PMT14-02274 City of Menifee Permit No.: PMT14-02274
29714 HAUN RD. Type: Residential Electrical
''5 GCCEL—A—> MENIFEE, CA 92586
6w:,..�nx sofn+s" MENIFEE Date Issued: 09/30/2014
PERMIT
Site Address: 28917 MOONRISE WAY, MENIFEE, CA Parcel Number: 364-220-022
92585 Construction Cost: $29,750.00
Existing Use: Proposed Use:
Description of -INSTALL ROOF MOUNTED SOLAR PV SYSTEM 28 MODULES, 28 OPTIMIZERS,
Work:
Owner Contractor
ROBERT FITZKE HORIZON SOLAR POWER INC
28917 MOONRISE WAY 7100 WEST FLORIDA AVENUE
MENIFEE, CA 92584 HEMET, CA 92545
Applicant Phone: 9519261176
DARCY DITWILER License Number: 992053
HORIZON SOLAR POWER INC
7100 WEST FLORIDA AVENUE
HEMET, CA 92545
Fee Description QQrt Amount 1$1
Building Permit Issuance 1 27.00,
GREEN FEE 1 2.00
$420.00
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
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I arD licensed under provisions of ❑ 1, 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 Cod 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 Class7� e,G`H.0 Licensq No.�C( J who builds or improves thereon, and who contracts for the projects with a
Expires aul1 i0 Signature r -y licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DEC AT N Y
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ 1 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 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 w rov I must
covered a this permit, cannot legally sell i structure that have
permit Is issued. P Y p g y
Policy# built as an owner-building If it has not been constructed in its entirety by licensed
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://vAnv.lecjfnfo,ca.goy/calaw.html.
permit is issued.My workers'compensation insurancf4.e�carrier and policy number are:
Carrier'J-i LI-C UM 10 nC 1 hJ Property Owner or uthorize Agent Date
Expires j�1' �� Policy# 9 U�°7Jp2�
Name of Agent Phone# ❑ By my Signature below, I certify to each of the following: I am the property
owner or authorized to act on the property owner's behalf..I 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
c9 ruction. authorrg esentative��^^oof this city or co my to enter the above-
0 certify that in the performance of the work for which this permit is Issued, 'fdent fiederty or l ins ^lion �rposes.
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 become0113 d t/subject to the workers'compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions. P perty Ow 4'r Au on d Agent Date
Cly BusinessLe#
Date; "! `,vO / Applicant;
WARNING: FAILURE TO S�ECr RE W RKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLA FILL, 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 HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO 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 WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
1 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, _ ❑NO 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 OYES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL IAEP&NING.
compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not Intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, /
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MIENIFEE
WCk*
29714 Haun Road Menifee, CA 92586 Phone: (951)672-6777 Fax:(951)679-3843
Building Combination Permit
To Be Corn leted 8 Legal Description P yAPPlicant
properly Addre Planning Case: F: L: Rt: R;
ss
Assessor's Parcel Numbe,
Project/Tenant Name- kh y-� h
unit tF
Name: Floor V
P on No.
Owner Address: h _ Fax No.
7 - nit Number Zfp de
Ema 1 Address:
Name:
Applicant Address: Ph No.
Fax No.
(fill Number Zig Code
Email Address: � c C
c 1
Name:
o. Fax
CaltrarYor Address: Phone N No.
Ci[y S to ZiP e
onoaotorsCty Business cense o. - L Contractor's City State or California Ucense No. Classifi�N
Number of Squares:
Squat Faolage -
t or! Ito of work QUS'iQY/ va} ryp �'txyO 'iLO 28).Selar�orlc',rSc(28 OF nrr Zr/5� Cost ofwork$
APp icanrs Sgnature 9 �,p
Date: L r�
. 7.. _,To Be Cdrlipletetl BY:CItyte As ':Staff Only
hed
5 CatnPletes sels of fully dimensioned,drawn to sale Plans Whichd'mdude: R-�ca or NIA-NotApppcable
❑ 1 set ofdocumenw which include
Tide Sheet ❑ Elevations Electrical plan
❑ Plot/Site Plan ❑ Roof Plan ❑ Gee Tech/S rg Report(en cd only)
❑ Mechanical Plan ❑ Title 24 Energy(on B Y:x 11❑ Foundafion Plan 1
❑ Close Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Floor Phan ❑ Sguchaal Flaafirtg Plan B DoWs ❑ plan ❑ Single Line diagram for elec,services over 400AMP
Shoring
Class Code: ❑ Sound Report-Residential
WorkWork
Type. New CorrsWCfion Alterali le
Ty Repair, Addition' Meane/Meerods
Proposed Building Use(s): Retn If Rat�,SfuBb Existing Pe Required? YES NO
Existing Bugling Use(s):
#Buildings #Units: #Stories:
B
Will the Building Have a asement?
81dg.Code Occupancy Group Y of N
At Project Indicate l�'at a Completion: Construction sPnnklemd YES or NO indicate all Gao-tech.Haz Zone
Type(s): C of o that apply: Coastal Zane
Required? YES or ND Noise Zone
CITY PLANNING STAFF ONLY 1 mf rl on Historic Resources Inventory
Fee Exempt City Project
APPROVALS: Costal Commis
Arch.Review Board Landmark Comm. Planning Comm Zoning Administrator
Elec.Vehide Ctvr
Expedite Pm erject(s): Child Care Landmark Seismic Retrofit Pe ase=Bldg.
City Project Green BUNding o5icim
For Staff Use Only Landmark Affordable Housing
Buddin /Satery Permit SPecialisf
Cify Plannln9 Ciml Engineering
EPtr<'M-AtlmN Transporlallon MgmL Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Tart nership with Government far Ouilding Safety
DATE: 09/15/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
PLAN CHECK NO.: PMT14-02274 SET: II ❑ FILE
PROJECT ADDRESS: 28917 Moonrise Way
PROJECT NAME: Fitzke 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: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 09/8/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858) 560-1576