PMT14-02360 City of Menifee Permit No.: PMT14-02360
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
3A'." MENIFEE Date Issued: 09/16/2014
PERMIT
Site Address: 27062 BRISTOL LN, MENIFEE, CA 92584 Parcel Number: 360-220-005
Construction Cost: $28,741.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 51 PANELS, 2 INVERTERS, 13.005kW
Work:
Owner Contractor
JASON SCHMITZ SOLARCITY CORPORATION
27062 BRISTOL LANE 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: 9512916086
Fee Description
Amount l$1
�'So�`a ffReslde tla,�'b `, II C mrclah � � v � inn"
Bullding Permit Issuance 1 27.00
GREEN FEE 1 2.00
$442.50
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.
AP._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 License No. 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'COMPENSATION DECLARATION
❑ I am exempt from licensors 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-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:htto'//www.Iegrnfo.ca.qov/calaw,btml.
permit is Issued.My workers'compensation insurance carrier and policy number are:
Property Owner or Authorized Agent Date
Carrier
Expires Policy#
❑ 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-
.. ❑ 1 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 or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
City Business License#
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, AYES OCCUPANT HANDLE A 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO 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 OYES 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 (Chapter9 (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 dD0U3 MON 25505RIAL ff 25533I AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole
compensation, will do( )all of or( ) parting 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).
Menifee PMT14-02360
9/11/2014
EsGil Corporation
In Tartnership with Government for Building Safety
DATE: 9/11/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02360 SET: I
PROJECT ADDRESS: 27062 Bristol Lane
PROJECT NAME: Schmitz 2 X 6 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 9/4
Menifee PMT14-02360
9/11/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02360
PREPARED BY: Morteza Beheshti DATE: 9/11/2014
BUILDING ADDRESS: 27062 Bristol Lane
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code rnnf Manual Input
Bldg. Permit Fee by Ordinance ;W I
Plan Check Fee by Ordinance s` $196.88
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee
❑ Other
Repeats 2�— Hourly 1 1.5 Hrs. @
EsGII Fee $105.00 $157.50
` Based on hourly rate
Comments: 1.5 hour plan review.
Sheet 1 of 1
macvalue.doc+
CITY OF MENIFEE PLCKNo: Pe it No:
29714 Haun Road City of Menifee -o o
ding & Safety Dept. Datg Date:
Menifee, CA 925$'�
Phone: (951)672-677�EP 0 3 2014 Amount: Amount:
Fax:(951)679-3843 Ck#: ck#:
Building Combination r1 ' d
To Be Completed By Applicant
Legal Description: PlanningCase:
F: L: Rt: R:
Property Address -- Assessor's Parcel Number.
rojecu tenant Name: Unit#: O
P ~ Floor
Name: Phon
Property _ ,n,_ Fax No.
Addres ` V V
Owner 06 - Unit Number Zip Cc2d
Email Address:
Name: Phone No.
Beverl Miller Fax No.
Address: a51 b 1-8703
Applicant Unit Number Zip Code
same as contractor
Email Address-
Name: solarcit .com
Name: Phone No. Fax No.
650-638-1028
Contractor AddA,,,Ia City State Zip Code
3055 learview Wa
ontractor s dy us�ness icense o. Conttgr,'s,C'yy State of California License No.
2233 I UU44 Classification:
Number of Squares:
Square Footage '
Desc' Lion of Work _A--
iLrtnLi COS Cost of WOrJc-
Applicant's Signatu J L sL
Date:
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 ❑ Geo Tech/Soils Report(on cad only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y,x 11)
❑
Foundation Plan Cross Section El Plumbing Plan ❑ Structural Calculations❑
❑ Single Line diagram for Bled.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' RetrofiC Revision to Existing Permit' Requimd9 YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: fl Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate a
At Project Indicate YES or NO Indicate all Geo-tech.Haz.Zone
/ Construction Spdnklered that apply: Coastal Zone
Completion: pp y�
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 Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Else-Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg_
OfficialA royal
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 EPWM-Admin Transpodalio 1 Mgml. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY