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PMT15-00912 City of Menifee Permit No.: PMT15-00912 29714 HAUN RD. �4 k?' MENIFEE, CA 92586 Type: Residential Electrical ewr #SMM'sR MENIFEE Date Issued: 05/01/2015 PERMIT Site Address: 25080 SPRINGBROOK WAY, MENIFEE, Parcel Number: 339-432-005 CA 92584 Construction Cost: $27,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 27 PANELS, 1 INVERTER, 8.505 kW Work: Owner Contractor JOSE SHEPARD CLEAN POWER ENGINEERING INC 25080 SPRINGBROOK WAY 1299 COLUMBIA AVENUE#E-5,6 - MENIFEE, CA 92584 RIVERSIDE, CA 92507 Applicant Phone: 8447001001 CHRISTINE CHAMPENOIS License Number: 1000575 CLEAN POWER ENGINEERING INC 1299 COLUMBIA AVENUE#E-5,6 RIVERSIDE, CA 92507 Phone: 9097481300 Fee Description Qtv Amount f$1 a„ es( e�rialorS alommeC�iai� �� b - 52 Building Permit Issuance 1 27.00 � i lohal=P�a�j RewewE a rtaaC�'• ��= r 58 7r " 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 th am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 70 ) f Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions r Professions Code y license is in I fleet. Code:The Contractor's License Law does not apply to an owner of a property License Class �l License N .5 who builds or improves thereon, and who contracts for the projects with a Expires -31-17 Signature = licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensors 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 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. 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 ❑ 1 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:http llwww lepinfo ca ooWcalaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Author zed Agent Date Expires Policy# ❑ 8y 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 c' and county ordinances and stale laws relating to building construction.I a t or ze 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 prop e y f r the inspection purposes. 'all not employ any persons in any mann o as to become subject to the workers' compensation laws of California an agree that if I should become J subject to the workers'compensation pro is1 s of Section 3700 of the Labor property ,ner or Authorized Agent Date Code,I shall forthwith comply with those ro isions. S .1 City Business License# Date; 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, []YES 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 �IJ0 EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY 7� SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? I hereby affirm that under the penalty of perjury there is a construction lending 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's AddressO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES 1 PRINT NAME: (,"IT 1 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 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 Stale 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 ES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER TH ST E OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE BE TIO 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZAI�DO S TERIAL I�EPORi�ING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY WI EA t1THORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). • APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: ".) COMMERCIAL ®RESIDENTIAL % MULTI-FAMILY O MOBILE HOME () POOL/SPA " SIGN SUBTYPE: ADDITION O ALTERATION "" DEMOLITION `) ELECTRICAL O MECHANICAL NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK o L Lo 1 PROJECTADDRESS ASSESSOR'S PARCEL NUMBERg%t;j5r— ART TRACT OWNER NAME ADDRESS �`` c>✓v*.`� City n - PHONECIS' `p �. - �S I EMAIL P.;w. T . . 3 APPLICANT NAME . i ` �,`'�(i.u�,_ �. ADDRESS eceived PHONE C3a CC CONTRACTOR'S NAME OWNER BUILDER? YES el NO BUSINESS NAME ADDRESS 3 ca \ c,- PHONIl�Lt� EMAIL CONTRACTOR'S STATE LICNUMBER -S LICENSE CLASSIFICATION - l� VALUATION$ "7 \ �' SOFT I J 1 L SQ FT APPLICANT'S SIGNATURE DATE C� DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNTQgn `o CASH %%CHECK# ""CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT CJ CASH C%CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED "YES C) NO DL NUMBER NOTARIZED LETTER C YES 0, NO City of Menifee Building&Safety Department 29714 Haun 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: 04/20/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-00912 SET: I PROJECT ADDRESS: 25080 Springbrook Way PROJECT NAME: Shepard 7,600 watt 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 4/13 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 Menifee PMT15-00912 04/20/2015 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT15-00912 PREPARED BY: Morteza Beheshti DATE: 04/20/2015 BUILDING ADDRESS: 25080 Springbrook Way BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod, Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manual Input Bldg, Permit Fee by Ordinance. r Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats l- o 1.5 Hrs. @ EsGil Fee $105,00 $157.50 * Based on hourly rate Comments: 1.5 hour plan review, Sheet 1 of 1 macvalue,doc+