PMT16-04504 C4 of Menifee Permit No.: PMT16-04504
29714 HAUN RD.
<X-CCIELA> MENIFEE, CA 92586 Ty;wl' Residential Electrical
MENIFEE Date Issued: 0111312017
P E R M I T
SiteAddress: 30054 TWYMAN WAY, MENIFEE, CA Parcel Number: 358-541-020
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 15 MODULES, 15 MICROINVERTERS,5.03KW
Work:
Owner Contractor
CHRISTINA BENTON SUNPRO SOLAR ING
30054 TWYMAN WAY 34859 FREDRICK STREET STE 10 1
MENIFEE,CA 92584 WILDOMAR, CA 92595
Applicant Phone:9516787733
BOB KORNMANN License Number.830451
SUNPRO SOLAR ING
34859 FREDRICK STREET STE 101
WILDOMAR, CA 92595
Fee Description ON 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 3.00
General Plan Maintenance Fee-Electrical 1 12.60
$453.10
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 BidgPerrnit-Template.ript 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).
Chapteril(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
LicenseClass— C-16 License No. 3041-T By my signature below I acknowledge that,except for my personal residence
Explres-2�1 �Signature In which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-bui[der if it has not been constructed in its entirety by
a 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.leRinfo.ca.gcrv/caIaw.htmL
Policy# Date
u41Gve 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 wgly�m-y signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier a nd 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
Carrier with all applicable city and county ordinances and state laws relatingto
building construction.I authorize representatives of this city or county to
Policy# Expires 7- enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one,hundred Date IZ��S4
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT 1;7
a I 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 lawsof California,and agree that if Ishould become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes W<0
UNLAWFUL,AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building bythe applicantor future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelm s
CONSTRUCTION LENDING AGENCY a Yes zo
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 bound ry of a school?
(Section 3097 Civil Code) 0 Yes :7.
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 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 Heal &Safety Code,Section 25505 and 25534 concerning
hazard us 2":ial reporting.
checkmark(s)I have placed next to the applicable itern(s)(Section 7031.5 07NO
Business and Professions Code).Any city or county that requires a permitto Yes Date
construct,alter,improve,demolish or repair any structure,prior to its
issuance,also requires the applicant for the permit to file a signed statement PROFIERTY OWNER Oft AUTHO.RIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING fiRRP)
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 ficensure
and the basis for the alleged exemption.Any Violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
cr 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 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 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 ci An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,th rough employees'or persona I 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
nut built or improved for the purpose of sale. ci No EPA Lead-Safe Certified Firm is required for this project bemuse:
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 out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
'Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL ?!�ESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION 0DEMOUTION OELECTRICAL OMECHANICAL
,XNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 5,o,3 )ZtjD(-, Av SV5 A,--%
15 M401tlVtL51-M;Clr05 A &2c� UAWrAdse Opp
PROJECTADDRESS o'lan
ASSESSOR'S PARCEL NUMBER V,-)5j - '5Hjlb43I`0 LOT TRACT
OWNER NAME <Ikfc*s fi,-Lo- Ac-/)
ADDRESS /-,aA
PHONE 4z(10 5--lap EMAIL
APPLICANT NAME P,tj^
ADDRESS ricxk(4,-k- ,9- le '�v 1--fi'kk�nOnA
PHONE -Sqo x EMAIL bkGjne%o^^ to
CONTRACTOR'S NAME Acta--L cvq�-5 OWNERBUILDLR? OYES At
BUSINESS NAME aro (;6 let r
ADDRESS �74vcs-? Faw(r"qz- 16
PHONE q�7- EMAIL Lk-oll 6v4d?K,-5,14r;ea�
CONTRACTOR'S STATE LIC NUMBER 93c)q5l LICENSE CLASSIFICATION
VALUATION $ SO FT *7o LSQFT
APPLICANT'S SIGNATURE DATE ald 6 A,
DEPARTMENT DISTRIBUTION loo SMIP CITY OF MENIFEE BUSIrIESS LJUNSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN
INVOICE
AMOUNT PAID AMOUNT OCASH OCHECK# OCREDITCARD VISAIMC
PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Department 29714 HOUn Rd. Menifee, CA 92586 951-672-6777
wwwxityoftnenifee.us Inspection Request Line 951-246-6213
EsGii Corporation
In(Partnership with Governmentfor tBuilding Safety
DATE: 1/6/2017 0 PLICANT
�/JUPRIS.
JURISDICTION: Menifee LJ PLAN REVIEWER
L] FILE
PLAN CHECK NO.: PMT16-04504 SET: I
PROJECT ADDRESS: 30054 Twyman Way
PROJECT NAME: Benton 15 AC Module rooftop PV System
Z 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.
El 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: (1014!() Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA E] EJ F-1 PC 12/30
Menifee PMT16-04504
1/6/2017
[DO NOTPAY- THISIS NOTANINVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-04504
PREPARED BY: Morteza Beheshti DATE: 1/6/2017
BUILDING ADDRESS: 30054 Tviryman Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F--TR-EA---] Valuation Reg. VALUE
PORTION ( Sq. Ft.) F Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE bid
Junsdiction Code imnf Manua I Input
Bldg. Permit Fee by Ordinance
Fla n Check Fee by Ordinance
Type of Review: F-1 Complete Review E] Structural Only
[:]Repetibve Fee F] Other
mepeats E�-� 1 1.5 Hrs. @ $157.501
EsGi I Fee $105.00
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet I of 1
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