PMT18-01248 City of Menifee Permit No.: PMT18-01248
29714 HAUN RD.
":X C A MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued:
04/O5/2018
PERMIT
Site Address: 30138 VIA PALERMO,MENIFEE,CA Parcel Number: 364-095-003
92564 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 24 PANELS, 1 INVERTER,7.08 KW
Work:
Owner Contractor
ROBERT SLAVIN N B BAKER ELECTRIC INC
30138 VIA PALERMO 2140 ENTERPRISE STREET
MENIFEE,CA 92584 ESCONDIDO,CA92029
Applicant Phone:7605466000
RAMON LOPEZ License Number:858088
N B BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO,CA 92029
Fee Description Qty, Amount(E)
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 building operations being carded on thereunder when in violation of the Building Cade 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_Bidg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
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 Contractors State License Law for
Professions Code and my license is in full force and effect, the following reason:
License Class CIO -I- C'l C License No. F5 S 90 k
ey my signature below I acknowledge that,except formy personal residence
Expires '31- I Signature in which l 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
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 forworkers 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 g Date
-,q 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 o 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: ,,rr11 \ 1 application and the information I have provided is correct.I agree to comply
Carder 0U `Ty-n..ht:c I_c S �o with all applicable city and county ordinances and state laws relating to
Poll g 14 L.1 C 3 S �6C '3_/_/�i 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 he completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑1 certify that in the performance of the work for which this permit is issued, ,r,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p (_)
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 shall Tth comply with those provisions. p Will the applicant or future building occupant handle hazardous material or a
Applicant v Date `'b'/� mixture containing a hazardous material equal to or greater that the
99 amounts SP50 lied on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes Ergo
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,o0D),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 hecons(SCtionor See permitting from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Ai�Qu/11p,al
CONSTRUCTION LENDING AGENCY D Yes ;7NO
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 bou0dary of a school?
(Section 3097 Civil Code) a Yes ti 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 underthe 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 item(s)(Section 703L5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to DY9 ONO r
(�4� /Construc Date
issuance,also r,Tmprove, applicantsh for pair any hepermit to file,prior signed its PROPERTY OWNER OR AU RIZED 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(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 the alleged exemption.Any violation of Section 7031.5 by residence cor ompensation
enfor mosty to work
that distuified firmsanico pre-19ply th
thanApplicant 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 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 wwmeoa.eov/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 o
property who,through employees'or personal effort,builds or improves the An EPA Lead-Safe Certified Renovator will he responsible for this project
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:
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
VW
EsG
A SAFEbuilCCompany
DATE: 3/27/2018 ❑ APPLICANT
,rd—JG—RIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: pmt18-01248 SET: I
PROJECT ADDRESS: 30138 Via palermo
PROJECT NAME: Salvin 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: // Telephone #:
Date contacted: (by ) Email: Fax #:
Mail Telephone Fax Inf
son
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 3/20
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee pmt18-01248
3/27/2018
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: pmt18-01248
PREPARED BY: Morteza Beheshti DATE: 3/27/2018
BUILDING ADDRESS: 30138 Via palermo
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING Tff-E-A-7 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: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
Repeats Hourl 1.5 Hrs. @
EsGil Fee 1 $157.50 ✓
Based on hourly rate
Comments: '
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macvalue.doc+