PMT16-02938 City of Menifee Permit No.: PMT1 6-02938
29714 HAUN RD.
<A-CCEL:A—> MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 09112/2016
P E R M I T
Site Address: 29586 PEBBLE CREEK CT, MENIFEE,CA Parcel Number; 333-55D-034
92585 Construction Cost: $19,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 15 PANELS, 1 INVERTER 4.905KW
Work:
Owner Contractor
ROBERT SIRIGNANO PURE SOLAR COMPANY
29586 PEBBLE CREEK CT 4047 GRANT ST
MENIFEE,CA 92585 CORONA,CA 92879
Applicant Phone: 9514446305
WASSIM ISMAIL License Number: 1006423
PURE SOLAR COMPANY
4047 GRANT ST
CORONA,CA 92879
Fee Description Qtv Amount
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.Bldg_PeTmlt-Ternplate.rpt Page 1 of I
CITY OF IVIENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contnctors State license Law).
I hereby affirm u nder penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractoes State License Law for
Professions Code and my license is in full form and effect. the following reason:
License Ciao License No. ,&94 2 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
ci 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 workees 7D44 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 websfte:
by Section 3700 of the La bar Code,for the performance of work for which
this permit is issued. www.lminfia.ca.Rov/czilaw.htm1.
Policy# Date
a I have and will maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGE NT
section 3700 of the Labor Code,for the performance of the work for which ci By 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 owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct I agree to comply
Carrier with all applicable city and county ordinances and stale laws relating to
building construction.I authorize representatives of this city or county to
Policy# (A eA'A —Expires -Z4 _Q!7 _1 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
o I certify that in the performance of the work for which this permit is issued,
Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 370D of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant //q 5.5.--N Date Iz mixture containing a hazardous material equal to orgreater that the
amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKEWS COMPENSATION COVERAGE IS crYes ci No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the build Ing by the applicant or future building
AND CIVIL FINES UP TO ON E HUN DRED THOUSAND DOLLARS($100,000),1 N occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Me nagement District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines
CONSTRUCTION LEN 01 NG AGENCY w Yes 0 No
I hereby affirm that under the penalty of perjury them 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) fi�Yes ci No
OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 jaYes o No
Business and Professions Code).Any city or county that requires a permit to Date q—rz—
construct,alter,improve,demolish or repair any structure,prior to its ;�6�k —
issuance,also requires the applicant for the permit to file a signed statement PROPERV OWNER OR AUTHORIZED AGENT
that he or she 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 alleged exemption.Any violation of Section 7031.5 by residence or childCaTe facility to be RRP-certified firms and comply With
an Applica nt for a permit subjects the ap plicant to a civil pena Ity,of not more required practices.This includes rental property owners and property
than($500). managers who do the point-disturbing work themselves or through their
ci 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program Visit:
compensation,will do all of or portion of the work,and the structure is www.eva.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement Is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ci No EPA Lead-Safe Certified Firm is required for this project because;
in 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law dam not apply to an owner of a If your project dam not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
& SAFETY PERM IT/PLAN CHECK APPLICATION
A.�.k. menlTee
DATE PERM IT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL QRESIDENTIAL 0MULTI-FAMILY C) MOBILEHOME 0 POOL/SPA 0 SIGN
SUBTYPE: OADDITION 0ALTERATION ODEMOLITION -0ELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_
DESCRIPTION OF WORK 6�!L�e C1 0
PROJECTADDRESS 26U�-
ASSESSOR'S PARCEL NUMBER �PNT TRACT
OWNERNAME
ADDRESS 26\C;,941,
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? OYESONO
BUSINESSNAME PtjC e
ADDRESS
PHONE EMAIL
CONTRACrOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ 1 !3r2o(�> SO FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAIDAMOUNT
Q
AMOUNT ;A 0 CASH C)CHECK# CICREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# C)CRED[TCARD VISA/MC
OWNER BUILDER VERIFIED YES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In Partnership with Governmentfor ftifding Safety
DATE: 09/08/2016 U APPLICANT
U<TRIS.
JURISDICTION: City of Menifee El PLAN REVIEWER
C) FILE
PLAN CHECK NO.: PMT16-02938 SET: I
PROJECT ADDRESS: 29586 Pebble Creek Ct.
PROJECT NAME: ROBERT SIRIGNANO 15 AC Module with 320 Watts Micro-inverters
Solar Photovoltaic System.
z The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
F1 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.
El 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.
F� The applicant's copy of the check list has been sent to:
z 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: __—� (bW) Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Sergio Azuela Enclosures:
EsGil Corporation
[I GA [:1 EJ F-1 PC 09106/2016
9320 Chesapeake Drive, Suite 208 * San Diego,California 92123 * (858)560-1468 * Fax(858)560-1576
City of Menifee PMT16-02938
09/08/2016
[DO NOT PAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-02938
PREPARED BY: Sergio Azuela DATE: 09/08/2016
BUILDING ADDRESS: 29586 Pebble Creek Ct.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING Valuation Reg. VALUE
PORTION F Mult Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf Manual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: Complete Review F-] Structural Only
F—]Repetitive Fee F1 Other
Repeats E�-� Hrs. @
EsGil Fee $157.501
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+