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PMT16-03551 City of Menifee Permit No.: PMT16-03551 29714 HAUN RD. Type: Residential Electrical <A-CCELA-> MENIFEE,CA 92586 t--t Mt.- MENIFEE Date Issued: 111/1612016 P E R M I T Site Address: 28037 WHITTINGTON RD, MENIFEE, CA Parcel Number: 336-511-006 92584 Construction Cost: $30.000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 30 MODULES, 1 INVERTER 8.4KW Work: Owner Contractor SUSAN BALBOA FREEDOM SOLAR SERVICES 28037 WHITTINGTON RD 30605 SORREL LANE MENIFEE,CA 92584 CANYON LAKE, CA 92587 Applicant Phone:9513210855 TABITHA KENNEDY License Number:982892 FREEDOM SOLAR SERVICES 30605 SORREL LANE CANYON LAKE, CA 92587 Fee Description Ply Amount Solar, Residential or Small Commercial 1 262.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 158 157.50 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $455.10 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 BidgPermit-Template-rpt Page 1 of 1 CITY OF IMENIFEE 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 contraictor(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 underthe Contractor's State License Law for Professions Cod I and my license is in full force and effect. the followin 'a n: License Class C Lic ise No. my signature below I acknowledge that,except for my personal residence in which I m ust he Expires I 'I'_N�Signature in which I must have resided for at least one year prior to completion of improvements covered by this Perm it.I ca nnot lega Ily sell a structure that I WORKER'S COMPENSATION D LARATION have built as an owner-builder if it has not been constructed in its entirety by lice s c. tr ct. ci I hereby affirm under penalty of perjury one of the following declarations:I rlicensed conttractors.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,for the performance of work for which this permit is Issued. www.leginfo.ca.goy/calaw.htm 1. Policy# Date ',f have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT liection 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 with all applicable city and count,ordinances and state low,relating to Carrier 61�� building construction.I authorize representatives of this city or county to Policy# !1,1p5724 —Expires en the above id ed prop y fo 4'nsiTction purposes. (Thissection need not to be completed is the permit is for one-hundred Date dollars($100)or less �Ke la Vcertify that In the performanceof the work for which this permit is issued, PROPERrlXR OR AUTHORIZED AG Wall 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 became HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation proviso"­ ection 3700 of the Labor Code,I shall with com with ZtYse;�vis�ioa Will the applicant or future building occupant handle hazardous material or a Applicant V-11 I mixture containing a hazardous material equal to or greater thatthe v amounts specified on the Hazardous Materials Information Guide? WARNING:FAILUR 271ECUREWORKER'SCO SATION COVERAGE IS a Yes e 0 S UNLAWFUL,ANDSH SUBJECT AN EMPLOY R TO RIMINAL PENALTIES Will the irt.nded use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOlubs'OLLARS($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 o Yes YNo 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 100 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 d 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazard material repo ' g. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Yes 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 PRO R NE R I AGE 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 EPARE. VATION�REPAIR AND PAINTI (RRPI 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 workthat disturbs paint in a pre-1978 and the basis forthe alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certifled 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 in 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 I I ail of or I I portion of the work,and the structure is www.epa.govIlead 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 Ucense Law does not apply to an owner of a ci 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. o 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 Contractoes 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 �� gi i il :,j?Menifee DATE LP PERMIT/PLAN CHECK NUMBER PKT(wo m6l TYPE: OCOMMERCIAL OWRESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION VALTERATION 0DEMOUTION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES— DESCRIPTION OF WORK PV1SC)!t-CX- rYW IWV+ T.4 K-k,' (30) PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT — OWNERNAME ADDRESS d'96YI CA a's 9-v PHONE )6 EMAIL JVIA APPLICANT NAME -abi"A-ek- YU.1 nedw ADDRESS a-5) �'ft Atie*br. Aiumtki- C,4 Vt6�9 PHONE 06) EMAIL CONTRACrOR'S NAME OWNER BUILDER? 0 YES NO BUSINESSNAME ADDRESS C/T %2�Klj PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C-16 VALUATION$ SO L SO FT DATE rli�ijiFUiiNONLi DEPARTMENT DISTRIBUTION SMIP AV00 I LITY b:5NWt,HU JjUUhN51E NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 0 INVOICE PAID AMOUNT AMOUNT al-I &P� � OCASH OCHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us inspection Request Line 951-246-6213 City of Menifee PMT16-03551 11/10/2016 EsGil Corporation in Partnersfiip witfi Governmentfor(Building Safety DATE: 11/10/2016 El APPLICANT YJURIS. JURISDICTION: City of Menifee El PLAN REVIEWER El FILE PLAN CHECK NO.: PMT16-03551 SET: I PROJECT ADDRESS: 28037 Whittington Rd PROJECT NAME: Balboa 7.6KW rooftop PV System The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. F� 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] 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. F-1 Theapocant'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. F-1 Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by:,�io Fax #: Mail Telephone Fax In Person E-mail: [_1 REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation 0 GA El EJ F� PC 11/3