PMT16-04029 City of Menifee Permit No.: PMT16-04029
29714 HAUN RD. Type: Residential Electrical
<A-CCE:L)�> MENIFEE, CA 92586
MENIFEE Date Issued: 1212812016
P E R M I T
Site Address: 28460 SPRING CREEK WAY, MENIFEE, Parcel Number: 333-582-009
CA 92585 Construction Cost: $38,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 21 MODULES,21 MICROINVERTERS, 7.6KW
Work:
Owner Contractor
JOHN&THERESA FERRARA SEMPER SOLARIS CONSTRUCTION INC
28460 SPRING CREEK WAY 1805 JOHN TOWERS AVE
MENIFEE, CA 92585 EL CAJON,CA 92020
Applicant Phone:6197154054
ALICIA ANDREWS License Number.,978152
1805 JOHN TOWERS AVE
EL CAJON,CA 92020
Fee Description 9!Y. 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 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 12.60
$456.10
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 ronstruction under which no work is connImenced 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.
Akl3Idg_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).
ChapterSi(commencing with section 7000)of DWision 3 of the Business and ci I am exempt from licensure under the Contractor's State Ucense Law for
Professions Code and my license is in full force and effect. the following reason:
License Claes�`CIQ CIV DM License No. By my signature below I acknowledge that,except for my personal residence
Expires 10 L24 I I% Signature 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
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 declarations;I licensed contractors.I understand that a copy of the applicable law,Section
have a nd will maintain a cerfificate of consent of self-insu re 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
this permit is issued. www.leginfia.m.noy/calaw.litall.
Policy# Date
X1 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHOR17ED AGENT
section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I a in the property
this permit is issued.My workees compensation insura nce carrier and policy owner or authorized to act on the property ownerrs behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
CarrierrIA-rt Gomp 11-4 -1FVsx> with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 7 _Elpires 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
ci I certify that in the performance of the work for which this permit is issued,
I shall not am play any persons in a ny ma n ner so as to become subject to the CITY BUSINESS LICENSE# 0 7,4 f5s
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 fort�h�'h comply'with those rovis
prov,�Ions Will the applicant or future building occupant handle hazardous material or a
s
Applicant ate mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
S COMP
WARNING:FAILURE TO SECURE Wdiii� S COMPENSATic N COVERAGE IS oYes 16No
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 modifintion from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forguidelines
CONSTRUCTION LENDING AGENCY cr Yes 2(No
I hereby affirm that under the pena Ity of perjury them 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 A No
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 California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to oYes liK No Date
construct,alter,improve,demolish or repair any structure,prior to its IWOOP�ERT�YO W NEAR I R A U?�gefff 72.E D A G E l�T
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 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 Rcensure 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 childca re facility to be RRP-certlfled firms and comply with
a n Applicant for a perm it subjects the applicant to a civil penalty of not more
than($SOO). required practices.This includes rental property owners and property
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 I all of or I 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 I.-800-424-LEAD(5323).
Code,The Contractor's State Vicense Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will he responsible forthis 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 bemuse;
ci 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.
4"Men,J-�a
DATE tqAtiv PERMIT/PLA?4 4CHECK NUMBER 7filky Oqo;l
TYPE: t]COMMERCIAL [Z]RESIDENTIAL E]MULTI-FAMILY F]MOBILEHOME []POOL/SPA F]SIGN
SUBTYPE- F]ADDITION E]ALTERATION F]DEMOUTION E]ELEcrRicAL EMECHANICAL
F]NEW F]PLUMBING El RE-ROOF-NUM13ER OF SQUARES
DESCRIPTION OF WORK MOL101M TV.
-Y-1 lZ7>Cjcrj-jj-jjL-j
PROJECTADDRESS 1-5%0 ojftper— %&H
ASSESSOWSPARCEUN13MBER LOT 11b TRACT
PROPERTY OWNER'S NAME
ADDRESS
PHONE EMAIL
APPLICANTNAME ALIGIAANDREWS
ADDRESS 1218 SPRING ST. RIVERSIDE, CA92507
PHONE (714)457-4190 EMAIL alicia.andrews@sempersolaris.com
CONTRACTOR'S NAME SEMPERSOLARIS OWNERBUILDER? OYESZNO
BUSINESS NAIVE
ADDRESS 1805 JOHN TOWERS AVE. EL CAJON,CA92020
PHONE (619)357-4142 EMAIL
CONTRACTOR'S STATE LIC NUMBER 978152 LICENSE CLASSIFICATION B, C10, C46,C36
VALUATION$ 2-7 i 0 0 0 . .5-10 SO FT L SO FT
APPLICANT'S SIGNATURE DATE Lf-
DEPARTMENT DISTRIBUTION CITY OF M�6qCU;!%56��;NSE NUMBER
BUILDING PLANNING ENGINEERING FIRE � GREEN SW
INVOICE PAID AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/Mr
[A NT lAtle PAIDAMOUNT I I
MOU LAN CHECK FEES O'CASH O'CHECK# 0 CREDIT7CARD VISAINIC
P
OW BU
N EER LDERVERIFIED 0 YES 0 No DLNUMBER NOTARIZED LE17ER 0 YES 0 NO
City ofiVenifee Build;rg &Scjfety Department 29714 Houn 7d. Menifee, CA 92SEG 951-572-6777
www.citliofnienifee.Lis Inspection Request Line 951-246-6213
City of Menifee PMT16-04029
12/19/2016
EsGil Corporation
In Partnership with Governmentfor ftifding Safety
DATE: 12/19/2016 Ll APPLICANT
U-4bRIS.
JURISDICTION: City of Menifee 0 PLAN REVIEWER
El FILE
PLAN CHECK NO.: PMT16-04029 SET: I
PROJECT ADDRESS: 28460 Spring Creek Way
PROJECT NAME: Ferrara 21 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.
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.
El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the
applicant contact person.
[_1 The appiicant-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.;.� (-
ba Telephone #:
Date contacted: __�( Fax #:
Mail Telephone Fax In Person E-mail:
F� REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA El EJ F-I PC 12/9