PMT18-02107 City of Menifee Permit No.: PMT18-02107
29714 HAUN RD.
�CCE:Lh� MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 05115/2018
PERMIT
Site Address: 26257 ST MARYS ST, MENIFEE,CA Parcel Number: 337-033-005
92586 Construction Cost: $42,800.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,8.56 KW,29 MODULES AND 1 INVERTER
Work:
Owner Contractor
WILLIAM THOMAS COMPLETE SOLAR INC
26257 ST MARYS STREET 1850 GATEWAY DRIVE SUITE 450
MENIFEE, CA 92586 SAN MATEO, CA 94404
Applicant Phone: 8772994943
COMPLETE SOLAR INC License Number:961988
1850 GATEWAY DRIVE SUITE 450
SAN MATEO, CA 94404
Phone:8772994943
Fee Description ON Amount(8)
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 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 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 penaltyof perjury that I am under provisions of with a licensed contmctor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Iicensure under the Contrector's5tate License Law for
Professions Code and my license is in full force and ffe(ct. ('� the following reason:
License ass l ,� ) License No. UL `S, By my signature below I acknowledge that,except for my personal residence
Expires �.Sfgnature C , 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 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 webdte:
by Section 3700 of the Labor Code,for the performance of work for which www.le inf°.ca. oov w.html.
this permit is issued. t t' � Date
Polity#
o I 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
numb ca � l application and the information I have provided is correct I agree to comply
Carrier ''S_7u It/``r�jC, with all applicable city and county ordinances and state laws relating to
—ccII,^� rr�0 building construction.I authorize representatives of this city or county to
Policy it ��l G Expires � r- erer t/h�e(aQbt7o(v�e identified r(operty forinspection purposes.`
(This section need not to be completed is the permit is for one-hundred C D Date I _
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I ceri fy that in the performance of the work forwhich 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 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,I shgMrthwith co 1yw+1thth seprovfsions. Will the applicant or future building occupant handle hazardous material or
Applicant 1 ��� e `i _ 1� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE W RKER'S C MPENSATION COVERAGE IS o Yes o 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 occupant
Management District(SC Lion or See permitting South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES ecklist
forCoastAi.r lnes
Qua
CONSTRUCTION LENDING AGENCY o Yes o 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 C'wR Code) ❑Yes o No
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 under the State of
Contractor's License law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
Itcheckmark(s)I have placed next to the applicable item(s)(Section 7031.5 c material reporting'
((((����,s (
Business and Professions Code).Any city or county that requires a permit to s ° a-loconstruct,alter,improve,demolish or repair any structure,prior to its ( Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER ORAUTHORIZED AGENT
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 Iicensure
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for y to beost RRP-certified
that ified firms paint in a comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required pra or ctices.
his includes
hetal property wers and
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselvesor through their
ri 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered forsale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of o 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:
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 If your project does not comply wfth EPA RRP rule please fill out the RRP
Acknowledgement.
EsGil
A SAFEbuilt Company
DATE: 5/11/2018 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: pmt18-02107 SET: I
PROJECT ADDRESS: 26257 St Marys St
PROJECT NAME: Thomas 10KW 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: (by:(; ) Email: Fax #:
Mail Telephone Fax In Person
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 5/3
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: pmt18-02107
PREPARED BY: Morteza Beheshti DATE: 5/11/2018
BUILDING ADDRESS: 26257 St Marys St
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) FMultiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf iManual Input
Bldg.Permit Fee by Ordinance IV
Plan Check Fee by Ordinance W
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive fee
❑ Other
RepeatsE�— Hourly 1.5 Hrs. @
EsGil Fee $105.00 $157.50
' Based on hourly rate
Comments:
Sheet 1 of 1
macvalue.doc+