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
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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+