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