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PMT16-03433 City of Menifee Permit No.: PMT16-03433 29714 HALIN RD. Type: Residential Electrical '5A—CCIELA—> MENIFEE, CA 92586 MENIFEE Date Issued: 11102/2016 PERMIT SiteAddress: 28195 DAKOTA DR, MENIFEE,CA 92587 Parcel Number: 3500052019 Construction Cost: $27,600.00 Existing Use: Proposed Use: Description of INSTALL RESIDENTIAL ROOF SOLAR PHOTOVOLTAIC SYSTEM Work: Owner Contractor LEONARDO MARTINEZ WEST COAST APPLIANCE SERVICES INC 28195 DAKOTA DR 1256 FAYETTE STREET MENIFEE, CA 92587 EL CAJON, CA 92020 Applicant Phone:6195570446 1256 FAYETTE STREET License Number: 810930 EL CAJON, CA 92020 Fee Description P-ty. Amount($ 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 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $455.10 The issuance of this pemit 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 BidgPemit-Terniplate.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION properly 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 contmctor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ci I am exempt from 11censure underthe Contractor's State License Lawfor Professions Code and my license Is In full force and effect. the following reason: License Class.�2o License No. lo D By my signature below I acknowledge that,except for my personal residence Expires 2-hi /.h nlX Signature_ C:=>/. , - I tl� - in which I must have resided for at least one year prionto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if it has not been comtructed in its entirely by b<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 request when compensation,issued by the Director of Industrial Relations as provided for by Sect-ion 370D of the Labor Code,for the performance of work for which this application is submitted or at the following website: this permit is issued. www.IeRinfo.ca.goy/c;alaw-htmI. Policy It Date 6*fhave 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 o 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 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 Q-P-A�T-E� I&X,. with all applicable city and county ordinances and state laws relating to Policy#I-vc 0019 1 oq 66 Expires wall building ccinstruction.I authorize representatives oflhis city or county to I enter the above Identified property for inspection purposes. (This section need not to be completed is the permit IsIfor one-hundred dollars($100)or less Date- PROPERTY OWN ER OR AUTHORIZED AGENT ci I certify that in the performance of the work for which this permit is issued, 0 0 Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS UCENSE# worker's compensation laws of California,and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION Code,I shall forthwit��Fly with those provisions. Will the applicant or future building occupant handle hazardous material or a Applimat Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous materials Information Guide? MfARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ri Yes U460 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($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FO occupant require a permit for the construction or modification from South R Coast Air Quality Management District(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidellnes CONSTRUCTION LENDING AGENCY 0 Yes a-N-0 I hereby affirm that underthe penalty of perjurythere isa 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) 0 Yes allo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to 0yes 04to, construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applimnt for the permit to file a signed statement Ov that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPJ 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 ficensure and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving win persation 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 ownem and property 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 mom information about EPA's Renovation Progiam visit: compensation,will do( )all of or( )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 70",Business