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PMT16-02688 City of Menifee Permit No.: PMT16-02688 29714 HAUN RD. Type: Residential Electrical '9XCCr-LA.> MENIFEE, CA 92586 MENIFEE Date Issued: 0812612016 P E R M I T SiteAddress: 31809 BRENTWORTH ST, MENIFEE, CA Parcel Number: 372-431-006 92584 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED PV SOLAR 6.44KW 23 PANELS 1 INVERTER Work: Owner Contractor RAFILA MAJORS AMERICAN SOLAR DIRECT INC 31809 BRENTWORTH ST 1552 WEST EMBASSY STREET MENIFEE,CA 92584 ANAHEIM,CA 92802 Applicant Phone:4242146700 TREVON WILLIAMS License Number.,941069 AMERICAN SOLAR DIRECT INC 1552 WEST EMBASSY STREET ANAHEIM, CA 92802 Fee Description P—ty. Amount($) 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 $455.10 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 otherMse 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. AA6_Bldg_Pemll—Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 secrion 7000)of Division 3 of the Business and o 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 Clam Lc:�> License No. By my signature below I acknowledge that,except for my personal residence Expires I:Z 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 ci 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 Secrion 3700 of the Labor Code,for the performance of work for which this permit is Issued. vvwvv.leRinfo.ca.Rcn*alaw.html. Policy# Date V41ave 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 Q-gy'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 numbe application a nd the information I have provided Is correct.I agree to comply Carrier&WZ:55 with all applicable city a nd county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy#'`>--'_SZ5C.)C'(�7_'eC�_Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($10D)or less I e� —Date.& W6�ERTY OWN ER OR AUTHORIZED AGENT ci I certify that In the performance of the work for which this permit is issued, Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's 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 a mixture containing a hazardous material equal to or greater that the Applicant Datet 9-2-G-M amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes d4o— UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AN D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0001,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(SCAOMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guldeli CONSTRUCTION LENDING AGENCY 0yes X 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 bounda of a school? (Section 3097 Civil Code) oYes M V0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous nal reporting. checkmaTk[s)I have placed next to the applicable Item(s)(Section 7031.5 crYes �0 Business and Professions Code).Any city or county that requires a permit to Date'� construct,alter,improve,demolish or repair any structure,priorto its PROPERTY trWNER OR AUTHORIZED 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) Ucense 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 a Ileged exemption.Any violation of Section 7031.5 by residence or childca re 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 o 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPAs Renovation Program visit: compensation,will do I I all of or I I portion of the work,and the structure is www.epa.goy/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 Contractor's 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 am ployees'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. o No EPA Lead-Safe Certified Firm is required for this pmject because: a 1,as owner of the property a in exclusively contracting with licensed contractors to construct the project(Section 7044,Business a nd Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please rill out the FRIP Acknowledgement. EsGil Corporation In Partnership with Governmentfor Bui(ding Safety DATE: 08/24/2016 E3/,APPLICANT 9 JURIS. JURISDICTION: City of Menifee Ll PLAN REVIEWER El FILE PLAN CHECK NO.: PMT16-02688 SET: I PROJECT ADDRESS: 31809 Brentworth St. PROJECT NAME: RAFILA MAJOR 6,000 Watts Solar Photovoltaic System Z The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. El 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. F1 The applicant's copy of the check list has been sent to: Z 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: J7K) Fax #: Mail Telephone Fax In Person E-mail: F-1 REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation El GA F1 EJ F] PC 08/18/2016 9320 Chesapeake Drive,Suite 208 * San Diego,California 92123 * (858)560-1468 * Fax(858)560-1576 City of Menifee PMT16-02688 08/24/2016 [DO NOTPAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-02688 PREPARED BY: Sergio Azuela DATE: 08/24/2016 BUILDING ADDRESS: 31809 Brentworth St. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING Valuation Reg. VALUE PORTION ( Sq- Ft.) F Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Junsdiction Code imnf iManual Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: Complete Review Structural Only F-111epetitive Fee F1 Other Repeats E--� Hirs. @ EsGil Fee Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1 macvalue.cloc+ BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION AUb I Menifee Fieceived DATE PERMIT/PLAN CHECK NUMBER �?Ml- 1(v - ate TYPE: FICOMMERCIAL EYR-ESIDENTIAL []MULTI-FAMILY [_]MOBILEHOME [-]POOL/SPA []SIGN SUBTYPE: E]ADDITION []ALTERATION [-]DEMOUTION EJELEcTRICAL []MECHANICAL [-]NEWE]PLUMBING F1 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS ASSESSOR'S PARCEL NUMBER IS12 431 - DCV LOT C-$t TRACT 113 b2> PROPERTY OWNER'S NAME '2 ADDRESS PHONE EMAIL APPLICANT NAME Y--�S N\�c5l�Q ADDRESS \7-) PHONE EMAIL CONTRACTOR'S NAME QWNER BUILDER? YES 0 BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER k--J2�� LICENSE CLASSIFICATION VALUATION $ CD CD C�) SO FT L SQ FT AP P LI CA N T'S SIGNATU REL�f DATE CITY STAFF USE ONLY jwij z.-7 7EP—AR—TMEKIT DISTRIBUTION mmmmFmmmmw---T— SjIP CITY 06F MENIFEE BUSINESS LICENSE NUMBER P -162 BUILDING PLANNING ENGINEERING FIRE G EN oss INVOICE 2, AMOUNT C(I PAID AMOUNT 0 CASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 No DLNUMBER NOTARIZEDLETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd Menifee, CA 92586 951-672-6777 www.citVofmenifee.us Inspection Request Line 951-246-6213