PMT16-03215 City of Menifee Permit No.: PMT1 6-03215
29714 HAUN RD.
"_ACCIELA_> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 10113/2016
P E R M I T
Site Address: 29050 HAWKESBURY CT, MENIFEE, CA Parcel Number: 333-443-006
92585 Construction Cost: $36,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,30 PANELS, 30 MICROINVERTERS,8.40 kW
Work:
Owner Contractor
THOMAS CHASE PETERSEN-DEAN INC
29050 HAVVKESBURY COURT 3000 CIVIC CENTER DRIVE
MENIFEE, CA 92585 FREMONT,CA 94538
Applicant Phone: 5103716500
JENNY ENCISO License Number:468117
PETERSEN-DEAN INC
39300 CIVIC CENTER DRIVE
FREMONT,CA 94538
Fee Description 9ty 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 pe"it shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being camed on thereunder when in violation of the Building Code or of any other
ordinance of City of Marilee.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.
AAjBidgPernift-Ternplate.ript Page I of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of With a licensed contractor(s)pursuant to th e Contractors State License Law).
Chapter9 commend no w ith .on 7000)Of Division 3 of the Business and n I am exempt from licensure under the Contractor's State License Law for
Professions Code and my Zesels in Uprce arld effect. the folloveing reason:
License Class 6-AWCOlUerueA. 4( 0 By my signature below I acknowledge that,except for my personal residence
Expires 1171 Signtiture in which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of allowing 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 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 website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.IeRInfo.ca.gov1calaw.html.
_Z'Pol' # Date
h.,a 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 -qgy 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 on the property owner's behalf.I have read this
number rey application anq themforTatmn I have provided is correct.I agree to comply
Carrier with all applic le city d co ty ordinances and state laws relating to
fic co
i. ylau
ding c, . I u
'in 'th,
r I g PPW
dU�Q419-0 M-150-10DIT bull in on r a tho ie representatives of this city orcountyto
c r
Po
th tff up.
IlcV Expires enterthe ve tifie operty for inspection purp S.
losts.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less - I - -6' —Date 10
OROPERTYOWN�OORAUTR RZEDAGE F__T�
a I certify that in the performance of the work for which this permit is issued,
I sha 11 not employ any persons In any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensatto laws of15 IN, d agree that if I should become HAZARDOUS MATERIAL DECLARATION
`omp 'a'an
subject to the wor e,' om K�Ifiin
le nsato provisions of Section 3700of the Labor
Code,I shall forth h mp] rovisions. Will the applicant or future building occupant handle hazardous material or a
mixture ining a hazardous material equal to or greater that the
ntsycon
Applicant D.t. J7 s cified on the Hazardous Materials Information Guide?
n s c
WARNING:FAILURE TO� MPENSATION COVERAGE IS
L&EURE;WrOR KER'S CO
UNLAWFUL,AND SHALL U ECTAN EMPLOYER 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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Qu Illy,Management District(SCAQMD)?See permitting checklist
fu r gu ide Vles
I�.
CONSTRUCTION LENDING AGENCY o Yes No
I hereby affirm that under the penalty of perjury there is a construction Will the prop Is ad building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer 1muay of a school?
No
(Section 3097 Civil Code) a Yes No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythat I am exempt from the permitting che5kiist.I u ers n my a rements under the State of
c I �af C qui
Cci��
California Hpdth 8,Saf _ __.g So
Contractor's License Law for the reason(s)indicated below by the I Sect! 25 5and25534concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardou aAterialpo in
Business and Professions Code).Any city or county that requires a permit to 0yes rN. ly � Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTYC6V ERORA ORIZED 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 Contractoes State EPA REN N REPA R ND 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
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
.than($500). required practices.This includes rental property owners and 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 sole employees.For mom 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.Lroyllead 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 Contractor's State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the ci An EPA Lead-Safe Certified Renovator will be responsible for this project
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 im proved for the purpose of sa le. 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
City of Menifee PMT16-03215
.10/07/2016
EsGil Corporation
In(Partnership with GovernmentforBuirding Safety
DATE: 10/07/2016 q AFPLICANT
Ell�JLIRIS.
JURISDICTION: City of Menifee 0 PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-03215 SET: I
PROJECT ADDRESS: 29050 Hawkesbury Ct
PROJECT NAME: Chase 30 Microinverter rooftop Photovoltaic System
The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
F1 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.
F1 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 appiicant-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.
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 erson E-mail:
REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA E] EJ E:1 PC 09/29/2016
City of Menifee PMT16-03215
10/07/2016
[DO NOTPAY— THIS IS NOTAN INVOWE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03215
PREPARED BY: Morteza Beheshti DATE: 10/07/2016
BUILDING ADDRESS: 2905OHawkesburyCt
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F—T�EA Valuation VALUE
ION Sq.
Mod.
�PORTION Ft.) Multiplier
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisciction Code mnf iManual Input
Bldg. Permit Fee by Ordinance W
Pla n Check Fee by Ordinance
Type of Review: Complete Review Structural Only
[-]Repetibve Fee Other
Kepeats 7�—� .5 Hrs. @
EsG11 Fee �$105'00
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+