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PMT14-02088 City of Menifee Permit No.: PMT14-02088 29714 HAUN RD. Type: Residential Electrical i." MENIFEE, CA 92586 MENIFEE Date Issued: 08/26/2014 PERMIT Site Address: 25560 BUNDY CANYON RD, MENIFEE, Parcel Number: 362-060-008 CA 92584 Construction Cost: $31,875.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 25 MODULES 25 MICROINVERTERS Work: Owner Contractor JASON FIELDING &LAURALYN BROWN-FIELDING VIVINT SOLAR DEVELOPER LLC 25560 BUNDY CANYON RD 4931 N 300 W MENIFEE, CA 92584 PROVO, UT 84604 Applicant Phone: 8012346399 NICOLE POWELL License Number: 973756 VIVINT SOLAR DEVELOPER LLC 4931 N 300 W PROVO, CA 84604 Fee Description CRY Amount l$) 5�,�„�,I ry��s' e'�iar(oS�allfGgmmerc'a; I 1 qpr Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 $421.00 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 a dd m,1 license is in full force Code:The Contractor's License Law does not apply to an owner of a property License Class �� i I, License No. ,�,0 J�y who builds or improves thereon, and who contracts for the projects with a Expires R Signature SJMAM r �j/�- (A licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'Stale 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 w rov I mus covered b this ermat cannot le all sell i structure that have permit is issued. P Y p legally 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 ectien 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http://www leglnfo ca gov/calaw html, permit is issued.My workers'compensation insurance carrier and policy number are: Carrier�6C ciaim( LqY Property Owner orAuthorize Agent Date Expires ti 11 119 Policy#6CO2 13I2303V Name of Agent Phone# /kBy my Signature below, I certify to each of the following:1 am the property 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 inspec'on purposes, shall not employ any persons in any manner so as to become subject to the � �q workers' compensation laws of California, and agree that if I should become ( ✓ ,(Z ! subject to the workers'compensation provisions of Section 3700 of the Labor kk Code, I shall forthwith comply with those provisions. Property Owner or Authorized Agent Date 1 (�/ City Business License# Date; ' fI I 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 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE rt' MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES IUNO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY I` 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 7 N0 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, A7 NO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the /l- 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 V I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or �OJYES 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 F EPORI'ING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERT WNER ORAUTHORIZv'�(�(//J,FaDA�" not intended or offered for sale.(Section 7044,Business and Professions Code; I I 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). EsGil Corporation In Tartnership with Government for Buifding Safety DATE: 08/20/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-02088 SET: I PROJECT ADDRESS: 25560 Bundy Canyon Rd. PROJECT NAME: Fielding 25@215 Watt micro inverter 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 08/13/2014 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 Menifee PMT14-02088 08/20/2014 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02088 PREPARED BY: John Le Vey DATE: 08/20/2014 BUILDING ADDRESS: 25560 Bundy Canyon Rd. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREAF 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 7 �� Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee El Other Repeats ❑ Hours 1 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+