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