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PMT14-02701 City of Menifee Permit No.: PMT14-02701 29714 HAUN RD. I MENIFEE, CA 92586 Type: Residential Electrical sm+ nva sao-mrae MENIFEE Date Issued: 10/27/2014 PERMIT z Site Address: 25359 MAMMOTH LAKES CIR, MENIFEE, Parcel Number: 339-471-014 CA 92584 Construction Cost: $19,500.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 20 PANELS, 1 INVERTER, 5.10 kW Work: Owner Contractor PETER DEVRIES HORIZON SOLAR POWER INC 25359 MAMMOTH LAKES CIRCLE 7100 WEST FLORIDA AVENUE MENIFEE, CA 92584 HEMET, CA 92545 Applicant Phone: 9519261176 LINDA MALONE License Number: 992053 HORIZON SOLAR POWER INC 7100 WEST FLORIDA AVENUE HEMET, CA 92545 Fee Description QQtr Amount Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $440.50 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 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 Cojd�e.�a�d( license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class'--`i-" License C Q53 who builds or improves thereon, and who contracts for the projects with a Expires u Signal,L licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLA TIO ❑ lam exempt from Iicensure 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 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, I cannot legally sell a structure that I have permit is issued. r^ Policy# 9���U z"1 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 ❑ 1 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'l&vww,leginfo.w.gov/calaw.html. permit is issued.My workers'compensation,i/nnssurance canter and policy number are: Carrier Stl/tt� pmy' ins'TUnd Property Owner or Authorized Agent Date Expires UiI(,1116 Policy# goo302°I 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 construction.I authorize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the T IZ� � 'n e workers'compensation laws of California, and agree that if I should become im I Z`I �4 subject to the workers' compensation provisions of Section 3700 of the Labor Prope wner or Authorized gent Date Code,I shall forthwith comply with those provisions. Date; 10.121114 Applicant; City Business License# WARNING: FAILURE O SECU E W KERS, O✓ 7 w COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL HAZARDOUS MATERIAL DECLARATION 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, AYES 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 p O 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT \O DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penally 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 DYES 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, S 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 AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from Iicensure 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL DEPORTING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROP R O AU AGE not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or Improved for the purpose of sale). Menifee CITY OF M ENgF d n9 Of Safety Dept. W 29714 Haun Road OCT 0 7 2014 ) Menifee, CA 92586 Phone. (951)672-6777 Fax:(951)679-3843 Received Building Combination Permit Legal Descdpton: To Be Completed By Applicant 5 GI Planning Case: F: L: Rt: Property Address- p R: 2�3J 1 Assessor's Parcel Number. Projecflfenant Name: _O, Name: Unit#. Floor#: PropertyAddress: Phone No.) Fax No. Currier25 369 it umber Zip Code Email Address: Name: Phone No. Fax No. Applicant Address: G Unit Number Zip Code Email dd s: !J- Name: d . Phone No. Contractor Address: ry�tt�' 17 State C ontractor s C ty usmess City Zip adetense o. Contractor's City Slate of C ifomi License No. Cla 'Fi lion: Number of Squares: Square Footage Description of Wo (,''PS Applicant's Signature / Cost of Work:$ s� Date: - - -7o Be Completed By-'City Staff-Ohly': 5 Completes sell of fully dimensioned,drawn to sale plans whicndicateh i dutle R-Received or N/A-Not Applicable 1 set of documents which include ❑ TWO Sheet ❑ Elevations ❑ Electrical Plan ElGeo Tech/Soils Re It cut only) Plot/Site Plan ❑ Roof Plan po ❑ ( y) ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y:x t'I) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Floor Plan ❑ Skucnaal Framing Plan 8 Detals g ❑ Single Line diagram for elec.services over 400 AMP ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Work T e: Alteration' Addition' MeansiMethods Repair'Proposed Building Use(s): Retrofit* Revislon to Existing Pef it Required? YES NO Existing Building #Buildings: 4 Units: #Stories: Will the Building Have a Basement? Bldg.Code Occupancy Group Y of N At Project Indicate indicate if YES or NO Indicate all Ga_ —11-Haz.Zone Completion: Construction Spdnklerea that apply: Coastal Zone Type(s): C of D Noise Zone Required? YES or NO CITY 1-I.4NNING STAFF ONLY Listed on Historic Resources Inventory APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt City Project Elec.Vehide Charger Landmark Expedite Projects: Seismic Retrofit sp official ara tag. 1 O Child Care City project oifidat meal Green Building Landmark Affordable Housing For Staff Use Only - Buildin /Safety Permit Specialist. Cil Plannin Y 9 Civil Engineering F�WM-Admin Transportation MgmL R¢nt Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY EsGil Corporation In(Partnership with Government for(Building Safety DATE: 10/15/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER PLAN CHECK NO.: PMT14-02701 SET: I ❑ FILE PROJECT ADDRESS: 25359 Mammoth Lakes Cir. PROJECT NAME: Devries 5KW rooftop 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 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: ) Email: Fax #: Mail Telephone Fax In Person ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ LIMB ❑ PC 10/8/2014 Menifee PMT14-02701 10/15/2014 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02701 PREPARED BY: Morteza Beheshti DATE: 10/15/2014 BUILDING ADDRESS: 25359 Mammoth Lakes Cir. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code rnnf ,Manual Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats ❑ Hours 1 1.5 Hrs. @ Ill Fee $105.00 $157.50 " Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc+