PMT15-03331 City of Menifee Permit No.: PMT15-03331
29714 HAUN RD. Type: Residential Electrical
<A-CCELII�. MENIFEE, CA 92586
MENIFEE Date Issued:
11/09/2015
PERMIT
Site Address: 31765 TEAL GATE LN, MENIFEE, CA Parcel Number: 372-491-007
92584 Construction Cost: $17.000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 17 PANELS, 17 MICROINVERTERS,4.59 kW
Work:
Owner Contractor
MONIQUE DIAZ SO CAL CUSTOM INC
31765 TEAL GATE LANE 1040 S MT VERNON AVE#G-285
MENIFEE,CA 92584 COLTON,CA 92324
Applicant Phone:9097934444
CRAIG DARBY License Number.834664
SO CAL CUSTOM INC
1040 S MT VERNON AVE#G-285
COLTON,CA 92324
Fee Description Qtv Amount W
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_13ldg_Permit_Temp1ate.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Code my license is in full force and a P/ which I must have resided for at least one year prior to completion of
a
License Class License No. 'r improvements covered by this permit. I cannot legally sell a structure that I have
Expires '3 ) F-Ly Signature I built as an owner-building if it has not been constructed in its entirety by licensed
/ contractors. I understand that a copy of the applicable law, Section 7044 of the
WORKERS'COMPENSATION DECLARA N Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one the following declarations: htto://www.leginfo.ca.gov/calaw.htmi.
I have and will maintain a certificate of consentt of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner orAulhorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
have and will maintain workers' compensation insurance, as required by owner or authorized to act on the properly owner's behalf. I have read this
echo 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to building
1�1— construction.I authorize representatives of this city or coun�to enter the above-
Carder r7 C.�4s �l>/wn i identified property for the inspection puryo es. Ct
Policy 9(177e/ Expires �� ^ 14 �^""`'� � -xd��Date
Property Owner or Ap4hohzed gent7nt
(This section need not be completed.if the permit is for City Business License#
one-hundred dollars($100)or less)
❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts speciood on the Hazardous Materials Information Guide?
Code,I shall)forthwith comply with those provisions. ❑YES
Applicant;<-wv4AI
ate; !/'TC- 1 4— Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: R TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli�nes
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑-MO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary�o�f chool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ';o
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health t Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous m �a1 reporting.
OWNER BUILDER DECLARATIONS DYES t/
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reasons)indicated below by the checkmark(s)I have placed PROPF Y OWN OR RIZED GENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any crty or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION.REPAIR AND PAINTING(RRP)
or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childrare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPNs Renovation Program visit:
❑ I, as owner of the property, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at
compensation,will do ( )all of or( )porting of the work,and the structure is 1-800�24-LEAD(5323).
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the Finn Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractors)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknnwlednement_
EsGil Corporation
In Tartnersfiip witfi Government for ouifding Safety
DATE: 11/03/15 El LICANT
JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-03331 SET: I
PROJECT ADDRESS: 31765 Teal Gate Ln.
PROJECT NAME: MONIQUE DIAZ 17 @ 250 Watts Micro-inverters Solar Photovoltaic
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 and fire
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: Tele hone #:
Date contacted: `— (b . ) Fax #:
Mail Telephone Fax In erson E-mail:
® REMARKS: Only two sets of plans were submitted.
By: Sergio Azuela Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 10/28
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576