PMT15-01512 City of Menifee Permit No.: PMT15-01512
29714 HAUN RD.
' MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 06124/2015
PERMIT
Site Address: 30270 CALLE POMPEII, MENIFEE, CA Parcel Number: 364-122-017
92584 Construction Cost: $36,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 36 MODULES, 2 INVERTERS, 9KW
Work:
Owner Contractor
ANTHONY SIMS PACIFIC SUN TECHNOLOGIES INC
30270 CALLE POMPEII 42045 REMINGTON AVE
MENIFEE, CA 92584 TEMECULA, CA 92590
Applicant Phone: 9513081800
TAMARA LAWS License Number: 896158
PACIFIC SUN TECHNOLOGIES INC
42045 REMINGTON AVE
TEMECULA, CA 92590
Fee Description City Amount
S"'o��Res ehtl� S" a o �r Ic al` i 2 00'.
Building Permit Issuance 1 27.00
d�lana
GREEN FEE 1 2.00
1 ESIDENTIAL- 1 5: 0
$443.50
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 building 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_Templatesiot 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 Cade 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 L•1 O License eNNo.n A6%%8 who builds or improves thereon, and who contracts for the projects with a
Expires - �0 6 Signature t M licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION ❑ lam 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 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
fry I 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 leoinfo ca pov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Property Owner or Authorize gent Date
Carriers-tk�-�
Expires t( 1 U\S Policy#ga514(
'%By my Signature below, I certify to each of the following: I am the prom
Name of Agent Phone# owner or authorized to act on the properly owner's behalf I ti_ - ..,au this
(This section need not be completed if the permit is for application and the information I have provided is coy.. ' 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 property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the L c-
workers' compensation laws of California, and agree that if I should become ; J
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent 0-7/.C.�,
^ l� Date
Code,I shall forthwith comply with those provisions.
City Business License# —5(
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 ]NO 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS PRINT NAME:
I 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 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, ;4NO 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 I HAVE READ THE HAZARDOUS MATERIAL
provisions of the Contractor's State License Law (Chapter 9 (commencing with
Section 7000)of Division 3 of the Business and Professions Code)or that he or �4ES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from Iicensure 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 AND UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODESECAT 5055533WND 25534 CONCERNING
Z M5I Eq
❑ I, 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 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
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 S PERMIT/PLAN CHECK NUMBER Wtttr7 - 0(5
TYPE: ;,') COMMERCIAL V,, RESIDENTIAL 0 MULTI-FAMILY O M\O/BILE HOME C' POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION " DEMOLITION .,�.vELECTRICAL O MECHANICAL /
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ALL 4-13 RjAsa .
b M cb-�>L s a /� Yy
PROJECTADDRESS JCQ C) I_
ASSESSOR'S PARCEL NUMBER � (VL{ 1 LOT _ TRACT
OWNER NAME 1C_,X ON
ADDRESS � _7D /(J.LI pyk�
PHONE gSk, ZV\O- ,ZL/b( EMAIL
APPLICANT NAME —T- MA
ADDRESS g. c CMI _<k)j — (3 FCv
PHONE qS\ . 3,r7S. L &:-0 EMAIL A trwzm F>AcvF,uq.� CN . C c`�/✓1
CONTRACTOR'S NAME P. Cl J C 14 NtDL IES OWNER BUILDER? O YES 3(NO
BUSINESS NAME p.CIFI.L. CN Lam( I
ADDRESS S I P6 A'V.C—
PHONE I SOD ff EMAIL A -C C .(W
CONTRACTOR'S STATE LIC NUMBER SQb lSIR LICENSE CLASSIFICATION D
VALUATION $ S(o ODO. cFJ SO FT L SO FT
APPLICANT'S SIGNATURE - DATE b aas
10M RAW—;,
DEPARTMENT DISTRIBUTION G� CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 5
INVOICE � /y�� /ado PAIDAMOUNT
AMOUNT /✓{)�(/ I I _,'CASH 0CHECK# `.%CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT :1 CASH k0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED YES C, NO DL NUMBER NOTARIZED LETTER '7 YES 0 NO
City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee PMT15-01512
06/10/2015
EsGil Corporation
i
In Partnership with Government for ftifding Safety
DATE: 06/10/2015 ❑ APPLICANT
❑ JURIs.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-01512 SET: I
PROJECT ADDRESS: 30270 Calle Pompeii
PROJECT NAME: Sims 2x3,800 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 6/3
City of Menifee PMT15-01512
06/10/2015
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-01512
PREPARED BY: Morteza Beheshti DATE: 06/10/2015
BUILDING ADDRESS: 30270 Calle Pompeii
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTALVALUE
Junsdictlon Code mnf Manuallnput
Bldg, Permit Fee by Ordinance r
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
[__]Re petitive Fee Other
v
Repeats L� 1.5 Hrs. @
EsGiI Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+