PMT18-02434 City of Menifee Permit No.: PMT18-02434
29714 HAUN RD.
�CCEL/-' MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 05/30/2018
PERMIT
site Address: 28900 ESCALANTE RD, MENIFEE, CA Parcel Number: 351-272-010
92587 Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED 7.26KW, 22 MODULES, 1 INVERTER
Work:
Owner Contractor
LACEY RAFFERTY NB BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO,CA 92029
Applicant Phone:7605466091
RAMON LOPF7 License Number.858088
NB BAKER ELECTRIC INC
2140 ENTERPRISE STREET
ESCONDIDO, CA 92029
Fee Description P!Y. Amount f8l
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 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$452.10
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_Pennit_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 D I 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 CIO -�- C CI C License No. $v By my signature below I acknowledge that,except for my personal residence
Expires y-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
❑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.IeziInfiz.ca.Roy/czzIaw.htmI.
Policy# 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 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 owner's behalf.I have read this
number are: `` ,pr7 \ 1 application and the information I have provided is correct.I agree to comply
Carrier (-) V�-n.. ht � ei �o with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# f11✓G }85 �k 6C Expires .3-/- /0 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emoloy 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,1 shall ith comply with those provisions. q Z Will the applicant or future building occupant handle hazardous material or a
Applicant ew Date r-6.1 7 mixture containing a hazardous material equal to or grealerthatthe
amounts spaa''fled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o
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 modifica8on from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCtionor See permitting from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for Coast
At.r Qua)
CONSTRUCTION LENDING AGENCY ❑Yes 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 bou9dary of a school?
(Section 3097 Civil Code) o Yes 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 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to bY9 D Noconstruc r
�C G � / Date �0 '
issuance,also requires h applicant sh orfor
reparthep permit
to file,signedor statement
PROPERTY OWNER OR AU RILED 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(RRPI
License Law(Chapter9(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 orchildcarenfor most
beork that
and comply with
than
Applicant fora permit subjects the applicant toacivil 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 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 oFor( )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 a o 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 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. a No EPA Lead-Safe Certified Firm is required for this project because:
o 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 fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK • • • •
Menifee
DATE:5-17-18 PERMIT/PLAN CHECK NUMBER Vkk\ 1Q - 2A?�,L4.
TYPE: O COMMERCIAL eRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION .('jELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK PV System - Size 7.26 - Roof Mount- No Panel Upgrade
22 Module 1 Inverter
PROJECT ADDRESS 28900 Escalante Rd v ZIP 92587
ASSESSOR'S PARCEL NUMBER 351 272 010 LOT TRACT City of MenlfeE
OWNER NAME Lacey Rafferty Building Dept.
ADDRESS 28900 Escalante Rd , cam„ o% L� l� �, I x5�7 MAY 17 2018
PHONE 951-375-9366 EMAIL
APPLICANTNAME Ram& Lopez Receivd
ADDRESS 2140 Enterprise St
PHONE 760-546-6022 EMAIL tvw jiKej �/In.on..t.th c� • c:;-
CONTRACTOR'S NAME OWNER BUILDER? 0 YES ONO
BUSINESS NAME Baker Electric Solar
ADDRESS 2140 Enterprise St
PHONE 760-546-6022 EMAIL `Nwilkes@bakerhomeenergy.com
CONTRACTOR'S STATE LIC NUMBER 858088 LICENSE CLASSIFICATION C10 &C46
VALUATION$ 15,000 SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE 5-17-18
CITY STAFF USE ONLY _
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE p' SMIP GREEN
l
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES-0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityof,menifee.us
EsG
A SAFEbultt Company
DATE: MAY 24, 2018 ❑ APPLICANT
JURIS.
JURISDICTION: MENIFEE
PLAN CHECK #.: PMT18-02434 SET: I
PROJECT ADDRESS: 28900 ESCALANTE ROAD
PROJECT NAME: (22) MODULES - PV SYSTEM FOR RAFFERTY
® 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: 0 Telephone #:
Date contacted: X (by-4q Email:
Mail Telephone Fax In Person
❑ REMARKS:
By: ALI SADRE, S.E. Enclosures:
EsGil
5/18
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 #.: PMT18-02434
PREPARED BY: ALI SADRE, S.E. DATE: MAY 24, 2018
BUILDING ADDRESS: 28900 ESCALANTE ROAD
BUILDING OCCUPANCY:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
P.V. SYSTEM
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code MNF I Manual Input
1997 UBC Building Permit Fee
1997 UBC Plan Check Fee
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
Repeats G Hourly 1.5 Hrs. @'
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments:
Sheet 1 of 1
9320 Chesapeake Drive,Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576