PMT16-02641 City of Menifee Permit No.: PMT16-02641
29714 HAUN RD. Type: Residential Electrical
'ACCEL^— MENIFEE,CA 92586
"'"""`s`"— MENIFEE Date Issued:
08/24/2016
PERMIT
Site Address: 27186 PARK AVE, MENIFEE, CA 92586 Parcel Number: 336-293-002
Construction Cost: $10,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 20 PANELS, 1 INVERTER 5KW
Work:
Owner Contractor
RICHARD JOHNSON GREENIFY
27186 PARK AVE 407 W IMPERIAL HWY STE H-114
MENIFEE,CA 92586 BREA,CA 92821
Applicant Phone: 5629229361
ALEJANDRO COVARRUBIAS License Number: 1007894
GREENIFY
407 W IMPERIAL HWY STE H-114
BRE A, CA 92821
Fee Description Oft Amount 151
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 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_Bldg_Permit_Templale.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjurythat 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 ❑I am exempt from licensure underthe Contractor's State License Lawfor
Professions Code and my license is in full force and effect. the following reason:
License Class I C ens o, �Db "I By my signature below l acknowledge that,except for my personal residence
Expires I a 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 www.leeinfa.ca.eov/calaw.html.
this permit is issued.
Policy# Date
❑1 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit Is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier E-t _ E•D FIB i► ,930T<`��,y! (�- `-6 with all applicable city and county ordinances and state laws relating to
2��jj��/ JYJ3 7building construction.I authorize representatives of this city or county to
Pol icy#q-9,W .5i 0-5— Expires q�21--I/1l))n- 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 AUTHORIZED AGENT G
❑I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,1 shallfort th comply with those provisions. WIII the applicant or future building occupant handle hazardous material ora
Applicant Date ^ mixture containing a hazardous material equal to orgreater that the
amounts sggt:cified on the Hazardous Materials Information Guidez
WARNING:F RE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes ;It o
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(SCAQM D)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelij�es
CONSTRUCTION LENDING AGENCY oyes 2c,
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 boun ary,of a school?
(Section 3097 Civil Code) o Yes o
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hapaardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 0¢ Q
Business and Professions Code).Any city or county that requires a permit to ei D No LL Date
construct,alter,improve,demolish or repair any structure,prior to its PRO E OWNER OR AUTHORIZED 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.REPAIR 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
D I,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. n No EPA Lead-Safe Certified Firm is required for this project because:
D I,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.
EsGil Corporation
03°�515
In Partnership with Government for ouifding Safety
DATE: 08/19/2016 ❑ ,APPLICANT
Rr JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT16-02641 SET: I
PROJECT ADDRESS: 27186 Park Ave.
PROJECT NAME: RICHARD JOHNSON 5,000 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:,S{,L) Fax #:
Mail Telephone Fax In Person E-mail:
® REMARKS: All sheets of plans must be signed by the person responsible for their preparation.
Sheets PV3 and PV5 are missing the required signature.
By: Sergio Azuela Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 08/15/2016
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
City of Menifee PMT16-02641
08/19/2016
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-02641
PREPARED BY: Sergio Azuela DATE: 08/19/2016
BUILDING ADDRESS: 27186 Park Ave.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mn #WA
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other
Repeats 1.5 Hrs. @
EsGil Fee $105.00 $157.50 ,/
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+
SAFETYBUILDING & • APPLICATION
"Menifee
DATE ,12 ' PERMIT/PLAN CHECK NUMBER 110 oZJ041
TYPE: O COMMERCIAL b:RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ONEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
S 4v
PROJECTADDRESS 7 I 1 Y—^,p/CV�,/�� 1 02
ASSESSOR'S PARCEL NUMBER jj(p 'p't.9i'j W� LOT LOW TRACT
OWNERNAME ��CV \��rL/�
ADDRESS 2 \ I /�/n O V)
LCI 2 S O
PHONE (SL�'L I ' " I • ZX EMAIL
APPLICANT NAME js
ADDRESS yy��
PHONE ( SU�) ��� '��"11 EMAIL ee�l1
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESSN/AME -e V
ADDRESS I—( b ) 3eY 1pug -
PHONE(SbZ��ZZ • G13� 1 EMAIL
CONTRACTOR'S STATE
E�1VLIICNUMBER hO�L4 LICENSE CLASSIFICATION / �I
VALUATION$ I.0 I V0 ,\ SO FT L SQ FT(�
APPLICANT'S SIGNA TURrig DATE Ll 2 K/
DEPARTMENT DISTRIBUTION `-Q I CITY 01`6Eyf�EF��ySI 5 ICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ✓
INVOICE /j .�Q PAID AMOUNT
AMOUNT _' OCASH OCHECKI$ OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www,citya(menifee.us Inspection Request Line 951-246-6213