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PMT14-01927 City of Menifee Permit No.: PMT14-01927 29714 HAUN RD. '9 CC-L-A` MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 0 8/1 912 01 4 PERMIT Site Address: 28944 MILKY WAY, MENIFEE, CA 92586 Parcel Number: 339-153-008 Construction Cost: $81,600.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 64 MODULES/INVERTERS Work: Owner Contractor DORIS WHITTEMORE VIVINT SOLAR DEVELOPER LLC - 28944 MILKY WAY -4931 N 300 W MENIFEE, CA 92586 PROVO, UT 84604 Applicant Phone: 8012346399 NICOLE POWELL License Number: 973756 VIVINT SOLAR DEVELOPER LLC 4931 N 300 W PROVO, CA 84604 Fee Description p1 Amount is Sola ;w:1de Ik $m"rall ommerc al 52'0 Building P Issuance 1 27.00 i o,atGREEN F1 4.00 $490.88 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 a d my license is in full once ans�ect. - Code:The Contractor's License Law does not apply to an owner of a property License Class Ai U License No. who builds or improves thereon, and who contracts for the projects with a Expiresm -bO t e Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I 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. built as an owner-building if it has not been constructed in Its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is e tion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:ham'//www.leginfo.Ga.gov/calaw.html. permit Is issued.My workers'compensation insurance carrier and policy number are: 111 1 r /'f A Carrier f r I n[ Property caner or Authorized Agent Date I`'I1�I V VIl/L(� V I W s1 q a Expires `� ` I 'I I Policy#V+r��r Co4��y`�i�� Vnyermyr Signature below, I certify to each of the following: I am the property Name of Agent Phone# authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for ication 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- . ❑ 1 certify that in the performance of the work for which this permit is issued,I identified property for the ins ection 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 subject to the workers' compensation provisions of Section 3700 of the Labor Property Owner or Autho ized Agent Date Code,I shall forthwith comply with those provisions. . 3,7 34 6 City Business License# Date;f�j Applicant; 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES �N0 EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? I hereby affirm that under the penalty of perjury there is a construction lending 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 4N'O S A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reasons)indicated below by the checkmark(s)I have placed []YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code. NO BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, 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 I HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law (Chapter 9 (commencing with INFORMATION GUIDE AND THE SCAQMD PERMITTING Section 7000)of Division 3 of the Business and Professions Code)or that he or YES 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 ($500).) CODE, SECTION E S MATERI AL 50 R P533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTT7 RIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; �/I /a #J/ 4 - The Contractor's State License Law does not apply to an owner of a property X_�pA AIA dddrrr���v��lew who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: P i[ 29714 Haun RoadI a� Menifee, CA 92586 Dal Date: Phone: (951)672-6777 cunt, Amount: Fax:(951)679-3843 Ck#: ck#: Building Combination Permit i 4 51 To Be Completed By Applicant j Legal Description: C Planning Case: F: L: Rt: R: Property Address:28944 Milky Way Sun City CA 92586 Assessor's Parcel Number. i 2� �w ' ProjecVTenant Name: Unit#: Floor#: o Name: Doris Whlttemoore Phone No.619-672-6161 Fax No. Property Unit Number Zi Owner Address: 28944 Milky Way Sun City CA p Code 92586 Email Address:doriswhittemoore@yahoo.com Name: Nicole Powell Phone No.951-719-3795 Fax No. Applicant Address:27449 Colt Court Temecula CA Unit Number Zip Code 92590 Email Address:nicole.powell@vivintsolar.com Name: Phone No. Fax No. Nicole Powell 951-719-3795 Contractor Address: 27449 Colt Court c'ty Temecula state CA zip code 92590 Contractors rty Business Icense o. Contractor's City State oT Califomia License No. Classification: C-46 037308 973756 Number of Squares: Square Footage Description of work: solar roof mount, 16.32 kw dc, 64 modules/inverters cost of work:$ 81,600 Applicant's Signature ' Dale: —7 Zir 14 To Be Completed By City Staff Only �T 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(on cd only) ❑ Plot[Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural FrafNng Plan&Details ❑ Shoring Plan 1 ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration" Addition' Means/Melhods Work Type: Repair' Ld Retrofit' Revision to Etdsing 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 if Indicate all Geo-tech.Haz.Zone At Project Spdnklered 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 Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special Co..:Bldg. Official Approval Expedite Project(!): Child Care City Project Green Building Landmark I Affordable Housing For Staff Use Only Building/Safety I Permit Specialist I City Planning I Civil Engineering EPWM-Admin I Transportation Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY EsGil Corporation In Partnership with Government for Buifding Safety DATE: 08/13/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-01927 SET: II PROJECT ADDRESS: 28944 Milky Way PROJECT NAME: Whittemoore 64 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 codes when minor deficiencies identified below are retolved 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 8/5