PMT16-03844 City of Menifee Permit No.: PMT16-03844
29714 HAUN RD. Type: Residential Electrical
<XCCFUA-> MENIFEE,CA 92586
MENIFEE Date Issued: 12119/2016
P E R M I T
Site Address: 31770 CYPRESS VIEW CT, MENIFEE, Parcel Number: 372-221-022
CA 92584 Construction Cost: $28,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 21 MODULES,21 MICROINVERTERS,7.56KW
Work:
Owner Contractor
SHERRY MEDEIROS IN B BAKER ELECTRIC INC
31770 CYPRESS VIEW CT 2140 ENTERPRISE STREET
MENIFEE,CA 92584 ESCONDIDO, CA 92029
Applicant Phone:7605466000
TERRY MCARTHUR License Number.858088
N B BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO, CA 92029
Fee Description P!Y. Amount($
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
$465.10
The issuance of this permit shall not prevent the building official from thereafter requidng 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_Penn1t—TeMp1ate.rpt Page 1 of 1
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)pursuant to the Contractors State Umnse Law).
Chapter9(commencing With section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractoes State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class C Lim N %56 Cee By my Sig
F — nature below I acknowledge that,except for my personal residence
Expires Signature_ ZI PW 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 stmcture 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 applimble 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 website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.Ieginfo.ca.Rov/caIaw.htmL
Policy# Date
k4-have 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 ownees behalf.I have read this
numberare: 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
I building construction.I authorize representatives of this city or county to
Policy#mvi c.-,,)o 6 b0K Pines VD\-%%kO 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
o I certify that in the performance of the work for which this permit is issued,
Ishalincitemol any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 0 970.
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the wqlker's compensation provisions of Section 3700 of the Labot
Code,I Shan ig o ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Ap TM Date L�AA 1 mixture containing a hazardous material equal to or gmater that the
Z i amounts spedfied on the Hazardous Materials Information Guide?
WARNING.FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE Is a Yes No
UNLAWFUL,AND SMALL SUBJECr AN EMPLOYER TO CRIMINAL PENALTIES k,
Win tile intended use of the building by the applica nt or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0(10),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(SCAQM D)?See permitting checklist
IN SECnON 3706 OF THE LABOR CODE,INTEREST,AND AlTORNEYS FEES forguildellnes
CONSTRUCTION LENDING AGENCY c Yes No
I hereby affirm that under the penalty of perjury there is a construction Will the cosed 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) o Yes rj&
0
OWNER BUILDER DECLARATIONS I have . he Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the state of
I hereby affim 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 Date
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes 0
Business and Professions Gode).Any city or county that requires a permit to OT I
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWAfR lik'AtiTHORIZED 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 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 exemptfrom 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"dth
an Applic:ant for a permit subjects the applicant to a civil pena Ity 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
a 1,as owner of the property,or my employee with wages as their sole employees.For mom information about EPA!s Renovation Program visit:
compensation,will do I I all of or I I portion of the work,and the structure is ww%v.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80"24-LEAD(5323).
Code,The Contractor's 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 ham the burden of proving that it was
not built or improved for the purpose of sale. ti No EPA Lead-Safe Certified Firm is required for this project because:
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 pmject does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
0�
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
""'Menifee
DATE 11/30/2016 PERMIT/PLAN CHECK NUMBER ?Fillv 00594IL4
TYPE: COMMERCIAL RESIDENTIAL DMULTI-FAMILY E]MOBILE HOME [:]POOL/SPA [:]SIGN
SUBTYPE: [-]ADDITION []ALTERATION []DEMOLITION [Z]ELECTRICAL [] MECHANICAL
FINEW OPLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Roof mounted PV solar install 7.56 KW (21)mods(21)Micro-inverters
NO UPGRADE
-611-10
PROJEcTADDRESS WCypressView
ASSESSOR'S PARCEL NUMBER 372-221-022 LOT 90P- TRACT I o 714
PROPERTY OWNER'S NAME Sherry Medelros
ADDRESS SAME
PHONE (760)579-3478 EMAIL sherrymedeiros@gmaii.com
APPLICANT NAME Terry McArthur
ADDRESS 2140 Enterprise ST. Escondido,CA.92029
PHONE (760)484-2793 EMAIL tmcarthur@bakerelectdcsolar.com
CONTRACTOR'S NAME Terry McArthur OWNERBUILDER? OYESZNO
BUSINESSNAME Baker electric solar
ADDRESS 2140 Enterprise ST. Escondido,CA.92029
PHONE (760)484-2793 EMAIL
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C-10
VALUATION$ $28,000.00 11 � k- :%-8�3 L SQ FT
APPLICANrs SIGNATURE DATE 11/30/2016
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PL4NNING ENGINEERING FIREG'REENT41 SMIP
INVOICIE
AMOU T 0 PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC-
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VtSA/MC
OWNER BUILDER VERIFIED 0 YES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityoj`menifee.us Inspection Request Line 951-246-6213
EsGil Corporation
in Partnership with governinentfor ouifding Safety
DATE: December 9, 2016 U APPLICANT
C3 JURIS.
JURISDICTION: Menifee U PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-03844 SET I
PROJECT ADDRESS: 31770 Cypress View Court
PROJECT NAME: Medeiros 8.2 KW Solar 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:
Fq Esgil Corporation staff did not advise the applicant that the plan check has been completed.
F-1 Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Eric Jensen Enclosures:
EsGil Corporation
El GA El EJ F1 PC 12/02
9320 Chesapeake Drive, Suite 208 * San Diego,California 92123 * (858)560-1468 * Fax(858)560-1576