PMT16-02693 City of Menifee Permit No.: PMT16-02693
29714 HAUN RD, Type: Residential Electrical
't;kCCELA—> MENIFEE,CA 92586
MENIFEE Date Issued: 08/2612016
P E R M I T
Site Address: 27800 GROSSE POINT DR, MENIFEE, Parcel Number: 335-164-021
CA 92586 Construction Cost; $16,000.00
Existing Use: Proposed Use:
Description of INSTALL SOLAR SYSTEM-2.34 KW 9 PANELS 1 INVERTER-PANEL UPGRADE 200A
Work:
Owner Contractor
WILLIE HUDSON ENERGY REMODELING INC
27800 GROSSE POINT DR 22120 CLARENDON STREET STE 200
MENIFEE, CA 92586 WOODLAND HILLS, CA 91367
Applicant Phone:8772454672
JASON JONES License Number: 968844
ENERGY REMODELING INC
22120 CLARENDON STREET STE 200
WOODLAND HILLS,CA 91367
Fee Description Amount
Solar, Residential or Small Commercial 252.00
Building Permit Issuance 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
$453.10
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 builicling 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.
CONDITIONS
Condition Comment
1 MPU PERMIT
AA BidgPermit—Template.rpt Page 1 of I
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I 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 ci I am exempt from licensure under the Con"ctoes State License Law for
Profiessipins Code and my license is in full force and effect. the following mason:
V�('I
s
License 4�� License No. q By my signature below I acknowledge that,except formy personal residence
Expires_// 4/'7) signature in which I must have resided for at least one year prior to completion of
F—T— improvements covered by this permit.I cannot legally sell a structure that I
WORKEWS COMPENSATION DECLARATIO have built as an owner-builder if it has not been constructed in its entirety by
P 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
hte 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 followhig website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit Is issued. wwwleainfin.ca.Aov/calaw.htmL
Policy# �5 I � o ly�')S 1-// Date
a I 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 n By my signature below I certify to each of the following:I a in the property
this permit is issued.My worker's compensation Insurance carrier a nd policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided Is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires wii—+ 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
ci I certify that In the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall fort ithco ply with those provisions Will the applicant or future building occupant handle hazardous material or a
D mixture containing a hazardous material equal to or greater that the
at. amounts specified on the Hazardous Materials Information Guide?
LF URETO SECURE WORKER'S COMPENSATION OVE PGE I'S 0yes P(No
UNLAWFUL,AND SHALL SUBJECrAN 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)?See permitting checklist
IN SECrION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY a Yes KNo
I hereby affirm that under the Pena Ity of perjury there is a construction Will the proposed building or mod ified fe cility 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) ci Yes $No
OWNER BUILDER DECLARATIONS I 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 perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous mat
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes KNo
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNtR A�6HORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
R
that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATI REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRPj 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-certifiecl 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 orthrough 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.epa.goy/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 Contractor's State License Law does not apply to an owner of a 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;
ci 1,as owner of the property a m exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.
& SAFETY PERMIT/PLAN CHECK APPLICATION jpt.
r! 2016
Menifee Received
DATE PERMIT/PLAN CHECK NUMBER �)mT vv - ow,13
TYPE: OCOMMERCIAL VtESIDENTIAL OMULTI-FAMILY OMOBILEHOME 0 POOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION 0-rLECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 5,0)ar )( L�IDC cl PCAO,01.; I )'nveWl'
P,,nei ve�t-x,je lco4
PROJEcTADDRESS r,? -7goo F�,ko5-5p_ I-
)r
ASSESSOR'S PARCEL NUMBER '335— LOT 211 TRACT se)39
OWNER NAME
ADDRESS 0 raL e 0;?, -t
PHON�E 0) '7705 EMAIL
APPLICANT NAME
ADDRESS �5�0 # �o 5orl,) _0, ao cA 19J�23
PHONE '�5 $ - WC>2 EMAIL C-r,.1�Ai& y)r9remouir77y . cc)m
CONTRACTOWS NAME OWNER BUILDER? 0 YES ONO
BUSINESS NAME F-Y)-e (YV YnO
D� 5cf
ADDRESS L) -712- 22
47
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER A6 q � q� LICENSE CLASSIFICATION C-
VALUATION$ (9 _sQ FT L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMEW DISTRIBUT(ON USINESS UCENSE NUMBER
C"o"M4
BUILDING PLANNING ENGINEERING FIRE � GRIEN SPI 0
INVOICE PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISAIMC
AMOUNT jfjPt�. ol I I
PLAN CHECK FEES I PAIDAMOUNT I I O—CASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&SGfety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityof,menifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In Tartnership with Governmentfor Buifding Safety
DATE: 08/24/2016 QAPPLICANT
5Y JURlS.
JURISDICTION: City of Menifee Q PLAN REVIEWER
LI FILE
PLAN CHECK NO.: PMT16-02693 SET: I
PROJECT ADDRESS: 27800 Grosse Point Dr.
PROJECT NAME: WILLIE HUDSON 2,500 Watts Solar Photovoltaic System
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
F-1 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.
F1 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.
F-1 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
F1 The applicant's copy of the check list has been sent to:
N Esgil Corporation staff did not advise the applicant that the plan check has been completed.
F-1 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 F-1 EJ F-1 PC 08/18/2016
9320 Chesapeake Drive, Suite 208 * San Diego,California 92123 * (858) 560-1468 * Fax(858)560-1576
City of Menifee PMT16-02693
08/24/2016
[DO NOTPAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-02693
PREPARED BY: Sergio Azuela DATE: 08/24/2016
BUILDING ADDRESS: 27800 Grosse Point Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F—TFE—A--] Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review; Complete Review Structural Only
[—]Repetitive Fee Other
Repeats E--� Hrs. @
EsGi I Fee $157.501
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doe+