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PMT16-03091 City of Menifee Permit No. PMT16-03091 A> 29714 HAUN RD. Type: Residential Electrical <A-CCEL/ MENIFEE, CA 92586 MENIFEE Date Issued: 10/05/2016 P E R M I T Site Address: 26202 BALDY PEAK DR, MENIFEE, CA Parcel Number; 338-251-025 92586 Construction Cost: $35.920.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,22 PANELS, 22 MICROINVERTERS,6.16 kW Work: Owner Contractor ANNETTE CAIN VISION INSTALLATION 26202 BALDY PEAK DRIVE 5255 N EDGEWOOD DR-125 MENIFEE,CA 92586 PROVO, UT 84604 Applicant Phone:8887817074 KELLY BAKER License Number.853582 VISION INSTALLATION 5255 N EDGEWOOD DR-125 PROVO, CA 84604 Fee Description City 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 ermis in the plans and specifications or from preventing buillding 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 crimmenceid within six months after issuance.or where the work mmmenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA BldgPermit Template rpt Page 1 of I City Of Menifee LICENSED DECLARATION 0 lam exempt from licensure under the Contraclors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence in Professions Code and my license is In full force and eff which I must have resided for at least one year prior to completion of License Class 0 -10 License No. improvements covered by this permit,I cannot legally sell a structure that I have Expires 1-.151-13 si�­11,M4A built as an owner-building if it has not been constructed in its entirety by licensed )- contractors. I understand that a copy of the applicable law,Section 7044 of the WORKER&COMPENSATION DECLA� Business and Professions Code,is available upon mquest when this application is O&I,hereby affirm under penalty of perjury one of the following declarations: submitted or at the following Web site: ftave and will maintain a cerfificate of consent of self-insure for workers' hftp://www.leginfo.m.goytralaw.html. compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. Property Owner orAuthorized Agent Policy# 44464_!� D By my Signature below, I certify to each of the following: I am the property /SwI have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have mad this ea'Oon 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- Carrler,!5� %;DL101 41dentme property for tospect oses. Policy#qa920 V- 13 Expires Date Prop Prope Cwn#f Authorized Agent (This section need not be completed if the permit is for 'M�o one-hundred dollars($100)or less) City Business License# OS V�_I­certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts ppecified on the Hazardous Materials Information Guide? Code,I shall orthwlh&ply with those provisions. DYES �14NO a; q� -�_ ,a Will the intended use of the building by the applicant or future'6uilding occupant require a permit for the construction or modificag6n from South _1<NING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAOMD)?See'permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guld Iii s SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), INADDITION TOTHE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary qf a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES &90 CONSTRUCTION LENDING AGEN I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there Is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued(Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous I ' I rt, OWNER BUILDER DECLARATIONS DYE L.4- 1 Date�Y,2_ I hereby affirm under penalty of pedury that I am exempt from the Contractor's _T_ License Law for the reason(s)indicated below by the checkmark(s)I have placed OPEFRTY 01,VhEiR OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5.Business and Professions Code: Any city or county that requires a permit to construct, alter, improve,demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pumuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1 978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more Information about EPKs Renovation Program visit: 0 1, as owner of the property. or my employees with wages as their sole wv.,w.epa.cov/lead or contact the National Lead Information Center at compensation,will do( )all of or( )porting of the work,and the structure is 1-800-424-LEAD(5323). not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property 0 An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property provided that the improvements are not intended or offered for sale.If,however, Cerfified Firm Name: the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or iniproved for the Firm Certification No.: purpose of sale), 0 1. as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed rontractor(s)pursuant to the Contraciors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP EsGil Corporation vAW(p In(Partnership with governmentfor ftifding Safety DATE: 09/29/2016 E3 APPLICANT El JURIS. JURISDICTION: Menifee El PLAN REVIEWER El FILE PLAN CHECK NO.: PMT16-03091 SET I PROJECT ADDRESS: 26202 Baldy Peak Drive PROJECT NAME: Caine 22 250 Microinverter 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. 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. El Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: Fax #: Mail Telephone Fax In Person E-mail: F_� REMARKS: By: Eric Jensen Enclosures: EsGil Corporation El GA E) EJ F­1 PC 09/21 9320 Chesapeake Drive, Suite 208 * San Diego, Cal ifornia 92123 * (858)560-1468 * Fax(858)560-1576 Menifee PMT16-03091 09/29/2016 [DO NOTPAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03091 PREPARED BY: Eric Jensen DATE: 09/29/2016 BUILDING ADDRESS: 26202 Baldy Peak Drive BUILDING OCCUPANCY: BUILDING F—ARE—A-­]F Valuation —R VALUE Multiplier M eg—F PORTION ( Sq. Ft.) od Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manual Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance W Type of Review: 0 Complete Review 0 Structural Only 0 Other 0 Repetitive Fee Hourly .5 I-Irs. @ -77J, Repeats :1 EsGil Fee $105'ODI Based on hourly rate Comments: Sheet 1 of 1 macvalue.doc+