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PMT15-03649 City of Menifee Permit No.: PMT16-03649 29714 HAUN RD. Type: Residential Electrical �J-_CCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 1 210712 01 6 PERMIT Site Address: 31211 EAGLE CREEK ST, MENIFEE, CA Parcel Number: 360-540-015 92584 Construction Cost: $29,941.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 20 PANELS, 1 INVERTER 5.60KW Work: Owner Contractor THOMAS BRISTOW SOLCIUS LLC 31211 EAGLE CREEK ST 1145 SOUTH 800 EAST 9201 MENIFEE,CA 92584 OREM, UT 84097 Applicant Phone:8018994540 CRISTIAN OSORIO License Number: 976336 SOLCIUS LLC 1145 SOUTH 800 EAST#201 OREM, CA 84097 Fee Description Q�t Amount f51 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 158 157.50 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $455.10 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_aldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION 1-hereby affirm under-penalty-orpedury-that-i-em licensed-under-provisions of --❑ I,-as-owner-of_the_property-an_exdusively_contracting.with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044,Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class G-10 License No. q7-6:536 who builds or improves thereon, and who contracts for the projects with a Expires /30 iL Signature ( Pflilb licensed contractor(s)pursuant to the Contractors State License Law), WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors Slate License Law for the ❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit. I cannot legally sell a structure that I have permit Is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. i understand that a copy of the applicable law, Section 7044 of the �G I have and will maintain workers' compensation insurance, as required by Business and Professions Cade,is available upon request when this application is /,, ' section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:)tLtyl/www.lecinfo.m.covlcalaw.hlml. permit is issued.My workers'co/m�ppensation insurance carder and policy number are: Carrier CNJtE �N5 LU Property Owner or Authorized Agent Date Expires I /ZI/ 1 r5 Policy# 5aQG �� ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the properly owners behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars(5100)or less) with all applicable city and county ordinances and slate laws relating to building construction.I authorize representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I identified p erty for the in action purposes. 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 subject to the workers'compensation provisions of Section 3700 of the Labor property Owner orAulhorized Agent Date Code,I shall forthwith comply with those provisions. City Business License# O 3 �- — Date; � /5 Applicant; ( .///�1 YIS/�fyYl 0�5oy� WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5.Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, XNO SCHOOL? 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 provisions of the Contractors State License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or \eES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION I sTION 25505 50 25533'I ND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY NER OR IZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code;, .. The Contractor's Slate License Law does not apply to an owner of a property X 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- Builder will have the burden of proving that it was not built or improved for the purpose of sale). EsGil Corporation In Partnership with Government far Building Safety DATE: 12/02/15 ❑ LICANT JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-03649 SET: I PROJECT ADDRESS: 31211 Eagle Creek St. PROJECT NAME: TOM BRISTOW 20 @ 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: Tel ne #: Date contacted: (b Fax #: Mail Telephone Fax In Person E-mail: ❑ REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 11/24 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 City of Menifee PMT15-03649 12/02/15 ADO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-03649 PREPARED BY: Sergio Azuela DATE: 12/02/15 BUILDING ADDRESS: 31211 Eagle Creek 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 Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats � 1.5 Hrs. Ill Fee $105.00 $157.50 Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1 macvalue.doc+