PMT14-02056 i
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City of Menifee Permit No.: PMT14-02056
29714 HAUN RD.
' G 1--A? MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 9/1 512 01 4
I
PERMIT
Site Address: 29821 BANKSIDE DR, MENIFEE, CA Parcel Number: 333-581-044
92585 Construction Cost: $12,500.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 50 PANELS, 2 INVERTERS, 10.97 kW
Work:
Owner Contractor
MICHAEL ASARO T A K ELECTRIC INC
29821 BANKSIDE DRIVE 1654ILLINOIS AVENUE STE 18
MENIFEE, CA 92585 PERRIS, CA 92571
Applicant Phone: 9519703150
MASON GERKE License Number: 947912
T A K ELECTRIC INC
1654 ILLINOIS AVENUE STE 18
PERRIS, CA 92571
Phone: 9512003650
Fee Description QQt, Amount isl
S �+ I''f o Spa° gmm Gai 5
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$417.00
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
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City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class (.,"�(� License No. lR q/2 who builds or improves thereon, and who contracts for the projects with a
Expires Signature %, /�� , licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ 1 am exempt from licensure under the Contractors'Slate License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, cannot legally sell a structure that have
permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http://mw leoInfo ca cov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier 1-ss/r7- k?Dwt L4�( -t;�Y_-.V&Occ. �m, Property Owner or Authorized Agent Date
Expires Policy# JAn 26 _6 b,1`�6r -
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone If owner or authorized to act on the property owner's behalf. 1 have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction. I authorize representatives of this city or county to enter the above-
0 1 certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
shall not emolov any persons in any manner so as to become subject to the /
workers'compensation laws of California, and agree that if I should become �y � �' "- _JC_/�
subject to the workers'compensation provisions of Section 3700 of the Labor — ®
Code,I shall forthwith comply with those provisions. Property Owner orAuthorized Agent Date
9q
City Business License# - /®
Date; �7-ice-f� Applicant;�'d L
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS. UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ,ENO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address /ibN0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, ,QQNO SCHOOL?
or repair any structure, prior to its 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 Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or BYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPORTING.
compensation, will do ( ) all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X /y'c�za
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
CITY `1J1t' 1VLlli1'9llJl'EE PLCK No: Permit No:
29714 Haun Road City of Menifee — (Q
Menifee, CA 92586 Building & Safety Dept. Date: Date:V S I
Phone: (951)672-6777 AUG 07 2014 Amount: Amoun`o
Fax:(951)679-3843 ck#: cl , II�Ja
Building Combination PpRl
eived b
To Be Completed By Applicant
Legal Description: t/ L� Planning Case: F: L: Rt: R:
Property Address[ Assessor's Parcel Number.
ProjectlTenant Name: Unit#: Floor#:
Name: M i L. Q� Phone No.as'
No.
Property Address: �,q$@J Q� t
Owner -� Drive Unit Number Zip Code
Email Address:
Name: I"(ny] Perm.er Phone No.
Applicant Address: 1659
65y ; ,3 �f f Unit Number Zip Code
Email Address:
r� -e
Name:�}. r . - CY Phone No. �/ Fax No.
I to
Contractor Address: fly State Zip Code
tb-Iy� -nQ� Ave. rr ,,S 195 rr� (
ontractor J ss Icense No. Contractor's y State of California License No- Classification:
Number of Squares:
Square Footage
Description of Work: I a I hta,f CY& Cost of Work:$
Applicamrs Signature
Dale: 7 L
To Be Completed By;City:Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen Tech/Soils Report(on cd only)
❑ Plat/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 '/x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for else.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring
Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration` Addition' Means/Methods
Work Type: Repair' - Retrofit` Revislon to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Bldg.Code Occupancy Grou Y of N
p y p Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At Project Sprinklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): Cow O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. I Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special ass:6[dg.
officialA oval
Expedite Project(s): Child Care City Project Green Building I Landmark Affordable Housing
For Staff Use Only
Building/SolelyI Permil Specialisl City Planning I Civil Engineering I EPWM-Admin I Transportation Mgml I Roof Contra[
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government forftifding Safety
DATE: 09/10/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: pmt14-02056 SET: II
PROJECT ADDRESS: 29821 Bankside Rd.
PROJECT NAME: Asaro 2*6000 Watt Solar Photovoltaic 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: ) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 09/05/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576