PMT15-01521 i
City of Menifee Permit No.: PMT15-01521 z
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0611912015
it
PERMIT
Site Address: 27042 HALF MOON BAY DR, MENIFEE, Parcel Number: 333-441-008
CA 92585 Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,22 PANELS, 1 INVERTER, 5.72 kW
Work:
Owner Contractor
MYCHAL STONE SUNRUN INSTALLATION SERVICES INC
27042 HALF MOON BAY DRIVE 775 FIERO LANE STE 200
MENIFEE, CA 92585 SAN LUIS OBISPO, CA 93401
Applicant Phone: 8886576527
CAID SCHARRY License Number: 750184
SUNRUN INSTALLATION SERVICES INC
775 FIERO LANE STE 200
SAN LUIS OBISPO, CA 93401
Phone: 9512019457
Fee Description Ohl Amount is
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$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 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_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 �Q- 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- 1 0 License No. who builds or improves thereon, and who contracts for the projects with a
Expires 0-1 — 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
❑ 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.
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
F 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.leail]fo.ca.ciov/—Calaw,html.
permit is issued.My workers'compensation insurance carrier and policy number are:
�--cam
Carrier ZUQ.\C_ -F Pr r Authorized Agent Date
Expires �i'2�D� S Policy# V3CC>l?,(P1 bOTS�
—r ��]t �y my Signature below, I certify to each of the following: I am the property
Name of Agent R¢TF+y 2�6AtLA`Phone# 4 b— �'�3�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-
w� certify that in the performance of the work for which this permit is issued, I identified propert f he-ins i* rposes.
3h'll 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
subject to the workers'compensation provisions of Section 3700 of the Labor property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions. GJ'1
City Business License# O�� / V
Date; Applicant; `� 7T-SQ.AJtJ
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 FINO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY rl; 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 "'NQ 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: ,�,�I BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, rp'tfO SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for the l
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 AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensors 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 _Ch[ O UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SCION 25505RIAL 1';E5533POkf AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS
compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE 11'13 PERMIT/PLAN CHECK NUMBERIMECHANICAL
a
TYPE: G COMMERCIAL 6 RESIDENTIAL MULTI-FAMILY <% MOBILE HOi'SIGN
SUBTYPE: O ADDITION C ALTERATION C DEMOLITION .Q(ELECT v�
E) NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK tmr Z2 o ed) enite
VW
PROJECTADDRESS Xo ll
ASSESSOR'S PARCEL NUMBER '!f33-LA y%-OCF y LOT TRACT Y�C+`
i 7
OWNER NAME /V` 1 q n
ADDRESS ?_7C ( 0 /Vle C �- a2sg 5
PHONE (-ct51\ ILAJ -a,j° C3 EMAIL
APPLICANT NAME G� 11
ADDRESS �$ C,I�,e - Te. 4'carl
PHONE EMAIL n�me,e0m
CONTRACTOR'S NAME o ('on OWNER BUILDER? 0 YES , NO
BUSINESS NAME
ADDRESS �$ �/ Y�1-v2, IPY. !I—C(-z-
b
PHONE7707 EMAIL ,Ca,v :(( 116Pe.Coen C ,
�-
CONTRACTOR'S STATE LIC NUMBER 5�)t8L( LICENSE CLASSIFICATION G�L�
VALUATION $ _- -1�°°a SQ FT 7 �[ ( L SQ FT
APPLICANT'S SIGNATURE DATE
CnYSTAFF-USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT C CASH 0''CHECK p >CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT C'CASH '=%CHECK s :%CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 3YES `) NO DLNUMBER NOTARIZED LETTER O YES Q NO
City of Menifee Building & Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.Lis Inspection Request Line 951-246-6213
Menifee PMT15-01521 055S-7-` V
6/11/2015
EsGil Corporation
In(Partnership with Government far(Buirding Safety
DATE: 6/11/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-01521 SET: I
PROJECT ADDRESS: 27042 Half Moon Bay Dr.
PROJECT NAME: Stone 4.2KW 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 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: ) Email: Fax #:
Mail Telephone Fax In Person
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 6/4
I
Menifee PMT15-01521
6/11/2015
i
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT15-01521
PREPARED BY: Morteza Beheshti DATE: 6/11/2015
BUILDING ADDRESS: 27042 Half Moon Bay Dr.
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 V
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
ElRepetitive Fee El Other
Repeats o- Hourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
" Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+