PMT15-00831 City of Menifee Permit No.: PMT15-00831
29714 HAUN RD.
- %#? MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 04/24/2015
i
i
PERMIT
Site Address: 28461 SCENIC BAY CV, MENIFEE, CA Parcel Number: 333-522-017
92585 Construction Cost: $10,500.00
Existing Use: Proposed Use:
Description of ADD ROOF MOUNTED SOLAR PV SYSTEM 11 PANELS 11 MICROINVERTERS 2.80 KW TO
Work: EXISTING PV SYSTEM
Owner Contractor
RUTH MASON SOLAR SERVICE CENTER INC
28461 SCENIC BAY CV 13345 ESTELLE STREET
MENIFEE, CA 92585 CORONA, CA 92879
Applicant Phone: 8887607652
ELIZABETH HOCH License Number: 961939
SOLAR SERVICE CENTER INC
13345 ESTELLE STREET
CORONA, CA 92879
Fee Description Obt Amount($1
Solar Residential of Smal(Comme claf 2520
Building Permit Issuance �10. 27.00
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�AdditlohafPlan
GREEN FEE 1 1.00
$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 6[it,
I hereby affirm under penalty or perjury that I am licensed under provisions of - as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and actors to construct the project(Section 7944, Business and Professions
Professions Code and my license is i foe a ff t. Code:The Contractor's License Law does not apply to an owner of a property
License Class r �License o. who builds or improves thereon, and who contracts for the projects with a j
Expires \b��li� Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS COMPENSATION D ARATION
❑ I am exempt from licensure 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' 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 prioVto completion of
Section 3700 of the Labor Code, for the performance of work for which this im rove s covered b this permit, I cannot legally sell a Structure that i have
permit is issued. P Y p 9 Y
Policy# built as n o ner-building If it has not been constructed in is entirety by licensed
contrac ors,,Hun, rstan that cop of a ap is le Section 7044 of the
�� I have and will maintain workers' compensation insurance, as required by Busine s a d'f5 of ssio s Cod ,Is 11 le up r when this applicat' n is
s�2tion 3700 of the Labor.Code, for the performance of the work for which this sub r he ollo ing b I :!I .le If a. ov c w.html
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier ce 22w C)W-- Props wner A gent Date
Expires Policy#�
y my Signature below, I c rtify t each of the following: I am the property
Name of Agent Phone# caner or thonzed to act on he roperty owner's behalf. I have read this
(This section need not be completed if the permit is for applicatio nd the information aye provided is correct. I agree to comply
e�ne-hundred dollars($100)or less) with all ip li abl ci and county ordinanc s and to laws relating to building
constructi . I a thon a epre ant i f t is dt r county to enter th above-
; ❑ I certify that in the performance of The work fo which this permit is issued, I !der t-fie a or insp c pu s n
shall not employ any persons in any manner s as to become subject to the
workers' compensation laws of California, an agr a that if I should beconlKI
subject to the workers'compensation rovisio s of. action 3700 of the - r pro w r or ,athoriz d A en
Code,I shall forthwith co�mply with th se prove io P ( 9 Date
Date;' t°. -Z Applica t; City Business License#
WARNING: FAILURE T SE R WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS U 1 A F L, NO SHALL
SUBJECT AN EMPLOYER TO CRIMI EN LTIES AND
CIVIL FINES UP TO ONE HUNDRED THOU A DDOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF C MPENSATION, 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 D NO EQUAL TO OR GREATER THAN THE AMOUNTS -
CONSTRUCTIONLENDINGAGENCY SPEbIFIED 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
APPLICANTOR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
❑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 DYES 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 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 DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensors 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 IT 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 ffEPORI ING.
compensation, will do ( )all of or( ) porting of the work, and the structure is , PROPERTY OWNER ORAUTHORIZED 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,
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).
Menifee PMT15-00831
04/13/2015
EsGil Corporation
In(Partnership with Government for Bui(ding Safety
DATE: 04/13/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00831 SET: I
PROJECT ADDRESS: 28461 Scenic Bay Cove
PROJECT NAME: Masson 11 microinverter added to existing 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:
z 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
Menifee PMT15-00831
04/13/2015
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT15-00831
PREPARED BY: Morteza Beheshti DATE: 04/13/2015
BUILDING ADDRESS: 28461 Scenic Bay Cove
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod,
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Judsdiction Code mnf I Manuallnput
Bldg. Permit Fee by Ordinance W
Plan Check Fee by Ordinance W
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other
Repeats ❑❑_,Hourly 1.5 Hrs. @*
EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+