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PMT16-00884 City of Menifee Permit No.: PMT16-00884 29714 HAUN RD. �ACCEIA� MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 0411512016 PERMIT site Address: 25608 MOUNTAIN GLEN CIR, MENIFEE, Parcel Number: 335-471-017 CA 92585 Construction Cost: $31,998.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 25 MODULES, 1 INVERTER,7.88KW Work: Owner Contractor DARRIN KELLEY N B BAKER ELECTRIC INC 25608 MOUNTAIN GLEN CIR 1298 PACIFIC OAKS PLACE MENIFEE, CA 92585 ESCONDIDO, CA 92029 Applicant Phone:7605466000 DAVONNA SAMPSON License Number:858088 N B BAKER ELECTRIC INC 1298 PACIFIC OAKS PLACE ESCONDIDO,CA 92029 Fee Description Qt( Amount 1$1 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 5.00 General Plan Maintenance Fee-Electrical 1 12.60 $466.10 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class `—Iy g Lice No.P QS$ in which osthaveresi widow at ge least one mo perscompletionnal residence Expires SD �1' Signature_ W 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 O 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 Cade,for the performance of work for which wv.leeinfo.ca.eov/calaw.html. this permit is Issued. vn Policy It Date I&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 an the property owner's behalf.I have read this numberare: \\ �� ,�,, application and the information I have provided Is correcL I agree to comply Cartier �u �(A.TtZ.S-L..- with all applicable city and county ordinances and state laws relating to ��µ7 ' 1 _ building construction.I authorize representatives of this city or county to Policy#MVJ Gno6b JI.I,Expines ►D L \� 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, /� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 056 944N workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wo kers compensation provisions of Section 3700 of the Labor Code,I shall h ' orFply with those provisions. ,X{ Will the applicant or future building occupant handle hazardous material or a Applicant Date w16 mixture containing a hazardous material equal to or greater that the 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 forguidelines CONSTRUCTION LENDING AGENCY o Yes d'td0 l hereby affirm that under the penalty of perjury there is a construction Will they posed 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) O Yes No OWNER BUILDER DECLARATIONS I have rea a Hazardous Material Information Guide and the SCAQM❑ I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material rtin . Business and Professions Code).Any city or county that requires a permit to DYes rdYVo t�.l construct,alter,improve,demolish or repair any structure,prior to its V` Date l PROPERTY OW R OR UTHORIZED 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(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 exemptfrom 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.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80D-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. ❑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. City of Menifee PMT16-00884 04/5/2016 EsGil Corporation In Partnership with Government for(Building Safety DATE: 04/5/2016 4 APPLICANT RIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT16-00884 SET: I PROJECT ADDRESS: 25608 Mountain Glen Cir PROJECT NAME: Kelley 7,600 Watts rooftop 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.Ig: Telephone #: Date contacted: ) Fax #: Mail Telephone Fax In Person E-mail: ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 03/28/2016 City of Menifee PMT16-00884 04/5/2016 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-00884 PREPARED BY: Morteza Beheshti DATE: 04/5/2016 BUILDING ADDRESS: 25608 Mountain Glen Cir BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manuallnput Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑❑Repetitive Fee Other IV RepeatsHourly 1.5 Hrs. @ Ill Fee $105.00 $157.50 Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1 macvalue.doc+