PMT18-00834 City of Menifee Permit No.: PMT18-00834
29714 HAUN RD.
4AC+C;ELA MENIFEE, CA 92586 Type: Residential Electrical
s.k—, MENIFEE Date Issued: 03/12/2018
PERMIT
Site Address: 25276 HIGH PLAINS CT, MENIFEE, CA Parcel Number: 358-090-012
92584 Construction Cost $30,450.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 30 MODULES, 1 INVERTER, 8.70kW
Work:
Owner Contractor
DANIEL RATAJCZAK BRIGHT PLANET SOLAR INC
25276 HIGH PLAINS CT 5 A STREET
MENIFEE, CA 92584 AUBURN, MA 01581
Applicant Phone: 8889974469
BRENDA LOPEZ License Number. 1020761
5 A STREET
AUBURN, CA
Fee Description C1yt Amount I$1
Solar,Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$455.10
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 carded 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_Permit_Template.rpt Page 1 of 1
f5r'end2 Lopez CITY OFMENIFEE
LICENSED DECLARATION —>ri9hi Fl he+ 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 contrector(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 effect. �7/�f the following reason:
License Clas LicenseN 6VG` By my signature below l acknowledge that,except for my personal residence
Expires 11 P signature in which I 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 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.leeinfo.ca.eov/calaw.html.
Policy# C1 1(A' ct14 Date
❑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 D By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carder 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
Carrier �p with all applicable city and county ordinances and state laws relating to
A n 1, `4 building construction.I authorize representatives of this city or county to
Policy# 'L1�O(L�2" 1 Expires�Z /r enter the above identifie ciperty for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
OPER OWNER ORA THORIZED 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 CITY BUSINESS LICENSE#
workers 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 shallijprthwith comply with those provisions. 3/� Will the applicant or future building occupant handle hazardous material or a
Applica t h4 G�_QL.1Q/7�� Date l LSi� 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 e1Sles oNo
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(SCction or modification
permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY X?es 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) p-Yes D 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
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous material report
Business and Professions Code).Any city or county that requires a permit to .dyes No
construct,alter,improve,demolish or repair any structure,prior to its r Date 3
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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
❑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.eoa.¢ov/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 D 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 Finn 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:
o 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 & SAFETY PERMIT/PLAN CHECK APPLICATION
Building S,
—
r- ) 9 6 2018 �
Menifee
DATE: o F^ 64PERMIT/PLAN CHECK NUMBER 6_
P IR CIA > RESIDENTIAL MULTI-FAMILY MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION C ALTERATION O DEMOUTION +2IELECTRICAL a MECHANICAL
O NNjEW O PLUMBING " RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK O S •1 I Y
PROJECTADDRESS F�S� IYy �c�C ``1 �ff\`nS C;}' ZIP 2�
ASSESSOR'S PARCEL NUMBER LOT TRACT 31 {
OWNER NAME MYyktN
ADDRESS
PHONE t`g51�2uy- 21 Q�; EMAIL
APPLICANTNAME Brenda Lopez
ADDRESS 7706 Trade st Suite A San Diego CA 92121
PHONE (619) 721-2660 EMAIL BrendaL@BrightPlanetSolar.com
CONTRACrOR'S NAME Bright Planet Solar OWNER BUILDER? O YES ONO
BUSINESS NAME Bright Planet Solar
ADDRESS 5 A st Auburn MA 01501
PHONE (888)997-4469 EMAIL
CONTRACTOR'S STATE LIC NUMBER 1020761 LICENSE CLASSIFICATION C:-10
VALUATION$ SQ FT L SO FT
APPLICANT'S SIGNATURE DATE
1
DEPARTMENT DISTRIBUTION I CITY OF M NI E Q 5�!_ LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED B� y✓Njl�(j1
PERMIT FEE I c , bQ SMIP GREEN
PLAN CHECK FEE I INVOICETOTAL
OWNER BUILDER VERIFIED %'YES NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586951-672-6777
www.c1tyofmenifee.us
r
EsG1
A SAFEbuilt Company
DATE: 3/7/2018 ❑ FPPLICANT
JIJRIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT18-00834 SET: I
PROJECT ADDRESS: 25275 High Plains Ct
PROJECT NAME: Ratajczak 7.6KW 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
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: l Telephone #:
Date contacted: (by:-9) Email: Fax #:
Mail Telephone Fax In Person
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 2/27
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee PMT18-00834
3/7/2018
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT18-00834
PREPARED BY: Morteza Beheshti DATE: 3/7/2018
BUILDING ADDRESS: 25275 High Plains Ct
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
pSprinklers
Jurisdiction Code mnf Manual Input
Bldg.Permit Fee by Ordinance
Plan Check Fee by Ordinance W
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Other
❑ Repetitive Fee
Repeats Hourly 1.5 Hrs. @
157.50
EsGil Fee $105.00 $
Based on hourly rate
Comments:
Sheet 1 of 1
macvalue.doc+