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PMT15-01096 M 6 City of Menifee Permit No.: PMT15-01096 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Electrical i MENIFEE Date Issued: 05/15/2015 PERMIT i Site Address: 28604 MURRIETA RD, MENIFEE, CA Parcel Number: 337-112-032 92586 Construction Cost: $10,975.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM 10 PANELS, 1 INVERTER, 2.55KW Work: Owner Contractor CANDACE MALONE H M R&R SERVICES INC 28604 MURRIETA ROAD 22625 BUTTERCUP PLACE MENIFEE, CA 92586 CANYON LAKE, CA 92587 Applicant Phone: 9512445073 GARY SOMMA License Number: 848740 22625 BUTTERCUP PLACE CANYON LAKE, CA 92587 Fee Description ON Amount e. 2^ Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 0 $439.60 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 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 Class C'ZO License No. '-f D 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 DECLARATION Al ❑ I am exemptfrom licensure underthe Contractors'State License Law forthe hereby affirm under penalty of perjury one of the following declarations: following reason: calve 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:htta'//www.IeQinfo.ca.00v/—Calaw.htmi. permit is issued.My workers'compensation insurance carrier and policy number are: 51��h6 Property Owner or Authorized Agent Date Carrier 1r(+e` q !1 Expires'V ri 115 Policy# I f'� IJ�wq� Name of Agent K.A)(��rG'-y wLo Phone# j p 00 Sl WC-r(]nC� ❑ By my Signature below, certify to each of the following: 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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above- 0 1 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 so as to become subject to the �� _ workers' compensation laws of California, and agree that if I should become ./�f S subject to the workers'compensation provisions of Section 3700 of this Labor Pr<erty Owner or Authorized Agent Date Code,I shall forthwith comply with those provi ie S. �+ I f��P.��j'✓ City Business License# OS Date; J 6 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, ,-OYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES -FAD EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address JNA0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS 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 OYES 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 S INFORMATION GUIDE AND THE SCAQMD PERMITTING tion she is exempt from licensure and the basis for the alleged exemp . 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORtING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY O ER ORAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETYPERMIT/PLAN CHECK APPLICATION Menifee DATE 04/28/2015 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA El SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION OELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES installation of a 2.55 kw v system using 10 canadian solar panels 255watt and one inverter DESCRIPTION OF WORK P Y 9 P ( ) (fronious USA)no panel upgrade PROJECT ADDRESS 28604 Murrieta Road Sun City, CA 92586 ASSESSOR'S PARCEL NUMBER Z-032 —� LOT 120 TRACT 5444,ItyofMenifee OWNER NAME Candace Malone ADDRESS 28604 Murrieta Road Sun City,CA 92586 PHONE (951)722-0860 EMAIL candaceem@gmail.com Recei verl APPLICANT NAME HMR&R Services Inc ADDRESS 22625 Buttercup Place Canyon Lake, CA 92587 PHONE (951)244-5073 EMAIL hmrandr@yahoo.com CONTRACTOR'S NAME Gary Somma OWNER BUILDER? ❑YES❑✓NO BUSINESS NAME HMR&R Services Inc ADDRESS 22625 Buttercup Place Canyon Lake, CA 92587 PHONE (951)244-5073 EMAIL hmrandr@yahoo.com CONTRACTOR'S STATE LIC NUMBER 848740 LICENSE CLASSIFICATION b/c-20 VALUATION$ $ 10,975.00 SQ FT 1460 L SO FT 7405 APPLICANT'S SI ATURE DATE 0 412 812 01 5 CITYSTAFF USE ONLY DEP ENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER IL PLANNING ENGINEERING FIRE GREEN ' SMIP Z INVOICE PAIDAMOUNT $' p- AMOUNT G O 2 ZO Z U CASH CHECK ff C.� y G CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH =.%CHECK# ;CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES NO DL NUMBER NOTARIZED LETTER D YES 0 NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request line 951-246-6213 EsGil Corporatiop :5)7R&3 In(Partnership with Government for Building Safety DATE: 05/06/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-01096 SET: I PROJECT ADDRESS: 28605 Murrieta Road PROJECT NAME: Malone 2,500 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 building codes when minor deficiencies identified below are resolved and checked by building department staff. i ❑ 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 4/29 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(85'j)560-1576 City of Menifee PMT15-01096 05/06/2015 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-01096 PREPARED BY: Morteza Beheshti DATE: 05/06/2015 BUILDING ADDRESS: 28605 Murrieta Road BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf IManuallnput Bldg. Permit Fee by Ordinance W Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only [:]Repetitive Fee Other Repeats _dourly 1.5 Hrs. @* EsGII Fee $105.00 $157.50 * Based on hourly rate Comments: 1 112 hours plan review. Sheet 1 of 1 macvalue.doc+