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PMT17-00330 City of Menifee Permit No.: PMT17-00330 29714 HAUN RD. Type: Residential Electrical <A—CCELA1? MENIFEE,CA92586 `-"A Wt.- MENIFEE Date Issued: 0217/2017 PERMIT Site Address: 30167 CALLE BELCANTO, MENIFEE, CA Parcel Number: 364-101-011 92584 Construction Cost: $19,600.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED PV SYSTEM. 12 PANELS, 12 MICROINVERTERS, 3.92KW Work: Owner Contractor PEEVANCE GATES SEMPER SOLARIS CONSTRUCTION INC 30167 CALLE BELCANTO 1805 JOHN TOWERS AVE MENIFEE, CA 92584 EL CAJON,CA 92020 Applicant Phone:6197154054 MENIFEE, CA License Number.978152 Fee Description Qtv Amount 15) 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 building 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 with a licensed contractors)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 o 1 am exempt from licensure under the Contractors5tate License Law for Professions Code and my license Is Ion, 11 force and effect. the following reason: License Class �� I.�VLicense No. -S By my signature below I acknowledge that,except for my personal residence Expires q'�3 (Y Signature in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that 1 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 mnsent of self-insure for workers 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.leeinfo.ca.eov/calaw.html. Policy# Date ,J(I have and will maintain workers 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 1 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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier am? �S _ with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy#_-1 Vr/ "1217 Expires jV l 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 o I certify that in the performance of the work for which this permit is issued, ' s� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# ✓ c 5S't> 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 forthw, h comply with those provisions Will the applicant or future building occupant handle hazardous material or a Applicant Date S mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE W . 'S COMPENSATIO COVERAGE IS ayes aBv0 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($100,000),IN occupant requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District($Connor odiee permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Ai'rlij�es CONSTRUCTION LENDING AGENCY oYes 0 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) Dyes 1�10 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I 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 hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes 1 Business and Professions Code).Any city or county that requires a permit to Date Ci / c. construct,alter,improve,demolish or repair any structure,prior to its P&tfPERTY OWNER OR AUT29aZEBlGENT 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 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 radices.This includes rental property than($500). q P p p rty ownersand property managers who do the paint-disturbing work themselves or through their in 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.eoy/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 Contractors State License Law does not apply to an owner of a ciAn 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 forthis pmject because: o I,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 complywith EPA RRP rule please fill out the RRP Acknowledgement. DATE Z ?✓ 11 PERMIT/PLAN CHECK NUMBER PMTI / TYPE: ❑COMMERCIAL [Z]RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL [-]NEW ❑/JPLUMBING��//❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �• �// �� ftf MoVt"T 12 motif t x1s Nu A , I cSP�rt— q PROJECTADDRESS ,�jO�(Q� 'C/` �i 1�'�'Ll�'16WE IZ ASSESSOR'S PARCEL NUMBER 3(f��`11IQ�O� I LOT 2.3 TRACT 22/ PROPERTY OWNER'S NAME V Omen!��.,(��(�- ^ A F� ADDRESS 3v 1 E I 1L-C 11" 1U t"L� ` u� PHONE �v - 3?�- 51 C%2 EMAIL APPLICANT NAME ALICIA ANDREWS ADDRESS 1218 SPRING ST. RIVERSIDE, CA 92507 PHONE (714)457-4190 EMAIL alicia.andrews@sempersolads.com CONTRACTOR'S NAME SEMPER SOLARIS OWNER BUILDER? ❑YES❑✓NO BUSINESS NAME ADDRESS 1805 JOHN TOWERS AVE. EL CAJON,CA 92020 PHONE (619)357-4142 EMAIL CONTRACTOR'S STATE LICl1N/1UMBER 978152 LICENSE CLASSIFICATION B,C10,C46,C36 VALUATION $ +l a 00-Q 0 SQ FT L SQ FT APPLICANT'S SIGNATURE DATE Z 3 1-7 1, DEPARTMENT DISTRIBUTION I CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN l SMIP INVOICE LouPAID AMOUNT �� AMOUNT CASH `CHECK# CREDIT CARD VISAIMC PLAN CHECK FEES PAIDAMOUNT JCASH ;%'CHECK# <%CREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES 0 NO DL NUMBER NOTARIZED LETTER O YES 0 NO City of Nienifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-6 77 7 WWW.cityofinenifee.US Inspection Request Line 951-245-6213 EsGil Corporation In Partnership with ('Government for Bui(ding Safety DATE: 2/14/17 \ ❑ APPLICANT - JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT17-00330 SET: I PROJECT ADDRESS: 30167 Calle Belcanto PROJECT NAME: Gates 12 AC Module rooftop 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 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: 1 ) Email: Mail Telephone Fax In Person ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 2/6 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 City of Menifee PMT17-00330 2/14/17 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT17-00330 PREPARED BY: Morteza Beheshti DATE: 2/14/17 BUILDING ADDRESS: 30167 Calle Belcanto BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code innnf iManual Input Bldg.Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑ Repetitive Fee ❑ Other Repeats dourly 1.51 Hrs. � ' _ EsGil Fee $105.00 $157.50 ✓ ` Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1