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PMT16-01604 City of Menifee Permit No.: PMT16-01604 29714 HAUN RD. �1-�CCEL/� MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 06/02/2016 PERMIT Site Address: 28787 SHERBORN CT, MENIFEE, CA Parcel Number. 336-520-010 92584 Construction Cost: $20,500.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 23 MODULES, 1 INVERTER 6.56KW Work: Owner Contractor MARY QUEVEDO PELL SOLAR INC 28787 SHERBORN CT 780 S MILLIKEN AVENUE STE G MENIFEE, CA 92584 ONTARIO, CA 91761 Applicant Phone: 8666468499 JUAN PARRA License Number:949122 PELL SOLAR INC 780 S MILLIKEN AVENUE STE G ONTARIO, CA 91761 Fee Description gty Amount 151 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_BIdg_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 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 Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. (1 the following reason: License Class C I rO Uc se 1 C7 1 2� By my signature below I acknowledge that,except for my personal residence Expires 0 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 D I hereby affirm under penalty of perjury one of the following declaration:) licensed contractors.I understand that copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 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 website: by Section 3700 of the Labor Code,for the performance of work for which www.leRinfo.ca.gov/calaw.html.permit is issued. vnv Polity# Date -ave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which D By my signature below 1 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 on the property owners behalf.I have read this number are: (r� rr 11-- t application and the information I have provided is correct I agree to comply Carrier JT0.1Y.. Co rw Y n�j7 t � with all applicable city and county ordinances and state laws relating to II �t building construction.I authorize representatives of this city or county to Policy# 4 'T Expires � � I 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 ❑I certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes qpo UNLAWFUL,AND SHALLSUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building bythe applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0D0),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC[ion or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airlines Qua CONSTRUCTION LENDING AGENCY DYes )Milo 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 boun ary of a school? (Section 3097 Civil Code) D Yes XNNo 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 Contractors 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 permit to s o No construct,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 OWNS6R ALPMORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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.eua.eov/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 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. ❑No EPA:Lead-Safe Certified Firm is required for this project because: 01,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. EsGil Corporation In PartuerrhjP.with G'nvernment for Builditt DATE: 05/31/16 6 Safety JURISDICTION: Cit Y of Menifee PLAN ❑ APPLICANT CHECK NO.: ❑ JURIS. PXT16-01604 ❑ PLAN REVIEWER ROJEC7'ADDRESS: SET. ❑ FILE PROJECT 28787 Sherborn Ct. NAME: ❑ The MARY "VEDD 6,000 Plans trans watts Solar photovoltaic S with the jurisdiction mitted herewith have be Ystem 's buildin been corrected where necessa 9 codes. ry and substantial) The Plans transmitted herewith will s Y comK when minor deficiencies ide identified ubstantially comply with the jurisdiction's building below are resolved and The plans transmitted herewith checked b codes and should be c have significant Y building department st< corrected and resubmitted for a deficiencies identified on the enclosed check li: ❑ The check for a complete recheck. list transmitted herewith is for Corporation until corrected Plans are submitted information. The plans are being held at Esgil LD The applicant's co mitted for recheck. contact person. copy of the check list is enclosed for the Jurisdiction to forw ❑ The applicant's copy of the check list has been sent to: ard to the applicant ❑ Esgil Corporation staff did not advise the applicant that the orporation staff did plan check has been completed. ❑ Esgii C l advise the applicant that the plan check has been completed. Person contacted: Date contacted: Telephone #: Mail (by: Telephone Fax #: ❑ R Fax In Person erson E-mail: By_ Serg.1p Azuela EsGil Corporation E3 GA 0 E J Enclosures: � PC 05/23 9320 Chesapeake Drive, Suite 208 San Diego, Calif..,, o, _ Menifee p1ViT16-01604 INVOICE] city 05/ of 1_ / 16 [DO NOT PAY— THIS IS NOT AN VALUATION AND PLAN CHECK FEE PLAN CHECK NO.: PMT16-01604 d`JRISDICTION: City of Menifee PATE: 05/31/16 pREpARED gY: Sergio Azuela gUILDING ADDRESS:ADDRESS: Sherborn Ct. TYPE OF CONSTRUCTION: VALUE �$) gU1LDINC' OCCUPANCY: Reg• AREA Valuation Mod. Multiplier 13U1LDING ( sq. Ft.) pORTION Alf Conditioning Fire Sprinklers TOTAL VALUE rylanuallnput rn of Jurisdiction Code - Bldg. Permit Fee by ordinance piy n Check Fee by Ordinance Structural ONY Complete Review -Type of Review: Other q,5 Hrs. @ Hourl 5157.5 0 $10 5.00 ❑Re PetRepeat5 EsGil Fee Based on hourly rate Sheet 1 of 1 macvalue.doc+ Comments: 1 112 hours plan review.