PMT16-01343 City of Menifee Permit No.: PMT16-01343
29714 HAUN RD.
�CCELA *> MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 05/25/2016
PERMIT
Site Address: 29228 MEANDERING CIR, MENIFEE, CA Parcel Number: 340-330-011
92584 Construction Cost: $20,898.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 17 PANELS, 1 INVERTER,4.25 kW
Work:
Owner Contractor
LORETA GAMBOA SOLARFIRST INC
29228 MEANDERING CIRCLE 783 GOETSCHL STREET
MENIFEE, CA 92584 SAN DIEGO, CA 92114
Applicant Phone:8886369373
MATTHEW GARDNER License Number:990354
SOLARFIRST INC DBA FIRST PV
783 GOETSCHL STREET
SAN DIEGO, CA 92114
Phone:6199977951
Fee Description gtv Amount f$1
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 constmction 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_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
CENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(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 licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. �/L— the following reason:
License Class 6 License No. 9 J:J 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.)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
rhave
reby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
ensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
ction 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.html.
ermit is issued.# Date
PROPERTY OWNER OR AUTHORIZED AGENT
ve and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,forthe 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 workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Cartier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified 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
pl certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to theFRENOIR
V BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should becomeZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Co e,I shall forthwith fnp se provisions. ll the applicant or future building occupant handle hazardous material or a
� �f�jture containing a hazardous material equal to or greaterthat the
A iicant ate ounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SE RE WORKER'S COMPENSATION COVERAGE ISes V No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESll the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),INupant require a permitfor the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FORast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES guidelines
CONSTRUCTION LENDING AGENCY es p'No
I hereby affirm that under the penalty of perjury there is a constructionll the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issuedter boundary of a school?
(Section 3097 Civil Code) es #No
OWNER BUILDER DECLARATIONS ave read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that i am exempt from thermitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the lifornia Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5zardous material r port g�Business and Professions Code).Any city or countythat requires a permitto s !No Dateconstruct,alter,improve,demolish orrepair anystructure,priorto itsOPERTY OW RO UTHORIZED 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 Contractors StateA 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 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
❑I,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.gov/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 Contractors State License Law does not apply to an owner of a in 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. ❑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 Contractors 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.
City of Menifee PMT16-01343 0?;59 �'S'
05/9/2016
EsGil Corporation
In(Partnership with government for Building Safety
DATE: 05/9/2016 ❑ APPLICANT
LEI RIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT16-01343 SET: I
PROJECT ADDRESS: 29228 Meandering Circle
PROJECT NAME: Gamboa 3,800 Watts rooftop 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 ch k list transmitted herewith is for your information. The plans are being held at
Esgil C6rporation 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: J (b(oLl�) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 4/29
City of Menifee PMT16-01343
05/9/2016
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-01343
PREPARED BY: Morteza Beheshti DATE: 05/9/2016
BUILDING ADDRESS: 29228 Meandering Circle
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
[-]Repetitive Fee Other
Repeats o- Hourly 1 1.51 Hrs. @'
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+