PMT15-02779 1
I
City of Menifee Permit No.: PMT16-02779
29714 HAUN RD.
11'�' MENIFEE, CA 92586 Type: Residential Electrical 3
cam. xsm` MENIFEE Date Issued: 09/21/2015 {
9
N
PERMIT
Site Address: 26201 ST MARYS ST, MENIFEE, CA Parcel Number: 337-033-009
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 22 MODULES,22 MICROINVERTERS, 5.72KW
Work:
Owner Contractor
LONNIE GUILLIAM VISION INSTALLATION
26201 ST MARYS ST 5255 N EDGEWOOD DR
MENIFEE, CA 92586 PROVO, UT 84604
Applicant Phone: 8887817074
KELLY BAKER License Number: 853582
VISION INSTALLATION
5255 N EDGEWOOD DR -
PROVO, CA 84604
Fee Description Qtv Amount
Building Permit Issuance 1 27.00
GREEN FEE 1 w 1.00
General Plan Maintenance Fee-Electrical 1 12.60
$462.10
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_Bldg_Permit Templatespt 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 e which I must have resided for at least one year prior to completion of
License Class (' ( License No. improvements covered by this permit, I cannot legally sell a structure that I have
Expires I-.'3I-1'r Signatur built as an owner-building If it has not been constructed In Its entirety by licensed
r contractors. 1 understand that a copy of the applicable law, Section 7044 of the �I
WORKERS' COMPENSATION DECLARATP Business and Professions Code,Is available upon request when this application is
submitted or at the following Web site:
hereby affirm under penalty of perjury one of the following declarations: htto'llwww leainfo ca oov/calaw html.
ale and will maintain a certificate of consent of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this 1
permit is issued. Property Owner or Authorized Agent
Policy# L� ❑ 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
ton 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
ems_[,.,, p � construction. I authorize representatives of this city or county to enter the above-
Carrier,5Va'�-� u— rl "l d ie property for tf e` spectio purposes.
iden
Policy (( 0 �— �, Expires 6 Date
Prope yOwn �jd Authorized Y Agent
[[� �ry(This section need not be completed if the permit is for City Business License# V Sao ((�tQ
one-hundred dollars($100)or less)
I-certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIAL DECLARATION
shall not enable 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, }�pecified on the Hazardous Materials Information Guide?
Code, shall ort(h�with - ply�wnith those provisio�'nys. / DYES y,LNO
Afopli a e cC�'�{ te; "�G� r ( S 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 El YES ,`��/""",',',
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed 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 n NO
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
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
DY� `
%(
License Law forthe reason(s)indicated below by the checkmark(s)I have placed OP RTY O\N 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 (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.
L7 I, owner of the property, or my employees with wages s their sole
compensation,
wvvw-epa.yovllead or contact the National Lead Information Center at
will do ( )all of or( ) porting of the work, and thee structure is 1-800-424-LEAD(5323).
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 purpose of sale). Firm Certification No.:
❑ I, as owner of the property an exclusively contracting with licensed ❑ 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 contractors)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLANA. .
I&Menifee
M-02k!"10
DATE PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ®RESIDENTIAL MULTI-FAMILY [_]MOBILE HOME 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. 5.72 kw. 22 modules. Arrays=385 s
One story home.22 micro-inverters.
PROIECTADDRESS 26201 Saint Mary's St. �
ASSESSOR'S PARCEL NUMBER 3'5j—b_"-yv yq 1 LOT 0 TRACT
PROPERTY OWNER'S NAME Lonnie Guilliam
ADDRESS 26201 Saint Ma 's st, Sun City, CA 92586/
PHONE _(951)878-9255 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 OWNERBUILDER7 ❑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$ $ 01 0 n 0 SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE 09/08/15
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION all) CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I#0 SMIP
INVOICE
AMOUNT �. O PAID AMOUNT O CASH O CHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED Cl YES O NO DL NUMBER NOTARIZED LETTER C YES G' NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
1
EsGil Corporation
In Partnership with Government for BuiCcl'ing Safety
DATE: 09/14/15 ❑ /APPLICANT i
,p JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-02779 SET: I
PROJECT ADDRESS: 26201 Saint Mary's St.
PROJECT NAME: Lonnie Guilliam 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:
By: Eric Jensen Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 09/10
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858) 560-1576
1
City of Menifee PMT15-02779
09/14/15
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-02779
PREPARED BY: Eric Jensen DATE: 09/14/15
BUILDING ADDRESS: 26201 Saint Mary's St.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREAF Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code fnnf Manual Input
Bldg, Permit Fee by Ordinance
PlanCheck Fee by Ordinance +
Type of Review: ❑ Complete Review ❑ Structural Only
❑Re petitive Fee El Other �
Repeats ❑ Hourly1 1.51 Hrs. @
EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+