PMT17-00550 City of Menifee Permit No.: PMT17-00550
29714 HAUN RD.
�CCEI-A> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued:
03110I2017
PERMIT
Site Address: 26641 OAKMONT DR, MENIFEE, CA Parcel Number: 337-362-003
92586 Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 15 MODULES, 1 INVERTER,3.975KW
Work:
Owner Contractor
DARLENE TAYLOR PEAK POWER SOLUTIONS INC
26641 OAKMONT DR 1542 EDINGER AVENUE SUITE D
MENIFEE,CA 92586 TUSTIN, CA 92780
Applicant Phone:7142583900
HENRY AFFRE License Number:973253
PEAK POWER SOLUTIONS INC
1542 EDINGER AVENUE SUITE D
TUSTIN, CA 92780
Fee Description Otv Amount f51
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.ript Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the 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
Chapter!)(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractor's State License Law for
Professions Code and m license is in full force and efff�etct^.'1 �t _ the following reason:
License Class License No. 9 / 3 By my signature below 1 acknowledge that,except for my personal residence
Expires 3• S • 1 Signatur r 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 constmcted 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 www.leeinfo.ca.aov/calaw.html.
this permit is Issued.
Policy 9 Date
&l aave 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 a 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
ws
Carrier l'� A) l T with all applicable city and county ordinances and state la relating to
building construction.I authorize representatives of this city or county to
Policy ff ID125 0v 2'Z Expires 2/I /I enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is fortune-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT //�1
❑I certify that in the performance of the work for which this permit is issued, y�/7�
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g 10�J Lvv
worker's 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
Code,Ish 11 rthwith coprplywi those provisions. Will the applicant or future building occupant handle hazardous material or
I, J0-Z 7. (b mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING: L RE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ,dNo
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant arfuture building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modi0cation from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air quality Management District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgufdelines
CONSTRUCTION LENDING AGENCY oyes 6No
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 a No
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 iam exempt from the
Contractor's License Law for the reason(s)indicated below by the California Health Safety Cade,Section 25505 and 25534 concerning
I
hazardous cooler' reporting.
checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 o No
Business and Professions Code).Any city or county that requires a permit to Date ) 7• ([
construct,alter,improve,demolish or repair any structure,prior to its PR PERTY WNER OR 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter9(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
01,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.aov/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 aAn 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 project 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 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 02/27/2017 PERMIT/PLAN CHECK NUMBER ®O��
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL []MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 15 ROOF MOUNTED P.V.MODUELS(3.975 KW)1 WALL MOUNTED STRING INVERTER
263 SOFT.
PROJECT ADDRESS 26641 OAKMONT DR.SUN CITY,CAA992586
L ASSESSOR'S PARCEL NUMBER b7-7 �� - CD' LOT al-1 TRACT
PROPERTY OWNER'S NAME DARLENE TAYLOR
ADDRESS 26641 OAKMONT DR.SUN CITY,CA 92586
PHONE (949)632-3966 EMAIL
APPLICANT NAME HENRY AFFRE
ADDRESS 1542 EDINGER AVE.TUSTIN,CA 92780
PHONE (562)682-4511 EMAIL haflre562@gmall.com
CONTRACTOR'S NAME PEAK POWER SOLUTIONS OWNER BUILDER? ❑YES❑NO
BUSINESS NAME
ADDRESS 1542 EDINGER AVE.SUITED,TUSTIN ,CA 92780
PHONE (800)265-6357 EMAIL
CONTRACTOR'S STATE LIC NUMBER 973253 LICENSE CLASSIFICATION B
VALUATION$ $15,000.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE
CITYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION CIT'OF MENIFEE BU5INL55 UCEN5E NUMBER
BUILDING PLANNING EJYGINEERING FIRE GREEN 00 SMIP
INVOICE �� PAIDAMOUNT
AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0C.45H 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED "'YES 0 NO DL NUMBER NOTARIZED LETTER O YES C NO
City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92586951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
��4
EsGil Corporation
In Partnership with Government for ftifding Safety
DATE: 3/6/2017 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT17-00550 SET: I
PROJECT ADDRESS: 26641 Oakmont Dr
PROJECT NAME: Taylor 3.8KW 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 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: (by: ) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 2/28
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee PMT17-00550
3/6/2017
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT17-00550
PREPARED BY: Morteza Beheshti DATE: 3/6/2017
BUILDING ADDRESS: 26641 Oakmont Dr
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Imnf iManual Input
Bldg.Permit Fee by Ordinance W
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
Repeatsa— Hourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+