PMT16-03667 City of Menifee Permit No. PMT16-03667
29714 HAUN RD. Type: Residential Electrical
<A-CCEL]A'3' MENIFEE, CA 92586
MENIFEE Date Issued: 1112812016
P E R M I T
SiteAddress: 30220 GOLIDENRAIN DR, MENIFEE, CA Parcel Number: 360-521-024
92584 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM. 20 PANELS, 1 INVERTER, 5.6 kW
Work:
Owner Contractor
ERIC SPRINGER AMERICAN SOLAR DIRECT INC
30220 GOLDENRAIN DRIVE 1552 WEST EMBASSY STREET
MENIFEE,CA 92584 ANAHEIM, CA 92802
Applicant Phone:4242146700
TREVON WILLIAMS License Number:941069
AMERICAN SOLAR DIRECT INC
1552 WEST EMBASSY STREET
ANAHEIM, CA 92802
Fee Description 911 Amount($
Solar,Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 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 effors 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.B1dg_Perm1t-Temp1ate.rpt Page I 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 exemptfrom 11censure underthe Contractor's State License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class Ciro License No. e�l By my signature below I acknowledge that,except for my personal residence
Explre6-'1bk2,-:!A-\7 Signature 4-�� inwhilich I musthave 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
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-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 welosite:
by Section 370D of the Labor Code,for the performance of work for which www.leginfo.ca.Rov/caIaw.htmL
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
*TI have and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which pey 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
with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy CCX2�'2.�\ —Expires ko enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundned
Z� Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o 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
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes %RC
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 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(SCAQMD)?See permitting checklist
IN SECrION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY a Yes U.N101,
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be Within 10DO 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) oyes 7 aX6'
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
contractoes License Law for the reason(s)indicated below by the hazardous a.terial reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes a
Business and Professions Code).Any city or county that requires a permit to W--- Date
construct,alter,improve,demolish or repair any structure,prior to its OPERTY 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 Hoensure 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 childmre facility to be FIRP-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 orthrough their
ci 1,as owner of the property,or my employee with wages as their sale 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.900ead 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 n An EPA Lead-Safe Certified Renovator will be responsible for this project
Property who,through em ployees'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 for this project because:
a 1,as owner of the property am exclusively contracting With licensed
contractors to construct the project(Section 70",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 PMT16-03667
11/22/2016
EsGil Corporation
In Partners&P with Governmentfor Buitding Safety
DATE: 11/22/2016 El APPLICANT
U,Inls.
JURISDICTION: City of Menifee U PLAN REVIEWER
U FILE
PLAN CHECK NO.: PMT16-03667 SET- I
PROJECT ADDRESS: 30220Goldenrain Dr.
PROJECT NAME: Springer 6KW rooftop PV System
The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
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.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the
applicant contact person.
F-1 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� Esgil corporation staff did advise the applicant that the plan check has been completed.
Person contacted: � Telephone #:
Date contacted: (b i Fax #:
Mail Telephone Fax n F erson E-mail:
F� REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
[] GA [_1 EJ F-1 PC 11/14
City of Menifee PMT16-03667
11/22/2016
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03667
PREPARED BY: Morteza Behesht! DATE: 11/22/2016
BUILDING ADDRESS: 30220 Goldenrain Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F--TR-E-A---1 valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE��
Junsdiction Code imnf Manual Input
Bldg. Permit Fee by Ordinance W
Pla n Check Fee by Ordinance
Type of Review: Complete Review Structural Only
[—]Re petitive Fee F-1 Other
IV mepemb D-� 1 1.5 Hrs. @
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review. Sheet 1 of 1
macvalue.doc+