PMT15-03854 City of Menifee Permit No.: PMT15-03854
29714 HAUN RD. Type: Residential Electrical
�ACCEL/? MENIFEE,CA 92586
MENIFEE Date Issued: 01I13/2016
PERMIT
Site Address: 29859 CAMINO CRISTAL, MENIFEE, CA Parcel Number: 340-090-013
92584 Construction Cost: $26,330.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 20 PANELS, 1 INVERTER 6.20KW
Work:
Owner Contractor
MARK BRISSETTE ELEVATION SOLAR CONSTRUCTION
29859 CAMINO CRISTAL 12156 SEVERN WAY
MENIFEE, CA 92584 RIVERSIDE, CA 92503
Applicant Phone: 9518131272
PATRICK NEAL License Number..902611
ELEVATION SOLAR CONSTRUCTION
12156 SEVERN WAY
RIVERSIDE, CA 92503
Fee Description Qtv 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 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$465.10
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.rpl Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for th.
following reason:
I hereby affirm under penalty or perjury that I am licensed under provisions of
Chapter 9(rommencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence ii
Professions Code and,�yyy license is in full force and effect. /y�/ 'I which I must have resided for at least one year prior to completion c
License Class 0 License/N9 �1�-y Improvements covered by this permit, I cannot legally sell a structure that I hay
Expires r ,r.6 Signature built as an owner-building if it has not been constructed in its entirety by license,
contractors. I understand that a copy of the applicable law, Section 7044 of th,
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application I
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto:/Mww.leciinfo.ca.gov/calaw.html.
I have and will maintain a certificate of consent of seff-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. II f /� �/ Property Owner or Authorized Agent
Policy# �.1/� �I +U 7 �77 ❑ By my Signature below, I certify to each of the following: I am the propert
❑ I have and will maintain workers' compensation Insurance, as required by owner or authorized to act on the property owner's behalf. I have read thi
section 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 comps
permit Is Issued.My workers'compensation insurance carrier and policy numberare: with all applicable city and county ordinances and state laws relating to buildin
construction.I authorize representatives of this city or county to enter the above
Carder An%,Zci�rh Ln rCAS, Ca G5+5 f JS( 0�F So CA Identified property for the inspection purposes.
Policy# Ll' 6 It t66HNZ Expires to /LA Date
Property Owner orAuthorizedAgent
(This section need not be completed If the permit is for City Business License# y✓��
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ I certify that in the performance of the work for which this permit is issued.I
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 E
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 specified on the Hazardous Materials Information Guide?
Code,I shall forthw#h comply with those provisions. DYES ONO
Applicant; Date; 10/16 Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modifica0on from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES JrJ NO
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 oute,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES IVNO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
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 Califomia Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous mat erialI rting.
OWNER BUILDER DECLARATIONS diYES ❑NO //
Date
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
0` j�
License Law for the reason(s)Indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZEd AGENT
next to the applicable Rem(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION.REPAIR AND PAINTING f 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 childcare 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 EPA's Renovation Program visit:
ro www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is
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 contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledoement.
EsGil Corporation
In Partnership with Government forBuilding Safety ���IN
DATE: 12/24/15 ❑ APPLICANT
,Er'JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-03854 SET: I
PROJECT ADDRESS: 29859 Camino Cristal
PROJECT NAME: MARK BRISSETTE 6,000 Watts 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 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: All sheets of plans must be signed by the person responsible for their preparation.
Sheets PV-04, to PV-06 are missing the required signature.
By: Sergio Azuela Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 12/17
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576