PMT16-03527 City of Menifee Permit No.: PMT16-03527
29714 HALIN RD. Type: Residential Electrical
-(;kCCEL:J�> MENIFEE, CA 92586
MENIFEE Date Issued: 1112812016
P E R M I T
Site Address: 30243 LAMPLIGHTER LN, MENIFEE, CA Parcel Number: 364-260-032
92584 Construction Cost: $30,939.00
Existing Use: Proposed Use:
Description of INSTALL OF PV SOLAR SYSTEM, 30 PANELS,7.8 KW 1 INVERTER
Work:
Owner Contractor
LUANA POLLEY HELIOPOWER INC
30243 LAMPLIGHTEIR LN 25747 JEFFERSON AVE
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9516777755
MATT ALMAS License Number.915598
25747 JEFFERSON AVE
MURRIETA,CA 92562
Fee Description City Amount($)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Electrical 158 157.50
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 wifthin 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_13ldg_Permit Template.rpt Page I of I
CITY OF MENIFEE
LICENSED DECLARATION propertywho builds or improvesthereon,and who contracts forthe 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 Contractines State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class_C.-'AL L—ka UcenseNo. By my signature below I acknowledge that,except for my personal residence
Expires SAIJI0. signature in which I must have resided for at least one year prior to completion of
improvements covered bythis permit.I cannot legally sell a structure that I
WORKER'S COMPENSAT10N DECLARATION have built as an awner-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 for which
this permit is issued. www.leginfo.ca.goy/calaw.htmi.
Policy# Date
a I have and will maintain worker's cnmpensation insurance,as required by PROPERTY OWNER ORAUTHORIZED AGENT
section 3700 of the Labor Code,forthe performance of the work for which ci 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
with all applicable city and county ordinances and state laws relating to
Carrier kA 91- building construction.I authorize representatives of this city or county to
Poficy# —Expires 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
o 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#
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 fo 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 amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGEIS a Yes a No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applica nt or future build Ing
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant req u ire a permit for the construction or modification from South
ADDITION TO TH E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oYes oNo
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) ci Yes ci 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 material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes ci No
Business and Professions Code).Any city or county that requires a pemitto Date
construct,after,improve,demolish or repair any structure,priorto Its PROPERTY 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 childure 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
ci 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPNs Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/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 Contractoes 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. ci No EPA Lead-Safe Certified Firm is required for this project because:
0 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 Ouilding Safety
DATE: 11/15/2016 El APPLICANT
P-JA4RIS.
JURISDICTION: City of Menifee El PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-03527 SET: I
PROJECT ADDRESS: 30243 Lamplighter Ln
PROJECT NAME: PoIlley 7.6KW rooftop PV 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.
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.
1-1 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�--b( Telephone #:
Date contacted: � ( Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA El EJ F-1 PC 11/7
9320 Chesapeake Drive, Suite 208 * SanDie,-0,Calif6rnia92123 * (858) 560-1468 * Fax(858)560-1576
City of Menifee PMT16-03527
11/15/2016
[DO NOT PAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03527
PREPARED BY: Morteza Beheshti DATE: 11/15/2016
BUILDING ADDRESS: 30243LamplighterLn
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
m nf Man w I In put
Junsdiction Code
Bldg. Permit Fee by Ordinance
PlanCheck Fee byOrdinance
Type of Review: Complete Review Structural Only
[-]Repetibve Fee Other 1.5 Hrs.
Repeats E--� @ *
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review. Sheet 1 of 1
macvalue.doc+