PMT16-03884 City of Menifee Permit No.: PMT16-03884
29714 HAUN RD. Type: Residential Electrical
<A-CC,Et:A? MENIFEE, CA 92586
SA— MENIFEE Date Issued: 1212812016
P E R M I T
Site Address: 23711 ELSINORE LN, MENIFEE,CA Parcel Number: 350-191-021
92587 Construction Cost: $20,800.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 16 PANELS, 1 INVERTER,4.24 kW
Work:
Owner Contractor
ROBERTO CAMARILLO RICARDO CASTAINEDA
23711 ELSINORE LANE 2795 JUNE PLACE
MENIFEE, CA 92587 SAN BERNARDINO, CA 92407
Applicant Phone: 9096594466
ERIK DUARTE License Number: 1000650
RICARDO CASTANEDA ABD AMERICAN HARVEST ELECTF
2795 JUNE PLACE
SAN BERNARD]NO,CA 92407
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 3.00
General Plan Maintenance Fee-Electdcal 1 12.60
$453.10
The issuance of this permit shall not prevent the building offidial from thereafter requiring the correction of effors 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.
AkBldg_Perrnit Template.ript 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).
Chapter9(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effe . the following reason:
License Class CIO No. ()006 5�D 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
a I hereby affirm under penalty of perjury one of the following larations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure forworker's 7044 of the Business and Professions Code,is available upon requestwhen
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,forthe performance of workfor which
this permit is issued. www.leginfo-ca.gov/calaw.htm].
Policy# Date
u I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
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 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 state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
=dollars 0)or less PROPERTY OWNER OR AUTHORIZED AG
ertifv that in the performance of the work for which this permit is issued, 00,A61 1 ci
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 compens: . visions of Section 3700 of the Labor
Code,- ��_, C_ ith cc with those Fir islons. Will the applicant or future building occupant handle hazardous material or a
Applicant—L2 Date mixture containing a hazardous material equal to or greater that the
amounts Vspec- ed an the Hazardous Materials Information Guide?
WARNINOAILURE TO�SECU KEIS COMPENSATION COVERAGE 15 cryes 0
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECrION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCrION LENDING AGENCY ci Yes
I hereby affirm that under the penalty of perjury there is a construct-ion 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 bound a school?
(Section 3097 Civil Code) o Yes
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
Contractor's License Law for the reason(s)indicated below by the Callfurrija Health&Safety Code,Section 25505 and 25534 concerning
haz ws materil�rePorfing.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 No z4f
Business and Professions Code).Any city or county that requires a permit
construct,alter,improve,demolish or repair any structure,prior to Its to Date
issuance,also requires the applicant for the permit to file a signed statement MML��D 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 eceiving 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 rresidence 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
than($500). required practices.This includes rental property owners and property
managers who do the paint-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 I )all of or I )portion of the work,and the structure is www.epa.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. 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 RAP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"'k,"'.."'Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL dRESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOUTION OELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK E04 v-v\c,,,,y\fe-c� SO 1 0,T I Y\S+,�(�Jlor\ CX
S
PROJECT ADDRESS �2 -3 7 (1 Cnr_-01
Bulldl�g 8V=�Daept.
ASSESSOR'S PARCEL NUMBER 2IIM- LOT TRACT
OWNER NAME Ro�e-y-to (-Ck V.C��; 0 DEC 0 1 2016
ADDRESS -7 t f,No re L-V\ I C,16a�5 O� L e, CA,
PHONE M O'l) -7 3.)- -7 H -4- c\ EMAIL
APPLICANT NAME E r t, b V�
ADDRESS 30.� 3 FA+v,,- L-,v A]12f , ( A Oioc>cs
PHONE �3.13) 7&8-- (, rjS- l EMAIL
CONTRACTOR'S NAME R I,CZ�v-rko OWNER BUILDER? 01YES P!6NO
BUSINESSNAME A~�iC4� 6 et*ry ex 4 e c-t,, j c
ADDRESS ;Z-7 CI S Pt. . S, . (A
PHONE f�O") 4 S ( - +Li((- EMAIL
CONTRACTOR'S STATE LIC NUMBER 1 0 16 6 5 0 LICENSE CLASSIFICATION C
VALUATION -DLO, goo SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPAITTMENT DISTRIBUTION Ll 1Y UV tNI E BUS EbS ULENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 07-Xv, I
INVOICE W I PAID AMOUNT ,C
AMOUNT I 1 0 CASH CHECK# - REDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT I 1 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 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
rn Partnership with Governmentfor Buirding Safety
DATE: December 9, 2016 El FkICANT
JURIS.
JURISDICTION: Menifee El PLAN REVIEWER
J FILE
PLANCHECKNO.: PMT16-03884 SET: l
PROJECT ADDRESS: 23711 Elsinore Lane
PROJECT NAME: Camarillo 3.8 KW Solar PV 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.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
F] 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:
N Esgil corporation staff did not advise the applicant that the plan check has been completed.
F] Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: — (b4p) Fax #:
Mail Telephone Fax In Person E-mail:
Z REMARKS: Comp roof.
By: Eric Jensen Enclosures:
EsGil Corporation
0 GA F-1 EJ F-1 PC 12/02
9320 Chesapeake Drive, Suite 208 * San Diego, Cal iforn ia 92123 * (858)560-1468 * Fax(858)560-1576