PMT18-02370 City of Menifee Permit No.: PMT18-02370
29714 HAUN RD.
<ACCFLA-> MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0612912018
PERMIT
Site Address: 26135 ST MARY'S ST, MENIFEE, CA Parcel Number: 337-021-041
92586 construction Cost: $29,500.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,20 PANELS, 1 CENTRAL INVERTER, 5.90 KW
Work:
Owner Contractor
DEBBIE YOUNG COMPLETE SOLAR INC
26135 ST MARYS STREET 1850 GATEWAY DRIVE SUITE 450
MENIFEE, CA 92586 SAN MATEO,CA 94404
Applicant Phone: 8772994943
SARAH PRADO License Number:961988
COMPLETE SOLAR INC
1850 GATEWAY DRIVE SUITE 450
SAN MATEO,CA 94404
Fee Description ON Amount f$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 building 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
hereby affirm under penalty of perjury that lam 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 01 am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and ffecL the following reason:
/
License lass l —I ic) License No , By my signature below I acknowledge that,except for my personal residence
Expires q,Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.)cannot legallysell 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 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 www/.l'e1,info.o,L^ov w.html.
this permit is issued. v Y `Id�-zV l i _
Polity# k ,V/.r5tal�J Date
01 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 follmving: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
numbP O .+ ` application and the information I have provided is correct.I agree to comply
Carder' 'l� -'{t�rl/I�Ifn`tA with all applicable city and county ordinances and state laws relating to
tt,,�� f(�� building construction.I authorize representatives of this city or county to
Policy# oyil--1 Expires er tthhie('a�boo/v�eid�entitie�d pproperty for inspection purposes.`
(This section need not to be completed is the permit is for one-hundred ( ➢./V -l� Date I �
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
0 I cergfy that in the performance of the work for which this permit is issued,
Ishallnotemolov any persons in any manner so as to became 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,1 shall4arthwith cccion lyw th th s(e provisions. + Will the applicant or future building occupant handle hazardous material or a
Applicant` fG'�r \ L,� l �—` mixture containing a hazardous material equal to or greater that the
e amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE W RKER'S CtIMPENSATION COVERAGE IS ❑Yes ❑No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicantor 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 forguidelines
CONSTRUCTION LENDING AGENCY oYes ❑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) 0 Yes 0 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 2550S and 25534 concerning
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 h dous material reporting. 11
Business and Professions Code).Any city or county that requires a permit to k -N 1olA.J11 \ Q�n Date !
construct,alter,improve,demolish or repair any structure,prior to its PROPERTYOWNER 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 FIRM
License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires cantractors
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 70315 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
a 1,as owner of the property,or my employee with wages as their sale 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.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 0 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 Finn 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:
❑1,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 Rll out the RRP
Acknowledgement.
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iv en tee
DATE: rj,1S�l PERMIT/PLAN CHECK NUMBER
TYPE: - COMMERCIAL *RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA 0 51GN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL OyM.ECHANICAL
O.NEW U:PLUMBING O RE-ROOF NUMBER AW SQUARES ��C> t, y-
_ -DESCRIPTION-OF WORK ( ya
L�I t so �1
f h�
PROJECTADDRESS ab13S ' ` ZIP enif
ep
ASSESSOR'S PARCEL NUMBER 'p 7�-0 LOT TRACT
OWNER NAME bw ou MAY 5 mg
ADDRESS id/''
PHONE c l/� EMAIL �n
APPLICANT NAME '�t/ ( oo\o � y-c� TA- /
ADDRESS �`
'P JHONE �l� �l-�'��lQ��� -EMAIL roAO
CONTRACTOR'S NAME OWNER BUILDER' O YES WN0
BUSINESS NAME
ADDRESS
PHONE !g 4lC 1:A� EMAIL
CONTRACTOR'S STATE LIC NUMBER
1 Q `I. rL,J, LICENSE CLASSIFICATION
VALUATION$ v SQ FT O L SO FT
APPLICANT'S SIGNATURE DATE
STAFF LLSE=x_
DEPARTMENT DISTRIBUTION ACCEPTED CITY OF MENIFEE BUSINESS LICENSE NUMBER
-
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE G Uo SMIP, - GREEN ,9 -
PLAN CHECK FEE I INVOICETOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES C) NO
City of iv,enifee Building 9 Sofety Deportment 29714 Houn Rd. Menifee, CA 92585 951-572-5777
WWW.Cit yO finenifee.Us
vs
EsG
A SAFEbuitt Company
DATE: May 22, 2018 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee
PLAN CHECK #.: PMT18-02370 SET: I
PROJECT ADDRESS: 26135 St. Mary St.
PROJECT NAME: Young Residence 20 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 th applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by. ); Email:
Mail Telephone Fax In Person
❑ REMARKS:
By: Kat Frankowski Enclosures:
EsGil
5/16/2018
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 #.: PMT18-02370
PREPARED BY: Kat Frankowski DATE: May 22, 2018
BUILDING ADDRESS: 26135 St. Mary St.
BUILDING OCCUPANCY:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf IManual Input
1997 UBC Building Permit Fee
_—
1997 UBC Plan Check Fee
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
RepeatsD Hourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments:
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