PMT17-00033 City of Menifee Permit No.: PMT17-00033
29714 HAUN RD. Type: Residential Electrical
�AGCELA? MENIFEE,CA 92586
MENIFEE Date Issued:
01/20/2017
PERMIT
Site Address: 29475 WATSON RD, MENIFEE, CA 92585 Parcel Number: 327-300-058
Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,39 PANELS,39 MICROINVERTERS, 10.14 kW
Work:
Owner Contractor
WILLIE MOSLEY INFINITY ENERGY INC
29475 WATSON RD 1108 TINKER ROAD STE 150
MENIFEE, CA 92585 ROCKLIN,CA 95765
Applicant Phone: 8882442513
CARLOS BALLESTEROS License Number..998627
INFINITY ENERGY INC
43234 BUSINESS PARK DR,#104
TEMECULA, CA 92590
Fee Description City Amount ISl
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 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_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 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. `` the following reason:
License Class (i License No.
By my signature below I acknowledge that,except for my personal residence
Expires// Signature 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
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed In its entirety by
❑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.leginfo.ca.eov/calaw.htmL
Policy# Date
0 1 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 ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers 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
Carrier S71�-Ve C�/- ,,4,0 'f G .N with all applicable city and county ordinances and state laws relating to
/ building construction.I authorize representatives of this city or county to
Policy#w%2 Expires //? enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
o Icesify that
on less PROPERTY OWNER OR AUTHORIZED AGENT C /
❑I certify that in the performance of the work for which this permit is issued, /U�I�',/'j�
rl
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# LID
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers 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_-ZQ� 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 ❑Yes jo 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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC Lion or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airlines
Qua
CONSTRUCTION LENDING AGENCY ❑Yes F No
I hereby affirm that under the penalty of perjury there Is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is Issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes .g No
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD
hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have plated next to the applicable item hazardous material reporting.$)(Section 7031.5 OYes 0 No
Business and Professions Code).Any city or county that requires a permit to „i Date "/ -7 i
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN R 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(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 Iicensure receiving compensation for most work that disturbs paint in a pre-1978
and the casts for the alleged exemption.Any violation it penalty of not o residence or childcare facility to be RRP-certified firms and comply with
than
Applicant for a permitsubjects the applicant[o a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
Property who,through employees'or personal effort,builds or improves the
Property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement Is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or Improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
01,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
APPLICATIONFETY PERMIT/PLAN CHECK BUILDING & SA
- Menifee
DATE 115111 PERMIT/PLAN CHECK NUMBER '3
TYPE: O COMMERCIAL * RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK voe Mo,,�A S olcav 3c� �Dc_ tA51
PROJECTADDRESS 2Ck�k15 UJc.45o. Qd, MeY� e,e
ASSESSOR'S PARCEL NUMBER ?Q j . Rem • LOT TRACT
OWNER NAME Q%\\\Q %\-A oS\c
ADDRESS ZP1Lk")S WcOMOv' iZ d 1M c)A%C E!f O•
wilding 8 Safety Dept.
PHONE EMAIL
APPLICANT NAME OwALI$ L IIe.STe-wS BAN 0 5 2017
ADDRESS I-1,3234E So5SmcS5 par',- dv *A(34 ic,meeu\t. CA, el2.S"cj
PHONE 1:61-303-1139) EMAIL
CONTRACTOR'S NAME T\,xftvTl t;V+Cr •. �-WC. OWNER BUILDER? O YES ®NO
BUSINESS NAME 'T j�IH,+ cue+ Sic.
ADDRESS 43734 BVSlV,SS CAqL,5-cm
PHONE EMAIL MtuvAe 9��1HC �Av
CONTRACTOR'S STATE LIC NUMBER Z,�3 ' /ajlCENSE CLASSIFICATION C J $I
VALUATION$ 1 S,yov SO FT L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CINnnOF MENI EggU51N�F�c LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 1— SMIP V� 1C7
INVOICE L o PAID AMOUNT O
AMOUNT 1pD
OCASH CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDRCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In Partnership with Government for Buirding Safety
DATE: 01/13/2017 ❑ APPLICANT
VJURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT17-00033 SET: I
PROJECT ADDRESS: 29475 Watson Road
PROJECT NAME: Mosley 39 215 Microinverters Comp Roof& GMA
® 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.
❑ 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: (bo;F Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Eric Jensen Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 01/06
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576