PMT15-03598 City of Menifee Permit No.: PMT15-03598
29714 HAUN RD. Type: Residential Electrical
'ACCEL/� MENIFEE, CA 92586
MENIFEE Date Issued: 12/0212015
PERMIT
Site Address: 29612 GARDEN GROVE DR, MENIFEE, Parcel Number: 333-680-010
CA 92584 construction Cost: $33,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,33 PANELS,33 MICROINVERTERS,9.24 kW
Work:
Owner Contractor
PRUDENCE WOODS SOLCIUS LLC
29612 GARDEN GROVE DRIVE 1145 SOUTH 800 EAST#201
MENIFEE, CA 92584 OREM, UT 84097
Applicant Phone:8018994540
JENNIFER GODINEZ License Number:976336
SOLCIUS LLC
12155 MAGNOLIA AVE,#12B
RIVERSIDE, CA 92503
Phone:8443572258
Fee Description OQt Amount f$1
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 197 196.88
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$495.48
The issuance of this peril shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded 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 ❑ 1 am exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that 1 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 C 1 b Licen N . -7 6 3 S6 improvements covered by this permit, I cannot legally sell a structure that I have
Expires of 30 (b 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:/Avww.lecinfo.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 Dale
Section 3700 of the Labor Code,for the performance of work for which this
permit is issued. Property Owner orAuthorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
1t 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.Myworkers'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-
Carrier C y r{aS identified property for the inspection purposes.
Policy#SOUCL08y70 Expires It .21414 Date
Property Owner or Authorized Agent �j�/w
(This section need not be completed if the permit is for City Business License# V r��Y
one-hundred dollars($100)or less)
❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emulov 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 forthwith comply with those provisions. DYES 0 NO
,applicant;TLk Ca r Date; )2 12 /�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 DYES 0 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 of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES 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 mated orting.
OWNER BUILDER DECLARATIONS OYES ❑N
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 1'L 2 yS
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWN, 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 firths 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:
wwwepa.gov/lead or contact the National Lead Information Center at
❑ I, 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 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
Acknowledoement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE I I�� PERMIT/PLAN CHECK NUMBER — Q
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW OPLUMBING O RE-ROOF--NUMBER OF SQUARES
DESCRIPTION OF WORK R06—r• rriouni PV• 33 pinZl 33 h-?ir-Y0 n
2� Kw No n!I U a e,•
PROJECTADDRESS (eI2 GrD r. Menifee
ASSESSOR'S PARCEL NUMBER 'a-I.QD"n ,b LOT TRACT Buflding & Safety t•
OWNER NAME Prud`eh d NOV 17 2015
ADDRESS 291512 C Dr. 112s 9
s
PHONE 61g6j '_ 4 S1�- 1jir7 EMAIL
APPLICANT NAME
ADDRESS S
PHONE EMAIL
CONTRACTOR'S NAME 5 OWNER BUILDER? O YESSMNO
BUSINESS NAME ,.LL �1 �p n/I
ADDRESS 1 2IS 10., tr a� kvv a cb NT 26-0
PHONE EMAIL SQIQ.I' fYl 1 So ) uS
CONTRACTOR'S STATE LIC NUMBER "7b 33 4P LICENSE CLASSIFICATION
VALUATION$ 331 600 - 00 SQ FT SCp"I L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN - SMIP
INVOICE ''^^ PAIDAMOUNT
AMOUNT pT\ �,J,[O Q 0CASH `%CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLE17ER 0 YES 0 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
EsGil Corporation );,803�0
In Tartnership witfi Government for Building Safety
DATE: November 24, 2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-03598 SET: I
PROJECT ADDRESS: 29612 Garden Grove Drive
PROJECT NAME: Woods 33 Microinverters PV Solar 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 11/18
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
tllet,ifee PMT15-03598
November 24, 2015
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT15-03598
PREPARED BY: Eric Jensen DATE: November 24, 2015
BUILDING ADDRESS: 29612 Garden Grove Drive
BUILDING OCCUPANCY:
BUILDING F—AR—EA--jF Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance VJ
Plan Check Fee by Ordinance_ _ _ $196.88
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other
Repeats III Hourly 1.5 Hrs.
-J EsGil Fee $105.00 $157.50
' Based on hourly rate
Comments:
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