PMT18-02074 City of Menifee Permit No.: PMT18-02074
29714 HAUN RD. Type: Residential Electrical
<A—CCEL/A. MENIFEE,CA 92586
MENIFEE Date Issued:
OS111/2018
PERMIT
Site Address: 25831 ROUNDUP CIR, MENIFEE, CA Parcel Number: 358-511-014
92584 Construction Cost: $7,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 10 PANELS, 1 INVERTER, 3.60 KAf
Work:
Owner Contractor
KATHERINE BLACK N B BAKER ELECTRIC INC
25831 ROUNDUP CIRCLE 2140 ENTERPRISE STREET
MENIFEE, CA 92584 ESCONDIDO, CA 92029
Applicant Phone:7605466091
RAMON LOPEZ License Number: 858088
N B BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO, CA 92029
Fee Description Qtv Amount fSl
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 1.00
General Plan Maintenance Fee-Electrical 1 12.60
$451.10
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 Bldg_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 perjurythat 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 1 am exempt from licensure under the Contractors Slate License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class CIO '�- Cc(C License No. S(�
y 3/ /� By mysignature below lacknowledge that,except for mypersonal residence
Expires Signature in which l must have resided for at least one year priortocompletion 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
❑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
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. www.leginfo.m.gov/slaw.html.
Policy# Date
,4I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe performance of the work for which o By my signature below l 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: {{ �O 1 application and the information I have provided is correct.I agree to comply
Carrier U�d Yr-n...h� c e 5 with all applicable city and county ordinances and state laws relating to
Policy# /7WG }d5 a-6c "3_/_/� building construction.I authorize representatives of this city or county to
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
Dlcertify that in the performance of the work for which this permit is issued, 77tT��
Ishallnotemoiov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,1 shall�go��/ith comply with those provisions. �r Will the applicant or future building occupant handle hazardous material or
Applicant Date ('6'�� mixture containing a hazardous material equal to or greater that the
amounts spec fled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0Yes
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant requires permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forguide11�f
CONSTRUCTION LENDING AGENCY oyes 7K
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 boupdary of a school?
(Section 3097 Civil Code) ayes No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l 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 Item(s)(Section 70315 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to Wes oNo r 1
construct,alter,improve,demolish or repair any structure,prior to its 6 Z- 1� Date
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AurH6RiZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP1
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)exempor tion.
he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
andthebant for themitsdects th applican
t
a civil
of Section of not o residence or childcare facility to be RRP-certified firms and comply with
thanApplicant fora permit subjects the applicant to o civil penalty of not more required practices.This includes rental property owners and property
than($500).
managers who do the paint-disturbing work themselves orthrough their
o1,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.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 oAn 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. ❑No EPA Lead-Safe Certified Firm is required for this pmject bemuse:
❑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.
EsGi
A SAFEbuilf Company
DATE: May 7, 2018 LI/APPLICANT
/1J JURIS.
JURISDICTION: Menifee
PLAN CHECK #.: PMT18-02074 SET: I
PROJECT ADDRESS: 25831 Roundup Cir.
PROJECT NAME: Black Residence 10 Module 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: 7 Telephone #:
Date contacted:/ (byerson Email:
Mail Telephone Fax In
❑ REMARKS:
By: Kat Frankowski Enclosures:
EsGil
5/1/2018
9320 Chesapeake Drive,Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK #.: PMT18-02074
PREPARED BY: Kat Frankowski DATE: May 7, 2018
BUILDING ADDRESS: 25831 Roundup Cir.
BUILDING OCCUPANCY:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code #N/A
1997 UBC Building Permit Fee
1997 UBC Plan Check Fee
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
Repeats —Hourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments:
Sheet of