and Professions 1-800-424-LEAD(5323). Cocle;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 a 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 yea r of completion,the Owner-Builder will have the burden of proving that it was Firm Certification No,: not built or improved for the purpose of sale. ct No EPA Lead-Safe Certified Firm is required for this limiject bemuse: 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. (/V� CID( BUILDING &SAFETY PERMIT/PLAN CHECK APPLICATION oc -Ilety Dept. 4- 9 2016 DATE PERMIT/PLAN CHECK NuWicejj-'j-)fflTI4 - 0342's w TYPE OCOMMERCIAL FIRESIDENTIAL j-]MULTI-FAMILY Ei-MOBILEHOME nPOOL/sPA []SIGN SUBTYPE- 1--JADDITION OALTERATION nDEMOUTION ZELECTRICAL [:]MECHANICAL ONEW [:]PLUMBING E:l RE-ROOF-NUMBER OF SQUARES DEscFJP-nON OF WORK RESIDENTIAL ROOF SOLAR PHOTOVOLTAIC SYSTEM PROJECTADDREss 28195 DAKOTA DR, MENIFEE.CA92587 ASSESSOWS PARCEL NUMBER 350-005-2014t — LOT It) TRACT TV50+ PROPERTY OWNER'S kAME LEONARDO MARTINEZ ADDRESS 28195 DAKOTA DR. MENIFEE,CA 92-587 PHONE (951)553-3215 EMAIL APPILICANTNAME WEST COAST APPLIANCE SERVICES INC ADDRESS '1256 FAYETTE ST,EL CAJON.CA 92020 PHONE (619) 557-0446 EMAIL fb-%vcas@9rnaiI cOm CONTRAcrowsNAME WEST COAST APPLIX14CE SERVICES INC OWNERSUILDER? �JYESANO BUSINESSNAME WEST COAST APPLIANCE SERVICES INC ADDRESS 1256 FAYETTE ST.EL CAJON,CA 92020 PHONE (619)557-0446 EMAIL fb-wc-as@gmaii.coni CONTRACTOR'S STATE LIC NUMBER 810930 LICENSE CLASSIFICATION ClOIC20 VALLATION$ S 27,600.00 SO FT L SO FT APPLICANT'S SIGNATURE DATE I GY 1712 016 DEPAKrMENT EltSTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING FNGINEEWNC PRE IGREEN SMIP INVOIrE PAIDAMOUNT AMOUNT I 1 0 CASH 0 rHECK 0 OCREDITCARD WMOAC PLAN CHECK FEES PAID AMOUNT I 1 0 CASH 0 CHECK 0 OCREDITCARD V"C OWNER BUILDER VERIFIED 0 YES 0 No DL NUMBER NOTARIZEDI-ErTER 0 YES 0 NO EsGit 046100 OATE: In-J>�rrners C-1P-1afi-n P U'itf§70vernmentforBu 10/26/2016 fi ifding Slfe,�, J(JR"D'CTION: cit3r of.Afenifee 0 APPLICANT PLAN CHECK No.: Ul'—J'U R I S. pt,� PAfT16-03433 Q PLAN REVIEVVEF JECT ADDRESS: 28195 Dalcot4 Dr. SET I L) FILE P'�"'JECT NAME: LZ01V.4nD0 rd The Plans ARTZNSZ 6 W the jurisdiction )000 'VVatts S01ar PJ'OtOvoltaic SYstem ith transmitted herewith have been co 's building � -rhe p codes. rrected where necessary and substantially c lans transmitted herewith will substantially cc vvhen minor deficiencies identified below are resol MPIY with the Jur'sdiction's building cod ')-he Plans transmitted herewith have s- ved and checked'bY building departmer ��')dshOL'ld be C7 _rt) corrected and resubmi 'gn'ficant deficiencies identified on the enclosed che tted for a complete recheck. C e check list transmitted herewith is for you - '1-h (�rporatiOn until corrected i r Information. The Plans are being held at Esc cat IL4 applicant's Plans are subm tted for rechec tac k, t Person. copy Of the check list is enclosed for the jurisdiction es '�?Pplicant's copy Of the check list has been sent to: tO forward to the applic� Orp Pers,,r-)<�rporation staff did advise the C Esgil " Oration staff did not advise the applicant that the plan che k has been completed. Date CNQb contacted applicant that the Plan check ha-s ibeen completed. 41ail "'tacted: 7elePhOne 4: -&-elePhone Fax Fax '(b y RSMAF� '3y-. Se In Persc)n E-mail: EMFifr 'D Azluela C--:7 4COrPoration GA J PC 10/20/2016 Enclosures: 91 �20 Chesa :�ke Drive, Suite 208 * San Diego' California 92123 * (858)560�1,.. iylcnlz�w ,49J 2016 Cly cil�'Ovr [DO NOT PAY- THIS IS NOT AN INVOICE] lcll�z VALUATION AND PLAN CHECK FEE 0:��)ICTION: City of Menifee PLAN CHECK NO.: PMT16-03433 '00eNRED BY: Sergio Azuela DATE: 10/26/2016 -7 ING ADDRESS: 28195 Dakota Dr. BUIIL-'�' ING OCCUPANCY: TYPE OF CONSTRUCTION: BL)IL� '� —=Reg- ING AREA � aluatio It-- ION ( Sq. Ft.) Multiplier Mod. POF:?- onditioning Ail' 5prinklers Fir -fAL VALUE ,tion Gode mnf Manual Input e,,nnit Fee by Ordinance ri Coeck Fee by Ordinance of Review: Complete Review Structural Only Other gepetibve Fee Repeats Hourly Hrs. @ $157.50 EsGII Fee ed on houriy rate C Sheet 1 of 1 'Orliments: 1 1/2 hours plan review. macvalue.doc+