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PMT16-02427 City of Menifee Permit No.: PMTIS-02427 29714 HAUN RD. �A_CCEL/_> MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: U810 912 01 6 PERMIT Site Address: 32791 TIZNOW CIR,MENIFEE, CA 92584 Parcel Number: 372-330-0003 Construction Cost: $38,400.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNT PV 8.265KW, 29 MODULES, 29 MIRCO-INVERTORS NO PANEL UPGRADE Work: Owner Contractor UBENSE PEREZ PETERSEN-DEAN INC 32791 TIZNOW CIR 39300 CIVIC CENTER DRIVE MENIFEE, CA 92584 FREMONT, CA 94538 Applicant Phone:5103716500 JENNY ENCISO - License Number:468117 PETERSEN-DEAN INC 39300 CIVIC CENTER DRIVE FREMONT, CA 94538 Fee Description Q1t r Amount I51 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 $456.10 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 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_Bidg PermiLTemplate.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 a am exempt from licensure under the Contractor's State License Law for Professions Code andmy license is in full force and effect. the following reason:/^ License Class L .A a Ucense 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 DECLARATION have built as an owner-builder if it has not been constructed in its entirety by 0I hereby affirm under penalty of perjury on4sel lo g de'alarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consensu kers 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 webshe: by Section 3700 of the Labor Code,for the performance of work for which this permit Is issued. www.leginfo.ca.gov/calaw.litmi. Zicy p Date have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which 0 By 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 owner or authorized to act on the property owners behalf.I have read this number I are application and the information I have provided is correct.I agree to comply Carrier nn/ S ' .� with all applicable city and county ordinances and state laws relating to (� building construction 'ze representatives of this city or countyto Policy Lr 7*r-/ Expire _ - 0_ F-/ enter the abov ntified pro rty for inspection purposes. (This section need not to be completed is the permit is for one-hundred Dater dollars($100)or less PROPATY OWAIMORA ENT o I certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in an manner so as to became subject to the CITY BUSINESS LICENSE W workers compensation s of911zo ' ,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worke ompensation ovisions of Section 3700 of the Labor Code,I shall forthw ply wit ose provisions. WIII the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amounts spe red on the Hazardous Materials Information Guide? WARNING.FAIL ETD ECUR ORKER'S COMPENSATION OVERAGE IS o Yes UNLAWFUL,AND ALL LUECT AN EMPLOYER TO CRIMINAL PENALTIES Will the Intended use of the building by the applicant or future building AND CIVIL FINES UP NE 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 guideli s CONSTRUCTION LENDING AGENCY o Yes No 1 hereby affirm that under the penalty of perjury there is a construction Will the propo d building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boun ry of a school? (Section 3097 Civil Code) 0 Yes o 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 checiJist I understand my requirements under the State of California He &Saf Code,Secti 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardou aterial r ing. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 OYes No Business and Professions Code).Any city or county that requires a permit to Date y construct,alter,improve,demolish or repair any structure,prior to its pBOPE OWNER A HORIZED 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 Contractors State EPA RENOVATION REPA AND PAINTING RRP License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation, it and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from Rcensure 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.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 ❑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. 0 No EPA Lead-Safe Certified Firm Is required for this project because: 0 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. EsGil Corporation In Partnership with Government for Building Safety DATE: 08/04/16 p APPLICANT RIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT16-02427 SET: I PROJECT ADDRESS: 32791 Tiznow Circle PROJECT NAME: PEREZ RESIDENCE 29 @ 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: ( 1( ) Fax #: Mail Telephone Fax n Person E-mail: ❑ REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 07/29 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 City of Menifee PMT16-02427 08/04/16 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE Of Menifee PLAN CHECK NO.: PMT16-02427 JURISDICTION: City DATE: 08/04/16 PREPARED BY: Sergio Azuela. BUILDING ADDRESS: 32791 Tiznow Circle BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: AREA Valuation Reg. VALUE ($) BUILDING ( Sq Ft.) Multiplier Mod. PORTION Air Conditioning Fire Sprinklers TOTAL VALUE m of Manuallnput Jurisdiction Code Bldg. permit Fee by Ordinance plan Check Fee by Ordinance W Structural Only Type of Review: ❑ Complete Review ❑ Other / ❑Repetitive Fee Hourl [EEO Hrs. @ $157.50 VRepeats EsGilFee Based on hourly rate Sheet 1 of 1 Comments: 1 1/2 hours plan review. macvalue.doc+