PMT14-01875 i
City of Menifee Permit No.: PMT14-01875 {
29714 HAUN RD.
' AtCCtwY .' MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 811 912 01 4
1
PERMIT
i
Site Address: 29387 GLENHURST CIR, MENIFEE, CA Parcel Number: 364-310-048
92584 Construction Cost: $17,976.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 38 PANELS 1 INVERTER
Work:
Owner Contractor
NICKY ATWOOD SOCAL SOLAR ENERGY INC
29387 GLENHURST CIRCLE 23542 CAMPESTRE
MENIFEE, CA 92584 MISSION VIEJO, CA 92691
Applicant Phone: 9495400350
ANDREW BAILEY License Number: 836954
23542 CAMPESTRE
MISSION VIEJO, CA 92691
Fee Description 3tv Amount l$1
Building Permit Issuance 1 27.00
I io--a� a e:.i •E�ee�c�l 35. 35vQ0'
GREEN FEE 1 1.00
$418.00
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 C-10 C16 License No. U36°1 5'1 who builds or improves thereon, and who contracts for the projects with a
Expires Ql1 I�O 2,J(oSignature 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:
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.
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
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:htto//www.leainfo.ca.aov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier 5 GJb't�et�5'�h tJ h TNsu ram F+.t k Property Owner or Authorized Agent Date
Expires O9r0 �2015 Policy#
iA By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# 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 state 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 become V
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Property Owner or Authoriz� Date
3�/ ,l City Business License# 055 PV
Date; `� I Z� I� Applicant; ) � lam/
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, []YES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES V�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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address 'ENO 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:
License Law for the reason(s)indicated below by the checkmark(s)I have placed AYES 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, 'g[NO 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 (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or ; YES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY O ER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; ]
The Contractor's State License Law does not apply to an owner of a property X W
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF l®lEN IFEEcity of Menifee P K No: p I No;
29714 Haun Road Building & Safety Dept. �I ,S
Dat Date:
Menifee, CA 92586 JUL 17 2W I I
Phone: (951)672-6777 Amount, 3co Amount:
Fax:(951)679-3843 Received Ck#: Irk#:
Building Combination Permit ► S3
To Be Completed By Applicant
Legal Description: (200F moJt,T Planning Case: F; L: Rt: R
�Oi-+4�
Property Address: Assessor's Parcel Number.
za3a N t� T C ,z. 31e- o48
Project/Tenant Name: Unit#: Floor#:
Nl (-K� woos
Name: hone o. Fax No.
( �^ ou C1 -n 2 �5 8- 19°10
Code—
Owner Address: Unit Number Z Code
20iss-) eN u � t e—
uI LS`6y
Email Address:
Name: Phone No.hh ,(�� Fax No.
!-y_Nn r"GYV !r'-�5+`�%.y �1 tn.O 2y S2
Applicant[Addres
ress: Unit Number Zip Code
S,ka(4 tNTE 1�a1< �� C9a. F �123y
l Address:
gW So C.pt�- S0L PVZ- ENE*l . (_0M
e: hone No Fax No.
Contractor , n(atract t icense o. Contractor's City State of California License No. Classification:
4S3(o SL I R (--1J C
Number of Squares: 9 C(
Square Footage dry y 3
++m® S r
Description of Work: Cost of Work:$
.cJil
Applicant's Signature
Date: ta
o Be Completed By City Staff Only
dicate As R-Received or N/A-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 ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for else.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Detalls ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration` Addition* Means/Methods
Work Type: Repair' RetrofP Revision to Usling Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate it FIndicatell Geo-tech.Haz.Zone
At Project Spdnklered YESorNCompletion: Construction : Coastal Zone
Type(s): C of 0 YESorN Noise Zone
Required?P Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Else.Vehicle Charger Landmark Seismic Retrofit apecal Case:a g.
nffidalA mval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist I City Planning I Civil Engineering EPWM-Admin Transportation Mgml. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government far Buirding Safety
DATE: 08/04/2014 ❑ APPLICANT
' e ❑ JURIS.
JURISDICTION: Menifee 11 . , n1 IL1�/ ❑ PLAN REVIEWER
FILE
PLAN CHECK NO.: pmt14-01875 SET: II
PROJECT ADDRESS: 29387 Glenhurst Cir
PROJECT NAME: Atwood 5000 Watt Solar Photovoltaic 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
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: ) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 07/30/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858) 560-1576