PMT14-02914 City of Menifee Permit No.: PMT14-02914
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
s0N""94H"s°I`"�0 MENIFEE Date Issued: 11/14/2014
PERMIT
Site Address: 30636 ADOBE RIDGE CIR, MENIFEE, CA Parcel Number: 360-491-022
92584 Construction Cost: $24,225.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 26 MODULES 26 OPTIMIZERS 1 INVERTER
Work:
Owner Contractor
DON MCSHERRY HORIZON SOLAR POWER INC
30636 ADOBE RIDGE CIR 7100 WEST FLORIDA AVENUE
MENIFEE, CA 92584 HEMET, CA 92545
Applicant Phone: 9519261176
MELISSA PACHECO License Number: 992053
HORIZON SOLAR POWER INC
7100 WEST FLORIDA AVENUE
HEMET, CA 92545
Fee Description Qtv Amount
S Ir Rel�ien I 'q. sSrxi Cn. � -. 1 2.2 0'
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$441.50
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 license,
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Profession
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 Probst
License Class icensa No who builds or improves thereon, and who contracts for the projects with
Expires Signature t-y licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION D Q ARATION
❑ 1 am exempt from licensure under the Contractors'Slate License Law for th,
❑ 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'
compensation, issued by the Director of Industrial Relations as provided for by By my signature below I acknowledge that, except for my personal residence
Section 3700 of the Labor Code, for the performance of work for which this which I must have resided for at least one year prior to completion e
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I haw
Policy# built as an owner-building if it has not been constructed in its entirety by license(
contractors. I understand that a copy of the applicable law, Section 7044 of th(
—I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application i;
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http://Vww,legiofo.ca.gov/ca[aw,html,
permit is issued.M99y worker 'compensation insurance car ier and policy number are:
Carrier- y& It, �hS T✓h� Property Owner or Authorized Agent Date
Expires Izz// F— Policy# 9002b2%
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 thi:
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comp)
one-hundred dollars($100)or less) with all applica e city and county ordinances and state laws relating to buildinc
construction. authorize repres tatIves of this city or county to enter the above
❑ I certify that in the performance of the work for which this permit is issued, I identified pr p for the ins ction purposes.
shall not employ any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that If I should become
subject to the workers'compensation provisions of S ction 3700 of e Labor
Cade, shall forthwith comply with those provision Property Cen r or uthorized ent Date
Date; Applicant; ,.._City Business License#
WARNING: FAILURE TO S RE WORKERS'
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, EYES 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 [-I NO 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address 1FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DNO 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 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, ❑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 DYES 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 IAEPORT'ING.
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).
EsGil Corporation
In Partnership witk Government for BuifQing Safety
DATE: 11/10/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02914 SET: I
PROJECT ADDRESS: 30636 Adobe Ridge Ctr.
PROJECT NAME: McSherry 6.0 KW 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 ❑ MB ❑ PC 11/04
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
Menifee PMT14-02914
11/10/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02914
PREPARED BY: Morteza Beheshti DATE: 11/10/2014
BUILDING ADDRESS: 30636 Adobe Ridge Ctr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code nlnf IlManual Input
Bldg_Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other _
Repeats ❑ 1.5 Hrs. @
EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
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