PMT14-02093 I
City of Menifee Permit No.: PMT14-02093
29714 HAUN RD.
�L.A> MENIFEE, CA 92586 Type: Residential Electrical
s .x smrr-Aa MENIFEE Date Issued: 09/17/2014
PERMIT
Site Address: 28653 EICKHOFF DR, MENIFEE, CA Parcel Number: 372-222-028
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 30 PANELS, 30 MICROINVERTERS, 7.65 kW
Work:
Owner Contractor
TRENT COUNTRYMAN SUNCREST SOLAR INC
28653 EICKHOFF DRIVE 420 E SOUTH TEMPLE SUITE 280
MENIFEE, CA 92584 SALT LAKE CITY, UT 84111
Applicant Phone: 8019241100
McKELL BANKS License Number: 987868
SUNCREST SOLAR INC
15502 S MILLIKEN AVENUE
SUITE J
ONTARIO, CA 91761
Fee Description (3yt Amount f$1
r :
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$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 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 Class C— Cb License No. i 8 7 P G {k who builds or improves thereon, and who contracts for the projects with a
Expires Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATI 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
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:Into//www leainfo ca cov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier S6� (Ong(Ong '7oLP E f Property Owner or Authorized Agent Date
Expires 0 d 22f LO(It Policy# k D�
❑ 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 authorizer esentatives of this city or county to enter the above-
on I certify that in the performance of the work for which this permit is issued, I identifi d.pr, arty for t in pection pur ses.
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"PEr4ALTIES
action107A
of the Lab P arty Owner o uthoriz Agent Date
Code,I shall forthwith comply with thoity Business License#
Date; Applican
WARNING: FAILURE RE ORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGFUL, ND SHALL
SUBJECT AN EMPLOYER TPENfALTIES 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 HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES )00 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 []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
-- FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address _QNO 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 ❑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, >40 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 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 MATERIALffEPOR'`ING.
compensation, will do ( )all of or( )porting of the work, and the structure is PROP TY WNER OR HORIZED ENT
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 X
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 O MENI EE PLCK No: Permit No:
29714 Haun Road City of Menifee I 3
Building & Safety Dept. Da Date:
Menifee, CA 92586 Date,
Phone: (951)672-6777 AUG 12 2014 Amou 5C7c, Amount
Fax:(951)679-3843 06
Ck#: Ck#0`17
Building Combination Perrmltivad
To Be Completed By Applicant
Legal Description: PlanningCase:
F: L: Rt: R:
Property Address: Assessor's Par Num r.
28663 Eickhoff Drive,Menifee,CA 92562 r't
Project/Tenant Name:Trent Countryman Unit#: e( OL Floor#:
ProName:Trent Countryman Phone No.760-519-7924 Fax No.
Owner Address:28653 Eickhoff Drive, Menifee CA Unit Number Zip Code 925
Email Address:trentcountryman@gmail.com
Name: MCKell Banks Phone No.801-228-8958 Fax No.
Applicant Address: 15502 S. Milliken Ave., Ontario, CA91761 unit Number Ste. J Zip code
91761
Email Address: mbanks@suncrestsolar.com
Name: Suncrest Solar Phone No.801-924-1100 Fax No. $01-924-0739
Contractor Address: 420 E. South Temple Ste. 280 city Salt Lake City State Zip Code
ontractor s City Lsine nse o. Contractor's City State of California License No. Classification C-10
Number of Squares: C�
Square Footage
Description of work: Rooftop PV Installation with 30 Canadian Solar CS6P-255P Modules Cost of work:$ 0 D U
Applicant's Signature ,
To Be Completed By City Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to s e 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 Framing Plan 8 Details ❑ Shoring Plan 1 ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration` Addition" Means/Methods
Work Type: Repair* Retrofit' Revision to Exisling 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 if YES or NO
At Project Indicate Indicate all Geo-tech.Haz.Zone
1 Construction Spdnklered that apply: Coastal Zone
Completion: Type(s): C i f O Noise Zone
Required? YES or NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Anch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg.
Official Approval
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 Civil Engineering I EPWM-Admin I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In (Partnership with Government for Buirding Safety
DATE: 08/20/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02093 SET: I
PROJECT ADDRESS: 28653 Eickhoff Dr.
PROJECT NAME: Countryman 7600 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 08/13/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
i
Menifee PMT14-02093
08/20/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02093
PREPARED BY: John Le Vey DATE: 08/20/2014
BUILDING ADDRESS: 28653 Eickhoff Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) IF Multiplier Mod.
PV system
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance I�`l
Plan Check Fee by Ordinance '►
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee El Other W
-" 1 Repeats 7� Hourly 1.5 Hrs. @
- ---.J Ill Fee $90.00 $135.00
" Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+