PMT15-02679 i
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City of Menifee Permit No.: PMT15-02679
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
6w sMnsse MENIFEE Date Issued: 0911012015
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PERMIT
Site Address: 27980 GROSSE POINT DR, MENIFEE, CA Parcel Number: 335-152-008
92586 Construction Cost: $13,500.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 22 MODULES, 22 MICROINVERTERS, 5.72KW,
Work: REQUIRES 200AMP PANEL UPGRADE
Owner Contractor
JIM FRITZ VERENGO INC
27980 GROSSE POINT DR 20285 SOUTH WESTERN AVENUE 200
MENIFEE, CA 92586 TORRANCE, CA 90501
Applicant Phone: 3108039053
PATRICIA GARCIA License Number: 935263
VERENGOINC
20285 SOUTH WESTERN AVENUE 200
TORRANCE, CA 90501
Fee Description gtv Amount($1
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$439.50
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 Menifee
LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the
-
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: -
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence it
Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class C�� [ O License No. C1351ko-3 improvements covered by this permit, I cannot legally sell a structure that I have
Expires 7. 3)•17 Signature (� --`�:_=-�_ 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one the following declarations: htto://www leclinfo ca gov/calaw html.
I have and will maintain a certificate of consentt of self-insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Dale
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. - Property Owner or Authorized Agent
Policy#
By my Signature below, I certify to each of the following: I am the property
I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the Information I have provided is correct. I agree to comply
permit is issued.My workers:compensatign Insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
L, - construct on.IaF
ntatives of this city or county to enter the above.
Carrier S lU{'Y ride /M vl,lIVion purposes.
Policy#_ f 000)2✓c/ Expires 1D • )5 Date
Pr perty Owner or Authorized Agent
(This section need not be completed if the permit Is for
one-hundred dollars $$100)or less) - City Business License# -
NA certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,i shall forth 'th comply with those provisions. ❑YES P%O
Applicant; Date; _ 9• Cl• fi Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification.from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist -
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND EYES "NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the posed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES rNO
CONSTRUCTION LENDING AGENCY - I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of -
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS ❑YES
® -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's ',• Date q'/o•
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROP RTY OWNER OR AUTHORIZED AGENT
next to the applicable items)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees. For more information about EPA's Renovation Program visit:
❑ I, as owner of the property, or my employees with wages as their sole www,epa.gov/lead or contact the National Lead Information Center at
compensation, will do 1-800-424-LEAD(5323).
p ( ) all of or( ) porting of the work, and the structure Is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
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 Firm Certification No.:purpose of sale). -
❑ 1, as owner of the property an exclusively contracting with licensed ED No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
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EsGil Corporation {
In Partnership with Government for Building Safety
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DATE: 09/02/15 ❑ PLICANT
JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-02679 SET: I
PROJECT ADDRESS: 27980 Grosse Point Dr.
PROJECT NAME: JIM FRITZ 22 @ 215 Watts Micro-inverters 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: All sheets of plans must be signed by the person responsible for their preparation
By: Eric Jensen (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 08/28
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 921.23 ♦ (858)560-1468 ♦ Fax(858)560-1576
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City of Menifee PMT15-02679
09/02/15 li
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-02679
PREPARED BY: Eric Jensen (SA) DATE: 09/02/15
BUILDING ADDRESS: 27980 Grosse Point Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Judcciction Code mnf Manuallnput
Bldg. Permit Fee by Ordinance
P la n Ch eck Fee by Ordinan ce + �J
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetlbve Fee ❑ Other
+ Repeats dourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+