PMT16-03288 City of Menifee Permit No.: PMT16-03288
29714 HAUN RD.
<;iCCE1-A—> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 1011712016
P E R M I T
Site Address: 26275 CHARMAINE PL, MENIFEE, CA Parcel Number: 360-540-002
92584 Construction Cost: $25,000-00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM,20 PANELS, I INVERTER 5.60KW
Work:
Owner Contractor
JASON DUNAWAY AMERICAN SOLAR DIRECT INC
26275 CHARMAINE PL 1552 WEST EMBASSY STREET
MENIFEE, CA 92584 ANAHEIM, CA 92802
Applicant Phone:4242146700
TREVON WILLIAMS License Number:941069
AMERICAN SOLAR DIRECT INC
1552 WEST EMBASSY STREET
ANAHEIM, CA 92802
Fee Description Amount I$)
Solar, Residential or Small Commercial 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 12-60
$454.10
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_BIdg_PenniI—Temp1ate.rpt Page 1 of I
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)pursuantto the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class 0 License No. -_--?�A L 0 GI—L By mysignature below I acknowledge that,except for my personal residence
Expires Signature 11�� cm� inwhich I must have resided for at least one year prior to completion of
improvements covered bythis permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
ci I hereby affirm under penalty of perjury one 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 for worker's 7044 of the Business and Professions Code,is available upon req uest 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.Ieginfo.ca.gov/caIaw.htmI.
Policy# C'29�: e, � —Date to
WKaV1 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 a 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 authodzed to act on the property owner's behalf.I have read this
number are: application and the Information I have provided is correct.I agree to comply
Carrie4 building construction.I authorize representatives of this city or county to
�y%-9_5 with all applicable city and county ordinances and state laws relating to
Policy# 10—\5 —0 enter the above Identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred 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,
Ishallnotentril any persons In any manner so as to become subject to the CITY BUSINESS LICENSE# 0 5,7a5"s
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
Code,I shall fort��comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes z4o
UNLAWFUL,AND SHALL SUBJECr AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE H UNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(S=MD)?See permitting checklist
IN SECHON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCnON LENDING AGENCY a Yes ciano
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 2000 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 Q.No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACBMD
permitting checklist I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's Uicense Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed nextim the applicable item(s)(Section 7031.5 oYes a 11161—
Business and Professions Code),Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PS'E;ftNER`DR'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 Contractoes State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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
a nd 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 applica m to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
ci 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Rerumation Program visit:
compensation,will do I )all of or I )portion of the work,and the structure is www.epa.goy/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 o An EPA Lead-Safe Certified Renovator will be 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 far this project because:
o 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractoes 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
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"Menifee
DATE PERMIT/PLAN CHECK NUMBER -FAAT((O-
TYPE: EICOMMERCIAL D`kESIDENTIAL [-]MULTI-FAMILY [-]MOBILEHOME F]POOL/SPA [-]SIGN
SUBTYPE: E]ADDITION F-JALTERATION [—]DEMOLITION []ELECTRICAL E]MECHANICAL
E]NEW [:]PLUMBING [:]RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK
PROJECTADDRESS —;7
ASSESSOR'S PARCEL NUMBER 1-3400 -5qO- LIP-LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS
--7S
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? E]YESPNO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER qu� af-,� LICENSE CLASSIFICATION
VALLIATION $ -2S 4(nl-<) SO.FT i> L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTIUN vo Ll 1Y UI-mENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP
INVOIC�E I �
AMOU T .46.6bl PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASHI OCHECK# OCREDITCARD VISA/MC_
OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.citycfrnenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In(Partnership with Governmentfor Bui(ding safety
DATE: 10/13/2016 U APPLICANT
��Rls.
JURISDICTION: City of Menifee 0 PLAN REVIEWER
Q FILE
PLAN CHECK NO.: PMT16-03288 SET: I
PROJECT ADDRESS: 26275 Charmaine Pl.
PROJECT NAME: JASON DUNAWAY 6,000 Watts Solar Photovoltaic System.
Z The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
El 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.
0 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.
F� 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.
Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted,--- Telephone #:
Date contacted: oy Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Sergio Azuela Enclosures:
EsGil Corporation
El GA [_1 EJ F-1 PC 10/07/2016
9320 Chesapeake Drive, Suite 208 * San Diego,Cal ifornia 92123 * (858)560-1468 * Fax(858)560-1576
City of Menifee PMT16-03288
10/13/2016
[DO NOTPAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03288
PREPARED BY: Sergio Azuela DATE: 10/13/2016
BUILDING ADDRESS: 26275 Charmaine P1.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
Reg. VALUE
PORTI Multiplier Mod.
BUILDING Valuation
ON F
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Judscliction Code imnf litlanual Input
Bldg. Permit Fee by Ordinance W
Plan Check Fee by Ordinance W
Type of Review: E] Complete Review F-] Structural Only
F--]Re petitive Fee F7 Other
Repeats E�—� .5 Hrs. @
EsGI1 Fee $105,00501 $157.50
Based on hoUdy rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+