PMT18-00679 City of Menifee Permit No.: PMT18-00679
29714 HAUN RD. Type: Residential Electrical
"l�CCFO MENIFEE, CA92586
MENIFEE Date Issued: 02/28/2018
PERMIT
Site Address: 25025 RUFFIAN RD, MENIFEE, CA 92585 Parcel Number: 330-180-037
Construction Cost: $18,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 20 PANELS, 20 MICROINVERTERS, 7.00 KW
Work:
Owner Contractor
ALEJANDRO&MARIA MENDOZA
25025 RUFFIAN ROAD
MENIFEE, CA 92585
Applicant License Number:
ALEJANDRO&MARIA MENDOZA
25025 RUFFIAN ROAD
MENIFEE, CA 92585
Phone:9512398386
Fee Description 01t rr Amount I51
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 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$453.10
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_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 XI am exempt 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 License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
D 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.le in Qv calaw.html.
Policy# Date
❑I have and will maintain worker's compensation insurance,as required by PROPERTY O'WrT1EFrOR A ORIZED AGENT
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
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Polity# Expires enter the above identified property for Inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the `1.CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become -HAZARDOUSMATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor I'-
Code,I shall forthwith comply with those provisions. WIII the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS °Yes 'jNo
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($100,00),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(SC construction
or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes TSNo
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) ❑Yes c)'(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
Contractor's Ucense Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous materi Rporting.
Business and Professions Code).Any city or county that requires a permit to ayes 1 I n Q
construct,alter,improve,demolish or repair any structure,prior to its Date L ✓u
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHY5ED AGENT
hat he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION REPAIR AND PAINTING(RRPI
icense Law(Chapter 9(commencing with Section 7000)of Division 3 of the
usiness and Professions Code)or that he or she is exempt from licensure The E1�6 novation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receia��1"� o tion for most work that disturbs paint in a pre-1978
an Applicant for permit subjects the applicant to a civil penalty of not more resident Qrj it cility to be RRP-certified firms and comply with
PP P 1 PP P ty -'z/lp�
than($500). rerred pracHt sgludes rental property owners and property
m6 s ho da t int-disturbing work themselves orthrough their
❑1, p owner ,will property,or myI employee with wages as their sole www.le n mama the about al Lee Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.e a. ov contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions $j V2 I-LEAD( ).
Code;The Contractor's State License Law does not apply to an owner of a 7W
property who,through employees'or personal effort,builds or improves the d-Safe Certified Renovator will be responsible for this project
property provided that the improvements are not intended or offered for Name:
sale.If,however,the building or improvement Is sold within one year of
completion,the Owner-Builder will have the burden of proving that it was Firm Ce i ication No.:
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
D I,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.
EsIG
A SAFEbudt Company
DATE: 2/26/18 ❑ APPLICANT
�dURIS.
JURISDICTION: Menifee
PLAN CHECK #.: PMT18-00679 SET: I
PROJECT ADDRESS: 25025 Ruffian Rd
PROJECT NAME: Mendoza 20 Microinverter 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
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
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 staff did not advise the applicant that the plan check has been completed.
❑ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: / Telephone #:
Date contacted: � (byjQ) ) Email:
Mail Telephone Fax In Person
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil
2/16
9320 Chesapeake Drive, Suite 208 ♦ San Diego,Califomia 92123 ♦ (858) 560-1468 ♦ Fax (85 8) 560-1576
Menifee PMT18-00679
2/26/18
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK #.: PMT18-00679
PREPARED BY: Morteza Beheshti DATE: 2/26/18
BUILDING ADDRESS: 25025 Ruffian Rd
BUILDING OCCUPANCY: B
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTALVALUE
Jurisdiction Code mnf Manual Input
1997 UBC Building Permit Fee W
1997 UBC Plan Check Fee
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
IV Repeats Hourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
' Based on hourly rate
Comments:
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