PMT16-04251 City of Menifee Permit No.: PMT1 6-04251
29714 HAUN RD. Type: Residential Electrical
<A-CCIEl-X—> MENIFEE, CA 92586
MENIFEE Date Issued: 01/0-5/2017
P E R M I T
Site Address: 30189 HEATHERFIELD CIR, MENIFEE, Parcel Number: 364-270-053
CA 92584 Construction Cost: $44,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,27 PANELS,27 MICROINVERTERS, 8.8 kW
Work:
Owner Contractor
MATTHEW ULIBARRI SEMPER SOLARIS CONSTRUCTION INC
30189 HEATHERFIELD CIRCLE 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 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 2.00
SMIP RESIDENTIAL 1 6.00
General Plan Maintenance Fee-Electrical 1 12.60
$457.10
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.
AkBidgPenrift—Ternplate.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 perju ry 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 ri I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license I.s in full force and effect the following reason:
I I By my signature below I acknowledge that,except for my personal residence
-D,G 10&#(1iG121Uoe.,e No. -S:57-
License Clas
Expires Signature��0�� inwhich I must have resided for at least one year prior to completion of
improvements covered bythispermit.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
o 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 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
this permit is issued. www.IegInfo.ca.gov/calaw.htmI.
Policy# Date
iKI have and will maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which 0 By my signature below I certify to each of the folloviring:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property ownees 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
Carrierva building construction.I authorize representatives of this city or county to
Policy it 61a Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permi;is forone-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
a 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 It
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 forthw fisions Will the applicant or future building occupant handle hazardous material or a
Applicant Xh comply with those pro% Date /5710 mixture containing a hazardous material equal to or greater that the
-s��� amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE W(119;��SCOMPENSATI04COVEIRAGEIS a Yes 0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES hA
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000 Will the intended use of the building by the applicant or future building
1,IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guideli es
CONSTRUCTION LENDING AGENCY I Yes %0
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) ayes �fio
OWNER BUILDER DECLARATIONS I have mad the Hazardous Materls I Information Guide and the SCAQM D
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)Indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes 011�
Business and Professions Code).Any city or county that requires a permitto
construct,alter,improve,demolish or repair any structure,prior to its
Issuance,also requires the applicant for the permit to file a signed statement PROSIRTY OWNER OR ALIT
,q9aZEB'XGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RIENOVATIION,REPAIR AND PAINTING(RRP)
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 RRP-certifilecl firms and comply with
an Applicant for a permit subjects the applica nt to a civil penalty of not more required pnictices.This includes renta I 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.gav/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80OL-424-LEAD(5323).
Code;The Contractoes state License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for th is project
property who,th rough employees'or personal effort,builds or im proves 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 sa le. ci No EPA Lead-Safe Certified Firm is required for this project because:
ci 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractees 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.
EsGil Corporation
In Partnership with Governmentfor Building Safety
DATE: 12/29/2016 El APPLICANT
El JURIS.
JURISDICTION: Menifee U PLAN REVIEWER
Ll FILE
PLAN CHECK NO.: PMT16-04251 SET: I
PROJECT ADDRESS: 30189 Heatherfield Dr.
PROJECT NAME: Ulibarri 27 AC Module rooftop PV System
The plans transmitted herewith have been corrected where necessary and substantially
comply with the jurisdiction's building codes.
El 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.
F-1 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the
applicant contact person.
[_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.
F1 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:
[_1 REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
El GA El EJ F1 PC 12/21
Menifee PMT16-04251
12/29/2016
[DO NOTPAY— THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-04251
PREPARED BY: Morteza Beheshti DATE: 12/29/2016
BUILDING ADDRESS: 30189 Heatherfield Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING Valuation Reg. VALUE
PORTION F Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code imnf _Imanual input I
Bldg. Permit Fee by Ordinance NF
Plan Check Fee by Ordinance
Type of Review: Complete Review E] Structural Only
—0epetitive Fee Other
Repeats Hrs. @
EsGI I Fee
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet I of 1
macvalue.doc+