PMT16-03094 City of Menifee Permit No.: PMT16-03094
29714 HAUN RD.
'5A—CCELX—> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 11/01/2016
P E R M I T
Site Address: 25392 LONE ACRES RD, MENIFEE, CA Parcel Number. 358-090-026
92584 Construction Cost: $35,400.00
Existing Use: Proposed Use:
Description of INSTALL 6.90 KW PV-20 AC MODULES W/BUILT IN INVERTERS
Work:
Owner Contractor
JASON HAMBURG SUNPOWER CORPORATION SYSTEMS
25392 LONE ACRES 77 RIO ROBLES
MENIFEE,CA 92584 SAN JOSE, CA 95134
Applicant Phone:9417203850
REBECCA HALE License Number: 890895
77 RIO ROBLES
SAN JOSE, CA 95134
Fee Description chy. 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 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$456.10
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.B1dg__Perrnit—Temp1;ne.rpt Page 1 of I
ciTy or 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 underprovisions 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 a in exempt from licensu re under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class C11 40464113 LiceinseNo. gct my signature below I acknowledge that,except for my personal residence
Expires Sign 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 DECLA. have built as an owner-builder if it has not been constructed in its entirety by
ci I hereby affirm under penalty of perljl-�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 workees 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
this permit is issued. wv;w.IeRinfo.czi.Rov/calaw.htmI.
Policy# Date
rj�(have and will maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which a 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: application and the information I have provided is correct.I agree to comply
Carrier &NF91CW �URICII with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# ?-730 Expires 11111.11-7 enter the above id entified property for inspection purposes.
(This section need not to be completed is the permit is for one-h undred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
0 1 certify that in the performance of the work for which this permit is issued,
Ishallnotempi 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 Lojillavith it ons. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
mounts specified on the Hazardous Materials Information Guide?
Co
A P can Date OIAJOV16 ar
p 5 T
W NJ J;�
WARNIN 7AMRE TO S96iEWORKER'S COMPENSATION COVERAGE IS 'Yes ciNo
UNLAWFUL,AND SHALL SUBJEC17 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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECrION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forguidelines
CONSTRUCrION LENDING AGENCY uYes nNo
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) o Yes ci No
OWNER BUILDER DECLARATIONS 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 Hea Ith&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes 0 No
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 OWNER OR AUTHORIZED AGEWT
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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 a llegad exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
a n Applicant for a permit subjects the applicant to a civil penalty of not more
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
ci 1,as owner of the p roperty,or my am ployee 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 wwvv.epa.goy/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7W,Business and Professions 1-800-424-LEAD(5323).
Code;The Contraclues State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator wilil 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 sa le. a No EPA Lead-Safe Certified Firm is required for this project because:
ci 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business a nd Professions
Code:The Contractoes State License Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RRP
Acknowledgement.
Menifee PMT16-03094
10/27/2016
EsGil Corporation
In Partnership with governmentfor ouitding Safety
DATE: 10/27/2016 Q APPLICANT
F-"URIS.
JURISDICTION: Menifee 0 PLAN REVIEWER
El FILE
PLANCHECKNO.: PMT16-03094 SET: 111
PROJECT ADDRESS: 25392 Lone Acres Road
PROJECT NAME: Hamburg 20 AC PV Modules (Second PV System)
The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
E� 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.
F-1 The plans transmitted herewith have significant deficiencies identified on the enclosed
check list and should be corrected and resubmitted for a complete recheck.
F] The check list transmitted herewith is for your information. The plans are being held at
Esgil Corporation until corrected plans are submitted for recheck.
El 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:
Z 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 #:
t
Date contacted: Fax #:
Mail Telephone Fax n Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
[_1 GA El EJ El PC 10/21
Menifee PMT16-03094 se+j,
09/29/2016
[DO NOTPAY— THIS IS NOTANINVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03094
PREPARED BY: Eric Jensen DATE: 09/29/2016
BUILDING ADDRESS: 25392 Lone Acres Road
BUILDING OCCUPANCY:
=BUILDING= AREA r—Valuation Reg. VALUE
�PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf Manual Inpu-t
Bldg.Pennit Fee by ordinance W
Pian Check Fee by Ordinance W
Type of Review: El Complete Review El Structural Only
E] Repetitive Fee Other
IW Repeats Hrs. @
Based on houdy rate EsGill Fee
Comments:
Sheet 1 of 1
macvalue.doc+