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PMT14-02456 City of Menifee Permit No.: PMT14-02456 29714 HAUN RD. Type: Residential Electrical '�R[;��^E1..J� MENIFEE, CA 92586 k. MENIFEE Date Issued: 09/29/2014 , PERMIT Site Address: 27075 TUPELO RD, MENIFEE, CA 92584 Parcel Number: 360-250-002 Construction Cost: $35,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 24 MODULES 1 INVERTER 7.85 WK Work: Owner Contractor RANDY COVACEVICH SUNPRO SOLAR INC 27075 TUPELO RD 34859 FREDRICK STREET STE 101 MENIFEE, CA 92584 WILDOMAR, CA 92595 Applicant Phone: 9516787733 RALPH BARRON License Number: 830451 SUNPRO SOLAR INC 34859 FREDRICK STREET STE 101 WILDOMAR, CA 92595 Fee Description QQt Amount($1 Building Permit Issuance 1 27.00 GREEN FEE p 1 2.00 $443.50 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. 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.-10 ( Licensee�1No. $ 3o�isi who builds or improves thereon, and who contracts for the projects with a Expires Z Zq I b Signature 22' G^' 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. 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 0 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:htti),//www.leginfo.m.00vlcalaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: FCarrier S(a.�L' ,✓ CU Property Owner or Authorized Agent Date Expires L{/I /I S7 Policy if 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- M I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not emolov any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 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.Date; ` / q �c) /�� Applicant; ��/ ./y LLL��Q / ` City Business License# --�� 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 FIND EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that underthe 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 ISNO 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 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, I�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 DYES 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 B'NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION 25505RIAL 1'<E5533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; pj The Contractor's State License Law does not apply to an owner of a property X / ) who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITi' OF 1V1LN1FEE PLCK No* m' 29714 Haun Road Date: Date: Menifee, CA 92586 Q 11 Phone: (951)672-6777 Amoy„ w Amount: Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R Property Address: Assessor's Parcel Number: li Pro/ec enant Name: R yj aC ;C� --Fit Floor#: Name: N OJ(jf GN :t V1 Phone Np. 17 _ IDS-C-�Fax No. Property Address: o7 5 TG e d p dj Unit Number ✓ Zip Code 412.5-g Owner I�p, Email Address: Name: phoneNo. Fax No. ca� h L�crtror �/-lti7Sl- 7r33 Applicant Atldrass: 3 !)'er Fy-ed p.,dr- .5)Leec4- Unit Numb Zip Code 9"2 15r- Email Address: h aa � ` C ` f0", 14f, L' 09"1 Name: Pho a No. Fax NO. +n pro' dlaV' sr-G�f� 173j Contractor Address: �� .{�e�r,G)C City St e Zip Code �- 1 5 ree �z 1 W 60-a 2 a rg9 ontrac ors ry business License NO. Conti, tor's Cftg Sae of California License No. Classification- 1 Number of Squares: �/ Square Footage Li �L Description of Work: 7i 61 mot ' ` {r/e .r5 / � rtq t du(e � ;„VPfke1- Cost of Work:$ " _ 0n Applicant's Signature ;/ C `// f, V 7 f cl-I ! Date: 7 To Be Completed By City Staff Only - / •( G.'/ / 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 cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑ Structural Calculations Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ ❑ Single Line diagram for else.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 Existing 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 YES or NO Indicate all Geo-tech.Haz.Zone At Project Construction Sprinklered that apply: Coastal Zone Completion: Type(s): Coto Noise Zone Required? YES or NO Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board I I Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project JElec.Vehicle Chargerl Landmark Seismic Retrofitl alseval ase:blog. Official Approval Expedite Projecl(s): Child Care City Project Green Building Landmarki Affordable Housing For Staff Use Only Building/Sate BUildingt3aterty I Permit Specialist I Cily Planning ICivil Engineering EPWM-Admin I Transportation Mgmt. IRent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY EsGil Corporation In Partnership with Government for Bui[ding Safety DATE: 09/22/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-02456 SET: I PROJECT ADDRESS: 27075 Tupelo Rd. PROJECT NAME: Covacevich 2@3800 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 09/12/2014 9320 Chesapeake Drive,Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 I I Menifee PMT14-02456 09/22/2014 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02456 PREPARED BY: John Le Vey DATE: 09/22/2014 BUILDING ADDRESS: 27075 Tupelo Rd. BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft) Multiplier Mod. PV s stem Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manual Input Bldg. Permit Fee by Ordinance - Plan Check Fee by Ordinance Type of Review: ❑ Complete Review ❑ Structural Only ❑ El Other Repetitive Fee Repeats Hourl 1 1.51 Hrs. cr EsGII Fee $105.00 $157.50 Based on hourly rate Comments: 1.5 hour plan review. Sheet 1 of 1 macvalue.doc+