PMT16-03521 City of Menifee Permit No. PMT16-03521
29714 HAUN RD. Type: Residential Electrical
<A-CCEILA—> MENIFEE, CA 92586
MENIFEE Date Issued: 11/2812016
P E R M I T
Site Address: 28368 WESTVVOOD WAY, MENIFEE, CA Parcel Number: 372-291-013
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED PV SYSTEM-5.04 KVV 18 SOLAR MODULES 1 INTERTER
Work:
Owner Contractor
JASON ENGLISH AMERICAN SOLAR DIRECT INC
28368 VVESTWOOD WAY 1552 WEST EMBASSY STREET
MENIFEE,CA 92584 ANAHEIM, CA 92802
Applicant Phone:4242146700
CALVIN CHEN License Number:941069
AMERICAN SOLAR DIRECT INC
1552 WEST EMBASSY STREET
ANAHEIM, CA 92802
Fee Description City Amount
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 158 157.50
GREENFEE 1 1.00
SMIP RESIDENTIAL 1 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$463.10
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
speelfications 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_PerrntTemplate.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 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 11censure under the Contrzictor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class C t C) License No. By my signature below I acknowledge that,except for my personal residence
Expire&:&A2��\A Signature 6� in which I must have resid ed for at least one year prior to completion of
3 _
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
ci 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,forthe performance of work forwhich
this permit is issued. www.IeRinfo.ca.9ov/ciiIaw.htmI.
Policy# 65�� Date
PROPERTY OWNER OR AUTHORIZED AG ENT
e I have and will maintain worker's compensation insura nce,as required by
section 3700 of the Labor Code,for the performance of the work for which "Y'my signature below I certify to each of the following:I a in the property
this Perm It is Issued.My worker's com pensation Insure nce 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
with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policvr—_"30!��-1290\ —Expires k enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred lr� Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
a I certify that in the performance of the work for which this permit is issued,
I shall not em ploy any persons in any manner so as to become su bject to the CITY BUSINESS LICENSE#
worker's 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 forthwith comply With those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes aArr
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or futu re 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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ci Yes MR/0'
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) aYes M.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 ZSS05 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous ma.ten.at reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 aYes
Business and Professions Code).Any city or county that requires a permit to �0_0 lf� Date
construct,alter,improve,demolish or repair any structure,prior to its -PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant forthe permitto file a signed statement
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPl
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 Ncensure 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 appilca nt 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 EPXs Renovation Program visit:
compensation,Will do( I all of or( I portion of the work,and the structure is www.epa.goyllead 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 o 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. a No EPA Lead-Safe Certified Firm is required for this 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
OCT 2 8 2016
Menifee
DATE PERMIT/PLAN CHECK NUMBER CL- 0.!�52,1
TYPE: []COMMERCIAL XRESIDENTIAL E]MULTI-FAMILYE]MOBILEHOME [-]POOL/SPA [:]SIGN
SUBTYPE: [JADDITION INALTERATION [:]DEMOLITION DELECTRICAL [-]MECHANICAL
E]NEW [-]PLUMBING [-IRE-ROOF-NUMBEROFSO.UARES
DESCRIPTION OF WORK wf.��\N v�t�� NwwvA N-,� swr"M
cv�� C�mwk
PROJECT ADDRESS
ASSESSOR'S PARCEL NUMBER LOT 15 TRACT
PROPERTY OWNER'S NAME
ADDRESS
PHONE EMAIL
APPLICANT NAME C
ADDRESS \n-\ "t ::Nvt%�o
PHONE �V-&) %�%r, - EMAIL
CONTRACTOR'S NAME ,�VvA OWNERBUILDER? [-IYESrKNO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER <\A�%\�-Ql\ LICENSE CLASSIFICATION
VALUATION$ 5�F-r L SO FT
I APPLICANT'S SIGNATURE z DATE
CITY 57AFF USE ONLY 1w,
DEPARTMENT DISTRIBUTION S�jp -F7 CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GIEEN
INVOICE PAIDAMOUNT
AMOUNT zclq�- w I 1 0 CASH 0 CHECK$1 0 CREDIT CARD VIS M
PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK 4 0 CREDIT CARD VISAIMC
OWNER BUILDERVERIFIED 0 YES 0 No DLNUMBER NOTARIZED LE17ER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, C4 92586 951-672-6777
www.citvofmen1fee.us Inspection Request Line 951-246-6213
EsGil Corporation
InVartnership with governmentfor Oui(ding Safety
DATE;. NOV 22, 2016 0 APPLICANT
El JURIS.
JURISDICTION: Menifee 0 PLAN REVIEWER
Ell FILE
PLAN CHECK NO.: PMT16-03521 SET: II
PROJECT ADDRESS: 28368 Westwood Way
PROJECT NAME: English 6000 Watt Solar PV 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.
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.
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 #:
Date contacted: (by: Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA F-1 EJ F-1 PC 11/15
9320 Chesapeake Drive, Suite 208 + San Diego,California92123 * (858)560-1468 * Fax(858)560-1576
Menifee PMT16-03521
NOV 07, 2016
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03521
PREPARED BY: Eric Jensen DATE: NOV 07, 2016
BUILDING ADDRESS: 28368 Westwood Way
BUILDING OCCUPANCY:
BUILDING AREA Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multir Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf Manual input
Bldg.Permit Fee by Ordinance
$196.881
Plan Check Fee by Ordinance
J'
Type of Review: 0 Complete Review Ei Structural Only
0 Other
D Repetitive Fee
Repeats Hourly 1.51 Hirs. @
EsGil Fee $105.00
Based an hourly rate
Comments:
Sheet 1 of I
macvalue.doc+