PMT16-03899 City of Menifee Permit No.: PMT16-03899
29714 HAUN RD. Type: Residential Electrical
<A—CCECA—> MENIFEE, CA 92586
d--t%Mt— MENIFEE Date Issued: 12/19/2016
P E R M I T
Site Address: 29960 BAY VIEW WAY, MENIFEE,CA Parcel Number: 340-500-048
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 16 MODULES, 16 MICROINVERTERS 4.160KW
Work:
Owner Contractor
JUNE RIVERA ECOSOLARGYINC
29960 BAY VIEW WAY 17500 RED HILL AVENUE
MENIFEE, CA 925134 IRVINE, CA 92614
Applicant Phone:9497776090
RON SHIMIZU License Number:984617
ECOSOLARGYING
17500 RED HILL AVENUE
IRVINE, CA 92614
Fee Description ON Amount 1$)
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-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 buillding 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 BIdgPemit—Template.ript Page 1 of I
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 contmctor(s)pursuant to the Contractors State License Law).
Chaptersi(commencing with section 7000)of Division 3 of the Business and 0 1 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 Q License No. By my signature below I acknowledge that,except for my personal residence
Expires Ignature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I can not legally sell a structure that I
WORKEWS COMPENSATION DECLARATIO have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perju;-:����S: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 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.leginfo.ca.gov/calaw.htmi.
this permit is issued.
Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date
2IP-1 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 owner's behalf.I have read this
numberare: 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 "cir��Itri) building construction.I authorize representatives of this city or county to
Policy#Z7-V- ONO xpires 0(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,
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 workees compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 2 mixture containing a hazardous material equal to orgreaterthat the
_ I 5�—— amounts specified on the Hazardous Materials Information Guide?
WARNING:FAIL ECURE WORKER'S COMPENSATION COVERAGE 15 o Yes
.,vllii� tKo
UNLAWFUL,A19D 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 forthe 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 guldiplines
CONSTRUCTION LENDING AGENCY o Yes FN-0
I herebyaffirm that underthe penaltyof perjury there is a construction Will the proposed building or modified facility be within 100a feet of the
lending agency for the performance of the work which this permit is issued outer b d ry of a school?
(Section 3097 Civil Code) o Yes �;
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 hazardou�materlal reporting.---�
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 ciYes 71�
Business and Professions Code).Any city or county that requires a permit to Date C?—
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY HORIZED 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 REN095KON.REPAIR AND PAINTING IRRIP)
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 y residence or childcare facility to be RRP-certlfied firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not mom required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
o 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( I portion of the work,and the structure is www.epa.goy/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 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 s-old 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 role please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: E]COMMERCIAL M RESIDENTIAL [:]MULTI-FAMILY E]MOBILEHOME [-]POOL/SPA EISIGN
SUBTYPE: E]ADDITION [:]ALTERATION E]DEMOUTION gELECTRICAL [:]MECHANICAL
[:]NEW [:]PLUMBING [:1 RE-ROOF-NUMBER OF SQUARES-
DESCRIPTION OF WORK 11,Q (I)o '30�,,r &Aw.,46L 11A 1,4C11)
La my'WAO.A . kl[Lo LA -1,wov_C'0
PROJECTADDRESS 'a0iOX�o bcA'�'&w Atevdt&- U, Clq59 LA-
ASSESSOR'S PARCEL NUMBER LOT 24"1 TRACT 0-093?
PROPERTY OWN ER'S NAME lk\ivc,
ADDRESS �6-jq-
PHONE EMAIL
APPLICANT NAME ' kv\ CV&Ae-c-) A)V\c
ADDRESS I1-7C)()I) 9,e I 1�-,I k Aj e- IkQ) 1ro--ne-, CA 9201A
PHONE cA 40, - 7 7 7 . U)C�0 EMAIL-,,,J___q,(,�CO), N e,VANAI�
CONTRACTOR'S NAME OWNERBUILDER? [-]YESMNO
BUSINESS NAME SC-0-NoV,("
ADDRESS 1-750C) �JA\IQ 3�iAe 'jr\AAe CA �AQ 4
PHONE I�LkR, 777. GMC) EMAIL
CONTRACTOR'S STATE LIC NUMBER %4617 LICENSE CLASSIFICATION -Gc�-Y)
VALUATION$ 1 140 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 91- -Ro 1�
CITYSTAFF USE ONLY 4
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP
INVOICE Fj
INT PAIDAMOUNT
AMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
City of Menifee PMT16-03899
12/12/2016
EsGil Corporation
In Tartnership with Governmentfor oui(ding Safety
DATE: 12/12/2016 El PLICANT
lei U IRI I S.
JURISDICTION: City of Menifee 0 PLAN REVIEWER
Q FILE
PLAN CHECK NO.: PMT16-03899 SET: I
PROJECT ADDRESS: 29960 Bay View Way
PROJECT NAME: Rivera 16 microinverter rooftop 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.
F-1 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.
1-1 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.
F-1 Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: Fax #:
Mail Telephone Fax In Person E-mail:
F-1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
F1 GA El EJ F-1 PC 12/5