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PMT16-04197 City of Menifee Permit No.: PMT16-04197 29714 HAUN RD. Type: Residential Electrical <A—CCEL^'y MENIFEE, CA 92586 MENIFEE Date Issued: 12/3012016 P E R M I T Site Address: 24058 DEPUTY WAY, MENIFEE, CA Parcel Number. 358-550-002 92584 Construction Cost: $36,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 25 MODULES, 1 INVERTER 7.25KIN Work: Owner Contractor DAVID HARD DELION ELECTRICAL CONTRACTORS 24058 DEPUTY WAY 28341 BRUNING STREET MENIFEE, CA 92594 MURRIETA, CA 92563 Applicant Phone:9518161593 VERNON OWENS License Number:990101 DELION ELECTRICAL CONTRACTORS 28341 BRUNING STREET MURRIETA, CA 92563 Fee Description QtK Amount($1 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review ElectriGal 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 spedifications 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_PermrLTernplate.rpt Page 1 of 1 CITY OF IVIENIFEE 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). Chapter9i(commencing with section 7000)of Division 3 of the Business and o I a m exem Fit 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 If-10 License No. By my signature below I acknowledge that,except for my personal residence Expires Signature inwhich I musthave resided for at least one year prior to completion of improvements covered bythis permit.I cannot legally sell a structurethatl 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 www.Ieginfo-ca.Kov/caIaw.html. this permit Is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT n I 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 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 with all applicable city and county ordinances and state laws relating to Carrier 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 one�hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT I I mi-tify that In the performance of the work for which this permit is issued, I all not empi 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 ith co with those provisions. Will the applicant or future building occupant handle hazardous material or a Ap. Date/.�03,9 mixture containing a hazardous material equal to or greater that the - / / amounts 5 ecified on the Hazardous Materials Information Guide? WARNING:FAILLIRE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES F, Will the intended use of the build ing by the applicant or futu re bu Hifing 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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY 0 Yes KNO 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) ci Yes kNo 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 Contractor's License Law for the reason(s)indicated below by the hazardous materla�reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 5 ON Business and Professions Code).Any city or county that requires a permit to 1�- -4- �C­�� Date construct,alter,improve,demolish or repair any structure,priartorts PROPERTY 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(RRP) 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 th e a fleged exern ption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a Perm it subjects the applicant to a civil Pena Ity of not mare req aired p ractices.This includes renta I property owners and property than($500). managers who do the paint-disturbing work themselves or through 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 I all of or I )portion of the work,and the structure is wv�w.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 a 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. a 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 RRP rule please fill out the RRP Acknowledgement. City of Menifee PMT16-04197 12/28/2016 EsGil Corporation In(Partnership 1witfi Governmentfor Buiffing Safety DATE: 12/28/2016 El APPLICANT El JURIS. JURISDICTION: City of Menifee El PLAN REVIEWER El FILE PLAN CHECK NO.: PMT16-04197 SET: I PROJECT ADDRESS: 24058 Deputy Wy PROJECT NAME: Haro 7.6KW rooftop Photovoltaic 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. [_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. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 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. 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: REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation El GA El EJ F1 PC 12119