Loading...
PMT15-00578 i City of Menifee Permit No.: PMT15-00578 29714 HAUN RD. ' CGGL/�§ MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 0410 8/2 01 6 PERMIT Site Address: 28391 PACIFIC CT, MENIFEE, CA 92585 Parcel Number: 333-510-017 Construction Cost: $30,225.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 31 MODULES, 31 OPTIMIZERS, 1 INVERTER Work: 8.06OKW Owner Contractor KARLA KNAUSS HORIZON SOLAR POWER INC 28391 PACIFIC CT 7100 WEST FLORIDA AVENUE MENIFEE, CA 92585 HEMET, CA 92545 Applicant Phone: 9519261176 HEATHER COULTER License Number: 992053 HORIZON SOLAR POWER INC 7100 WEST FLORIDA AVENUE HEMET, CA 92545 Fee Description Qty, Amount �.S018r Resldentral br S am lam I Co 8�r,cla a�. ° Building Permit Issuance 1 £ -27.00 GREEN FEE 1 2.00 $442.50 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 ><\J&KA6 License No. 22ZO63 s who builds or improves thereon, and who contracts for the projects with a Explres 12LJO-20L Signature'f���z--- - licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from Iicensure 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' gy 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 3ssu of the Labor Code, for the performance of work for which this im improvements covered b this permit, I cannot legally sell a structure that I have permit is issued. P Y P 9 Y 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 5a' 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-o,r;at the following Web site:http:Lw w.leainfo ca gov/calaw htmi, permit is Issued.My workers'compensation insurance carrier and policy number are: �T�'v —� -- ><{�� , 2 L6 Prope�wner or Authorize gent ' Carrier 5)fn\-P G,n� 7nn5 `i!n^[cf Date Expires 01-o1-2of Policy# 0ftw24 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 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 emolov 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 Date Code,I shall forthwith comply with those provisions. City Business License# Date; FJ Applicant; F}pidE�V✓ �r�ll-Pif 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, EYES 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 gNO 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 EVES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address - FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ENO 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 EYES 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 or repair any structure, prior to its issuance, also requires the applicant for the SCHOOL. 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 VES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from Iicensure 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code;The Contractor's Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement Is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee -79 DATE 6j- PERMIT/PLAN CHECK NUMBER PM5-0005 TYPE: OCOMMERCIAL • RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION G DEMOLITION O ELECTRICAL O MECHANICAL O NEW .O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES 1 �1 DESCRIPTION OF WORK MkW DC mount PV solar (p )modules (3 optimizers ( )inverter(s)n��/2 j' 'fL G'�ISc.�inccf CAsh PROJECTADDRESS 20/�9 I '-PQ,U - ASSESSOR'S PARCEL NUMBER S""S 1O'0', LOT TRACT OWNER NAM/�E ��Ia SS p ADDRESS / lD q t(/�� %, _4 PHONE "t� �,ilJllV ' ',/O 0 f� EMAIL APPLICANT NAME ADDRESS 7100 W Florida Ave Hemet Ca 92545 PHONE (951) 537-6859 EMAIL holly.thompson@horizonsolarpower.com CONTRACTOR'S NAME Horizon Solar Power OWNER BUILDER? OYES 0 NO BUSINESS NAME ADDRESS 7100 W Florida Ave Hemet,CA 92545 PHONE (951) 926-1176 EMAIL CONTRACTOR'S STATE LIICnNUMBER 992053 LICENSE CLASSIFICATION A,B, C46 VALUATION$ �I ��y— SO FT L SQ FT .APPLICANT'S SIGNATURE ^¢ CSC^ DATE Y. 2 CITY STAFF USE ONLY DEPARTMENT U151 RIBU I IUN CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE CO PAIDAMOUNT AMOUNT O CASH O CHECK H 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT :^CASH ':CHECK# UCREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES O NO DLNUMBER NOTARIZED LETTER O YES C' 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 EsGil Corporation In(Partnership with Government for Bui(ding Safety DATE: 03/23/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-00578 SET: I PROJECT ADDRESS: 28391 Pacific Ct. PROJECT NAME: Knauss 7.6KW 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 3/13 Menifee PMT15-00578 03/23/2015 ADO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT15-00578 PREPARED BY: Morteza Beheshti DATE: 03/23/2015 BUILDING ADDRESS: 28391 Pacific Ct. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTALVALUE Jurisdiction Code rnnf Imanuai Input Bldg. Permit Fee by Ordinance V Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats Hourly 1.5 Hrs. @ „ ®I EsGil Fee $105.00 $157.50 Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc+