PMT14-02164 City of Menifee Permit No.: PMT14-02164
29714 HAUN RD.
CCG7../�. MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 910 512 01 4
PERMIT
Site Address: 28612 AMBORELLA WAY, MENIFEE, CA Parcel Number: 364-213-006
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM
Work:
Owner Contractor
ROBERT SOUSA 360 SOLAR ENERGY INC
28612 AMBORELLA WAY 3820 OCEANIC DRIVE STE 314
MENIFEE, CA 92584 OCEANSIDE, CA 92056
Applicant Phone: 9514710008
ANTHONY MUNOZ License Number: 943547
360 SOLAR ENERGY INC
3820 OCEANIC DRIVE STE 314
OCEANSIDE, CA92056
Fee Description O_yt Amount
TMSO�rr�R851dEllg t18IMOr Small Com-,._�YaY1RP.Glace�i �''i ��✓' i�d�'�'�, �`I..��E�' ° �,F.,y+au „ 2 2i�()�;
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$451.75
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_Bidg_Permil_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 Cod ed 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 License No. 35"N 7- who builds or improves thereon, and who contracts for the projects with a
ExpiresfwL
Signature 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.
Policy# built as an owner-building it it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
—have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon requestwhen this application is
section 3700 of the Labor Code, for the performance of the work for which this su fled sC'ffafo win 1Neb site,htt '//www.lec info.ca. ov/caaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier rrea Tel %,\!a N(.� 1Rrop r e YI nzedA nt - Date
Expires ✓ Policy# 6� � G/�
❑ 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-
0 1 certify that in the performance of the work for which this permit is issued,I identif&d operty fo he inspecti p 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 /l /
subject to the workers'compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions. Property Owner Authoriz] Age,,crt'' Date
/� �� City Business License#
Date; r Applicant;A�Z_ Vi
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 OR A
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 C ' 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 rXGES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address j❑NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
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 []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, �NO 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 ES 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 ALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SE S M N RIA �Ep 533p,MG D 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZ
compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY O R R TH RIZED 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 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 1t was not built or improved for the
purpose of sale).
CITY OF MEN1 FEE PLCK No: rCkM
29714 Haun Road Date: I
Menifee, CA 92586 $WI IL
Phone: (951)672-6777 Amount: 5G t:
Fax:(951)679-3843 3
Ck#:
Building Combination Permit 55
To Be Completed By Applicant
Legal Description: I? Planning Case: F: IL: Rt: R:
Property ddress: J/2 !� Ash o� parceIJ umy,
F% A
ProjecuTenant Name: .3� - Unit#: Floor#:
p 6pK
Name: .( Phopg)tjtla_/ _ Fax No.
Property Address:n�+/ - Unit Number
i d
Owner Otr�O
Email Address: /d/Iy
NameAh_,�Ai A414 MOct
Phone No.
Fax No.
Applicant Address: Unit Number Zip Code
Email Address:--
(00 C:QQ7- aV- - ri
Name:, ` O / Y — Phone No.
(gr Fax No.
MAJ G
Contractor Addre§ 'C G�- � Sta).¢ Zip e
onrrracfo§ 5 icense o. I Cont tV lifornia License No. Classification:
Number of Squares: � 7
Square Footage anC
Description of Work: CI ,b0� �� \ 1 Cc of Work:$
Applicant's Signature J�Vr \ m0
Ali- I Date:
To Be Completed By:Gity'Start only r
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: t 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 ElPlumbing Plan ❑ Structural Calculations
❑ Single Line diagram for stet.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&fisting 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 Indicate if Indicate all Geo-tech.Haz.Zone
At Project Sprinktered 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 Comm iss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark ISehanic,Retrofitl Special Case:slug.
OtricialApproval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist City Planning I Civil Engineering I EPWPA-Armin Transportation Mgmt, Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government for ouiOng Safety
DATE: August 26, 2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: pmt14-02164 SET: I
PROJECT ADDRESS: 28612 Amborella Way
PROJECT NAME: Sousa 7600 (2 X 3800) Watt Solar Photovoltaic Systems
® 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 08/18
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee pmt14-02164
August 26, 2014
`DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: pmt14-02164
PREPARED BY: Eric Jensen DATE: August 26, 2014
BUILDING ADDRESS: 28612 Amborella Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) IF
Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
E-
Bldg. Permit Fee by Ordinance a �
Plan Check Fee by Ordinance v $158.75
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Other
❑Repetitive Fee
Repeats Houriv 1.61 Hrs. @
EsGil Fee 1 $90.00 $135.00
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+