PMT16-03852 City of Menifee Permit No.: PMT16-03852
29714 HAUN RD.
<A-CCELA> MENIFEE, CA 92586 Type: Residential Electrical
--- MENIFEE Date Issued: 1211412016
P E R M I T
SiteAddress: 28441 STONEY POINT CV, MENIFEE, CA Parcel Number: 333-570-036
92585 Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 20 MODULES,20 MICROINVERTERS, 5.6KW
Work:
Owner Contractor
TIMOTHY HERMAN GREEN VOLT ENERGY
28441 STONEY POINT CV 1420 D EAST SAINT ANDREWS PL
MENIFEE, CA 92585 SANTA ANA,CA 92705
Applicant Phone:7144967717
JONATHON WISCHMEYER License Number., 936034
GREEN VOLT ENERGY
1420 D EAST SAINT ANDREWS PIL
SANTA ANA,CA 92705
Fee Description Qty 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 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$452.10
The issuance of this permit shall not prevent the building official from thereafter requiflng the correction of errors in the plans and
specifications or from preventing builiding operations being carred 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 writhin 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-Templatespt 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 licensure underthe Contractor's State License Lawfor
Professions Code and my license is in full force and effect. the following reason:
License Class I
—i�L—1 0 Lice 3GID `-1-4 By my signature below I acknowledge that except for my personal residence
Expires Sign r 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
WORKE ECLARA 14 have built as an owner-builder if it has not been constructed in IN entirety by
o 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 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. www.leginfo.ca.gov/calaw.html.
Policy# Date
Q I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o 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 agreeto comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 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
Kcertify that in the perfomnance 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 workefs compensation provisions of Section 3700 of the Labor
Code,11 shall fo omply with those provisions. Willthe applicantor future building occupant handle hazardous material ora
mixture containing a hazardous material equal to or greater that the
Date amounts specified on the Hazardous Materials Information Guide?
N RN14
N .
.F RE VE GE IS
ARNIN :F RE TO SECURE WORKER'S COMPENSATION% o Yes ci No
UNLAWFUL,AND SHALL SUBJECT 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 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 o No
I hereby affirm that underthe 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 o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements underthe State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable Items)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to ciYes o No Date
construct,alter,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 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 alleged exemption.Any violation of Section 7031.S by residence or childcare facility to he 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
o 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( )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. 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 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 outthe RRP
Acknowledgement.
EsGil_ Corporation
rn,Partnership with governmentfor Buifding Safety
DATE: December 9, 2016 El PLICANT
URIS.
JURISDICTION: Menifee
0 PLAN REVIEWER
Ll FILE
PLANCHECKNO.: PMT16-03852 SET: I
PROJECT ADDRESS: 28441 Stoney Point Cove
PROJECT NAME: Herman 20 250 Microinverter Solar PV System
z The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
F1 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.
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.
El The applicant's copy of the check list has been sent to:
X 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: — (b� Fax #:
Mail Telephone Fax In erson E-mail:
REMARKS: Structural design included in the plan set.
By: Eric Jensen Enclosures:
EsGil Corporation
E] GA F1 EJ [—I PC 12/02
9320 Chesapeake Drive, Suite 208 * San Diego,Califorriia 92123 * (858)560-1468 * Fax(858)560-1576