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PMT15-03597 City of Menifee Permit No.: PMT15-03597 29714 HAUN RD. Type: Residential Electrical �/-�CCELA— MENIFEE,CA 92586 MENIFEE Date Issued: 1 210 21201 5 PERMIT Site Address: 30255 PUERTO VALLARTA WAY, Parcel Number: 360-020-008 MENIFEE,CA 92584 Construction Cost: $22,236.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 17 MODULES, 1 INVERTER,5.559KW Work: Owner Contractor DANIEL FISHBACK SMART ENERGY SOLAR INC 30255 PUERTO VALLARTA WAY 1641 COMMERCE STREET MENIFEE,CA 92584 CORONA,CA 92880 Applicant Phone:9512739595 MATTHEW FULTON License Number: 990049 SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA,CA 92880 Fee Description O_yt Amount Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 197 196.88 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $492.48 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 staled,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_aldg_Permit Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ 1 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 effect. which I must have resided for at least one year prior to completion of License Class ('--� -License No. O10600 improvements covered by this permit,1 cannot legally sell a structure that I have Expires 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 of the following declarations: htto://www.leainfo.ca.cov/calaw.html. I have 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 permit is Issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the property ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners 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 cored. 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 construction.I authorize representatives of this city or county to enter the above- Carder identified property for the inspection purposes. Policy# Expires Date Property Owner or Authorized Agen�ty.� �1 (This section need not be completed if the permit is for City Business License# ©✓(/' f one-hundred dollars($100)or less) ElI 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 ecified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. DYES FN Appiicant;�, le ! DaDate; \0--2-�t S Will the intended use of the building by the applicant or future building Z �T 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 in SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES iA NO 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 9f a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES OYES 0 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 YES N I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date �•^- s License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER 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(RRP1 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 Stale 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 RRPcer ified firms and comply with she is exempt from Iicensure 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: www.epa.gov/lead or contact the National Lead Information Center at ❑ 1, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )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 No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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 EsGil Corporation In Tartnership with Government for Building Safety DATE: November 24, 2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-03597 SET: I "F"O PROJECT ADDRESS: 30255 Puerto Vallarta Way NOV 2 5 2015 PROJECT NAME: Fishback 4.2 kW PV Solar System R0C6lVerj, ® 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 11/18 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 Menifee PMT15-03597 November 24, 2015 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT15-03597 PREPARED BY: Eric Jensen DATE: November 24, 2015 BUILDING ADDRESS: 30255 Puerto Vallarta Way BUILDING OCCUPANCY: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Imnf IManual Input Bldg, Permit Fee by Ordinance Plan Check Fee by Ordinance $196.88 Type of Review: ❑ Complete Review ❑ Structural Only ❑ Other ❑Repetitive Fee � 1 Repeats o urly 1.51 Hrs. @ EsGil Fee $105.00 $157.50 Based on hourly rate Comments: Sheet 1 of 1 macvalue.doc+