PMT16-00748 City of Menifee Permit No.: PMT16-00748
29714 HAUN RD.
�/-�CCELA MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 04/08/2016
PERMIT
Site Address: 25841 BETH DR, MENIFEE, CA 92584 Parcel Number: 358-232-014
Construction Cost: $23,481.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,27 PANELS, 1 INVERTER,7.02 kW
Work:
Owner Contractor
USBALDO&ANNIE GARIBALDO PELL SOLAR INC
25841 BETH DRIVE 780 S MILLIKEN AVENUE STE G
MENIFEE, CA 92584 ONTARIO, CA 91761
Applicant Phone:8666468499
DANIEL PARRA License Number: 949122
PELL SOLAR INC
780 S MILLIKEN AVENUE STE G
ONTARIO, CA 91761
Fee Description gty Amount(S)
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 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$454.10
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_Sldg_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 penalty of perjurythat I am under provisions of with a licensed cantractor(s)pursuant to the Contractors State License Law).
Chapterg(commencing with section 7000)of Division 3 of the Business and ri I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class—C/O License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature 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 constructed in its entirety by
c 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 70"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.lpgin, a.gov/calaW.".
Policy Date
u4ave 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 y 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 ner or authorized to act on the property owner's behalf.I have read this
n um ber are: a pplication and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws nalating to
Carrier _,�Jk a&7 geto ex Or—' IM_. A4 A,I/ building construction.I authorize representatives of this city or county to
Policy# Expires 12-1 LP enter the above I enti i 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
,K I certify that in the performance of the work for which this permit is issued, f oiii
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS UCENSE# 0swo-r-4
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 shall forthwith comply hose provisions. Will the applicant or future building occupant handle hazardous material or a
Ar Date mixture containing a hazardous material equal to or greater that the
)pficant P-4", MR/_/(I amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS o Yes g 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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
TORNEYS FEES for guidelines
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND AT Coast Air Quality Management District(SCAQMD)?See permitting checklist
CONSTRUCTION LENDING AGENCY o Yes )(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 Civil Code) Pes ci 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
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a.permitto oYes I � '4
t)g Date !V
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
lssuance,also requires the applicant for the permit to file a signed Statement
that he or s he is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 al leged exemption.Any violation of Section 7031.5 by residence or childcaine facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the appi icant to a civil Pena Ity of not more
than($500). required practices.This includes rental property owners and property
managers who do the paint-clisturbing work themselves orthrough their
o lo as owner of the property,or my employee with wages as their sole employees.For more information about EPA�s Renovation Program visit:
compensation,Vill do( )all of or( I portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,th rough 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 1,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 fil I out the RRP
Acknowledgement.
EsGil Corporation
In Tartnership with Government for(Buirding Safety
DATE: 03/28/16 (❑ /APPLICANT
\P/JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT16-00748 SET: I
PROJECT ADDRESS: 25841 Beth Dr.
PROJECT NAME: USBALDO GARIBALDO 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 contacte�' Telephone #:
Date contacted: (b q1nn
Fax #:
Mail Telephone Fax E-mail:
❑ REMARKS:
By: Sergio Azuela Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 03/18
9320 Chesapeake Drive, Suite 208 ♦ San Diego, Cal ifomia 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576