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PMT14-03046
City of Menifee Permit No.: PMT14-03046 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Electrical C..A sAI MENIFEE Date Issued: 1 210 412 01 4 PERMIT Site Address: 29689 MESA VERDE, MENIFEE, CA Parcel Number: 340-450-039 92584 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 21 PANELS,21 MICROINVERTERS, 4.75 kW Work: Owner Contractor SEANJOHNSTON VERENGOINC 29689 MESA VERDE 20285 S WESTERN AVENUE STE 200 MENIFEE, CA 92584 TORRANCE, CA 90501 Applicant Phone: 3108039053 STEVEN FARACLAS License Number: 935263 VERENGOINC 20285 S WESTERN AVENUE STE 200 TORRANCE, CA 90501 Fee Description Qtv Amount($1 5 ` 9 Building Permit Issuance 1 27.00 111111 tin101, 1 1 IN ..0- 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 building 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 eldg_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 Cs o ay�d my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Clas �c'rc7 License No.q( who builds or improves thereon, and who contracts for the projects with a Expires "7 j! Y,�Signatur __.�� licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State 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 must have resided for at least one year prior to completion of Section 3 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. 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:112—mw.leainfo.ca.gov/calaw.html. permit Is issued.My workers'compensation insurance carrier and policy number are: Carrier�S �22-�iU'1ca^yU r 'l( Property Owner or Authorized Agent Date Expires Pb l Policy Name of AgentA-QA�- Phone fc7 ��' ,_1 .9P By my Signature below, I certify to each of the following: I am the property ��r--�-U # cS 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- 7 1 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 workers' compensation laws of California, and agree that if I should become t 2- subject to the workers' compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Property Owner cr Authorized Agent Date Date; (Z i Applicant; �GL.L—NGo City Business License 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, 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 ';©'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 WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) 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 9NO 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 items)(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 Np S 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 El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOR7 ING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPER]OWNER OR NT AUTHORIZED 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 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). CITE' OF MENIFEE City of Menifee PLCK No: Permit Na: 29714 Haun Road Building & Safety Dept. .0 Menifee, CA 92586 Date: Date: Phone: (951 )672-6777 NOV 17 2014 Am LL 1nt: Amount: Fax:(951)679-3843 v Received Ck9 Ck tt Building Combination Permit To Be Completed By Applicant Legai Description: °tanning Case Proper, Address: -' Assessor's Parcel Number. ProjecuTenant Name: Unit Floor:. Name: J c7 f�J T arm Prone No.Property Address: 415r s2 42-4 Fax No, / Owner29 tCt M=r�A Unit Number Zip Coda Email Addrass Name: SSt.)—�ry rA'Q�C t,9S Phone No. Fax No.Applicant Address: G(1 222$882. ,ME a5 c.0,W't e-AC-a ate, Unit P:umher Zip Code Email Addre s. Name: J ErLFiJG Phone No. Fax No. Gonl:acor Address: 31— tCab 9o53 Iq 1 C City _ Stale Zio Coda C.on[ra c[or's GC/Busina_ss Lic= >�NA y-/c//`^ Sr I; �I+ZFbs ns3 No. Centrao:'s C State of Calitomia License No. ��' ClasslRc,'icre M-� s: C /O rk: F MSOLA-(L 22A M �ULES Z1 Mrc Cost of Work:5 lure RrxiauE¢T�¢S Date: To 8e ComplcL=d By City Staff Only ' r Z Ind�a le As R Received or N!A-NotlppLcahle 5 Ccnplalas sob of tln:ans':cne] d:axn in sale plan;a;hch tni'�y. ❑ Title Sneet ❑ E!=ia:iars ❑ Electrical Plan ❑ Plot/Site Plan El Roof Plan El Geri Tach/Scils Report(on ed only) ❑ Mach3nical Plan ❑ Title 2y Energy(on 8 Y,x 11) ❑ Found a'ion Plan ❑ Cross 3e.,;ticn ❑ Phju[hicg Plan ❑ S!ru^Loral Calculations ❑ Floor Plan ❑ Str aural Framing Flan S Dela'1, ElSing!e Lino diag,am for elec.s=_r�ire;eve+c 0 AhIP ❑ Shoring Plan ❑ Sound Repo -Residential Class Coda: Indicate New ConsUuLtion A.t..r3 t f on' Addi'ien' Work Type: Ve3nsT.hCicds Repair' Retrofit' 3=_:isicn!c Ex3trgFriF R=;Wrec1 YES NO Proposed Building Uv_(s)- Existing Building Use(s): L3uidngs- C Nmi3- Stir. Will the Building Have a Base•n,n,? B!d] Coda Orr: oanzy Groin Y of rl A.! Pre t I '•ou' ' �f YES or NO Indicate all 9. o each. Ha<. ZcrP C>nstru_tion ° -cred Cornp._t:on' that apply: Coaslal Zone Type(s) C 010 a�-luimtiv YES or NO Noise Zon=_ ==_ist�-J on H:sbrl-Rao_•res I, CITY PLAT-1N!>-1; ST.SFF ONLY Costal Co•nmiss - Arch Rne•:r Board Landmark Comm- Planning Cornr� _cain7Ci.1 Pro! Elrr V hid r Charger �� .ini36a!or L andmar} Seismic Retrci Expr.J -f =fist ChiIJ Carr_, City Project Green Buildi,-. rJ 9 La rdmark FT,r. tv LHn_ Only I -- 1 iHA'!k YO'J PJR HELPI`h;11S CRcATE A BcTTFR COL+6IIJ';ITY Menifee PMT14-03046 11/25/2014 EsGil Corporation In Tartnership with Government for ftifding Safety DATE: 11/25/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-03046 SET: I PROJECT ADDRESS: 29689 Mesa Verde PROJECT NAME: Johnston 21 microinverter 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 11/18 Menifee PMT14-03046 11/25/2014 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-03046 PREPARED BY: Morteza Beheshti DATE: 11/25/2014 BUILDING ADDRESS: 29689 Mesa Verde BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. PV system Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code lmnf Manual Input Bldg, Permit Fee by Ordinance Plan Check Fee by Ordinance r; . Type of Review: ❑ Complete Review ❑ Structural Only ❑ Repetitive Fee ❑ Other Repeats Hourl 1.5 Hrs. @ " EsGil Fee $105.00 $157.50 * Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc+