PMT16-03179 City of Menifee Permit No.: PMT16-03179
29714 HAUN RD.
<A-ccr=LA> MENIFEE, CA 9258B Type: Residential Electrical
MENIFEE Date Issued: 10/2512016
P E R M I T
Site Address: 27680 WATSON RD, MENIFEE, CA 92585 Parcel Number: 329-300-015
Construction Cost: $18,360.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM TOTAL 34 MODULES, 1 INVERTER 9.18KW, CITY
Work: TO APPROVE GARAGE MOUNTED SOLAR PV SYSTEM 9 MODULES,25 MODULES APPROVED BY
HCD
Owner Contractor
ANTONIA SIMENTAL L P DANIEL ENGINEERS&CONTRACTORS INC
27680 WATSON RD 1347 TAVERN RD BUILDING D
MENIFEE, CA 92585 ALPINE, CA 91901
Applicant Phone:6197227240
LAURA PERDOMO-JANIS License Number:764210
L P DANIEL ENGINEERS&CONTRACTORS INC
1347 TAVERN RD BUILDING D
ALPINE, CA 91901
Fee Description 211t Amount($
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 168 157.50
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 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__Bldg_Pe"it-Template.rpt Page I of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds orimproves 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).
Chapter!)(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the ContractoesState License Law for
Professions Code and my license is in full force and effect. the following reason:
UcenseClass— B License No. By my signature below I acknowledge that,except for my personal residence
Expires ///.V Signature in which I must have resid ed for at least one yea r prior to completion of
provements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARAMW-----��
have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under pena hy of perjury one of the following clecla rations: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 websfte:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.IeRinfo.ca.Rov/caIaw.htmI.
Policy Date
a I have 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 ci By 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
number are: application and the information I have provided is correct.I agree to comply
Carrier 44,- rot,,A with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# CIIS'&55-7-1(n Expires lo j a enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-bundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
ci I certify that in the performance of the work for which this permit is issued,
I shall not employ 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 4
Code,I shall fortimfith comply with those provisions. jr Will th R t future building occupant handle hazardous material or a
pp c or'
Applicant Date mixtur::..t.iar7ng.Kazarclous material equal to orgreaterthat the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 a Yes JLNO
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($100,000),IN
ADDITION TO THE COST Of COMPENSATION,DAMAGES AS PROVIDED FOR occupant rect uire a permit for the ccinstruction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forifuldefines
CONSTRUIcTiON LENDING AGENCY o Yes P,
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 boundary of a school?
(Section 3097 Civil Code) a Yes YXO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACLMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable literals)(Section 7031.5 Dyes 'it-NO
Business and Professions Code).Any city or county that requires a permit to Date
construct,after,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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 fRRPJ
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 licensure 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 childca re facility to be RRP-certfflecl firms and comply with
an Applicant for a permit subjects the applicant to a civil pena Ity of not more
than($500). required practices.This includes rental property ownersand property
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 sale employees.For more information about EPA!s Renovation Program visit.-
compensation,will do( I all of or( )portion of the work,and the structure is wwwecia.gov/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 Contractoes State License Law does not apply to an owner of a n An EPA Lead-Safe Certified Renovator will he responsible for this project
property who,through employees'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 project because:
ci 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
& SAFETY PERMIT/PLAN CHECK APPLICATION lb&A
'Menifee
DATE q 12 (f We PERM IT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL ORESIDENTIAL 0MULTI-FAMILY "---OBILEHOME CPOOL/SPA OSIGN
SUBTYPE: OADDITION 0ALTERATION ODEMOLITION OELECTRICAL OMECHANICAL
CNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
CZ7-D WCV'f--0 S,&-t(o DD A-i,fi I o Pf�-roaf a psoo
PROJEcTADDRESS 2'�U �o JAji; t-'ron good memaf, CA 6125?)5
ASSESSOR'S PARCEL NUMBER f)�CJ3 -00- D)5 LOT TRACT
OWNER NAME Ntoma ifwpHlQf
ADDRESS T� UbD walTm toaA
PHONE EMAIL
APPLICANT NAME UVYR ftdoMo 7AMS
ADDRESS 10 0 2 5 M 2161 1-0 1111 120 . 9 OLVI 0 1 (�q 0 .1 L 6 Q2 17,1
PHONE 14- bql- LoD53EMAIL qVM-I M yl � 0 W byj d Vw n1i (,p vyi
CONTRACTOR'S NAME OQ 11 P,1 FVJ j 4 p(a + f o'A-ffftbj-Q&
—&MUDER? 0 YES CAO
BUSINESSNAME LPQRM�j inc,
ADDRESS 131-11 TIMI Kyl 9 10 MVin P , CA (WQ1
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION A 13
VALUATION$ QFT LSQFT
APPLI( DATE
GTYSTAFFUSEONLY
DEPARTNIENr DISTRIBUTION f I
BUILDING PLANNING ENGINEERING FIRE GREEN too SMIP
INVOICE PAIDAMOUNT I
I ;M5 OCASH OCHECK# OCREDITCARD VISA/NIC
AMOUNT I
PLAN CHECK FEES 7 PAIDAMOUNT I I OCASH OCHECK# OCREDITCARD VISAIINIC
OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Depurtnien, 29714 Houn Rd. Menifee, CA 92580'951-572-6777
www.cityoftnenifee.us Inspection Request Line 951-246-6213
Menifee PMT16-03179
10/6/2016
EsGil Corporation
In PartnersfiiP witfi Governmentfor Bui(ding Safety
DATE: 10/6/2016 L/i PPLICANT
4 <JUPRPIS.
JURISDICTION: Menifee Ll PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-03179 SET- I
PROJECT ADDRESS: 27680 Watson Road
PROJECT NAME: Simental 7.6KW 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.
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.
[_1 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.
F-1 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
El GA L-1 EJ El PC 09/28/2016
Menifee PMT16-03179
10/6/2016
[DO NOTPAY— THIS IS NOTANINVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03179
PREPARED BY: Morteza Beheshti DATE: 10/6/2016
BUILDING ADDRESS: 27680 Watson Road
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING ],F--Aff—EA---IE Valuation —Re VALUE
( Sq. Ft.) Multiplier Mo
PORTION d
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf 110anual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: F1 Complete Review E] Structural Only
Repetitive Fee 0 Other
_7J Repeats D--Umiy .5 Hrs. @
EsGill Fee $105'00 $157.50
Based on hourly rate
Comments: 1-1/2 hour electrical plan review.
Sheet 1 of 1
macvalue.doc+