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PMT16-01717 City of Menifee Permit No.: PMT16-01717 29714 HAUN RD. 'XCCELAl7. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 06/15/2016 PERMIT Site Address: 27107 SAPPHIRE ST, MENIFEE, CA Parcel Number: 360-465-001 92584 Construction Cost: $13,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 163 MODULES, 1 INVERTER 3.25KW Work: Owner Contractor HARRY M COHEN PACIFIC SUN TECHNOLOGIES INC 27107 SAPPHIRE ST 42045 REMINGTON AVE MENIFEE, CA 92584 TEMECULA, CA 92590 Applicant Phone:9513081800 IAN EVANS License Number:896158 PACIFIC SUN TECHNOLOGIES INC 42045 REMINGTON AVE TEMECULA, CA 92590 Fee Description Qtv Amount 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 $462.10 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 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_BIdg Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force aFd effect. the following reason: C� C License Class C License ig 6 � By my signature below I acknowledge that,except for my personal residence Expires C�-3 I^ l(o Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which ,„N,N.leeinfa.ca.eov/calaw.html. this permit is issued. Policy# Date have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: I application and the information I have provided is correct.I agree to comply Carrier rc r-Q. with all applicable city and county ordinances and state laws relating to z building construction.I authorize representatives of this city or county to Policy# 61 0(D-1-4 6 S '1 3 Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZEDD AGENT�f D I certify that in the performance of the work for which this permit is issued, O/ 7/w/ti�� I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# _ )405 1 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker' ompensation provisions of Section 3700 of the Labor Code,I shall forthwith o ply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant �f Date �'1ST S' mixture containing a hazardous material equal to or greater that the pp amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO S CURE WORKER'S COMPENSATION COVERAGE IS o Yes ,,p No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the Construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes .KNo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) Dyes C1140 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting chec 'st.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the reason(s)indicated below by the California Health aporfety Code,Section 25505 and 25534 concerning hazardous materi I r porting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 � ❑No I Business and Professions Code).Any city or county that requires a permitto 5�l� Date A-6�^ ` , construct,alter,improve,demolish or repair any structure,priorto its PROPERTY OWNE UTHORIZED AGENT 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 EPA RENOVATION.REPA R AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their o 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or Improved for the purpose of sale. u No EPA Lead-Safe Certified Firm is required for this project because: u 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. C A•P • `Menifee DATE PERMIT/PLAN CHECK NUMBER krmo.- O'ri ( 1 TYPE: O COMMERCIAL ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 3.7-5 I IA0 A A AS- 13 PROJECTADDRESS 27/0 S I Tt_ ASSESSOR'S PARCEL NUMBER 36bj 65 oc) I LOT TRACT a0091-I OWNER NAME rn C h ADDRESS S �., PHONE 015� 21°. - goys EMAIL APPLICANT NAME qz��yy r /'� ADDRESS "- tu-- ad, • -z � f CA r?2.SgD PHONE (a�� 5� I - ry'•�� EMAILCow- CONTRACTOR'S NAME (,� V T•ccL.no�U ��,7-�a OWNER BUILDER? O YES O NO BUSINESS NAME L ,rL- `)UPS Y1w�. Lf•-� ADDRESS Aq( C4- 925q D PHONE %I) 50b- noo EMAIL CONTRACTOR'S STATE LICNUMBER �ZI ISrb LICENSE CLASSIFICATION VALUATION$ / U U SO FT L SQ FT APPLICANT'S SIGNATURE DATE 3 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION �� CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT �� OCASH OCHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O 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 in Partnership with Government for Building Safety DATE: 06/09/16 ❑ APPLICANT ❑ JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT16-01717 SET: I PROJECT ADDRESS: 27107 Saphire St. PROJECT NAME: HARRY M COHEN 3,000 Watts 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: By: Sergio Azuela Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 06/06 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 City of Menifee PMT16-01717 06/09/16 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-01717 PREPARED BY: Sergio Azuela DATE: 06/09/16 BUILDING ADDRESS: 27107 Saphire St. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Junsdiction Code mnf IlManuallnput Bldg. Permit Fee by Ordinance W Plan Check Fee by Ordinance W Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats E--� 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+