating to c4 �pG'V bull ' cons r con. authoriz rtyf rinspectio of this city or coun to Pali >t e r the b e fide ified pr arty for inspection purpose . (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less O NER OR AUTHORI AGENT I certify that in the performance of the work for which this permit is issued, to any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARA O subject tot T tion rovisions of Section 3700 of the Labor Code,I sh hh t e provisions. �� Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applica to amounts specified on the Hazardous Materials Information Guide? WARNIN FAILUWORKE OMPENSATION COVERAGES ❑YesUNLAWFUL,AND ANE LOY TOCRIMINALPENALT11 Will the intended use of the building by the applicant or future building AND CIVIL FINES UPTO ONE HUNDRED HOUSA D DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSAT N MAGES 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 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 VJ OWNER BUILDER DECLARATIONS I have re2tl 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 Contractors License Law for the reason(s)Indicated below by the California Healt ty Co action 25505 and 25534 concemfng hazardF rial rep g. checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5 Dyes 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 PROPWRTY OWN O AUTH R A E 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 R OVATION PAIRAND PAIN ING RP License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Paintin P)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 fora 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.eoa.Rov/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 provingthat it was not built or improved for the purpose of sale. ❑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. Menifee PMT16-00814 Oa/30/2016 EsGil Corporation In Partnership with Government for ftifding Safety DATE: 03/30/2016 O APPLICANT —ARIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT16-00814 SET: I PROJECT ADDRESS: 29528 Avida Dr. PROJECT NAME: Stitt 26 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 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: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 03/22/2016