PMT14-02003 i
i
City of Menifee Permit No.: PMT14-02003
29714 HAUN RD.'9-;=F-L MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 08/19/2014
PERMIT
Site Address: 29550AVIDA DR, MENIFEE, CA92584 Parcel Number: 339-223-008
Construction Cost: $15,215.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 27 PANELS 1 INVERTER 6.885 KW
Work:
Owner Contractor
JERRY POUBLON SOLARCITY CORPORATION
29550 AVIDA DR 3055 CLEARVIEW WAY
MENIFEE, CA 92584 ATTN ZOE STEELE
Applicant Phone: 6509635630
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
Fee Description Oyt Amount
�alar ❑I o�a.� o >;ci'h 29 �;r
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$450.75
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance, or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License ClassAClb G4G License No. BB$'IO who builds or improves thereon, and who contracts for the projects with a
Expires 12.3).)e4 Signatures--- .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 b this permit, I cannot legally sell a structure that have
permit is issued. P Y p 9 Y
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
I 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 leglofo ca gov/calaw html.
permit is issued. /My workers'compensation insurance carrier and policy number are:
Carrier�.r�ury N(„�u./` Property Owner or ut orized Agent -
Date
Expires Policy#7661o662657n33
ry�,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-
®-1 certify that in the performance of the work for which this permit is issued, I identified property for t e inspection pur uses.
shall not emolov any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become �' g•��
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized A
Code,I shall forthwith comply with those provisions. / P Y gent Date
9 City Business License#
Date; �i' '/%•/�-r< 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, DYES 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 I 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 -
3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
4NO 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: SV=019-
License Law for the reason(s)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: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, (KNO 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 DYES 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 0 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING
El 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPORTING.
compensation,will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWtIER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property Z�•�il`�i""
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITYOF ME IFEE PLCK No: PQrlgit I , Q �Q�
29714 Haun Road Da Date:
Menifee, CA 92586 t4 I'�
Phone: (951)672-67778�w
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Permit G I s
To Be Completed By Applicant
Legal Description: — Planning Case: F: L: Rt: R
Property Address: 1 Assessor's Parcel Number. 5?M ,a
%r a3
Project/Tenant Name: Unit#: Floor#:
Name: r PJ N _ Fax No.
Owner.
,
Aaaress: Unit Number Zip Code
�, 2 R) �((_
oT
Email Address:
Name: Phone No. Fax No.
Beverly Miller 951-291-8703
Applicant Address: as contractor Unit Number Zip Gods
Email Address:
bmi11er2 solardt .com
Name: Phone No. Fax No.
650-638-1028
Contractor Address: city JState Zip Code
3055 Clearview Wa
onVactor s rty Busness icense o. ContfaT,tpr ,CYy State of Califcmia License No_ lassttioalion:
Number of Squares: �att55tt55 VV44
Square Footage
Description of Work: AV-DI j/ —I 4.
w5 Le Cost of Work:$ `
Applicant's Signature -�'"'�'�\./ ,/
Date: Q y
To Be Completed By City Staff Only J
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
❑ Gen Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 81/x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair" Retrofit' Revision to Existing Permit' Required? YES NO El
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: ll Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate If Flndi�,tellGeo-tech.He..Zone
At Project Spdnklered YES or NCompletion: Construction : Coastal Zone
Type(s): C to O YES or NNoise 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 I Elec.Vehicle Charger Landmark Seismic Retrofit special Case:nor;
OfficialApproyal
Expedite Project(s): Child Cam City Project Green Building Landmark I Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist I al Engineering EPWM-Admin I Transportation mgmt I Renl Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government for Bui[ding Safety
DATE: August 11, 2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER j
❑ FILE
PLAN CHECK NO.: pmt14-02003 SET: I
PROJECT ADDRESS: 29550 Avida Drive
PROJECT NAME: Poublon 6000 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 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: ) Fax #:
Mail Telephone Fax In Person E-mail:
❑ REMARKS:
By: Eric Jensen Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 08/04
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee pmtl4-02003
August 11, 2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: pmt14-02003
PREPARED BY: Eric Jensen DATE: August 11, 2014
BUILDING ADDRESS: 29550 Avida Drive
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Imanuai Input
Bldg. Permit Fee by Ordinance s
Plan Check Fee by Ordinance
"type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee
❑ Other
Repeats ❑ Hourly 1.5 Hrs. @
-u`i EsGill Fee $90.00 $135.00
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+