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PMT15-04035 City of Menifee Permit No.: PMT15-04035 29714 HAUN RD. Type: Residential Electrical 'ACCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 01/27/2016 PERMIT Site Address: 26090 MUSICK RD, MENIFEE, CA 92584 Parcel Number: 360-160-029 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTALL GROUND MOUNTED SOLAR SYSTEM,21 PANELS, 1 INVERTER,5.775 kW Work: Owner Contractor ADRIAN ARZATE MEMEGED TEVUOT SHEMESH 26090 MUSICK ROAD 6711 VALJEAN AVENUE MENIFEE, CA 92584 VAN NUYS,CA 914D6 Applicant Phone:8665751211 ANTHONY BELTON License Number:962965 MEMEGED TEVUOT SHEMESH DBA TITAN SOLAR 6711 VALJEAN AVENUE VAN NUYS, CA 91406 Fee Description Ply Amount(SI 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 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $453A0 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 on thereunder when in violation of the Building Code or of any other ordinance of City of Men'rfee.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_BIdg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ ]am exempt from licensure under the Contractors'Stale 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 Co nd my ticg se is In full force and eff which I must have resided for at least one year prior to completion of License Clas 6--/ License No. 76.� improvements covered by this permit, I cannot legally sell a structure that I have Expires 7 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 DECLAFMION Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penally of perjury one the following declarations: http://www.leginfo.ca.goy/calaw.htmi. I have and will maintain a certificate of consentt 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 or Authorized Agent Policy ❑ By my Signature below, 1 certify to each of the following: I am the property 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 construction.I authorize representatives of this city or county to enter the above- Carrier /�`! V,rr identified property for the inspection purposes. Policy#��B,�q�.S Expires �� Date Property Owner or Authorized Agent �� (This section needs( be completed if the permit is for %n one-hundred dollars $100)or less) TT�"City Business License# ❑ 1 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 contain' a hazardous material equal to or greater that the subject to the workers compensation provisions of Section 3700 of the Labor amounts s fied on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. DYES NO Applican Date; Will the intended use of the building by the applicant car future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECUR WORKERS' Coast Air Quaii Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelin SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the prop d building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ND 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 HeeJW&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous tenal reporting. OWNER BUILDER DECLARATIONS ❑YES NO n I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date e5 License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWN R 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: El I, as owner of the properly, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at 1-800-424-LEAD(5323). compensation,will do( )all of or( )parting 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). ❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Finn 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. v3 bS5(,P City of Menifee PMT15-04035 O1/25/2016 EsGil Corporation in fPartnership with Government for Buirding Safety DATE: 01/25/2016 ❑ APPLICANT U/JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-04035 SET: II PROJECT ADDRESS: 26090 Musick Rd. PROJECT NAME: Arzate 5,000 watt ground mounted PV 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: � (byQS Fax #: Mail Telephone Fax in Person E-mail: ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 01/15/2016