PMT16-03358 City of Menifee Permit No.: PMT16-03358
29714 HAUN RD.
<A—CCIELA? MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 10126/2016
P E R M I T
Site Address: 28984 E WORCESTER RD, MENIFEE, CA Parcel Number: 337-140-011
92586 Construction Cost: $9,500.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 11 MODULES, I INVERTER 3.025KW
Work;
Owner Contractor
RUBEN GALVAN SUNRUN INSTALLATION SERVICES INC
28984 E WORCESTER RD 775 FIERC)LANE STE 200
MENIFEE, CA 92586 SAN LUIS OBISPO, CA 93401
Applicant Phone:4155806900
JORDAN AUDIFERREN License Number:750184
SUNRUN INSTALLATION SERVICES INC
775 FIERO LANE STE 200
SAN LUIS OBISPO,CA 93401
Fee Description Qtv Amount($
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 2.00
General Plan Maintenance Fee-Electrical 1 12.60
$452.10
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of ermrs 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 Menne.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_B1dg_Pernnit-Temp1ate.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION 0 lam exempt from licensure under the Contraclors'State License Law for the
I hereby affirm under penalty or pedury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence in
Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class_42zlo�_�,ise improvements covered by this permit,I cannot legally sell a structure that I have
Expires(e Signatu built as an owner-building if it has not been constructed in Us entirety by licensed
contractors. I understand that a copy of the applicable law,Section 7044 of the
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
0 1 hereby affirm under penalty of pedury one of the following declarations submitted or at the following Web site:
I have and Mill maintain a certificate of consent of self-insure for workers; hfto:flwww.leainfo.m.gov/calaw.htmI
compensation.issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of work for which this Date
permit is Issued. Property Owner or Authorized Agent
Policy# El By my Signature below, I certify to each of the following:I am the property
El I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behall. I have read this
section 370D of the Labor Code, for the performance of the work for which this application and the Information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and slate laws relating to building
Carrier construction.I authorize representatives of this city or county to enter the above-
-a'W(GIA identified property for the Inspection purposes.
Policy#ffyAOL—Oq—tp—oju—Expires__L!��.. Property Owner orAuthorized Agent —Date
(This section need not be completed if the permit is for
one-hundred cfollar�—($100)or less) City Business License 0756710
0 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emplo any persons in any manner so as to become subject to the Will the applicant or future buildin
workers'compensation laws of California, and agree that if I should become g occupant handle hazardous material or a
subject to the workers'compensation provisions of Section 3700 of the Labor mixture containing a hazardous material equal to or greater that the
Code,I shall ficS��those provisions. amounts specified an the Hazardous Materials Information Guide?
DYES :R(NO
Applllc:�� Date; Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING- FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL forguldelt as
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYE 0
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($1100,000),IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be Wthin 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary I a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES AD
CONSTRUCTION LENDING AGEN I have read the Hazardous Material information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued(Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS ELSYES DNO
I hereby affirm under penalty of pedury that I am exempt from the Contractor's - Date HS110
License Law for the reason(s)indicated below by the checkmark(s)I have placed PR6VEWT'YOWNhT_0'R AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct, alter,improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing vVith receiving compensation for most work that disturbs paint in a pre4 978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-cerfiffed firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 70311.5 by anyApplicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more Information about EPA's Renovation Program visit:
www.epa.govAead or contact the National Lead Information Center at
0 Ij as owner of the propeft or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure Is
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property 0 An EPA Lead-Safe Certified Renovator will[be responsible for this project
who, through employees' or personal effort, builds or improves the properIA
provided that the Improvements are not intended or offered for sale.If,however, Certified Firm Name:
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale). Firm Certification No.:
0 11 as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044.Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or imp�oves thereon, and who contracts for the projects with a
.:-----I--- '1_1 ._I.- I I_1
EsGil Corporation
In Tartnershipwitfi Governmentfor Bui[ding Safety
DATE: 10/20/2016 L) APPLICANT
LI JURIS.
JURISDICTION: Menifee LJ PLAN REVIEWER
LI FILE
PLAN CHECK NO.: PMT16-03358 SET: I
PROJECT ADDRESS: 28984 East Worcestor Road
PROJECT NAME: Galvan 3,000 watt rooftop PV system
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.
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.
F-1 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:
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: (by: Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA [] EJ F PC 10/12/2016
9320 Chesapeake Drive, Suite 208 * San Die,go, California 92123 * (858)560-1468 * Fax(858)560-1576
Mei-.ifee PMT16-03358
10/20/2016
[DO NOTPAY— THIS IS NOTANINVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-03358
PREPARED BY: Morteza Beheshti DATE: 10/20/2016
BUILDING ADDRESS: 28984 East Worcestor Road
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F—ATE�A Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Junsdiction Code imnf Manual Input
Bldg. Permit Fee by Ordinance
Pla n Check Fee by Ordinance
Type of Review: 7 Complete Review E] Structural Only
EIRepetitive Fee 7 Other
Repeats D—t!� Hrs. @
EsGi I Fee $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+