PMT16-03853 City of Menifee Permit No.: PMT16-03853
29714 HAUN RD. Type: Residential Electrical
<ACCIE LA> MENIFEE, CA 92586
MENIFEE Date Issued: 1211512016
PERMIT
Site Address: 28811 MURRIETA RD, MENIFEE, CA Parcel Number: 339-133-003
92586 Constnactlon Cost: $40,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 21 MODULES, 1 INVERTER 5.46KW
Work;
Owner Contractor
GARY PHILLIPS ENERGY REMODELING INC
28811 MURRIETA RD 22120 CLARENDON STREET STE 200
MEN]FEE, CA 92586 WOODLAND HILLS,CA 91367
Applicant Phone: 8772454672
JASON JONES License Number:968844
ENERGY REMODELING INC
22120 CLARENDON STREET STE 200
WOODLAND HILLS, CA 91367
Fee Description Qtl Amount($1
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 6.06
General Plan Maintenance Fee-Electdcal 1 12.60
$467.10
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications orfrom preventing builiding operations being carried on thereunderwhen 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.
Akl3ldg_Pe=ft—Ternplate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from Hcensure under the Contractor's State License Law for
Professions Code and my license Is in full force and effect. the following reason;
License Class r Lice No. I K y 5 L-1 By my signature below I acknowledge that,except for my personal residence
Expires ).1 0 Signature 20M�E'— in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECtK�Ofl 15:� improvements covered by this permit.I cannot legally sell a structure that I
L_� havebuiltasan owner-builder if it has not been constructed in its entirety by
ol 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.Ieginfo.ca.ffoy/caIaw.htmI.
Policy# To,5 PROPERTY OWNER OR AUTHORIZED AGENT Date
&f1h'ave and will maintain workees compensation insurance,as required by
section 3700 of the Labor Code,forthe 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 agree to comply
with all applicable city andcountv ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# -I Elpi,17-31— enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date
I=dolla 00)or[us PROPERTY OWNER OR AUTHORIZED AGENT
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 compensationjiWA.sions of Section 3700 of the Labor
Code,I shall fa 1:,�ry5r vi sions. Will the applicant or future building occupant handle hazardous material or a
I equal to orgreaterthatthe
mixture contal h d t
Aocilicant _10 e Date "a azar ousmaeria
amounts spS4ed on the Hazardous Materials Information Guide?
;Wffll�i?G:FAIL SECURE WORKER'S COMPENSATION COVERAGE IS ci Yes W.
W W�
U HALL SUBJECr AN EMPLOYER TO CRIMINAL PENALTIES
FUL,;W� Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0GO),IN occupant requi.re it f
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FO p,permi or the construction or modification from South
R Coast Air Qua[ Management District(SCAQMD)?See permitting checklist
Q
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguld Vlln
0
CONSTRUCTION LENDING AGENCY o Yes 0
1 hereby affirm that under the penalty of perjury there is a construction Will the propos b uilding or modified facility be Within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bound of a school?
(Section 3097 Civil Code) o Yes 0
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 Hea�lth &fetV Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the . ' ,I"
hazardous in erial reporting
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ayes t t 19
Businessand Professions Code).Any city or county that requiresa permitto
construct,alter,improve,demolish or repair any structure,priorto its
issuance,also requires the applicant for the permittofile a signed statemen t _,Pl(�PfRTY& KAUTH6'WED AGENT
thatheorshe islicensed pursuarittothe provisionsof theContractoesslate EPAR ZON.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 childcare 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
m 1,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit:
compensation,will do I )all of or( )portion of the work,and the structure Is www.epa.goy/lead or contact the National Lead Information Cenier 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 th is project bemuse:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business a nd Professions
Code:The Contractoes State License Law does not apply to an owner of a If your project does not comply with EPA PAP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
`�"Menifee
DATE )I L5�11 4 PERMIT/PLAN CHECK NUMBERM-I%W, 0 3405'5
TYPE:' 0 COMMERCIAL CYRESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0_ POOL/SPA 0 SIGN
SUBTYPE: 0 ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL 0 MECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK G7. t-16 KV 9- 1
PROJECTADDRESS 946)j vn o r r ie_+c_(_ 19\
ASSESSOR'S PARCEL NUMBER OAVI ,1155—w'*5 LOT TRACT
OWNER NAME
ADDRESS e
� aw 9,D
PHON,(q � 0 30 )- vl EMAIL
APPLICANT NAME
ADDRESS 5 5_e� ),7 LP og c5'lle-) o 1/3
PHONE �71) EMAIL f�f_)�?�&,Vjqrem o e o;% COYP7
CONTRACTOR'S NAMEF—V'7 ej
f))el20jejj�7 % I -) C OWNER BUILDER? 0 YES
BUSINESS NAME
ADDRESS #a-o%
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION CIO z 13
VALUATION$ IHO/00e) — SQFT LSQFT
JAPPLI NTSSIGNATURE DATE—) 1/50 4
CITY STAFF USE ONiY
DEPARTMENT DISTRTWTI do CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING GINEERING FIRE GREEN SMIP
INVOICIE
T PAID AMOUNT
AMOU C � -_ CASH 0 CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DLINUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-245-6213
EsGil Corporation
In Partnership with Governmentfor Buirding Safety
DATE: December 9, 2016 6PLICANT
J R IS
YM
JURISDICTION: Menifee )0 PULAN REVIEWER
Cl FILE
PLAN CHECK NO.: PMT16-03853 SET: I
PROJECT ADDRESS: 28811 Murrieta. Road
PROJECT NAME: Phillips 5000 Watt Solar 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.
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.
Theapoicant'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:
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: , Telephone #:
Date contacted: I (byy) Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Fric Jensen Enclosures:
EsGil Corporation
0 GA El EJ F-1 PC 12/02
9320 Chesapeake Drive, Suite 208 * San Diego,California 92123 * (858)560-1468 * Fax(858)560-1576
Menifee PMT16-03853
December 9, 2016
[DO NOTPAY— THIS IS NOTANINVOICEI
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03853
PREPARED BY: Eric Jensen DATE: December 9, 2016
BUILDING ADDRESS: 28811 Murrieta Road
BUILDING OCCUPANCY:
BUILDING F--A—R—EA--]7Valuatlon Reg. VALUE
K
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf IManual input
Bldg.Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: 7 Complete Review E] Structural Only
Repetitive Fee El Other
Repeats a—UR�!� Hrs. @
EsG!l Fee $105.001
Based on hourly rate
Comments: Sheet 1 of 1
rnacvalve.doc+