PMT14-02050 City of Menifee Permit No.: PMT14-02060
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
o�ws,." MENIFEE Date Issued: 08/26/2014
PERMIT
Site Address: 27217 PALOMA WAY, MENIFEE, CA Parcel Number: 336-011-026
92586 Construction Cost: $21,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 11 PANELS, 1 INVERTER, 3.03 kW
Work:
Owner Contractor
SANDRA LAFON Al SOLAR POWER INC
27217 PALOMA WAY 15025 OXNARD ST 200
MENIFEE, CA 92586 VAN NUYS, CA 91411
Applicant Phone: 8554104700
KENNETH SUAZO License Number: 493623
Al SOLAR POWER INC
15025 OXNARD ST 200
VAN NUYS, CA 91411
Phone: 7144016853
Fee Description
Oft Amount
F
0
1 10
$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 Cade 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 CCid License No. 3 who builds or improves thereon, and who contracts for the projects with a
Expires '- •�7 Signatur licensed contractors)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am 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. 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
Ay! 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'I/www.leciinfo.m.gov/calaw.html.
permit is issued. y orkers'oo pensation insurance carrier and policy number are:
/y✓ Property wner or Authorized Agent Date
Carrier ff 6 /� q
Expires g-W-/V Policy# 70J��� � ,,,(
�y my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# wner 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-
I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
hall 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 Owne or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
/ � City Business License#
Date; �ZY��� 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, ❑YES 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 �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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ?110 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 reason(s)indicated below by the checkmark(s)I have placed DYES 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, 71NO 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 S INFORMATION GUIDE AND THE SCAQMD PERMITTING
Section 7000)of Division 3 of the Business and Professions Code)or that he or
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($500).) CODE, SECTIONOUS 25505RIAL�tE5533POkt AND
25534 CONCERNING
HAZAR❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; X ,
The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF ME1®IFEE PLCK No: Permit No:
29714 Haun Road Building &f Safety Dept. Date: I Date: _p
Menifee, CA 92586
Phone: (951)672-6777 AUG 0 7 2014 Amount: mount:
Fax:(951)679-3843 R3—
Ck#: Ck#cei
Building Combination Peermit veil
To Be Com leted By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number.
7z i 7 wl ezCQ
ProJectlrenant Name: Unit#: Floor#:
Name: I phone No. Fax No.
PropeOwner rty Address: Unit Number Ziplodg�
2 a � nt KG JZ)
Email Address:
Name: Ep;j Fax No.
ZO c 01Applicant Address: er
Zip Code
Email Address:
Name: Phone No. Fax No.
Contractor Address: Cityl State Zip Code
or tractors ulty Bussnes icense✓ o. Contractor's 6iky'State of California License o. J O
Classification:�,
Number of Squares:
IO
Square Footage
Description of Work: t U / ?•O ost of Work:$
Applicant's Signature Date:
�• �• �/�
To Be 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 ❑ Goa Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on Il'%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ElStructural Calculations
❑ 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
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Cade Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At 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
Fee Exempt: City Project Elec.Vehicle Charger Landmark ISeismic Retrofit Special Case Bldg.
OtfidalA roval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety1 Permit Specialist I City Planning I Civil Engineering EPWM-Admin I Transportation Mgmt, 1 Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In'Partnership with Government for Bui4fing Safety
DATE: 08/18/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: pmt14-02050 SET: I
PROJECT ADDRESS: 27217 Paloma Way
PROJECT NAME: Lafon 3800 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 08/08/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
I
Menifee pmt14-02050
08/18/2014 J
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: pmt14-02050
PREPARED BY: John Le Vey DATE: 08/18/2014
BUILDING ADDRESS: 27217 Paloma Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDINGIF—A-R—EA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
PV system
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg, Permit Fee by Ordinance ® I� J
Plan Check Fee by Ordinance 7!
Type of Review: ❑ Complete Review ❑ Structural Only
❑ ❑ Other Repetitive Fee �
v Repeats — Hourly 1.5 Hrs. @
EsGII Fee $90.00 $135.00
Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+