PMT16-03229 City of Menifee Permit No.: PMT16-03229
29714 HAUN RD. Type: Residential Electrical
-t�;iccr-LX--�, MENIFEE, CA 92586
MENIFEE Date Issued: 1110912016
P E R M I T
Site Address: 25335 HITCH RAIL LN, MENIFEE, CA Parcel Number: 358-530-038
92584 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,20 PANELS,20 MICROINVERTERS,5.0 kW
Work:
Owner Contractor
JILLIAN GALGUERRA CLEAN ENERGY SOLUTIONS OF CALIFORNIA LLC
25335 HITCH RAIL LANE 417 W ALLEN AVE
MENIFEE. CA 92584 STE 105
Applicant Phone:8009941134
EDDIE GUTIERREZ License Number: 998787
CLEAN ENERGY SOLUTIONS OF CALIFORNIA LLC
417 W ALLEN AVE
STE 105
SAN DIMAS,CA 91773
Fee Description QtV Amount($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 4.00
General Plan Maintenance Fee-Electrical 1 12.60
$464.10
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of effors in the plans and
specifications or from preventing builiding operations being carded 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.
CONDITIONS
Condition Comment
1 DUPLICATE
2 MPU PERMIT
AA 31dg_Perrnit_TernpIate.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 perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter!)(commenciing with section 7000)of Division 3 of the Business and a I am exam pt from licensure under the Contractor's State License Law for
Professions Code and my license Is in full force and effect. the following reason:
UcenseClass C_)o License No. - ?9979'7 By my signature below I acknowledge that,except for my personal residence
Expiresilad /c. Signature in which I in ust have resided for at least one year prior to completion of
improvements covered bythis permit.I cannot legallysell a structurethat I
WORKER'S COMPENSATION DECLARATION have builtasan owner-builder if It has not been constructed in itsenfirety 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 worker's 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.IeRinfc.ca.gov/caIaw.htmI.
this permit is issued.
Policy# —W4440 PROPERTY OWNER OR AUTHORIZED AGENT Date
,61 have and will maintain worker's compensation insurance,as required by
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 owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier �;�,94-e rorw 12emse+1 6 ri building construction.I authorize representatives of this city or county to
Policy# (0 1 L/O Expires. 6 it'P.1 —7 o -7 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,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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 forth mply with those provisions. Will the applicant or future building occupant handle hazardous material ora
Applicant Date mixture containing a hazardous material equal to or greater that the
L� amounts specified on the Hazardous Materials Information Guide?
,ARN,N.- 4RErT.SECURE WORKER'S COMPENSATION COVERAGE IS Oyu 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 occupant require a permit for the construction or modification from South
ADDITION TO TH E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ci Yes cyNo
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) a Yes la No
OWNER BUILDER DECLARATIONS I have read 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 r porting.
checkmark(s)I have placed next to the a pplicable item(s)(Section 7031.5 oYes R`Nc )
Business and Professions Code).Any city or county that requires a permit to ;;,f1v Date
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OVMR4R AUTHORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRIPI
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-certiffed 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 workthemselves orthrough their
c 1,as owner of the property,or my ertiployee with wages as their sole employees.For more Information a bout EPXs Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Inforniation Center at
not intended or offered for sale.(Section 7044,Business and Professions I-SOD-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a 0 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. a No EPA Lead-Safe Certified Firm is required for this project because:
c 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 fill out the RRP
Acknowledgement.
EsGil Corporation
In(Partnership with Governmentfor Buiffing Safety
DATE: 10/28/2016 0 MICANT
b-'8JURIS.
JURISDICTION: City of Menifee El PLAN REVIEWER
��e D FILE
PLAN CHECK NO.: PMT16-9;;�_ SET: II
PROJECT ADDRESS: 25335 Hitch Rail Ln.
PROJECT NAME: JULLIAN GALGUERRA 20 @ 215 Watts Micro-inverters 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.
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-1 The applicant's copy of the check list has been sent to:
M Esgil Corporation staff did not advise the applicant that the plan check has been completed.
El Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacte4�-� Telephone
Date contacted: —� (b Fax #:
Mail Telephone Fax Ph�Person E-mail:
REMARKS:
By: Sergio Azuela Enclosures:
EsGil Corporation
El GA El EJ F] PC 10/19/2016
9320 Chesapeake Drive, Suite 208 * San Die.-0,Califonnia92123 * (858)560-1468 * Fax(858)560-1576