PMT16-02717 City of Menifee Permit No. PMT16-02717
29714 HAUN RD. Type: Residential Electrical
<A-CCEUA-> MENIFEE,CA 92586
MENIFEE Date Issued: 08130/2016
P E R M I T
Site Address: 26081 LANCASTER DR,MENIFEE. CA Parcel Number: 335-132-006
92586 Construction Cost: $15,400.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 PANELS, I INVERTER,4.1k
Work:
Owner Contractor
BILL MOSIER AMBASSADOR ENERGY INC
26081 LANCASTER DR 41120 ELM ST STE 105
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone:8665861840
STEVE FULGHAM License Number.928112
AMBASSADOR ENERGY INC
41120 ELM ST STE 105
MURRIETA, CA 92562
Fee Description 9k 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
$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 buillding 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 BIdgPermit-Template.rpt Page 1 of 1
LICENSED DECLARATION CITY OF MENIFEE
Property who builds or improves thereon,and who contracts for the project,
I hereby affirm under penalty Of Perjurythat I am under provisions of with a licensed contractoqs)Pursuant to the Contractors State License Law).
CbaPter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect,
License Class Ll License No. the following reason:
Expires Signaturej 9LI:i�:�Y,my signature below I acknowledge that,except far my personal residence
I which I must have resided for at least one year prior to completion of
WORKER'S -OMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
'a I hereby affirm under Penalty of perjury one of the following declarations:I have built as an owner-builder if it has not been constructed in its entirety by
have and will maintain a certificate Of consent of self-insure for worker's licensed contractors.I understand that a copy of the applicable law,Section
compensation,issued by the Director of Industrial Relations as provided for 7044 of the Business and Professions Code,Is available upon request when
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. Vvww.legInIO.ca-9Ov/caIaw html.
Poficy# NAC_2D\`�0w3oft1-1S
[a I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT Date
section 3700 of the Labor Code,for the performance of the work for which 0 BY MY signature below I cerrify to each of the following:I am the property
this Perm it is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property ownees beha If.I have read this
number are:
Carrier application and the information I have provided is correct.I agree to comply
_%tm �qm vwf�nL & N,,vr,Np. with all applicable city and county ordinances and state laws relating to
Policy# \J C_DAS q0n,-%0A1-)cN Epires_1 10/2_�1 J�, building construction.I authorize representatives of this city or county to
(This section need not to be completed is the permit Is for one-hundred enter the above identified Property for inspection purposes.
dollars($100)or less
Date
a I certify that in the performance of the work for which this permit is issued, PROPERTY OWNER OR�AUTHORIZED AGENT
I shall not emPloy any Persons in any manner seas to become subject to the CITY BUSINESS LICENSE# 5,:�
workees compensation laws of California and agree that if I should become
subject to the worker's compensation pr.',ii,n f Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I shall forthwith comply with those pro ze.1s. Will the applicant or future building occupant handle hazardous material or a
Applicant hc Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
MLA—RNING'FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes alNo
UNLAWFUL,AND SHALL SUBJECrAN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000)'IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED 17OR occupant require a permit for the construction Or Modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
CONSTRUCTION LENDING AGENCY for guidelines
0 yes a No
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)
OWNER BUILDER DECLARATIONS o Yes 0 No
I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under Penalty of perjury that I am exempt from the Permitting checklist I understand MY requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to wYes n No
construct,alter,improve,demolish or repair any structure,prior to its
Issuance,also requires the applicant for the permit to file a signed — nl;(��X / DateJ13 01kQ
that he or she is licensed Pursuant to the Provisions of the Contrac statement PHL)PERTYOWNEFtORAUi..—",�..�..Ivj
License Law(Chapter 9(commencing with Se toes State EPA RENOVATION,REPAIR AND PAINTING(RRP)
ction 7000)of Division 3 at the
Business and Professions Code)or that he or she is exempt from Itcensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-2978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RAP-certified firms and comply with
than($500). required Practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves orthrough their
a lo as owner of the propeft Or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit;
compensation,Will do( )all of or( I portion of the work,and the structure is wwwemi.goyllead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Profession 1-800-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner ofse
Property who,through employees'or personal effort,builds or improves the a An EPA Lead-Safe Certified Renovator will be responsible for th is project
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
completion,the Owner-Builder will have the burden Of Proving that it was Firm Certification No.:
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required fOrthis Project because:
o 1,as owner of the property am 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.
EsGil Corporation
In Partnership with governmentfor Buifding Safety
DATE: 08/26/2016 El APPLICANT
a--TU—R I S.
JURISDICTION: City of Menifee 0 PLAN REVIEWER
L3 FILE
PLAN CHECK NO.: PMT16-02717 SET: I
PROJECT ADDRESS: 26081 Lancaster Dr.
PROJECT NAME: BILL MOSIER 4,200 Watts Solar Photovoltaic System
7 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.
El The applicant's copy of the check list has been sent to:
z Esgil Corporation staff did not advise the applicant that the plan check has been completed.
F� Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted:<� Telephone #:
Date contacted: qbf Fax #:
Mail Telephone Fax In Person E-mail:
Z REMARKS: All sheets of plans must be signed by the person responsible for their preparation.
By: Sergio Azuela Enclosures:
EsGil Corporation
[] GA 7 EJ F-1 PC 08/22/2016
9320 Chesapeake Drive, Suite 208 * San Diego,California 92123 * (858)560-1468 * Fax(858)560-1576
City of Menifee PMT16-02717
08/26/2016
[DO NOTPAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-02717
PREPARED BY: Sergio Azuela DATE: 08/26/2016
BUILDING ADDRESS: 26081 Lancaster Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING Valuation Reg. VALUE
PORTION F Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOT,
Junsdiction Code imnf
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: Complete Review Structural Only
F-]Repetiuve Fee Other
Repeats F�—� Hrs. @
EsGil Fee $157.50K
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+