PMT15-01014 f
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City of Menifee Permit No.: PMT16-01014
29714 HAUN RD.
' Type: Residential Electrical
r�E4GC�t..lk?` MENIFEE, CA 92586 1
MENIFEE Date Issued: 05/08/2015
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PERMIT
Site Address: 25232 WILD VIEW RD, MENIFEE, CA Parcel Number: 358-490-005
92585 Construction Cost: $30,888.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 34 PANELS, 1 INVERTER, 8.840 kW
Work:
Owner Contractor
RODRIGO CAMARGO HORIZON SOLAR POWER INC
25232 WILD VIEW ROAD 7100 WEST FLORIDA AVENUE
MENIFEE, CA 92585 HEMET, CA 92545
Applicant Phone: 9519261176
HOLLY THOMPSON License Number: 992053
HORIZON SOLAR POWER INC
7100 WEST FLORIDA AVENUE
HEMET, CA 92545
Fee Description Qtv Amount I$1
Building Permit Issuance 1 27.00
rc i loOaPl +?v ;�E e r 8 q
GREEN FEE 1 2.00�
�IES�E�JTI gig ,t `'�0
$443.60
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
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City Of Menifee
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LICENSED DECLARATION
I hereby affirm under penalty or perjury that 1 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 Cog d �7(li ense is in full f r e eff Code:The Contractor's License Law does not apply to an owner of a property
License Cl as`hY "`rice e N who builds or improves thereon, and who contracts for the projects with a
Expires �„� Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLAR- TION
❑ 1 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 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 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
Thave and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
ection 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'(Iwww lecinfo ca govlcalaw html.
ermit Is issued.M workers'compensation insurance carrier and policy number are:
Carrier (� y, 'J{� Property Owner or Authorized Agent Date
Expires 1 t I Policy# s t�uD✓�" I
Name of Agent Phone# ❑ By my Signature below, 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 c�� and c unty ordinances and state I relating to building
construction.�1 ut424 repr sentatives of this city or ent coun to er the above-
[I I certify that in the performance of the work for which this permit is issued, '�entif r6pert fort e' ction p rpose . =
shall not emolov any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that 'should Acome
subject to the workers'compensation rovisions of Se o 37- of tfr labor
Code,I shall fo `wit�mply with th a rove ns. Property O e` r t on d gent �] Date
Date; 4� Applican si 'cen # f
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWF , 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 D 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
^ FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address 0 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 AYES/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
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Any city or county that requires a permit to construct, alter, improve, demolish, [d 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 ES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any p/.�CHECKLIST. UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to �j Al,� UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) . " CODE, SECTION 2534 CONCERNIN 1
❑ I, as owner of the property, or my employees with wages as their sole aZAP MATERIr*NPORTI �compensation, will do ( ) all of or ( ) porting of the work, and the structure is O ERENT
not intended or offered for sale.(Section 7044, Business and Professions Code;The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
166
'MenifeeFig _
DATE J J PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
< NEW -- PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK I) kW DC mount PV solaz ) modules ) o timizers
( ) inverter(s) 1 1 \ �Q
PROJECTADDRESS v� V l C` V`CUV 0Q. 1
ASSESSOR'S PARCEL NUMBER LOT LOT TRACT
OWNER NAME 2 VA `- 11 ,^P I \ / /l`r f� `n 1 Ity l/ 9�
ADDRESS (, ✓ ) I(�, V'-C, 1 r'\f�.{�l T l."l.. f \ C I Of Menifee
pt.
PHONE � EMAIL
APPLICANT NAME HoUy Thompson
ADDRESS 7100 W Florida Ave Hemet Ca 92545 Received
PHONE (951) 537-6859 EMAIL holly.thompson@horizonsolarpower.com
CONTRACTOR'S NAME Horizon Solar Power OWNER BUILDER? O YES O
BUSINESS NAME
ADDRESS 7100 W Florida Ave Hemet, CA 92545
PHONE (951) 926-1176 EMAIL
CONTRACTOR'S STATE LIICC CN[U�jMBER 992053 LICENSE CLASSIFICATION A,B, C46
VALUATION$ r-, O p p - v� SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT a a O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES <J 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 ouifding Safety
DATE: 04/29/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-01014 SET: I
PROJECT ADDRESS: 25232 Wild View
PROJECT NAME: RODRIGO CAMARGO 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:
By: Eric Jensen (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 04/22/2015
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
City of Menifee PMT15-01014
04/29/2015
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[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-01014
PREPARED BY: Eric Jensen (SA) DATE: 04/29/2015
BUILDING ADDRESS: 25232 Wild View
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
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other
Repeats ❑ F 1.5 Hrs.
EsGi1 Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
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macvalue.doc+