PMT16-02966 City of Menifee Permit No.: PMT16-02966
29714 HAUN RD.
<A-CCIELA> MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 09/23/2016
P E R M I T
Site Address: 30599 RATTLE DANCE WAY, MENIFEE, Parcel Number: 358-481-016
CA 925134 Construction Cost: $18,00c).00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 21 MODULES, 1 INVERTER 6.72KW
Work:
Owner Contractor
CURTIS LARSON 180 SOLAR POWER INC
30599 RATTLE DANCE WAY 320 EAST 2ND AVE STE 101
MENIFEE, CA 92584 ESCONDIDO, CA 92025
Applicant Phone:7602644003
BARRY NANNIE License Number.,995321
180 SOLAR POWER INC
320 EAST 2ND AVE STE 101
ESCONDIDO, CA 92025
Fee Description 9tX Amount($
Solar, Residential or Small Commercial 1 262.00
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 enors 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,_Bldg_Pemft Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I
I 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).
'
C Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from ficensure under the Contractor's State Ucense Law for
I
Professions Code and my license is in full force and effect. the following reason;
P'
UcenseClass s 0.
Lu By my signature below I acknowledge that,except for my personal residence
Expires eF--?/—/&r� 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 owner-builder if it has not been constructed in its entirety by
a I hereby affirm under perai Ity 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 Code,for the performance of work for which
this permit is issued. www.Ieginfo.ca.gov/caIaw.html.
Policy# Date
bl'hve a nd will maintain worker's compensation insurance,as required by PROPERTY OWN ER OR AUTHORIZED AG ENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is Issued.My worker's compensation insu ra nce carrier a nd policy owner or authorized to act on the property owner's behalE 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
Carrier building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property for Inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT
ci I certify that in the performance of the work for which this permit Is Issued,
I she 11 not employ any persons in a ny 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 hose provisions. Will the applicant or future building occupant handle hazardous material or a
SIISI r mixture containing a hazardous material equal to or greater that the
Applicant, Date amounts spec'Red on the Hazardous Materials Information Guide?
WARNING:Oki-LURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ayes WO
UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or morfificirtion 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 guidelines
CONSTRUCTION LENDING AGENCY u Yes cs.No
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 bou:nry of a school?
(Section 3097 Civil Code) ti Yes c o
OWNER BUILDER DECLARATIONS I have mad 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 hazayd u ma en"a[repo Ing.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Date r"2,1
construct,alter,improve,demolish or repair any structure,prior to its tk4z
PROPEkty-6whER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement C�
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 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 nesidence or childcare facility to be RRP-certified firms and comply with
an Applica nt for a permit subjects the applica nt to a civil penalty of not mom required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselm or through their
o 1,as owner of the property,or my employee with wages as theirsole 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 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employeee 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. ci 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 Contractor's 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. I
SAFETY PERMIT/PLAN CHECK APPLICATION
n i fee
DATE PERM IT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL (R-6SIDENTIAL OMULTI-FAMILY 0MOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 5� hU7Au_6&10
PROJECTADDRESS 0 �_'q 1 2,4�//L' -1),4AI(f 0; 4V�,+j
ASSESSOR'S PARCEL NUMBER 9'12 LOT TRACT
OWNER NAME
ADDRESS -7br'N ;?,YYJ4 64wccf.
PHONE EMAIL
APPLICANT NAME
ADDRESS _.�20 7))b ('39 5?pc).2_�-
PHONE -7/& 61�9_e_15Y.9 - EMAIL Z,402V ��4�jn/,U& lAd _f�
CONTRACTOR'S NAME _27, OWNER BUILDER? 0 YES 9 NO
BUSINESS NAME
ADDRESS _?,� :�7.
PHONE _?10 Z,9 EMAIL 4,0&j,1Vj.1V1V191
C
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ /W z)1) 0
SQ FT L SO FT
APPLICANT'S SIGNATURE — DATE L/
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION
FIRE CITYQFMLIN 51 ESS ICENSENUMBER
GREEN 4i
BUILDING PLANNING ENGINEERING
INVOICE PA MC
I 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
AMOUNT IDAMOUNT
PLAN CHECK FEES PAIDAMOUNT /MC
I I 1 0 CASH 0 CHECK# OCREDITCARD VISANIC
OWNER BUILDER VERIFIED OYES Q NO DL NUMBER NOTARIZED LETTER 0 YES (D dNO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In Partnersfiip with Governmentfor ftifding Safety
DATE: 09/15/16 L3 APPLICANT
L3 JURIS.
JURISDICTION: Menifee U PLAN REVIEWER
U FILE
PLAN CHECK NO.: PMT16-02966 SET: I
PROJECT ADDRESS: 30599 Rattle Dance Way
PROJECT NAME: Larson 6KW rooftop PV 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.
F-1 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.
F-1 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.
F-1 EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone
Date contacted: (by: Email:
Mail Telephone Fax In Person
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
EJ GA Ll EJ El MB PC 09/8/16
9320 Chesapeake Drive, Suite 208 San Diego, California 92123 * (858)560-1468 * Fax(858)560-1576
Menifee PMT16-02966
09/15/16
[DO NOTPAY— THIS IS NOTANINVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-02966
PREPARED BY: Morteza Beheshti DATE: 09/15/16
BUILDING ADDRESS: 30599 Rattle Dance Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING valuation Reg. VALUE
PORT10N ( Sq. Ft.) F Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: F-1 Complete Review E] Structural Only
F-1 Repetitive Fee El Other
Repeats a—Ea!i� Hirs. @
EsGil Fee $1
Based on hourly rate
Comments: 1.5 hour electrical plan review.
Sheet I of 1
macvalue.doc+