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+