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PMT15-00914 i i City of Menifee Permit No.: PMT15-00914 29714 Type: Residential Electrical MENIFEEEE,, CA 92586 C 92 I MENIFEE Date Issued: 04/2712015 PERMIT Site Address: 23834 LAKE DR, MENIFEE, CA 92587 Parcel Number: 350-201-058 Construction Cost: $21,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 22 PANELS, 1 INVERTER, 5.5 kW Work: Owner Contractor HECTOR HERNANDEZ RAMOS ELECTRICAL CONTRACTOR 23834 LAKE DRIVE 16128 MONTBROOK STREET MENIFEE, CA 92587 LA PUENTE, CA 91744 Applicant Phone: 6264946246 DAMIAN CORTEZ License Number: 870035 RAMOS ELECTRICAL CONTRACTOR 16128 MONTBROOK STREET LA PUENTE, CA 91744 Phone: 7142579975 Fee Description QQrt Amount($1 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $440.50 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bidg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Clas ' Q- O License No. e 7v C�3S who builds or improves thereon, and who contracts for the projects with a Expires fL 't h$-Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 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 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. 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 ❑ 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'//www.leginfo.ca.clov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires Policy# ❑ 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-hun rd6d 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- LY certify that in the performance of the work for which this permit is issued, I identified property for the inspection purposes. shall not emnlov 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 orthwi comply with those provisions. � .,,,...--•'"f� City Business License# Date; /f Applicant; i�.y��O 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 ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES El,pl 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 8-NCA� Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 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, 0 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 ❑YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any 1 CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ,p' O UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) 1CODE SECTIONU 25505RIAL I�E 5533,AND 25534 CONCERNING El 1, as owner of the property, or my employees with wages as their sole compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OFF AUTHOFjIZ 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 — `� •" ^'-`� v"� 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). WDIA & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE Av QZ) PERMIT/PLAN CHECK NUMBER TYPE: I COMMERCIAL 4 RESIDENTIAL `) MULTI-FAMILY C>MOBILE HOME C POOL/SPA SIGN SUBTYPE: O ADDITION " ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL t: NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK S•S KVI/ K0C1F L vN T SQ PROJECTADDRESS -13 L ASSESSOR'S PARCEL NUMBER --Zr0- �\- LOT TRACT OWNER NAME Da- e(.( City Of Me -ftu"`.In9 & Safety De ADDRESS a39 k (Z .t a PHONE��aa,- $ "JQ EMAIL R 10 2015 APPLICANT NAME Received ADDRESS o Uj PHONE 1 ZS A� l J EMAIL CONTRA OR'S NAME t�2�� S OWNER BUILDER? "YES 0 NO BUSINESS NAME ADDRESSCA 7qq PHONE '1��1 ,�� qq�� EMAIL CONTRACTOR'S STATE LIC NUMBER OD3� LICENSE CLASSIFICATION VALUATION SO FT LSO FT hh APPLICANT'S SIGNATURE DATE V CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 3 INVOICE //�� 2 PAID AMOUNT AMOUNT O� ,J `% CASH t'CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT :. CASH `.'CHECK# t; CREDITCARD VISA/MC OWNER BUILDER VERIFIED ;:%YES 0 NO DLNUMBER NOTARIZED LETTER C' YES "" NO City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-6 72-67 77 www.cityofinenifee.us Inspection Request Line 951-246-6213 i i I EsGil Corporation In Partnership with Government for(6uilg'ing Safety j DATE: 04/20/2015 ❑ PLICANT JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-00914 SET: I PROJECT ADDRESS: 23834 Lake Drive PROJECT NAME: Hernandez 5,000 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 chock 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 ln Person ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 4113 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 1 i Menifee PMT15-00914 04/20/2015 j [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT15-00914 PREPARED BY: Morteza Beheshti DATE: 04/20/2015 BUILDING ADDRESS: 23834 Lake Drive BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurlsdictlon Code mnf IlAarual Input Bldg, Permit Fee by Ordinance Plan Check Fee by_Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ElRepetitive Fee El Other Repeats °urly 1.5 Hrs. @ "J EsGil Fee $105.00 $157.50 " Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 mecvalue.doc+