PMT15-00668 i
City of Menifee Permit No.: PMT16-00668
29714 HAUN RD.
MENIFEE, CA 92585 Type: Residential Electrical
MENIFEE Date Issued: 04/09/2016
i
0
B
PERMIT
Site Address: 28447 BAYSHORE LN, MENIFEE, CA Parcel Number: 333-570-009
92585 Construction Cost: $21,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 28 MODULES, 1 INVERTER 7.0 KW
Work:
Owner Contractor
WAYNE BABAUTA SOLARMAX RENEWABLE ENERGY PROVIDER INC
28447 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 0ty Amount f$1
Solar Restlentla�orSpallCommejclal `� i-� ? ",252,00
Building Permit Issuance �1� 27.00
t�dditio?al; lanRevieW,Electnca! 1 158` 1750;
GREEN FEE 1 1.00
"SMIP R�SIDENTIAL T 1' * '"�3 OQ'"�
$440.60
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 I,
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 f rce and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class C-YL License No. boy - who builds or improves thereon, and who contracts for the projects with a
Expires - O- Signature. licensed contractor(s)pursuant to the Contractors State License Law). j
WORKERS'COMPENSAT ON 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 in
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
of
permit is issued. P Y P 9 9
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
r�L 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:hUr)•//www.leqfnfo.ca.gov/calaw,btml.
permit is issued.My workers'compensation Insurance carrier and policy number are:
Carrier ,S�'fffTts L`®rg/! Property Owner or Authorize Agent Date
Expires Policy# 907�31 31 5
Name of Agent At-tru Phone# Cc-6— `��� -0 JI ❑ 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 y the performance the work for which this permit is issued,I identified prope� coon 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 pro erJ.y�O er or Authorized Agent Code, I shall forthwith comply with those provisions. p aJ 9 Date
Date; �'�'��/�,. Applicant; City Business License#
WARNING: FAILURE 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 /_[NSO 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 8Y THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address . o FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
�ID.� DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES PRINT NAME: j�r ,
o ti} (a�- aJ
I hereby affirm under penalty of perjury that I am exempt from the Contractor's —,
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES 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, CKSO 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 6.2YES 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 ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOR1 ING.
compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPERTY 0 ORZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X ''
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or Improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
4
Menifee
DATE 3 -a`J / PERMIT/PLAN CHECK NUMBER M 197'00(doS
TYPE: ❑COMMERCIAL 2-RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION []ELECTRICAL [-]MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK %;Jo r ,� Ar V „F f 9 Cc.rn.wC •�v cn .
-7 e, -42 (( 000
PROJECTADDRESS .2eYgq -7 [I^'j-S( OAr_ LAAle
ASSESSOR'S PARCEL NUMBER 15"5 / -3-7O'tDI LOT TRACT
OWNERNAME A, [c r 6A ALrrA
ADDRESS 2 84 4 -7 RySMo,ce L--'kd(c -
PHONE Ffp$ 3-75. 1-J.2:) 3 EMAIL
APPLICANT NAME JOSI+ ls
ADDRESS - uOXO �'FL` s—I (2 LC--As'" 7
PHONE 95-1 30 � 07-77 EMAIL r J(•�j('_�SJl.o1•Zn.w Ta.:.c t-I. C.o.�.
CONTRACTOR'S NAME 'p •,- OWNERBUILDER? ❑YES®NO
BUSINESS NAME b .4r
ADDRESS 5C a-O /��`' S''r— (Z 9DS'D -7
PHONE 9S1 - -3-�o -�?7 3 EMAIL
CONTRACTOR'S STATE LIC NUMBER ?' 72oY f LICENSE CLASSIFICATION C -N
VALUATION $ 3 q,cAz It) L SQ FT
APPLICANT'S SIGNATURE a DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE B(.A yESS LIC $E NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP //✓✓�� I'
INVOICE Gb PAIDAMOUNT
AMOUNT ("CASH CK# CCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT C.iCASH CHECK# C?CREDITCARD VISA/MC
OWNER BUILDER VERIFIED :`YES NO DLNUMBER NOTARIZED LETTER '.' YES = NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityo finenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In partnership with Government far Building Safety
DATE: 04/07/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00668 SET: II
PROJECT ADDRESS: 28447 Bayshore In
PROJECT NAME: BABAUTA 7,600 Watts Solar Photovoltaic 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 building 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: ) Fax #:
Mail Telephone Fax In Person E-mail:
® REMARKS: Only two sets of plans were submitted for this recheck.
By: Morteza Beheshti (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 04/01/2015
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576