PMT17-00701 City of Menifee Permit No.: PMT17-00701
29714 HAUN RD.
-5ACCEU/ MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued:
03/27/2017
PERMIT
Site Address: 26266 RIM CREEK PATH,MENIFEE,CA Parcel Number: 360-670-008
92584 Construction Cost $23,940.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 29 MODULES,29 MICROINVERTERS,7.96KW
Work:
Owner Contractor
YVONNE&TAMRA SIMPSON BARNES SOLAR INC
26266 RIM CREEK PATH 16560 HARBOR BLVD UNIT R
MENIFEE, CA 92584 FOUNTAIN VALLEY, CA 92708
Applicant Phone: 9493516217
RICK ROOT License Number:943909
BARNES SOLAR INC
16560 HARBOR BLVD UNIT R
FOUNTAIN VALLEY, CA 92708
Fee Description PA Amount(S)
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 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$454.10
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_Bidg_Pernil_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 o I am exempt from licensure under the Contractor's State License law for
Professions Code and my license is In full force and effeecct.7 �7 the following reason:
License Class C-I G 6 ''ID License No. Z'7 7 U By my signature below 1 acknowledge that,except for my Personal residence
Expires — 17 - Signature in which 1 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
❑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 website:
by Section 3700 of the labor Code,for the performance of work for which
(his permit is issued. www.leeinfo.ca.eov/calaw.html.
Policy# Date
o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑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
. �� a?�.�IfitA0�1 with all applicable city and county ordinances and state laws relating to
/- building wnstruction.I authorize representatives of this city or county to
Policy E T P Z_Z�� y' property P P P Poll # Expires enter the above identifiedfor 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,
all not employ 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 workers compensation provisions of Section 3700 of the Labor
Code,I shall forth ith comply wit those provisions. //11/�7 Will the applicant or future building occupant handle hazardous material or a
Applicant Date 4-7-i mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILUR TO SE URE WORKER'S COMPENSATION COVERAGE Is o Yes ❑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 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) o 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&Safety Code,Section 25505 and 25534 concerning
hazardous materi,7J.�-�ort9rng.
checkmark(s)I have placed next to the applicable Item(s)(section 7031.5 skes ❑No 'f / y ]n
Business and Professions Code).Any city or county that requires a permitto µ ( /' ( Date J •.2
construct,alter,improve,demolish or repair any structure,prior to its 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 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)orthat he or she is exempt from Iicensure receiving compensation for mostwork that disturbs paint in a pre-1978
and the basis forthe alleged exemption.Any violation of Section 7031.5 by
an Applicant for a permit subjectsthe applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
❑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( )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 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 forthe 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 ISection 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 • SAFETY PERMIT/PLAN
• • 1 APPLICATION
-Menifee
DATE PERMIT/PLAN CHECK NUMBER fA l (rl' O O
TYPE: O COMMERCIAL -RESIDENTIAL 0— MULTI-FAMILY C> MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O.ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW Y O PLUMBING O RE-ROOF-NUMBER OF SQUARES
n' r
DESCRIPTION OF WORK �Mf- ' ,,XULr-!'-l"i J I 29 441e4 O I,�JtJF.r•L7�/'
PROJECTADDRESS Z, a 2-(p(p ( -talk Ckrl %<
ASSESSOR'S PARCEL NUMBER 5QV0-(0,0lCC)B LOT $ TRACT
OWNER NAME p OJ p
ADDRESS
PHONE EMAIL
APPLICANT NAME 1C.( cv,
,,�2 oo<
ADDRESS t (J<(Pv 4P40C/ 5 L t ll/9Y/�1� JaLL4- e, q ) 7D
PHONE EMAIL A-DML�--> Q 3ARtJC5 SOCA-fl , G®v,4
CONTRACTOR'S NAME RV21U L OWNER BUILDER? OYES NO
BUSINESS NAME /(L� n
ADDRESS , &<bC2 )W -6L (YOU.NY 7 �`-� L) �Z'L C"C. q �--70,�
PHONE 24 3 1;,7 6,U, EMAIL Etil L +1�� 5 S EC.dzL•. Ca
CONTRACTOR'S STATE LIIC,NUMBER 7 � 90 `� LICENSE CLASSIFICATION
VALUATION$ ? ry�CJ 5¢FIT .7/ L SQ FT
APPLICANT'S SIGNAT URE i /,i ,L DATE 3 (1l
DEPARTMENT DISTRIBUTION (/t/1 (q CITY OF MENIFEE BUSI4EESSSLIENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE A W PAID AMOUNT O �;
AMOUNT 1� CASH CHECKk OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of IVlenifee Building 3<Safety Department 2971a :4aun Rd. Menifee, CA 92556 951-672-6777
www,cit yofinenifee.us Inspection Request Luce 951-246-6213
EsGil Corporation
In Partnership with governmentforouifding Safety
DATE: 3/21/2017 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT17-00701 SET: I
PROJECT ADDRESS: 26266 Rim Creek Path
PROJECT NAME: Simpson 29 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: ) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 3/9
9320 Chesapeake Drive,Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee PMT17-00701
3/21/2017
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT17-00701
PREPARED BY: Morteza Beheshti DATE: 3/21/2017
BUILDING ADDRESS: 26266 Rim Creek Path
BUILDING OCCUPANCY:
BUILDING AREA Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf iManual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: r Complete Review Structural Only
r- Other
I-Repetitive Fee ,
F—-I Repeats rV Hourly 1.5 Hrs. @
-J EsGil Fee $105.00
' Based on hourly rate
Comments: EsGil Fee = 1.5 hours at $105.00/hr = $157.50
Sheet 1 of 1
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