PMT15-01182 City Of Menifee Permit No.: PMT15-01182
_ 29714 HAUN RD.
'��'OCIELl? MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 05/19/2015
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PERMIT
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Site Address: 27880 BLAZE LN, MENIFEE, CA 92585 Parcel Number: 331-400-014
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Construction Cost: $15,700.00 I
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Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 PANELS, 1 INVERTER 5.23KW-REQUIRES
Work: PANEL UPGRADE
Owner Contractor
OLGA SHINN SOLARMAX RENEWABLE ENERGY PROVIDER INC
27880 BLAZE LN 308012TH STREET
MENIFEE, CA 92585 RIVERSIDE, CA 92507
Applicant Phone: 9513000788
JOSH POGUE License Number: 972048
SOLARMAX RENEWABLE ENERGY PROVIDER INC
3080 12TH STREET
RIVERSIDE, CA92507
Fee Description Oft r Amount($1
�.^ m^m rv^cs�^=a�++a^ e�^^•:*M -+w^ ^.., tea:�*'rn '5�+,3"I°` � q 'csa^3s+ r -•..
,,;3blarrR�sidentia 'onSmall Commercial v��,�, � x ������L�r�1,�,� �,F� ;252f10`.
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_Bldg_Permit Template.rpt Page 1 of 1
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City Of Mer�lre i
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the -prope
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the proleq Se's 1
Professions Code and,my license -i full force and effect ( il cfI'6n a 1,�„��,,,,r,y Code:The Contractor's License Law does not a' 'Mw ne
License Class C. Z/�7 Lice o. i2 Cry' who builds or improves thereon, and who contrracts for the;-
C.-' jPrg
Expires �� Signatur licensed contractor(s)pursuant to the Contractors State License
WORKERS'COMPENS ON DECLARATI N
❑ 1 am exempt from licensure under the Contractors'Slate 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 must have resided for at least one year prior to completion of
Section 3ssu 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 issue bullt as an owner-building if It has not been constructed In Its entirety by licensed
Policy# /I�( /5� 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:htto://wwwJQginfo.ca.gov/calaw.hml.
permit is Issued.My workers'compensation Insurance carrier and policy number are:
.�l 74 7,� F-611y,0 Date
Property Owner or Authorized gent
Carrier �7 '7
Expires 44LI 4& O Policy# qo/ a 17
15—
Name of Agent Phone# By my Signature below, I 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 agpl able city and county ordinances and state laws relating to building
conte�sst ctio .I authorize 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 i €miffe roperty f a ins ction purposes.
shall not emDlov 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 provisiyyns f Section 3700 of the Labor ,�"
Code, I shall forthwith comply with those r5vis' ns. ",r�operty Owner or AuJf orized Agent Da
City Business License#
Date; ,�i /�i' Applica v
WARNING: FAILURE TO SECUR WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVE E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYE 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 ❑NO 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
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑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 licensure 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 ❑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 REPOR1 ING.
compensation, will do ( ) all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED 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).
EsGil Corporation
In(Partnership with Government for Building Safety
DATE: 05/14/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-01182 SET: I
PROJECT ADDRESS: 27880 Blaze Lane
PROJECT NAME: Sinclair 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 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: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 5/7
9320 Chesapeake Drive, Suite 208 ♦ San Diego,Califomia 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee PMT15-01182
05/14/2015 1
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
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JURISDICTION: Menifee PLAN CHECK NO.: PMT15-01182
PREPARED BY: Morteza Beheshti DATE: 05/14/2015
BUILDING ADDRESS: 27880 Blaze Lane
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf IManual Input
Bldg. Permit Fee by Ordinance �
Plan Check Fee by Ordinance �
Type of Review: ❑ Complete Review ❑ Structural Only
El Repetitive Other Repetitive Fee �
- e Repeats Hourl 1.5 Hrs. @
EsGil Fee $105.00 $157.50
" Based on hourly rate
Comments: 1.5 hour plan review.
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