PMT16-03378 City of Menifee Permit No.: PMT16-03378
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
MENIFEE Date Issued: 10/26/2016
P E R M I T
Site Address: 27229 MYLES CT, MENIFEE,CA 92585 Parcel Number: 331-480-054
Construction Cost: $30,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,24 PANELS, 1 INVERTER,6.72 kW
Work:
Owner Contractor
TONYARCHIBOLD AMERICAN SOLAR DIRECT ING
27229 MYLES COURT 1552 WEST EMBASSY STREET
MENIFEE,CA 92585 ANAH El M,CA 92802
Applicant Phone:4242146700
TREVON WILLIAMS License Number:941069
AMERICAN SOLAR DIRECT INC
1552 WEST EMBASSY STREET
ANAHEIM, CA 92802
Fee Description Amount($1
Solar, Residential or Small Commercial 252.00
Building Permit Issuance 27.00
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$455.10
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 buillding 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_Perrnjt Template.ript Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION Property who builds or improves 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).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State Uicense Law for
Professions Code and my license is in full force and effect. the following reason:
License Class -1 License No. Drc?
C�' By my signature below I acknowledge that,except for my personal residence
Expires k-2- Signature in which I must have resided 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 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 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-Insum 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.legin fo.ca.gov/calaw.htm 1.
Policy# Date
ahave 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 Dey-my signature below I certify to each of the following:I am the property
this permit is issued.My worker's dompensation insurance ca rrier a nd policy owner or authorized 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
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 160 62-ed i _Expires_ \,-�s—\�57— 7 enter the above Identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
X--, , -,-- Date (0
dollars($100)or less 1ko-PERTY 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
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 1cP -2-6 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 15 0 Yes U40
UNLAWFUL,AND SHALL SUBJECT AN 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($100,001)),IN occupant req uire a pqrmit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See Perm itting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCHON LENDING AGENCY 0 Yes 0<0
I hereby affirm that under the pena Ity 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) ci Yes 04o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
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 License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ciYes 040-
Business and Professions Code).Any city or county that requires a permit to e—, Date io-2-jr- Lis
construct,alter,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(RRPI
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 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
o 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( )all of or( )portion of the work,and the structure is www.epa.gay/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 Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator will be responsible forthis project
property who,through employeee 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 bu rden of proving that it was
not built or improved for the purpose of sale. ci No EPA Lead-Safe Certified Firm Is required for this project because:
ci 1,as owner of the property am exclusively contracting winh 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.
EsGil Corporation
In Tartnersfiip with governmentfor ftifding Safety
DATE: 10/21/2016 LI APPLICANT
ErJ_0 R I S.
JURISDICTION: Menifee L3 PLAN REVIEWER
C3 FILE
PLAN CHECK NO.: PMT16-03378 SET: I
PROJECT ADDRESS: 27229 Myles Ct
PROJECT NAME: Archibold 6,000 watt rooftop PV System
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.
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.
El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the
applicant contact person.
El 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.
El Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted- /") Telephone
Date contacted.� (b Fax #:
Mail Telephone Fax n Person E-mail:
REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA 7 EJ F1 PC 10/14
Menifee PMT16-03378
10/21/2016
[DO NOTPAY— THIS IS NOTANINVOICEI
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03378
PREPARED BY: Morteza Beheshti DATE: 10/21/2016
BUILDING ADDRESS: 27229 Myles Ct
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F--A—R E—A—� Valuation —Re VALUE
( Sq. Ft.) Multiplier Mo
PORTION F d
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf Imanual input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: F-1 Complete Review E] Structural Only
El Pepetitive Fee D Other
Repeats D--� 1 1.5 Hirs. @
EsGil Fee $105.00 $1157.50�
Based on hourly rate
Comments: 1.5 hr review.
Sheet 1 of 1
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