PMT16-01579 City of Menifee Permit No.: PMT16-01579
_ 29714 HAUN RD, Type: Residential Electrical
</ACCEL/-> MENIFEE, CA 92586
MENIFEE Date Issued:
O6I03/2016
PERMIT
Site Address: 29359 MILFORD CT, MENIFEE, CA 92584 Parcel Number: 340-522-050
Construction Cost: $18,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 15 PANELS, 1 INVERTER,4.20 kW
Work:
Owner Contractor
FERNANDERS MURRAY PETERSEN-DEAN INC
29359 MILFORD COURT 39300 CIVIC CENTER DRIVE
MENIFEE, CA 92584 FREMONT, CA 94538
Applicant Phone: 5103716500
DALLAS PEREZ License Number:468117
PETERSEN-DEAN INC
39300 CIVIC CENTER DRIVE
FREMONT, CA 94538
Phone: 9098440799
Fee Description Sty Amount lsl
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$453.10
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_Perrrit_Terrplate.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 perjurythat 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 o I am exempt from licensure under the Contractors State License Law for
Professions Code and/my license is in full force and effect. the following reason:
License Class . V/ License No. [ By my signature below I acknowledge that,except for my personal residence
Expires Signature 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 DECLARA N have built as an owner-builder If it has not been constructed in its entirety by
in 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 workers 7044 of the Business asy�r fessions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this a ' 'on Is mitt b or a ret (lowing website:
by Section 3700 of the Labor Code,for the performance of work for which ,� i o.ca. cola W.html.
this permit is issued.
Policy If Date
o I have and will maintain workers compensation insurance,as required by P O R AUTHORIZED AGE
section 3700 of the Labor Code,for the performance of the work for which my signature below I certify to each of the following:I am the property
this permit Is Issued.My workers compensation Insurance carrier and policy 'ter or aut ed to a n the property owners behalf.I have read this
number are: 4CrrY
d the inform,'on I have provided is correct.I agree to comply
Carrier (_ able city and unty ordinances and state laws relating to
/n�� . ' r '1 !subject
ruction.I au. onze representatives of this city or county to
Policy# (�C71 d/ qKQExpires Wve identifi property for inspection purpose(This section need not to be completed Is the permit is for d dollars($10D)or less WNE ORAUTHORIZ AGENT
o I certify that In the performance of the work for which thissuedI shall not employ any persons in any manner so as to becoto theS LICENSE#
workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the workers 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
Applicant Date 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 o Yes I o(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 guidg Ines
CONSTRUCTION LENDING AGENCY ayes o
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) o Yes o'Q0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I er 6d my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California eal afety Co Sectio 5505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 bazar ou rJr ateria orting.
oYe o
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 PR WNER RAUT Oct ZZ�ED AGE T
issuance,also requires the applicant for the permit to file a signed statement \1N7
that he or she is licensed pursuant to the provisions of the Contractors State EPA RE NATION.REPAIR AND PA IN (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
0 1,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( I 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 o 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:
o 1,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.
EsGil Corporation
In Partnership with Government for Buildsng Safety
DATE: 05/27/16 ❑ APPLICANT
JC,UIRIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT16-01579 SET: I
PROJECT ADDRESS: 29359 Mildford Ct.
PROJECT NAME: MURRAY RESIDENCE 15 @ 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: Iii Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Sergio Azuela Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 05/20
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
City of Menifee PMT16-01579
05/27/16
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-01579
PREPARED BY: Sergio Azuela DATE: 05/27/16
BUILDING ADDRESS: 29359 Mildford Ct.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F--TR—E—A-7 Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Ma nuaI Input
Bldg. Permit Fee by Ordinance W
Plan Check Fee by Ordinance W
Type of Review: ❑ Complete Review ❑ Structural Only
❑Re petitive Fee El Other
Repeats � 1.5 Hrs.
EsGil Fee $105.00 $157.50 1/
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+