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PMT15-00574 1 City of Menifee Permit No.: PMT15-00574 29714 HAUN RD, '5 CCt OAO MENIFEE, CA 92586 Type: Residential Electrical s c3A., MENIFEE Date Issued: 04/16/2015 PERMIT Site Address: 28416 BAYSHORE LN, MENIFEE, CA Parcel Number: 333-571-008 92585 Construction Cost: $15,120.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 21 PANELS, 1 INVERTER 5.04KW Work: Owner Contractor GLENN SOWASH SOLARMAX RENEWABLE ENERGY PROVIDER INC 28416 BAYSHORE LN 3080 12TH STREET MENIFEE, CA 92585 RIVERSIDE, CA 92507 Applicant Phone: 9513000788 JOSH POGUE License Number: 972048 SOLARMAX RENEWABLE ENERGY PROVIDER INC 3080 12TH STREET RIVERSIDE, CA 92507 Fee Description QQrt Amount f$1 Soar Resitlentlal or Sntall Comme[aa. a y y 1 w y 252 Building Permit Issuance _ 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL r 1, k ` 2 6b $439.50 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 Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class `1 Ca License No. 9 7 a 0/Y who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractors)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 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 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:htto�//www.leginfo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires y`i fin(- Policy# T 'O 7o,3 / Name of Agent (- 4h"�Ly_ Phone# Z �610 f 7 °�( ❑ By my Signature below, I certify to each of the following: I am the property 9 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- 0 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 subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Dale Code,I shall forthwith comply with those provisions. City Business License# Date; J l�! ' 1� Applicant; WARNING: FAILURE TO ECURE 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 OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES J2%0 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 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address <NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES �i2S ��, P�y�� I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: `oI �I 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, ONO 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 ❑YES 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 P NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL AEPORIING. compensation,will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OW O - ORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; � The Contractor's Slate License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not intended or offered for sale.If,however, G the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BLI I LDING & SAFETY PERM IT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER (� 00J� TYPE: 0 COMMERCIAL ARESIDENTIAL 0 MULTI-FAMILY i" MOBILE HOME POOL/SPA C'SIGN SUBTYPE: "", ADDITION !"ALTERATION O DEMOLITION C ELECTRICAL O MECHANICAL O NEW `) PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK N L- �� J /ei.J PROJECTADDRESS S( (, gAjS 2 oA 0 ASSESSOR'S PARCEL NUMBER _j;/�f 'S'j'-b0 p LOT _ TRACT ✓��V` ✓ OWNER NAME ADDRESS 1 L{��i art6 LA.�tf PHONE 2y(. LJoLJS- EMAIL APPLICANT NAME O t-f 0 6„j q ADDRESS J )4'l � Zl�a,is,o5 / 07 PHONE _257 3,)o 0773 EMAIL poG,,d D t.4 - Gon CONTRACTOR'S NAME O ;Z p�}y OWNER BUILDER? O YES %KNO BUSINESS NAME ADDRESS 3 O8-o J.Z4- ' V6 a S1,.)0 7 PHONE g j/ 300 o'775 EMAIL CONTRACTOR'S STATE LICN N UMBER 9Za �tl� / LICENSE CLASSIFICATION C VALUATION$ 2O �p C.A,ttslY� L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ^^O' CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN , SMIP d' INVOICE (r''' w PAIDAMOUNT AMOUNT b� C'CASH i CHECK# :.'CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH %'CHECK# CREDITCARD VISA/MC OWNER BUILDER VERIFIED YES NO DLNUMBER NOTARIZED LETTER C% YES C) NO City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6717 www.cityofinenifee.us Inspection Request Line 951-246-6213 Menifee PMT15-00574 04/ 13/2015 EsGil Corporation In Partnerskip with Government forBui(ding Safety DATE: 04/13/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-00574 SET: III i PROJECT ADDRESS: 28416 Bayshore Ln. PROJECT NAME: Sowash 5 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 4/6