PMT14-03185 City of Menifee Permit No.: PMT14-03186
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 12/31/2014
PERMIT
Site Address: 29645 BOYNTON LN, MENIFEE, CA Parcel Number: 338-330-037
92586 Construction Cost: $25,000,00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 24 PANELS, 24 MICROINVERTERS, 5.43 kW
Work:
Owner Contractor
DONALD LIPPON VERENGO INC
29645 BOYNTON LANE 20285 S WESTERN AVENUE STE 200
MENIFEE, CA 92586 TORRANCE, CA 90501
Applicant Phone: 3108039053
STEVEN FARACLAS License Number: 935263
VERENGOINC
20285 S WESTERN AVENUE STE 200
TORRANCE, CA 90501
Fee Description
Q�lr Amount
Solaf Residential or all Commerclaf 9
.. 252 00 kIv ..r.d. -.:_ .,s - .v,✓. a +. 4 .-
Building Permit Issuance 1 27.00
Additiet7aluPlan,ReviewElectrical" 158 �5750
GREEN FEE ,- W... :F ... _ . . -1 e.,.-..,..� a _..1.00
SMIP RESID _NTIAL„y 1 4 00„..� .. _._ .n._ r
$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_Templatexpt 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 Cod 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 e--(6 License No.G'�SZC-25 who builds or improves thereon, and who contracts for the projects with a
Expires Signature —' '--s --- licensed contrador(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION
❑ 1 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
Section 3700 of the Labor Code, for the performance of work for which this which must have resided for at least one year prior to completion of
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
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
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://www.leginfo ca gov/calaw.html.
permit Is issued.My workers'compensation insurance carrier and policy number are:
Carr!er�--tA—di- - .tJi rvl/l! 0C Property Owner or Authorized Agent Date
(
Expires /Z� 1 /1=7, Pollcy# E OC`-%O 2-5�7
�c,�o Phone# "�lC'25G�7�<{� my Signature below, certify to each of the following: am the property
Name of Agent ofif - f�' _ 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. Property Owner or Authorized}Agent Date
Date; (� 31 /I'f Applicant; City Business License# y17�? � 1 S �-p
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 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 UO 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
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address UNQ 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 ltem(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, fp 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 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORYING.
compensation,will do ( ) all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE
PLCK No: Permit Nc:
29714 Haun Road City of Menife 1
Building & Safety a Data, 1 Date:
Menifee, CA 92586
Phone: (951)672-6777 DEC 0 5 201 Aran`:av amount
Fax:(951)679-3843
Ck n:
Building Combination PermReceive
To Be Completed By Applicant
!egei Description: ?fanning Case: F:
Propzcy Address:
Assessor's Parcel Numher.
nt _ 0S.
Projer.VTenanl Name:
(�r1� Unit Floor.:
Flare: t\ \U�S70N��+� L ?Lone t`lo. Fax No.
Prope:y Address: 510 `tm$ lct- �'j
Owner 2y/oV5 Unit Numder Zip Ccd=�ZS
Email Address: �Cp
Noma: 1G�J CN {-L��ACt,-. � Phone trio.
Applicant Address: �,
ZC-j Z R-L..aoo`� 7P— ,� � Unit NumahzY � Zip Code
Email Addre;;: /--�� l 23"73
�cc�c\aS C�1G�;� OSc,tar. Lc.n..
Name: ?hone No.CO �,c.-.r/k+2 on �No 803 gos3 Fa No.
Conga--!, Address:
2-c 2 5. 1 rre5^z P-IQ �ST 2-c=-)c� C Ste ^ Zip Cedz
(o C]2fE.�Cc
Comractor's City Busmess Licens•_No. Cont.,cto:'s Cit Sla of Ce6fc C/'t" -y a5p l
L 26 rnia License No. Classilica.
Flum,ar cf SGu ar=-s' S L tl7
saja;e Fo.tay=_
Descrin on of Y icrk: Qc7�oF M S:, 2
T r� Ho-Wc-ES ??✓-1 1-A(cp5` ost of Work":j
Applicant's Signature -�� � - BOO
2x-::,0 A J9 a A r) Dale:
To Be Completed By City Staff Only -
Indicate As P.-Receivetl or PllA-Mot Applzable -
5 C oe._la!es 3ab of fully din:ensicnad.dra.vn to sale Plat;r.n!cn inc:ode-.
1 s=_;cr ducumens vetch ir.clod=
❑ Titla Shoat ❑ Elevations ❑ ELclri_al Plan ❑ Gen Tech/Scils Report(on cd only)
❑ Plot I S3a_ Plan El Roof Planle
❑ Alechanlcaf Ptan ❑ Title d4 Energy(on 3 ;,x 11)
❑ Foucdation Plan ❑ Cross SacGon ❑ $:rJ aural Calcu:a!ions
❑ Plumbirg Plan
❑ SingL Lira diagram kr e�_c.SaNices over 4-0 AMP
❑ Floor Plan ❑ SU^,:Curet Ffart(i9g Plan 3 Dela]s ❑ Shoring Plan ❑ Sound Report-Residential
Class Cede: Indicate Now Construction Altemtion• Addition•
6YoC<Typc:
Repair' RelrofiP Baisirn la csis'rq F9rr,i!' 3;uirq? YES AIO
Propcsdd Building Usa_(s):
HExisting Building Usa(sy
R ailJings: ;: Units: :Stories Will It' 9 Buildin Hav
e a Baser•ten•�
Bid Corte brn: ancy Y of if
g. p- Group L-: ice':^ Icaimq it Indicate al! S'o tech.I(a_,. Zcre
At Pmed t, Sprini!wed YES cr ND
Cornpl=_f.on' ors vuction that apply: Crastal 7_one
Type(s) C Of 0 YES or NO !"ise Zone_
R a�uircdy
fisted pn tf stari Resourc=;Ia>en:c
CI i'r PLAry 7i?1 C;. STAFF O,^ILY
AP PR,-) LS: Cnstal C.Ornnt156 Arch-P,evicv Board Landmark Cmmnt. Planninu Ccmm. 7..,r;n., 1 1, i. -
nu r'x
Fa- `r't"P': CiP/?roj^cl Clc(.. `.St I.!C Charger Land:nar5 Szis•rc Rv„n:rt '- -
Ezp -. P r-a(s). Child Car City Prej n:a. Green DuJ,Gn
Fnr Staff U;p Cn!y
r - I , .1.t i I n,.,...:o. .1
rtIAN'r. •(D..J rOR HD IN,-. 111 r'Ii=LTA .: PV TTCD C,I'.11 111-v
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 12/15/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-03185 SET: I
PROJECT ADDRESS: 29645 Boynton Lane
PROJECT NAME: Lippon 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
0 GA ❑ EJ ❑ MB ❑ PC 12/08
Menifee PMT14-03185
12/15/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-03185
PREPARED BY: Morteza Beheshti DATE: 12/15/2014
BUILDING ADDRESS: 29645 Boynton Lane
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance W.
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑ ❑ Other Repetitive Fee �
IV Repeats o- Hourly 1.5 Hrs. @
EsGII Fee $105.00 $157.50
" Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+