PMT17-00384 City of Menifee Permit No.: PMT17-00384
29714 HAUN RD.
�!-�CCELA> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued:
02/24/2017
PERMIT
Site Address: 24400 CONEJO DR, MENIFEE, CA 92587 Parcel Number: 341-180-049
Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 26 MODULES,26 MICROINVERTERS,7.02KW ON
Work: FACTORY BUILT HOME, HCD NOT REQUIRED
Owner Contractor
CATHERINE BROWNE ENERGY RENOVATION CENTER
24400 CONEJO DR 11731 STERLING AVE UNIT G
MENIFEE,CA 92587 RIVERSIDE, CA 92503
Applicant Phone:9513197760
ANTHONY FLOURNOY License Number: 1009326
ENERGY RENOVATION CENTER
11731 STERLING AVE UNIT G
RIVERSIDE, CA 92503
Fee Description Oat Amount ISl
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
$462.10
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 staled,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_Blog_Permit Template.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 D 1 am exempt from licensure under the Contractors State License Law for
Professions Codeand my license Is in full force and effect. the following reason:
Ucense Class l-/ "to Licen. � "` 5)- By my signature below I acknowledge that,except for my personal residence
Expires I�I°J I /j� Signature in which I must have resided for at least one year priorto 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
❑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 workers 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 websfte:
by Section 3700 of the Labor Code,for the performance of work for which www.IeRInfo.ca.gov/calaw.htmL permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
a'I have and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,ferthe performance of the work forwhich n By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: / / application and the information I have provided is correct.I agree to comply
,.��J / iln+ 1 t\bV'(AIl U.N� with all applicable city and county ordinances and state laws relating to
Carrier `^" !!" )91ti!! —L building construction.I authorize representatives of this city or county to
Policy# ��Sy��'�•aD7LY Expires 3l�I� T 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 certify that in the performance of the work for which this permit Is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers com/p¢nsation,yrevisions of Section 3700 of the Labor
Code,I shall forthwio p(y with (fuse provisions. Will the applicant or future building occupant handle hazardous material or a
Date mixture containing a hazardous material equal to or greater that the
Applicant
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WbRKEWS COMPENSATION COVERAGE IS o Yes o No
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 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 ❑Yes ❑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?
(Section3097 Civil Code) D Yes ❑No
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 under the State of
Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No
Business and Professions Code).Any city or county that requires a permRto Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZEDAGENT
issuance,also requires the applicantfor the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors 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-certified 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 who do the paint-disturbing work themselves or through their
o I,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( )all of or( )portion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of 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. o No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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.
BUILDING : APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER BOO
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 8 ELECTRICAL O MECHANICAL
0�NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES u"
DESCRIPTION OF WORK j,Ca (A) (C Iy1.0lA.O+ %Aar S+em � wIv u,lts
MTTpiFlJfs{'26SF10 O�+C
PROJECTADDRESS )411nD pr.
ASSESSOR'S PARCEL NUMBER I80'D4q LOT TRACT
OWNER NAME n,c
wc
ADDRESS A OU Lau,
PHONE 90CA ZJ& 14401 EMAIL
APPLICANT NAME Y �t Ot,,M
ADDRESS 7 �7E CG ,tV1 i.�Q�"l�'� ` 1
PHONE CT�I SA EMAIL yl. c -f.`
CONTRACTOR'S NAME brejy,, Uq ` OWNER BUILDER? O YES �60
BUSINESS NAME
ADDRESS �} dc�-(U� i'C Cy, N' q�503
qzT
PHONE EMAIL MiY G Gf� 7tJ�c (sW1CC/t�� •(fl+✓L
CONTRACTOR'S STATE LIC NUMBER joogEa(P LICENSE CLASSIFICATION 00
VALUATION$ Q FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITY5TAFF USE ONLY
DEPARTMENT DISTRIBUTION CITYOF IF SINESS LICENSE NUMBER
BUILDING PLANNING E GINEERING FIRE I GREEN SMIP O
INVOICE Q
AMOUNT -` . PAID AMOUNT OCASH OCHECKB 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK II O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-245-6213
EsGil Corporation
In(Partnership with Government for(Building Safety
DATE: 2/17/2017 ❑ APPLICANT
RIS,
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT17-00384 SET: I
PROJECT ADDRESS: 24400 Conejo Dr.
PROJECT NAME: Browne 26 microinverter 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.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ 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:2) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 2/13
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee PMT17-00385.e
2/17/2017
(DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT17-00384
PREPARED BY: Morteza Beheshti DATE: 2/17/2017
BUILDING ADDRESS: 24400 Conejo Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F-TVE-A-1 Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Imnf Imanual Input
Bldg.Permit Fee by Ordinance W
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee El Other �
Repeats Hourly 1 1.51 Hrs. @
- — ESGII Fee $105.001 $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review.
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