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PMT15-03783 City of Menifee Permit No.: PMTIS-03783 _ 29714 HAUN RD. '5 -�CCELA-' MENIFEE,CA 92586 Type: Residential Electrical d°'.'AS` .' MENIFEE Date Issued: 1211812015 PERMIT Site Address: 27224 EMBASSY ST, MENIFEE,CA Parcel Number: 335-333-005 92586 Construction Cost: $12,350.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 25 MODULES,25 MICROINVERTERS 6.5KW Work: Owner Contractor LARNA LEI LOVE VISION INSTALLATION 27224 EMBASSY 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 OQt Amount ISl Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 158 157.50 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 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 building operations being carried an 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_PernB_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 ef; c 5 which I must have resided for at least one year prior to completion of License Class �1 C )0 License No. improvements covered by this permit,I cannot legally sell a structure that I have Expires SignaW do, 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 submitted or at the following Web site: srebyand affirm under penalty of perjury one t the following for workers' hftp7//w�.leginfo.m.gov/calaw.htmi. m.cov/calaw.htmi. I aye 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# ��_ ��—N'� ❑ By my Signature below, 1 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 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 L`rJ construction.I authorize representatives of this city or county to enter the above- CarrierL S 7LP�Tz, j riot identi a property for U e' spectio t purposes. Policy#q e2� � Expires . Date Prope OwndZpf Authorized Agent �� (This section need not be completed if the permit is for .� [ 11 r/one-hundred dollars City Business License# ��)($100)or less) rtity 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 pecified on the Hazardous Materials Information Guide? Code4shall orthwtth ply wwiiitth ththose provisions. ❑YES �NO '.�T'a`a; l���� 1 5 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 SUBJECT COMPENSATION AN EMPLOYER TO ICRIMINALFPENALTES SHALL AND for guidelinfs CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS DYES T - ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the pmposed 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 DYES EV90 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 arena re orung. OWNER BUILDER DECLARATIONS DYE' ,`�TL�`„", // I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date�l� License Law for the reason(s)indicated below by the checkmark(s)I have placed OP RTY O 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 licensors 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 www.epa.00v/lead 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 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.: El ❑ 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 contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP ,. Acknowledgement. EsGil Corporation In Partnership with Government for tBaifding Safety DATE: 12/16/15 ❑ APPLICANT ❑ JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-03783 SET: I PROJECT ADDRESS: 27224 Embassy St. PROJECT NAME: LORNA LEI LOVE 25 @ 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: Provide a statement on the Title Sheet of the plans to show compliance with the current Codes. The 2013 edition of the California Building Code (CBC) adopts the 2012 International Building Code (IBC) and the 2012 California Amendments. The 2013 edition of the California Electrical Code (CEC) adopts the 2011 National Electrical Code (NEC) and the 2012 California Amendments. By: Sergio Azuela Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 12/10 9320 Chesapeake Drive, Suite 208 ♦ San Diego, Califomia 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 City of Menifee PMT15-03783 12/16/15 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-03783 PREPARED BY: Sergio Azuela DATE: 12/16/15 BUILDING ADDRESS: 27224 Embassy St. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA FValuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Junsdiclion Code nlnf Manual Input Bldg. Permit Fee by Ordinance W Plan Check Fee by Ordinance W Type of Review: ❑ Complete Review ❑ Structural Only Re hhve Fee El Other ❑��Repeats � 1.5 Hrs. @ ' EsGil Fee $105.00 $157.50 Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1 macvalue.doc+