PMT15-02778 City of Menifee Permit No.: PMT16-02778
_ 29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE
Date Issued: 0 9/2112 01 5
PERMIT
Site Address: 26387 MEHAFFEY ST, MENIFEE, CA Parcel Number: 335-293-004
92586
Construction Cost: $15,000.00 '
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 29 MODULES,29 MICROINVERTERS, 7.54KW
Work:
I
Owner Contractor
SANDY OSBERG VISION INSTALLATION
26387 MEHAFFEY ST 5255 N EDGEWOOD DR
MENIFEE, CA 92586 PROVO, UT 84604
ApplicantKELL Phone:8887817074
VISION INSTALLATION BAKER License Number: 853582
VISIO
5255 N EDGEWOOD DR
PROVO, CA 84604
Fee Description
Amount
,u�s �s •:e6wsd6,�-`_.�.�o.e. §.�� z nv� "vSu nn„r-„�$ e0'�s�ays.�riLQro
Building Permd Issuance 1 27 00
GREEN FEE 1 1 00
General Plan Maintenance Fee-Electrical 1 12.60
$452.10
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_BIdg_Permit_Template.rpt
Page 1 of 1
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 in
Professions Code and my license is in full force and eff ct
License Classwhich must have resided for at least one year prior to completion of
C 10 License No. 3,5. improvements covered by this permit, cannot legally sell a structure that I have
Expires'. )��' Signaturp 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 DECLARA Business and Professions Code,is available upon request when this application is
ereby affirm under penalty of perjury one of the following declarations: submitted or at the following Web site:
I ave and will maintain a certificate of consent of self-insure for workers' http://www.leginfo ca gov/calaw.html.
compensation,issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Cade, for the performance of work for which this Date
permit is issued.
Property Owner or Authorized Agent
Policy# *Ueyp�4 .�
� ❑ By my Signature below, I certify to each of the following: I am the property
I
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'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
Carriers?7 LFi`�'L' J��(L construction.I authorize representatives of this city or county to enter the above-
5 I identi ie property for tlfa spectio purposes, /j
Policy#•7 Q— + Expires / ��✓ Date `) /
tI Hropefty Own Authorized Agent
(This section need not be completed if the permit p s for
LP
one-hundred dollars($100)or less) City Business License# 0 5
4�certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIAL DECLARATION
shall not emolov any persons in any manner so as to become subject to the
workers'compensation laws of California, and agree that if I should become Will the applicant or future building occupant handle hazardous material or a
subject to the workers'compensation provisions of Section 3700 of the Labor mixture containing a hazardous material equal to or greater that the
Code,1 shall orthwith fnply with those provisions. amounts pecified on the Hazardous Materials Information Guide?
❑YES NO
Appli a Will the intended use of the building by the applicant or future'l5uMing
WARNING: FAILURE TO SECURE WORKERS' occupant require a permit for the construction or modification from South
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Coast Air Quality Management District(SCAQMD)?Seepermitting checklist
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND for guidelin s
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS El YE
DAMAGES
A ADDITION D THE COST TI COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES E, PROVIDED FOR IN SECTION 3ES OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES
CONSTRUCTION LENDING AGENCY ❑YES BINCj
hereby affirm that under the penalty of perjury there is a construction lending I have read the Hazardous Material Information Guide and the SCAQMD
agency for the performance of the work which this permit is issued (Section California permitt Health&t Safety Code, Section 25505. I understand mynts andunder the 25534 c ntcee of
ming
3097 Civil Code) hazardous naterial reporting.
OWNER BUILDER DECLARATIONS. DYE LINO
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's 1.
-�-- Date�(�License Law for the reason(s)indicated below by the checkmark(s) have placed POP RTY 0 ER OR AUTHORIZED AGENT
next to the applicable item(s) (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 RRPI
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 w'ww.epa govdcac'or contact the National Lead Information Center at
compensation, will do ( ) all of or( ) porting of the work, and the structure is 1-800-424-LEAD(5323).
not intended or offered for sale, (Section 7044, Business and Professions Cade;
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,
the building or improvement is sold within one year of completion, the Owner- Certified Firm Name: _
Builder will have the burden of proving that it was not built or improved for the
purpose of sale). Firm Certification No.:
Cl I, as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Cerfified Finn 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 contractors)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule nlea�P fw,,, ,tk� eon
BUILDING . PERMIT/PLAN CHECK APPLICATION
NMI
Menifee
DATE PERMIT/PLAN CHECK NUMBER P A 17� n a
TYPE: ❑COMMERCIAL ®RESIDENTIAL MULTI-FAMILY [IMOBILE HOMES POOL/SPA ❑SIGN
SUBTYPE: []ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[]NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Installation of Solar equipment on residential roof. 7.54 kw. 29 modules.Arrays=507.5 qft
One story home. 29 micro-inverters.
PROJECTADDRESS 26387 Mahaffey St. �
ASSESSOR'S PARCEL NUMBER � ';J9 Li LOT � /P
4 TRACT ( 1
PROPERTY OWNER'S NAME Sandy Osber
ADDRESS 26387 Mahaffey st.Sun City, CA 92586
PHONE (951)473-6200 EMAIL
APPLICANT NAME Vision Solar: Lindsey Mitchell/Kelly Baker
ADDRESS 8333 Rochester Ave#104
PHONE (808)343-3157 EMAIL Lmitchell@visionsolar.com
CONTRACTOR'S NAME Vision Installation OWNERBUILDER? ❑YES®NO
BUSINESS NAME Vision Installation
ADDRESS 5255 N. Edgewood Dr.#125 Provo, UT 84604
PHONE (888) 781-7074 EMAIL Mwalker@visionsolar.com
CONTRACTOR'S STATE LIC NUMBER 853582 LICENSE CLASSIFICATION C-10
VALUATION$ $A5 UVO SOFT LSQFT
APPLICANT'S SIGNATURE DATE 09/08/15
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTI CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP o��
INVOICE acj b0 PAID AMOUNT
AMOUNT p�(-1 -CASH C CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT pCASH �>CHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES C NO
City of Menefee Building& Safety Department 29714 Houn Rd. Menefee, CA 92586 951-672-5777
www.cityo finenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In cPartnership with Government for(Aui(ding Safety
DATE: 09/14/15 LICANT
JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-02778 SET: I
PROJECT ADDRESS: 26387 Mehaffey St.
PROJECT NAME: Sandy Osberg 29 @ 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:
By: Eric Jensen (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 09/10
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Pax(858)560-1576
City of Menifee PMT15-02778
09/14/15
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-02778
PREPARED BY: Eric Jensen (SA) DATE: 09/14/15
BUILDING ADDRESS: 26387 Mehaffey St.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manuallnput
Bldg, Permit Fee by Ordinance + ��
Pla n Check Fee by Ordinance + ��
Type of Review: ❑ Complete Review ❑ Structural Only
❑Re petilive Fee
❑ Other
Repeats —Hourly 1.5 Hrs. @
Ill Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
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macvalue.doc+