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PMT16-03786 City of Menifee Permit No.: PMT16-03786 29714 HAUN RD. Type: Residential Electrical <A-CCELA-> MENIFEE, CA 92586 MENIFEE Date Issued: 12105/2016 P E R M I T Site Address: 26050 GLENHAVEN PL, MENIFEE, CA Parcel Number: 360-040-009 92584 Construction Cost: $55,590.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 34 MODULES,34 MICROINVERTERS, 11.1 18KIN, Work: REQUIRES 200AMP PANELUPGRADE Owner Contractor PAUL&NINA MEDINA SEMPER SOLARIS CONSTRUCTION ING 26050 GLENHAVEN PIL 1805 JOHN TOWERS AVE MENIFEE, CA 92584 EL CAJON, CA 92020 Applicant Phone:6197154054 ALICIA ANDREWS License Number.978152 SEMPER SOLARIS CONSTRUCTION INC 1805 JOHN TOWERS AVE EL CAJON, CA 92020 Fee Description OtV 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 3.00 SMIP RESIDENTIAL 1 8.00 General Plan Maintenance Fee-Electrical 1 12.60 $460.10 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_Perrnft-Tem;pIate.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 oeourythat 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 Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason; License Class C-to License No. 9 7 By my signature below I acknowledge that,except for my personal residence Expires /_V/7,( Z5 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 DECLARATIkN have built as an owner-builder if it has not been constructed in its entirety by a 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 71344 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 this permit is issued. www.leginfo.ca.gov/calaw.htirl. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT o I 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 o By my signature below I certify to each of the following:I a in 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 with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires ho h 0 enter the above identified property for inspection purposes. X (This section need notto 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# 0;5risV5 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 forthwItply with th Will the applicant or future building occupant handle hazardous material or a i �4� mixture containing a hazardous material equal to orgreater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING'*.;-ArLURE TO SECdi-E`WORKER'S COMPENSATION COVERAGE IS ciYes *,rNo 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 TOONE HUNDRED THOUSAND DOLLARS($100,000),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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ci Yes iXNo 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) o Yes Ao OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe 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 ma en.al repo ing. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ciYes Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its P RdPTRTY OWN 0 @*Z_ED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING ffiRPI 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 RAP-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 a 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( I all of or( )portion of the work,and the structure is www.epa.govllead 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 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 thatthe 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. o No EPA Lead-Safe Certified Firm is required for this project because: o 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. 7� FIR 1!14-1 2 I 1-n a DATE PERMIT/PLAN CHECK NUMBER TYPE: El COMMERCIAL FZI RESIDENTIAL E]MULTI-FAMILY E]MOBILEHOME F]POOL/SPA FISIGN SUBTYPE: E]ADDITI.ON []ALTERATION. []DEMOLITI.ON- [34�CTRICAL [2MECHIANICAL [_]NEW []PLUMBING El RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 11-111PA 34 MPWW /mlcfaltjwF-Te- OJEVJ pS-,N ??AS 40GA- "ii� -TathD PROJEcrADDRESS V 0'�-b Mk�fVMJCO T(AW ASSESSOR'S PARCEL NUM13ER 3jjG-dqd - ()0l LOT TRACT PROPERTY OWNER'S NAME 4 ADDRESS 2410!;'d C PHONE EMAIL APPLICANTNAME AUCIAANDREWS ADDRESS 1218 SPRING ST. RIVERSIDE, CA92507 PHONE (714)457-4190 EMAIL alicie.andrews@sempersolaris.com CONTRACTOR'S NAME SEMPERSOLARIS OWNERBUILDER? DYESZNO BUSINESS NAME ADDRESS 1805 JOHN TOWERS AVE. EL CAJON, CA 92020 PHONE (619)357-4142 EMAIL CONTRACTOWS STATE LIC NUMBER 978152 LICENSE CLASSIFICATION B, C10, C46,C36 VAUJATION$ s-'10.0D SQ FT L SO FT APPLICANT'S SIGNATURE Z:�' DATE DEPARTMENT DISTRIBUTION )FMEUjFEjeUSI E�JZNSENUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SNP CITY C INVOICE AM UNT PAID AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC PLAN COECK FEES PAIDAMOUNT OCASH OCHFCK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED C YES 0 No DLNUMBER NOTARIZED LETTER I-- YES 0 NO City of Menifee Building&.5oj'ety Department 2971-4 Houn Rd. f4enifee, CA 92586-951-572-6777 www.citwfinenifee.as lospection Request Line 951-246-6213 EsGil Corporation InTartnership witfi governmentfor Buifding Safety DATE: 11/30/2016 0 APPLICANT YJURIS. JURISDICTION: Menifee Q PLAN REVIEWER 0 FILE PLAN CHECK NO.: PMT16-03786 SET: I PROJECT ADDRESS: 26050 Glenhaven Place PROJECT NAME: Medina 34 AC Module rooftop PV System The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. F-1 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. F-1 The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. El 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: z Esgil Corporation staff did not advise the applicant that the plan check has been completed. F-1 Esgil Corporation staff did advise the applicant.that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by:�f� Fax #: Mail Telephone Fax In Person E-mail: F-1 REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation El GA F1 EJ n PC 11/23 9320 Chesapeake Drive, Suite 208 * San Diego,Califomia92123 * (858)560-1468 * Fax(858)560-1576