PMT16-04495 City of Menifee Permit No.: PMT16-04495
29714 HAUN RD. Type: Residential Electrical
'tXCCIEL�� MENIFEE, CA 92586
MENIFEE Date Issued: 0111112017
P E R M I T
Site Address: 25350 WILDVIEW RD, MENIFEE, CA Parcel Number: 358-461-004
92584 Construction Cost: $42,400.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 32 MODULES, 32 MICROINVERTERS,8.48KW
Work;
Owner Contractor
RYAN HOLT COMPLETE SOLAR SOLUTION OF CALIFORNIA INC
25350 WILDVIEW RD 1850 GATEWAY DRIVE STE 450
MENIFEE, CA 92584 SAN MATEO, CA 94404
Applicant Phone: 8555416703
SARAH PRADO License Number:961988
COMPLETE SOLAR SOLUTION OF CALIFORNIA INC
1850 GATEWAY DRIVE STE 450
SAN MATEO, CA 94404
Fee Description Amount I$)
Solar, Residential or Small Commercial 252.00
Building Permit Issuance 27.00
Additional Plan Review Electrical 158 157.50
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 6.00
General Plan Maintenance Fee-Electrical 1 12.60
$457.10
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 buillding 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 Bldg_Permit—Template.rpt 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 70GO)of Division 3 of the Business and ci I am exempt from licensure under the Contractor's State License Law for
Professions Cad and m ' ense is in full force and effect. the following reason:
License 1-rime No. By my signature below I acknowledge that,except for my personal residence
Expires :�Ilgnature in which I must have resided for at least one year priorto completion of
Improvements covered bythis permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its 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 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.Ieginfo.ca.gov/calaw.htmL
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
ci I have and will maintain worker's compensation insurance,as required by
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 a� application and the information I have provided is correct.I agree to comply
4 with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or countyto
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
ci I certify that in the performance of the work for which this permit is issued, C�r-%
I sha 11 not em Play any persons In a ny manner so as to become subject to the CITY BUSINESS LICENSE# 1)3 S C-)
workees 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
Co WairtbiP Mcom InT ovis ns Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
P(M �,tl amounts speAfted on the Hazardous Materials Information Guide?
A
WARNING:FAILURE TO SECURE WORKER'S APENSATION COVERAGE IS 0 Yes
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Wilitheint ncled use of the building by the applicant or future building
AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS($1110,000),IN occupant Trquire 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 SECrION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for"elin
CONSTRUCTION LENDING AGENCY ci Yes
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 bo ndary of a school?
(Section 3097 Civil Code) ci Yes
'ad hl
OWNER BUILDER DECLARATIONS �ad he Hazardous Material Information Guide and the SCAQMD
nEc i
I hereby affirm under penalty of perjury that I am exempt from the ng c ecklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous material rep rti
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to \JP Date
construct,alter,Improve,demolish or repair any structure,prior to its PROPERfi'�NEII OrAUYH6ftI2tD_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(RRP)
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 a Ileged exemption.Any violation of Section 7031.5 by residence or childca re facil ity to be RRP-certified firms and comply with
a n Applicant for a permit subjects the applicant to a civil pena Ity 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( )portion of the work,and the structure is WWW.epa;gov/lead or contact the National Lead Information Center at
not intended or offered forsale.(Section 7044,Business and Professions I-SOG-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a a 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:
ci 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",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 oui(ding safety
DATE: 1/6/2017 L) 1CANT
,:�JUR I IS.
JURISDICTION: Menifee Ll PLAN REVIEWER
Ll FILE
PLAN CHECK NO.: PMT16-04495 SET: I
PROJECT ADDRESS: 2535OWildview Road
PROJECT NAME: Holt 32 microinverter rooftop PV System
The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
El 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.
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: (b Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
Ej GA F-1 EJ F-1 PC 12/30
Menifee PMT16-04495
1/6/2017
[DO NOTPAY— THISIS NOTANINVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-04495
PREPARED BY: Morteza Beheshti DATE: 1/6/2017
BUILDING ADDRESS: 2535OWildview Road
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F—KffE—A -]FVa1uation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction C�de imnf M a nua I Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: Complete Review Ej Structural Only
oRepetbve Fee Other
qr mepeaL5 E�—� 1 1.5 Hrs. @ $157.5
EsGil Fee $105.00
Based on hourly rate
Comments: 1 1/2 hours plan review. Sheet 1 of I
macvalue.doc+
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE 12/28/2016 PERlVIiT/-PLAN CHECK NUMBER ? FM�Z-QM5
TYPE: 0 COMMERCIAL 2 RESIDENTIAL []MULTI-FAMILY 11 MOBILE HOME E]POOL/SPA DSIGN
SUBTYPE: DADDITION []ALTERATIONEIDEMOLITION F]ELECTRICAL FIMECHANir-AL
[]NEW [—]PLUMBING []RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 8.48kw roof mounted solar, 32 modules,32 microinverters, no panel upgrade
PROJECTADDRESS 2535OWildview Road, Menifee, CA92584
ASSESSOR'S PARCEL NUMBER "D5JL401 tOq LOT TRACT
PROPERTY OWNER'S NAME Ryan Holt
ADDRESS 25350 Wildview Road, Menifee,CA 92584
PHONE (909)24D-2342 EMAIL
APPLICANTINAME Sarah Prado/Complete Solar
ADDRESS 1850 Gateway Drste45O,San Mateo, CA94404
PHONE (714)348-6345 EMAIL SPrado@CompleteSolar.com
CONTRACTOR'S NAME Complete Solar OWNER BUILDER7 E]YESZNO
BUSINESS NAME
ADDRESS 1850 Gateway Or ste 450, San Mateo, CA 944D4
PHONE (408)666-6821 EMAIL Permits@CompleteSolar.com
CONTRACTOR'S STATE LIC NUMBER 9619138 LICENSE CLASSIFICATION G�10
VALUATION$ $42,400.00 Sq FT 576 L SQ FT
'��M DATE
APPLICANT'S SIGNATURE r
DEPARTMENT DISTRI%UT�CVN goo GTY E%SE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT 5Ljj.(0j>j C CHECK# 0 CREDIT CARD VISAIMC
I CASH "'
PLAN CHECK FEES PAIDAMOUNT I 1 0 CA61A rCKECK# OCREDITCARD MSA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building & Scifety Oeporrment 29714 Houn Rd. Menifee, CA 92586 9SI-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213