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PMT14-01814 I i City of Menifee Permit No.: PMT14-01814 29714 HAUN RD.' Type: Residential Electrical CC A)' MENIFEE, CA 92586 dl, MENIFEE Date Issued: 0 712 8/2 01 4 PERMIT Site Address: 23849 CHEYENNE CANYON DR, Parcel Number: 351-220-007 MENIFEE, CA 92587 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM25 MODULES 25 MICROINVERTERS 6.125KW Work: Owner Contractor DAVID TAYLOR KILLION ENERGY INC 23849 CHEYENNE CANYON DR 15261 CONNECTOR LANE MENIFEE, CA 92587 HUNTINGTON BEACH, CA 92649 Applicant License Number: 971660 DALLAS FERGUSON KILLION ENERGY INC 15261 CONNECTOR LANE HUNTINGTON BEACH, CA 92649 Fee Description ON Amount Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $480.88 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_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class L'to License No. /bh�, who builds or improves thereon, and who contracts for the projects with a h Expires 1 i4 Signature 'tee i � t licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the ❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason: f I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. Polic # built as an owner-building if it has not been constructed in its entirety by licensed /y contractors. I understand that a copy of the applicable law, Section 7044 of the have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:hftp,//www.leginfo.m.00v/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier 4�i-0/ AlY' Property Owner or Authorized Agent Date i Expires� Policy# 'Vy 3OPi2 ❑ By my Signature below, I certify to each of the following: I am the property Name of AgenR)Ou/+bC C�c.��N� Phone# �h owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and stale laws relating to building construction.I authorize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should becomes/ac subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or tnorized Agent Date Code,I shall forthwith comply with those provisions. 2 Q City Business License# Date; 7^����Ll Applicant; 4,( /— tifoh WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS � WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, BYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA 1 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) / APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name 667 5d kC— 9dS A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address �r (� Ca N h ecl Lwi G ❑NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT �� DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES / I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: Di License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s) (Section 7031.5. Business and Professions Code: / BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, bKO SCHOOL? or repair any structure, prior to its 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 License Law (Chapter 9 (commencing with / I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or MYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECDOUS SECTIONMATERIAL PORI AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; /95 The Contractor's State License Law does not apply to an owner of a property X Sd who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIF1E]E City of Menifee PLCK No: Piano it No: ' '� 29714 Haun Roi�j ding & Safety Dept. Data: Date:T 'L Menifee, CA 92586 7 //-/ / Phone: (951)672-677 L 11 2014 Amount_ Oy 1i Amou .� Fax:(951)679-3843 Ck#: Received Building Combination Permit GI s4 To Be Completed By Applicant Legal Description: 2i-,2 — 1 Planning Case: F: L: Rt: R Property Address: ^t pG�/7C Assessor's Parcel Number. Lo iJ I �,e the ( vt J/ �1 - aap- 00 Project/Tenant Name:;��)� Unit#: Floor#: 1/nl✓col �d Name: / l Phone No. Fax No. Property Address: ��N' Owner '4 'j g Lf` C P he �a ri d unit Number Zip Code S~� Email Address: Name: l Phone No. of{ a `C( k v h Fax No. Applicant Address: / ` G Unit Number f l� Zip Coda�y G �1 Email Address: h a-db,v( 1��ncvM Name: _�_ ,-A Phone Nov, < 7 S�8 Fax No. Contractor Address;{S ),C h b( h � City State Zip cl ff'ontractor s�C�i�iy gusmess Ic n Contractor's City State of Califom Li ia cense No. �Fi Vl� Classification: Number of Squares: Square Footage Description of Work:Signal" Q/p .11 r�5� , J�a. L /�5 5 �� � /�S. I'� Cost of Work:$ S` Applicant's Signature J) of /7 d K z UU d Gam! �Q (n o v Da e: - --To 8e Completed By City Staff Only Indicate As R-Received or NIA-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen Tech/Soils Report(an ad only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on a'%x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for also.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plen&DetaUs ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration` Addition' Means/Methods Work Type: Repair' - Retroft` Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: 1 W� Will the Building Have a Basement? / Y of N Bldg.Code Occupancy Group Indicate indicate if Indicate all Geo-tech.Haz.Zone Al Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C of o YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING.STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Foe Exempt City Project I lElec.Vehicle Charger Landmark Seismic Retrofit Special case:Bldg_ Offici.lApprov.1 Expedite Projec[(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist I City Planning Civil Engineering 1 EPWM-Atlmin Transpodelion Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Menifee PMT14-9181.4 7/22/2014 EsGil Corporation In Tartnership with Government for Building Safety DATE: 7/22/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-01814 SET: I PROJECT ADDRESS: 23849 Cheyenne Canyon Drive PROJECT NAME: Taylor 25 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. ❑ 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. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ 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. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 7/14 I Menifee PMT14-01814 7/22/2014 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-01814 PREPARED BY: Morteaa Beheshti DATE: 7/22/2014 BUILDING ADDRESS: 23849 Cheyenne Canyon Drive BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Cotle mnf Manual Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance `•` $196.66 Type of Review: ❑ Complete Review ❑ Structural Only ElRepetitive Fee El Other Repeats ❑—� 1.5 Hrs. @ EsGil Fee $105.00 $157.50 " Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc+