PMT16-04005 City of Menifee Permit No.: PMT16-04005
29714 HAUN RD. Type. Residential Electrical
<A-CCF-LA-> MENIFEE, CA92586
MENIFEE Date Issued 12/2712016
P E R M I T
SiteAddress: 31222 SHADOW RIDGE DR, MENIFEE, Parcel Number: 372-243-013
CA 92584 Construction Cost: $22.000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 28 PANELS, 1 INVERTER, 7.60KW
Work:
Owner Contractor
STEVEN DOOLEY CALIFORNIA SOLAR IMPROVEMENTS
31222 SHADOW RIDGE DR 895 PLAZA CATALONIA
MENIFEE, CA 92584 CHULA VISTA, CA 91910
Applicant Phone: 6198716755
DOUGLAS MAXWELL License Number.964933
CALIFORNIA SOLAR IMPROVEMENTS
895 PLAZA CATALON[A
CHULA VISTA, CA 91910
Fee Description DIV 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 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$453.10
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 buillding 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_Pe"fi-TeMpIate.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 License Law).
Chapter9(commencing With section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
E
xpIre,,,5�--__Zi7_signatur 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 structure that I
WIDRKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
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
ave 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 appilution 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.Ie-info.ca,Rov/caIaw.htmL
Policy# Date
ci I 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 owner's behalf.I have read this
number are; 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
building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for onehundred Date
dollars.0100)or less
I PROPERTY OWNER OR AUTHORIZED AGENT
certify that in the performance of the work for which this permit is issued,
she 11 not em Ploy a ny persons in a ny in a nner so as to becom e subject to the CITY BUSINESS LICENSE#
orker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
�IL.1.1� . ..... I �1�...U..�..l
I shall hwith comply with th eprovisions. Will the applicant or future building occupant handle hazardous material Ora
mixture containing a hazardous material equal to or greater that the
�Pupll'unt 7 �7 7 Date /2 -W-4 amounts specified on the hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS u Yes pwo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
M
H
rr
c
'h
P
0
a
Y
th
v
S
c
is,
h
e
c
h
e
p
P
u-I
Ca rrh
P.I,ci
(Th I,
d.lia.
ce
sh a IJ
cirk, (a
c
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000),IN 'A
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
forguidelines
CONSTRUCTION LENDING AGENCY ci Yes U_f(o
I hereby affirm that under the penalty of perjury there is a construction WA III 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) a Yes qN6
OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Information Guide and the SCAQMD
P,
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)Inifluted 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 6&6--- —Date 2
construct,alter,improve,demolish or repair any structure,prior to its �NOPERTY 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 JRRPl
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-certified 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
ci 1,as owner ofthe property,or my employee with wages as their sole employees.For more information about EPA!s Renovation Program visit:
compensation,will do( )all of or( I portion of the work,and the structure is www.epa-govIlead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions I-BOG-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 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 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 forthis project because:
0 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",Business and Professions
Code:The Contractoes 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 PMT16-04005
12/19/2016
EsGil Corporation
In Partnership with governmentforOuifding Safety
DATE: 12/19/2016 0 APPLICANT
42-—JURIS.
JURISDICTION: City of Menifee Ll PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-04005 SET: I
PROJECT ADDRESS: 3122 Shadow Ridge Drive
PROJECT NAME: Dooley 7.6KW rooftop PV System
The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
F-1 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.
F-1 The plans transmitted herewith have significant deficiencies identified on the enclosed
check list and should be corrected and resubmitted for a complete recheck.
[_1 The check list transmitted herewith is for your information. The plans are being held at
Esgil Corporation until corrected plans are submitted for recheck.
El 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:
z 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 contactecl�.�,, Telephone #:
Date contacted: Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA El EJ PC 12/9