PMT16-04007 City of Menifee Permit No.: PMT16-04007
29714 HAUN RD.
<A-C-CEU� MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 1212112016
P E R M I T
Site Address: 26444 MCCALL BLVD, MENIFEE, CA Parcel Number: 335-152-017
92586 Construction Cost: $10.000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNT PV SOLAR-2900KW STC 1 OX290
Work:
Owner Contractor
CLINTON STINE W C HEATING&AIR CONDITIONING INC
26444 MCCALL BLVD 41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Applicant Phone: 9516000700
JACOB MENDENHALL License Number 779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description My Amountt$)
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 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$452.10
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_Bldg_Permk Template.rpt Page 1 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 m I am exempt from ficensure under the Contractor's State License Law for
Professions Code and my license Is in full force and effect the following reason;
License Class ;e Dlo. By my signature below I acknowledge that,except for my personal residence
Expires 6f-�O
Signature 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
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.litmi.
Policy# Date
y 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 X 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
number are: application and the information I have provided is correct.I agree to comply
Carrier Y1 with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# W66 C70 3 Expires enter t ov , t!ie � pe y for inspection purposes.
?b
�1<1�1
(This section need not to be completed is the permit is for one-hundred R/7,W;M/Z� Date
dollars($100)or less Z
P R R KNEP,611 AYTKORIZED AG ENT
o I certify that in the performance of the work for which this permit is issi
Ishallnoterri 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 fo h �ly w, thaseprovi.sions. 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
ru;/ 27 (1 amounts specified onthe Hazardous Materials Information Guide?
WARNING:FkILURE 4SECUR/E WZORKER'S COMPENSATION COVERAGE IS o Yes o No
UNLAWFUL,AND SHALLSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building bythe 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 guidelines
CONSTRUCTION LENDING AGENCY o Yes o No
I hereby affirm 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 boundary of a school?
(Section 3097 Civil Code) oYes ciNo
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
Contmctor's License Law for the reason(s)indicated below by the hazardous ma . I
na r po mg.
L
Yes
checkmark(s)I have placed next to the applicable Items)(Section 7031.5 0yes
Business and Professions Code).Any city or countVthat requires a permitto Date
PROP)o
R 0
construct,alter,improve,demolish or repair anystructure,priorto its PROP RTYOVAER#�eHORIZED AGENT
issuance,also requires the applicant forthe permitto 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 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-certffied 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 whoclothe paint-disturbing work themselves orthrough their
o 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 all of or( )portion of the work,and the structure Is www.epa.gov/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 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. ci No EPA Lead-Safe Certified Firm is required for this project because:
o 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 FAR rule please fill out the RAP
Acknowledgement.
City of Menifee PMT16-04007
12/19/2016
EsGii Corporation
In(Partnersfiipwith Governmentfor Ouirding Safety
DATE: 12/19/2016 El APPLICANT
Iff-JURIS.
JURISDICTION: City of Menifee El PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-04007 SET: I
PROJECT ADDRESS: 26444Mccall Blvd
PROJECT NAME: Stine 3.8KW 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.
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.
F-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.
1-1 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the
applicant contact person.
F1 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 11:
Date contacted: (b Fax 4:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA n EJ n PC 12/9