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PMT16-03214 City of Menifee Permit No.: PMT16-03214 29714 HAUN RD. <A-CCELA—> MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 10113/2016 P E R M I T Site Address: 29715 C017ONWOOD COVE DR, Parcel Number: 340-490-057 MENIFEE,CA 92584 Construction Cost: $21,600.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 18 PANELS, 18 MICROINVERTERS,5.13 kW Work: Owner Contractor RYAN SLAUGHTER PETERSEN-DEAN INC 29715 COTTONWOOD COVE DRIVE 39300 CIVIC CENTER DRIVE MENIFEE,CA 92584 FREMONT. CA 94538 Applicant Phone:5103716500 JENNY ENCISO License Number:468117 PETERSEN-DEAN INC 39300 CIVIC CENTER DRIVE FREMONT, CA 94538 Fee Description Qty Amount($1 Solar, Residential or Small Commercial 1 252.00 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 pe"it shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing building 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 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the pmjects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with sedion 7000)of Division 3 of the Business and ri I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in rce arld effect. the following reason: ,) abl' , License Class 6-AU OU ense By mysignature below I acknowledge that,exceirtformy personal residence U Expires -51- sign iture J�1/ in which I must have rmicled for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DE..LARATION A have built as an owner-builder if it has not been constructed in Its entirety by cz I hereby affirm under penalty of perjury a e 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 forworker'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 www.lmJnfo.ca.Rov/calaw.html. this permit is issued. Date 7Pal # PROPERTY OWNER OR AUTHORIZED AGENT 1hae and will maintain workerps compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which q)ry my signature below I certify to each of the following:I am the property this permit is issued.My worker's com pensation Insura nce carrier and policy owner or authorized to act on the property owner's behalf.I have read this nu bera,� application and the information I have provided Is correct.I agree to comply "'I app, building con r io .I autho ze representatives of this city or county to withallapplic lecil dco tv ordinances and state laws relating to Carrier )PS . e'the me operty for inspection purpos S. Policy�I JN N4 9 D Expires �Q Z enterthe ove tifie Olt (This section need not to be completed is the permit is for one-hundred Date Le dollars($100)or less 000PERTY owkejl OR AUTRURIZED AGENT ci I certify that in the performance of the work for which this permit Is issued, Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensatloolaws K5 Tj nd agree that if I should become HAZARDOUS MATERIAL DECLARATION at subject to thew)rkerAcc. Zn,,t;,Eravallsions of Section 3700 of the Labor Code,I shall forth h se provisions. Will the applicant or future building occupant handle hazardous material or a `NrnoN�yo mixtureycont ming a hazardous material equal to or greater that the .a c Applicitrit 76 ,)— �el Date amounts a cified on the Hazardous Materials Information Guide? a AARNING:FAILURE TCI� L&rultli WORKER'S COMPENSATION COVEIIAGE IS ,u UNLAWFUL,AND SHALL U ECT AN 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($100,00),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR CoastAi r Out litv Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidVei' m CONSTRUCTION LENDING AGENCY ci Yes No I hereby affirm that under the penalty of perjury there is a construction Will the pro V sed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is Issued outerbou aryofaschool? (Section 3097 Civil Code) cz Yes ;7No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQlAD enind/nh. on equirements under the State of I hereby affirm under penalty of perjury that I am exempt from the e,S. , n 255B5 and 25534 concerning Contractor's License Law for the reason(s)Indicated below by the 'fta p lifia g c c 'A Ca in H th 8, f C Inizardenz teral P. in checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 'Yes No He Business and Professions Code).Any city or county that requires a permit to Date In construct,alter,improve,demolish or repair any structure,prior to its t PROPERTY C&N ER OR A ORIZEDAGENT issuance,also requires the applicant for the permit to file a signed statemen that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION EPA R NO 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 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 childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil pena ItV of not more required practices.This Includes rental property owners a nd property .than($500). 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 I )all of or I )portion of the work,and the structure is www.epa.jzov/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 Contraictor'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,th rough em ployees'or personal effort,bu!Ids or im proves 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: 0 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 dam not apply to an owner of a If your project dam not comply with EPA RRP rule please fill out the RRP Acknowledgement. City of Menifee PMT16-03214 10/07/2016 EsGii Corporation in Partnership with Governmentfor Building Safety DATE: 10/07/2016 LJ APPLICANT U-4ufk4s. JURISDICTION: City of Menifee El PLAN REVIEWER El FILE PLAN CHECK NO.: PMT16-03214 SET: I PROJECT ADDRESS: 29715 Cottonwood Cove Dr. PROJECT NAME: Slaughter 18 Alicroinverter rooftop Photovoltaic System z 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. 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. F-1 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. F-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. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted,�_ Telephone #: Date contacted: . Wb ) Fax #: Mail Telephone Fax In Person E-mail: F-1 REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation El GA F-1 EJ F-1 PC 09/29/2016 City of Menifee PMT16-03214 10/07/2016 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03214 PREPARED BY: Morteza Beheshti DATE: 10/07/2016 BUILDING ADDRESS: 29715 Cottonwood Cove Dr. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING Valuation Reg. VALUE PORTION Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Junsdiction Code innnf Manua I Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: F-1 Complete Review Structural Only E]Repetibve Fee Other mepeals Z�—� Hirs. @ EsGii I Fee $157.50 Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1 macvalue.doc+