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PMT14-02358 City of Menifee Permit No.: PMT14-02358 29714 HAUN RD. ' .GCEL MENIFEE, CA 92586 Type: Residential Electrical ewmnceca 8cituwn MENIFEE Date Issued: 0 911 612 01 4 PERMIT Site Address: 30848 LAJOE ST, MENIFEE, CA 92584 Parcel Number: 360-463-022 Construction Cost: $22,542.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 40 PANELS, 2 INVERTERS, 10.2 kW Work: Owner Contractor ANTHONY CACHO SOLARCITY CORPORATION 30848 LAJOE STREET 3055 CLEARVIEW WAY MENIFEE, CA 92584 ATTN ZOE STEELE Applicant Phone: 6509635100 BEVERLY MILLER License Number: 888104 SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO, CA 94402 Phone: 9512918703 Fee Description Oft rr Amount f$1 �ME -... +x -sue. 'a +cu .a +h 252-O Building Permit Issuance 1 27.00 e i wj- r 88. GREEN FEE 1 1.00 $479.88 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 thereunderwhen 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 CICX_q 6 License No. Oe /6 who builds or improves thereon, and who contracts for the projects with a Expires/'2.1/• Signaturel�_ licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from Iicensure 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 b this permit, I cannot legally sell a structure that I have permit is issued. P Y P g y 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 1 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:http://www IeQ!nfo ca gov/calaw html, permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Lff�d rh) (4✓ J Property Owner orAuthonze Agent Date Expires 1 • (5— Policy# W fOG6 2 6 S 033 Name of Agent Phone# O'By my Signature below, I certify to each of the following: I 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 inspection purposes, 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 provisions of Section 3700 of the Labor Property Owner Au—tho_rized A Code,I shall forthwith comply with those provisions. P Y gent Date c�' /, •I t4 City Business License# O 3 �1 of(OL4 Date; 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, DYES 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 ❑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 Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ONO 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 DYES 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 Stale 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 DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from Iicensure 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL f�EPORI'ING, compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF —" ENIFEE PLCKNo: Permit No: 29714 Haun Road Building of Menus - CX@ din & Safety Dc Pat � Date: Menifee, CA 92586 ( 1 Phone: (951)672-6777 SEP 0 3 20M ° "r' Amount: Fax:(951)679-3843 Ck#: Ck#: Receive Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L Rt: R Property Address: — Assessor's Parcel Number. 3— ProJecVrenantName: © —Unit#: Floor#: Name: Phone No F x No. Property Address: Unit Number Zip 9cade Owner �j i Email Address: —IdtLL Name: Phone No. Fax No. Beverly Miller 951-291-8703 Applicant Address: Unit Number Zip Code a contractor Email Address: bmiller2 solarcit .com Name: Phone No. Fax No. 650-638-1028 Contractor Address: City State Zip Code an M2tp 3055 Clea View Wa ontractor s ity Business icense o. Conipp,GtfMy State of California License No. Classifcalion- Number of Squares: 66�060 44 Square Footage -1 / Description of Work/e l 56� ._ Cost of Work:$ z Applicant's Signatur r Date: 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: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑ Foundation Plan ❑ Plumbing Plan ❑ Structural Calculations ❑ Cross Section ❑ Single Line diagram for else.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 TypoH Repair* Retrofit' Revision to Eldsling Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: If Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate I !ie if Indicate all Geo-tech.Haz.Zone At Project Spdnklered YES or NO Completion: Construction that apply: P�l Coastal Zone Type(s): C Of O Noise Zone Required? YES orNO Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. I Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retroft Special Case:Bltlg. OmtlalA roval Expedite Project( Child Care City Project Green Building Landmark Affordable Housing For Staff use Only Buildingt3alely 1 Pernu 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 Menifee PMT14-02358 9/11/2014 EsGil Corporation In Partnership with Government for Buiffing Safety DATE: 9/11/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-02358 SET: I PROJECT ADDRESS: 30848 Lajoe Street PROJECT NAME: Cacho 2 X 3.8 KW rooftop PV 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: ) Email: Fax #: Mail Telephone Fax In Person ❑ REMARKS: By: Morteza Beheshti Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 9/3 Menifee PMT14-02358 9/11/2014 `DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02358 PREPARED BY: Morteza Beheshti DATE: 9/11/2014 BUILDING ADDRESS: 30848 Lajoe Street BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code rnnf iManual Input Bldg. Permit Fee by Ordinance V;' �J Plan Check Fee by Ordinance $196.88 Type of Review: ❑ Complete Review ❑ Structural Only ElRepetitive Fee El Other Repeats o- Hourly 1.5 Hrs. @ EsGil Fee $105.00 $157.50 " Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc 4