PMT16-03079 City of Menifee Permit No.: PMT16-03079
29714 HAUN RD.
'5A_CCEL:A_> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 10104/2016
P E R M I T
Site Address: 29937 GIFHORN RD, MENIFEE, CA Parcel Number: 339-313-002
92584 Construction Cost: $36,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 30 MODULES, 30 MICROINVERTERS, REQUIRES
Work: PANELUPGRADE
Owner Contractor
JOHN RODGERS PETERSEN-DEAN INC
29937 GIFHORN RD 39300 CIVIC CENTER DRIVE
MENIFEE, CA 92594 FREMONT, CA 94538
Applicant Phone:5103716500
JENNY ENCISO License Number.,468117
PETERSEN-DEAN INC
39300 CIVIC CENTER DRIVE
FREMONT,CA 94538
Fee Description 0 ty Amount($
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 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.
A&BIdg_Permit-Template.rat Page 1 of 1
CITY OF MENIFEE
SED DEC TION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
by affir,under penalty of perjury that I am under provisions of
er9(Commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for
5Ions code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
1, Signature in which I must have resided for at least one year prior to completion of
Exp 5 L5 Improvements covered by this permit.I cannot legally sell a structure that I
RKER'S COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by
I hereby affirm under pena Ity of perjury one of the f I larations:I licensed contractors.I understand that a copy of the applicable law,Section
s t of self m I
ave an will maintain a certificate of consent of sell re rker's 7044 of the Business and Professions Code,is available upon request when
p,mation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following websfte:
ion 3700 of the Labor Code,for the performance of work for which www.Ieginfo.ca.govZcaIaw.htmI.
is permit is issued.
Date
policy PROPERTY OWNER OR AUTHORIZED AGENT
By,and will maintain workees compensation Insurance,as required by
ion 3700 of the Labor Code,for the performance of the work for which -IA/By my signature below I certify to each of the following:I am the property
1,permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act an the property ownees behalf.I have read this
umbeTar application and the information I have provided is correct.I agree to comply
with all Aapplicable c1l coun dinances and state laws relating to
n horize re
mer building constru o I aut resentratives of this city or county to
ter t .
Expim, enter the a e enti d
7PoIk,Y#0J4 4"'M prope for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date lo
dollars($100)or less P PERTYOV(NER
t. 11 . i , �RAUNO"RIZE GE.NT
o 1 certify that'in hii 1�4ffofimance of thi work for which this permit is issued,
SS LltKMS
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS U S #
workees compensation la olCallforma'and agree that if I should become HAZARDOUS MATERIAL DECLARATION
c. ,
subject to the worker's co nsation p Isions of Section 3700 of the Labor r'
c PIV
Y P
Code,I shall forthwi-th)cply. e provisions. Will the applicant or future building occupant handle hazardous mate lal or a
Applicant Date p IAI 110 mixture containing a hazardous material equal to or greater that the
_ / — amountsspec' don the Hazardous Materials Information Guide?
WARNING:FAILURE TO S;E;��ORKMPS CC MPENSATION'COVER'A'G'E IS a Yes 0
AN E L
�NLAWFUL,kqCISHAUI�� EU ANEMPIL ER 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 modificartion from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR CoastAirQu I. Management District(SCAQMD)?See permitting checklist
all
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin
CONSTRUCTION LENDING AGENCY ciYes; 611F
1 hereby affirm that under the penalty of perjury there Is a construction Will the;Pro?dsed building or modified facility be within 1000 feet of the
d.,
lending agency for the performance of the work which this permit is Issued outer b dary of a school?
(Section 3097 Civil Code) ciYes oNo
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 un y requirements under the State of
California He h fet!�Code,SecITn 25505 and 25534 concerning
Contractoes License Law for the reason(s)indicated below by the hazarclousirt:tter" 3
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 0yes E6N
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 PRCIP��ERNEnAt TH01240%15ENT
Issuance,also requires the applicant for the permitto file a signed statement
REP
that he or she is licensed pursuant to the provisions of the Contractor's State LP REP IR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovatiol\"Ir and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensum 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
a 1,as owner of the property,or my employee with wages as their sole employees.For mom information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.govIlead or contact the National Lead Information Center at
not Intended or offered forsale.(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,th rough employees'or personal effort builds or improves the
property provided that the!in provements 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
ot bu Ht or!in proved for the purpose of sale. n No EPA Lead-Safe Certified Firm is required for this project bemuse:
a as owner of the ProPerty a in exclusively contracting with licensed
to construct the proje�(section 7�,Business and Profession,
��c2oe�state Uce-1 U,does not apply to an owner of a
;,I I 1fy.urw.iectd.es notcomplywith EPARRP rule please fill out the RRP
-1 Acknowledgement,
mow
EsGil Corporation
InTartnersfip witfi governmentfor(Building Safety
DATE: 09/29/2016 0 APPLICANT
ILI.�RIS.
JURISDICTION: City of Menifee Ell PLAN REVIEWER
Ell FILE
PLAN CHECK NO.: PMT16-03079 SET: I
PROJECT ADDRESS: 29937 Gifhorn Dr
PROJECT NAME: Rodgers 30 microinverter rooftop PV System
1'71 The plans transmitted herewith have been corrected where necessary and substantially comply
V\J
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.
F-1 The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
F1 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: Fax #:
Mail Telephone Fax In Person E-mail:
REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
E] GA [:1 EJ 0 PC 9/19
9320 Chesapeake Drive, Suite 208 * San Diego,California 92123 * (858)560-1468 * Fax(858)560-1576
City of Menifee PMT16-03079
09/29/2016
[DO NOTPAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03079
PREPARED BY: Morteza Beheshti DATE: 09/29/2016
BUILDING ADDRESS: 29937 Gifhorn Dr
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING Valuation Reg. VALUE
PORTION F Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUq
Jurisdiction Code mnf Manua I Input
Bldg. Permit Fee by Ordinance W
Plan Check Fee by Ordinance
Type of Review: F] Complete Review Ej Structural Only
E]Repetitive Fee Other
Repeats E�—� His. @*
EsGil Fee - $157.501
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+