PMT16-02796 C4 of Menifee Permit No.: PMT16-02796
29714 HAUN RD. Type: Residential Electrical
CA—CCIELA> MENIFEE, CA 92586
MENIFEE Date Issued: 09/08/2016
P E R M I T
Site Address: 26825 ELK CREEK CT, MENIFEE, CA Parcel Number: 338-343-029
92586 Construction Cost: $40,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 30 PANELS, 1 INVERTER,8.40 kW
Work:
Owner Contractor
ALLEN ANDERSON AMERICAN SOLAR DIRECT INC
26825 ELK CREEK COURT 1552 WEST EMBASSY STREET
MENIFEE,CA 92586 ANAHEIM,CA 92802
Applicant Phone'4242146700
TREVON WILLIAMS License Number 941069
AMERICAN SOLAR DIRECT INC
1552 WEST EMBASSY STREET
ANAHEIM,CA 92802
Fee Description Qty Amount($1
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 2700
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 6.00
General Plan Maintenance Fee-Electrical 1 12.60
$467.10
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_B1dg_Permit—Temp1ate.qpt Page 1 of 1
CITY OF MENWEE
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 u I am exempt from ficensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following mason:
License Ciao kD License No.CqCA k 0(�D By my signature below I acknowledge that except for my personal residence
n
Expires signature In which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owneT-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 workees 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 Code,for the performance of work for which
this permit is issued. www6leginfo.ca.gov/calaw.htmi.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
,1 have and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which 0.9y'my signature below I certify to each of the following:I am the property
this permit is issued.My workees compensation Insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are-
application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#'7�3o 0 C:K,-)kRyJ- I _Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred
dollars($100)or less Date4--3 -16
a I certify that in the performance of the work for which this permit is issued, PROPERTY OWNER OR AUTHORIZED AGENT
Ishallnotemplo any persons in any manner so as to bewme subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL N
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
Applicantcz::� <::Ie— Date Vp� mixture containing a hazardous material equal to orgreater that the
amounts specified on the Hazardous Materials Information Guide?
!MA—RNING.FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes M40
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forguldelines
CONSTRUCTION LENDING AGENCY o Yes %46
1 herebyaffirm that underthe periallyof perjurythere is a construction Will the proposed building or modified facility be within 10OD 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 a-Wo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACIM D
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractoes 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 reporting.
Business and Professions Code).Any city or county that requires a permit to 0Ym a-go C—
construct,alter,Improve,demolish or repair any structure,prior to its � -r,, Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
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
Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Sectilon 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
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( )all of or( )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-BOD-424-LEAD(5323).
Code;The Contractoes State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the n An EPA Lead-Safe Certified Renovator will be responsible for this project
property provided that the Improvements a re not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement Is sold within one yea r 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 project became:
(3 1,as owner of the property am exclusively contracting wifth licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractoes 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.
E�sGil
tDATE08/31/2016 In�Partner, Corporation
. hip v�it6 gover"Inentfor ouirding safety
JUR/8D/CT/0N C.
PLAN CHEC Ity Orp4enifee Q A
K No.: ,�PLICANT
TADDI�ESS-'MT16-02796 W� LIRIS.
PROJEC Q PLAN REVIEW
PROjECT N,4A4E.. 26825 Z17 SET: I El FILE
.ALAX AV,3 Creek Ct.
The Plans trans . h _pRS0Jq 17,600 "ttl 10lar Photovoltaic System
with thejurisdcrnitted erewith have been
The t'On's building COdes. corrected where necessary and substantiall
Plans transmitted h
When minor deficien . erewith
LD cles identifi Vv'/l substantially
The plan. tra ed be/Ow are comPlY with the jurisdiction's building
and sh nsmitted herewith have res'01ved and checked by building departi
Ould be' corrected and resubmsignificant ci
The check j- itted for a c eficiencies identified on the enclosed
Corporationist transmitted herewith is for ornPlete recheck,
until corrected ur info
rn,ttec/ forrnat,
C3 The applicant, Plans are subyo r on. The plans are being held at
contact Persos 'OPY Of the check list
n. is enclos recheck.
The app/icantl_ copy of thl check list ed for the jurisdiction to forward to the al�
esgil corPoration /-)as been se,t to.
LD Esgil CO Ora staff did not advise the apPlicar7t tt,,t
Person tion staff did advise the app
Date c ntacted: the Plan check has been compl
contacted: 'icanthat tht-- P tan check has been completed
Alail 're/ePhone Te/ePhore
R Fax #:
EMARKS: In Person
13y: Sef-gi- Azuel, E-Mail:
EsGil CorPoration
C1 GA Cl IFJ PC Encf(D LJ rqEF��s
081261�()16
9320 ChesaPeake L)ri, Soite 208 * San Diego, Ca]if0,_,7,', 92123 411m,
City of menifee PMT16-02796
08131/2016 [DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of menifee PLAN CHECK NO.: pmT16-02796
DATE: 08/31/2016
PREPARED BY: Sergio Azela
BUILDING ADDRESS: 26825 Eik creek Ct.
TYPE OF CONSTRUCTION:
BUILDING OCCUPANCY: ; 11!19 E (s)
BUILDIN( AREj Val tion MI
S, Multi lier
PORTIOI
Air Conditioning
Fire Sprinklers
TOTALVALUE manuallnPL't
JO,clictiOn Code rnnf
Bldg. Permit Fee by ordinance W
Plan Check Fee by ordinance W structural Only
Type of Review: complete Review
D other Hrs. @
DRepetibve Fee I H29-01
Repeats j��iTl Fee EE A
9,,,d on hourly rate
plan review. Sheet I of I
comments: 1 112 hours macvaiue.doc+