PMT14-02249 1
1
City of Menifee Permit No.: PMT14-02249
29714 HAUN RD.�CELA MENIFEE, CA 92586 Type: Residential Electrical
cmH.. ,ascot r MENIFEE Date Issued: 09/05/2014
PERMIT
Site Address: 28991 GOLDEN DAWN DR, MENIFEE, Parcel Number: 372-351-007
CA 92584 Construction Cost: $32,400.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 27 MODULES/INVERTERS, 6.48 kW
Work:
Owner Contractor
IAN CAIN VIVINT SOLAR DEVELOPER LLC
28991 GOLDEN DAWN DRIVE 4931 N 300 W
MENIFEE, CA 92584 PROVO, UT 84604
Applicant Phone: 8012346399
NICOLE POWELL License Number: 973756
VIVINT SOLAR DEVELOPER LLC
27449 COLT COURT
TEMECULA, CA 92590
Phone: 9517193795
Fee Description Cdy Amount 1$1
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
S IP I p,
$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
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City Of Menifee
i
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 for3�neffect. Code:The Contractor's License Law does not apply to an owner of a property
GLicense Class u ?
1p License No. &2 who builds or improves thereon, and who contracts for the projects with a
Expires( 0U1( Signature licensed contractor(s)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-bullding 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:htp:ltwww.leginfo.ca.gov/calaw.htmi.
permit is issued.My workers'cogm�peensatilonn insurance carrier and policy number are:
Carrier A-[� Cl(�/L�G'a�4 Ilk ,(�I �7 7�^ Property Owner or Authorized gent Date
Expires) I �l`I Policy# ✓`�(6zgZ11Z�J�J /
Name of Agent Phone# _ �1 By my Signature below, I certify to each of they following:1 am the property
ner 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 I certify that in the performance of the work for which this permit Is issued,
comp identified{property for the inspecf{on purposes:
shall not v any persons in any manner so s to become subject to q
workers' compensation laws of California, and agree that if I should become
e w I ��/ `p'�r�
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,).shall forthwith comply with those provisions. Property Owner or Authorized Agent -Date
a City Business License# �
Date; 4 S�� 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, pYES 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 /� 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address
\�N 0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penally 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 pYES 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, f 1 N0 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
provisions of the Contractor's Slate 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 YES 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
El I, as owner of the property, or my employees with wages as their sole' HAZARDOUS MATERIAL�EPORTING,
compensation,will do( )all of or ( ) porting of the work, and the structure is PROPERTY,9WN�E,RR ORR�IAUTH RIZZEE/DJAAGG'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 OF MENIFEE PLCK No: Permit No:
29714 Haun Road City of Menifee Date: 1 Date: 1 y�
Menifee, CA 92586BUilding & Safety Dept.
Phone: (951)672-6777 ""°°"t ov A"°°"t
Fax:(951)679-3843 AUG 2 1 2014 ck#: ck#:
Building Combination R,6fffiqived
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: 28991 Golden Dawn Dr. Menifee CA 92584 Assessor's Parcel Number.
3 \- Od"1
Projectrrenant Name: Unit#: Floor#:
Name: Ian Cain Phone NO.619-715-6008 Fax No.
Property Address: Unit Number Zi
Owner 28891 Golden Dawn Dr. Menifee CA p code 92584
Email Address: icain88@yahoo.com
Name: Nicole Powell Phone No.951-719-3795 Fax No.
Applicant Address: 27449 Colt Court Temecula CA Unit Number Zip Code
92590
Email Address: nicole.powell@vivintsolar.com
Name: Vivint Solar Developer LLC Phone No.951-719-3795 Fax No.
Contractor Address:27449 Colt Court City Temecula State CA Zip code 92590
Contractor's City Business
License No. Contractor's City State of California License No. Classification- C-46
037308 973756
Number of Squares:
Square Footage
Description of Work: solar roof mount,6.48 kw dc, 7 modules/inverters, no panel upgrade cost of work:g 32,400
Applicant's Signature ID
Dale: I
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: i set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Tttle 24 Energy(on 8 1A x 11)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition' Means/Methods
Work Type: Repair* Rehofd` Revision to Existing PermiP 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 Indicate all Geo-tech.Haz.Zone
At Project Indicate 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 I I Landmark Comm. I Planning Comm.Zoning Administrator
Fee Exempt:. City Project I IElec-Vehicle Chargerl I Landmark Seismic Retrofit sPadal case:aldq.
OmdalA royal
Expedite Project(s): Child Care City Project I I Green Building I Landmark Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist I City Planning I Civil Engineering 1 EPWM-Admin I Transportation Mgmt. Rent Contml
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In(Partnership with Government for(Building Safety
DATE: 09/02/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02249 SET: I
PROJECT ADDRESS: 28991 Golden Dawn Dr.
PROJECT NAME: Cain 27@215 Watt micro inverter Solar Photovoltaic System
Z 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 08/22/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
Menifee PMT14-02249
09/02/2014
(DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02249
I
PREPARED BY: John Le Vey DATE: 09/02/2014
BUILDING ADDRESS: 28991 Golden Dawn Dr.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
PV system
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Imanual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑ ❑ Other
Repetitive Fee W
Repeats ❑ Hourly 1.5 Hrs. @
EsGll Fee $90.00 $135.01)
" Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+