PMT14-03110 City of Menifee Permit No.: PMT14-03110
29714 HAUN RD,
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 1 210 812 01 4
PERMIT
Site Address: 28285 SERENITY FALLS WAY, MENIFEE, Parcel Number: 333-590-012
CA 92585 Construction Cost: $19,800.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 24 PANELS, 24 MICROINVERTERS, 6.6 kW
Work:
Owner Contractor
MAX SHIPEK SOLARMAX RENEWABLE ENERGY PROVIDER INC
28285 SERENITY FALLS WAY 3080 12TH STREET
MENIFEE, CA 92585 RIVERSIDE, CA 92507
Applicant Phone: 9513000788
HOWARD CRUM License Number: 972048
SOLARMAX RENEWABLE ENERGY PROVIDER INC
308012TH STREET
RIVERSIDE, CA 92507
Fee Description
Amount($1
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP tE- IDEIJ,7gL 0
$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—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 Code ¢my license is in full force and e act. Code:The Contractor's License Law does not apply to an owner of a property
License Clas .:7 LicensejNo. 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
❑ 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 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.
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
AI 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:httw//www.IegInfo ca.ciov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier Property Owner or Authorized Agent Date
Expires
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# 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-
❑ 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
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. r� Property Owner or Authorized Agent Date
77 I)6N City Business License#
Date; 6- Applicant; ///666... e E
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, DYES 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 ANO 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address "�`NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
® , 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, ^9'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 'NryES 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 ffEPORi�ING.
compensation,will do ( )all of or ( ) porting of the work, and the structure is PROPE Y OWNFR OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; //77
The Contractor's State License Law does not apply to an owner of a property X ± (,.(eA9
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).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
`Menifee
DATE I PERMIT/PLAN CHECK NUMBER —
TYPE: C:% COMMERCIAL XRESIDENTIAL 0 MULTI-FAMILY Ci MOBILE HOME POOL/SPA < SIGN
SUBTYPE: Q ADDITION 0 ALTERATION C DEMOLITION X ELECTRICAL > MECHANICAL
« NEW :: PLUMBING C) RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK hPU
W �
gZg City of Menifee
PROJECTADDRESS Bulldin & Safety Dept.
ASSESSOR'S PARCEL NUMBER ._Z2-33 9r"� _aa LOT TRACT
OWNER NAME /` - 761,ADDRESS RX Receive
PHONE .2)_453-46-g' EMAIL
APPLICANT NAME s'
ADDRESS r 'F1'1
PHONE W-3j_=`j EMAIL
CONTRACTOR'S NAME ,S .,r OWNER BUILDER? 0 YES X NO
BUSINESS NAME 11
ADDRESS `Ih "7
PHONE .�, EMAIL
CONTRACTOR'S STATE LIC NUMBER //fY1 LICENSE CLASSIFICATION
VALUATION $ SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE2411-4
DEPARTMENT DISTRIBUTION CITY OF MENIFEE B"LICENSER
MOWNER
PLANNING ENGINEERING FIRE GREEN I C� SMIP
E PAIDAMOUNT O>
T (a (� - CASH C)CHECK If "'CREDITCARD VISA/MC
N CHECK FEES PAID AMOUNT :`: CASH :CHECKq ?CREDIT CARD VISA/MC
UILDER VERIFIED ',YES NO DL NUMBER NOTARIZED LETTER YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Menifee PMT14-03110
12/5/2014
EsGil Corporation
In(Partnership with government for Buiffing Safety
DATE: 12/5/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-03110 SET: I
PROJECT ADDRESS: 28285 Serenity Falls Way
PROJECT NAME: Shipek 24 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 11125
Menifee PMT14-03110
12/5/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-03110
PREPARED BY: Morteza Beheshti DATE: 12/5/2014
BUILDING ADDRESS: 28285 Serenity Falls Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
IF
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnt Manual Input
,Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee El Other
Repeats ❑ Hours 1 1.5 Hrs. @
J EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1.5 hour plan review.
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