PMT16-03981 City of Menifee Permit No.: PMT16-03981
29714 HAUN RD. Type: Residential Electrical
"ACCELA-> MENIFEE, CA 92586
MENIFEE Date Issued: 12/2112016
P E R M I T
Site Address: 32255 LINDENBERGER RD, MENIFEE, Parcel Number: 372-140-014
CA 925154 Construction Cost: $31,850.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,44 PANELS,44 MICROINVERTERS, 10.252 kW
Work:
Owner Contractor
SCOT&LORA STEVENS NEW DAY SOLAR
32255 LINDENBERGER ROAD 23811 WASHINGTON AVE STE C1 10
MENIFEE, CA 925134 #224
Applicant Phone:8554446329
DANE JOHNSTON License Number: 812958
NEW DAY SOLAR
23811 WASHINGTON AVE STE C1 10
#224
MURRIETA, CA 92562
Fee Description Qtv 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 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$466.10
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 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_Permil—Template.ript Page I of I
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 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 License Law for
Professions Cod;eAn4�HcFisin fullforce and eff t
the following reason:
License Class It Li s e DO. ASP By my signature below I acknowledge that,except for my personal residence
.11 rJJ 2��. in which I must have resided for at least one yea r prior to completion of
Expiresf'2100L SignaturC ra2
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-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.leginfo.ca-gov/calaw.html.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
A'h',ve and will maintain worker's compensation insurance,as required by
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 beha If.I have read th Is
number are: application and the information I have provided is correct.I agree to comply
r with all applicable city and county ordinances and state laws relating to
Carrie A-V building construction.I a5l"yze representatives of this city or county to
Policy# Expires enter the above identio0ybperty for inspection purpos s.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less AUTHORIZED AGENT
ci I certify that in the performance of the work for which this permit is issued,
Ishallnotemplo 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 mixture containing a hazardous material equal to or greater that the
amounts spe !fled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS, 0 Yes 2.
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 FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guide['
CONSTRUCTION LENDING AGENCY 0 yes Z.
I hereby affinm that under the penalty 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 b d of a school?
(Section 3097 Civil Code) o Yes ; or
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 underthe State of
Contractor's License Law for the reason(s)Indicated below by the California Health&Safety C?.Oa�Sectlon 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 haz!oms material repo 9.
�Wes
Business and Professions Code).Any city or county that requires a permit to rl_ Az
A 7'�E Date—4—IAL
construct,alter,improve,demolish or repair any structure,prior to its PR R OWNEROkAUTHORIZED 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 Contractoes State EPA RENOVATION,REPAIR AND PAINTING FIRM
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-certifled firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more
than($500). required practices.This Includes rental property owners and property
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 more Information about EPA's Renovation Program visit:
compensation,will do I I 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 7044,Business and Professions 1-800-424-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 forthis 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-Builderwill have the burden of proving that it was
not built or improved for the purpose of sale. A`cEPA Lead-Safe Certified Firm is required for this project because:
u 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.
City of Menifee PMT16-03981
12/19/2016
[DO NOTPAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03981
PREPARED BY: Morteza Beheshti DATE: 12/19/2016
BUILDING ADDRESS: 32255 Lindenberger
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F-7ff E—A—] Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALU���j
Jurisdiction Code Imnf IlManual Input
Bldg. Permit Fee by Ordinance W 7,
Plan Check Fee by Ordinance
Type of Review: F-1 Complete Review Ej Structural Only
E] Repetitive Fee El Other
Repeats Hirs. @
EsGil Fee $157.501
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+