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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. 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