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