PMT15-00688 l
City of Menifee Permit No.: PMT15-00688
29714 HAUN RD.
C MENIFEE, CA 92586 Type: Residential Electrical y
MENIFEE Date Issued: 04/08/2015
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PERMIT
Site Address: 28023 CALM HORIZON DR, MENIFEE, Parcel Number: 333-551-014
CA 92585 Construction Cost: $22,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 22 PANELS, 22 MICROINVERTERS, 5.72KW
Work:
Owner Contractor
LYNN MACKIE SOLCIUS LLC
28023 CALM HORIZON DR 1145 SOUTH 800 EAST SUITE#200
MENIFEE, CA 92585 OREM, UT 84097
Applicant Phone: 8018994541
CRISTIAN OSORIO License Number: 976336
SOLCIUS LLC
1145 SOUTH 800 EAST SUITE#200
OREM, CA 84097
Fee Description Qtv Amount 1$1
Solar Residential ar�ma�l Commercla� � K � �" � ' �'" �` �F 2521T0`�y
Building Permit Issuance 1 27.00
GREEN FEE 16 1.00
$440.50
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
spechicalions 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
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City Of Menifee
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LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ 1, 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 I
Professions Code an my license is in full e nd effect.
l` Code:The Contractor's License Law does not apply to an owner of a property
License Claps License No.
_ who builds or improves thereon, and who contracts for the projects with a r
Expires ?L Signature _ - licensed contractor(s)pursuant to the Contractors State License Law). I
WORKERS'COMPENSATION DECLARATION
❑ 1 am exempt from Iicensure 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, cannot legally sell a structure that have
permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed
Policy# 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 a e followin Eb site:htt .www.le info.ca. ovlcalaw.htmL
permit is issued.My workers'compensation insurance carrier and policy number are: -Carrier dL iS �17Z Co Property Owner or Authorized Agent Date
Expires ����) 1 Policy# -Ki501l
❑ 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 prope for the inspection purposes,
shall not employ any persons in any manner se 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 shal forthwith comply with those provisions. Property Owner or Authorized�erif------- ------..__ Date
[�� City Business License# y� J
Date; 7 ® f J Applicant;
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 OR
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES -.0NO 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 r1_NO 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 ❑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, 1�0 SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for the
permit to fie 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 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 AUT ORl'ZP 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).
BUILDING & SAFETY PERMIT/PLAN CHECK A• • •
Menifee
DATE 2y1 ' S PERMIT/PLAN CHECK NUMBER
TYPE: El COMMERCIAL RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: [-]ADDITION []ALTERATION []DEMOLITION []ELECTRICAL ❑MECHANICAL
[]NEW []PLUMBING [IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK �UAN 1d rtl iJT ►KYlO19yjY zZ �g /G I/O
`
PROJECTADDRESS 7 bV 7 CC M // Y(�ZYOI
ASSESSOR'S PARCEL NUMBER �� -155 I -0111 LOT 70 TRACT No-gal
OWNER NAME t, rih Q I`
ADDRESS 3 dalzon D1.
PHONE 7✓/ 1Y ZJSZ EMAIL
APPLICANT NAME
P nv
ADDRESS "!>4 G ' Q
PHONE S// /EMAIL
CONTRACTOR'S NAME _ r 50 OWNERBUILDER? ❑YES❑NO
BUSINESS NAME 3S WIG,,F�/ v5 -p� �7
ADDRESS 10) 5 Av. ^� 'ZO A06,;6I -7,50�3
PHONE tW 960 41 -!30 EMAILIF
CONTRACTOR'S STATE LIC NUMBER y63_316 LICENSE CLASSIFICATION e _ C(/
VALUATION $ S;_7 F 0i1'/ SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
Y�
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP V
INVOICE � PAIDAMOUNT
AMOUNT OCASH C,CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT CASH 3CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED iJ YES f: NO DL NUMBER NOTARIZEDLETTER YES Q. NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityotmenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In(Partnership with Government for Building Safety
DATE: 04/01/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00688 SET: I
PROJECT ADDRESS: 28023 Calm Horizon Drive
PROJECT NAME: Mackie 15 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 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:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 03/25/2015
9320 Chesapeake Drive, Suite208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858) 560-1576
City of Menifee PMT15-00688
04/01/2015
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-00688
PREPARED BY: Morteza Beheshti DATE: 04/01/2015
BUILDING ADDRESS: 28023 Calm Horizon Drive
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Junsdiction Code nnnf Manuallnput
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance T
Type of Review: ] Complete Review ❑ Structural Only
❑Repetitive Fee Other
Repeats _ Ho�url 1.5 Hrs. @
Es011 Fee $105.00 $157.50
' Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+