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PMT14-01928 i City of Menifee Permit No.: PMT14-01928 29714 HAUN RD. Type: Residential Electrical 4 i C6CXL�} .' MENIFEE, CA 92586 s� esr+A, t MENIFEE Date Issued: 08/08/2014 PERMIT I Site Address: 33220 BELLAMY LN, MENIFEE, CA 92584 Parcel Number: 388-060-020 Construction Cost: $52,800.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 44 MODULES/INVERTERS 10.56KW Work: Owner Contractor GARY ENTREKIN VIVINT SOLAR DEVELOPER LLC 33220 BELLAMY LN 4931 N 300 W MENIFEE, CA 92584 PROVO, UT 84604 Applicant Phone: 8012346399 NICOLE POWELL License Number: 973756 VIVINT SOLAR DEVELOPER LLC 4931 N 300 W PROVO, CA 84604 Fee Description ,q�t Amount f$1 Building Permit Issuance 1 27.00 GREEN FEE 1 3.00 $485.88 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 anq 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 License No.� � who builds or improves thereon, and who contracts for the projects with a Expires 3 Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensors 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. 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 t I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is §ectlon 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http,//www,ieginfo.ca.ciov/calaw.html. permit is issued, My workers'compensation insurance carrier and policy number are: Carrier If7 PIIUI //G� e�� roperty Owner or Authorized Agent Date Expires i. I Policy#��2W 3� By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# ner or authorized to act on the property owner's behalf. I have read this coon need not be or le ted if the permit is for application and the information I have provided is correct. I agree to comply This se p P ( state laws relating to building county ordinances and — with all applicable city and y 9 9 one-hundred dollars($100)or less) 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 e ®n C /�cq workers'compensation laws of California, and agree that if I should become411U110 �/Pf!/ L E subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. 2 PP,, C}; �6 /—// // City Business License# 0 373y0 Date; v 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, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES 0 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) APPLICANTOR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION ,�,�,I FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address 0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS Y` 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 OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items) (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, 91NO 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 1f,vES 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 ffEPORI'ING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPE T OWNER OR AUT}'Iff /IZED 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 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 PLCKNo: P tt 29714 Haun Road �` 114 �� Dat � Dale: Menifee, CA 92586 1 $�'s I 1 Phone: (951)672-6777 Amount:_ Amount: Fax:(951)679-3843 ck#: 'O ckrl #: Building Combination Permit -2 To Be Completed ByAppllcant Legal Description: bro-7 Planning Case: F: L: Rt: R Property Address: 33220 Bellamy Ln Manifest CA 92584 Assessor's Parcel Number. Project/Tenant Name: Unit#: Floor#: PropeName: Gary Entrekin Phone No.951-67901(p']I.� Fax No. Owner Address:33220 Bellamy Ln Menifee CA Unit Number r'1 Zip Code 92584 Email Address: Name:Nicole Powell Phone No. Fax No- Applicant Applicant Address: 27449 Colt Court Temecula CA Unit Number Zi Code P 92590 Email Address: nicole.powell@vivintsolaccom N ame: Vivint Solar Developer LLC Phone No.951-719-3795 Fax No. Contractor 27449 Colt Court City Temecula State CA Ztp Code 92590 Mors it03730$Business License o. Contractor's City StW7te�f_Califomia License No. Classification: `J 3 56 C-46 Number of Squares: Square Footage Description of work: solar roof mount, 10.56 kw dc,44 modules/inverters Cost of Work:$ 52,800 Applicant's Signature Date: -:— /1y To a Completed By City Staff Only Indicate 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 elec.services over 400 AMP ❑ Floor Plan ❑ Structural Fronting Wan 8 Details ❑ Shoring Plan 1 ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration" Addition' Means/Methods Work Type: Repair' Retrofit* Revision to Elostlng Ld PermiP 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 Indicate all Geo-tech.He Zane At Project Sp Indicate YES or NO Completion: Construction that apply: Coastal Zone Type(s): C of O YES or NO Noise Zone Required? Lis[ed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commas Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special case:Bldg. official App.yRl 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 I Civil Engineering I EPWM-Admin I ransponation Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Menifee PMT14-01928 7/31/2014 EsGil Corporation In Partnership with Government for duifding Safety DATE: 7/31/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-01928 SET: I PROJECT ADDRESS: 33220 Bellamy Ln. PROJECT NAME: Entrekin 44 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 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 7/25 1 Menifee PMT14-01928 7/31/2014 [DO NOT PAY— THIS 1S NOT AN INVOICE] VALUATION AND PLAN CHECK FEE i JURISDICTION: Menifee PLAN CHECK NO.: PMT14-01928 PREPARED BY: Morteza Beheshti DATE: 7/31/2014 BUILDING ADDRESS: 33220 Bellamy Ln. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code rnnf Imanuai Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance_ W $196.58 Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats o- Hour�l 1 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+