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PMT14-02653 City of Menifee Permit No.: PMT14-02663 29714 HAUN RD. MENIFEE, CA92586 Type: Residential Electrical MENIFEE Date Issued: 1 2/0 812 014 PERMIT Site Address: 28392 CHAMPIONS DR, MENIFEE, CA Parcel Number: 340-110-036 92584 Construction Cost: $15,215.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,27 PANELS, 1 INVERTER, 6.885 kW Work: Owner Contractor DAN HIPPERT SOLARCITY CORPORATION 28392 CHAMPIONS DRIVE 3055 CLEARVIEW WAY MENIFEE, CA 92584 ATTN ZOE STEELE Applicant Phone: 6509634722 BEVERLY MILLER License Number: 888104 SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO, CA 94402 Phone: 9512918703 Fee Description Qt( Amount f$) ola.; es a talo"`•rna �CoM: '8r 'al,. - 2 - 0 Building Permit Issuance 1 27.00 d't'o. PI°n Re ew Ele t. c 1`58 � INNION GREEN FEE 1 1.00 S I ES�b�FNTAL .0; $439.50 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 ❑ 1, 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 U,100 License No. 17 b� who builds or improves thereon, and who contracts for the projects with a Expires ml A i 1 Signature at-0 q( licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLAR TION ❑ lam exempt from licensure 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 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 ❑ 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.leainfo.ca.gov/calaw,htmi. _ permit is is ed.My wo,rlkIers'co parsed i�insurance carrier and policy number are: Carrier - nT"c( u.`(u Property caner or Authorized Agent Date f t\ Expires C�tI ( l o Policy#-76o(eI(Ao(orq U5033 Name of Agent Phone# ❑ 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 or Authorized Agent Date Code, I shall forthwith comply with those p ovisions. Date; i'a� 0 I �L' Applicant; �� City Business License# WARNING: FAILURE TO SEC E WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAW UL, 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, EYES 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 - EYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ❑NO 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 EYES 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 1 HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code) or that he or EYES 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER O AUTNO ED AGENT not intended or offered for sale.(Section 7044, Business and Professions Code; The Contractor's State License Law does not.apply to an owner of a property who, through employees' or personal effort, builds or improves the property, �1 provided that the improvements are not intended or offered for sale. If,however, 1 the building or improvement is sold within one year of completion, the Owner- - Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF ENIIF I + of Menifee PLCKNo: Permit No: ullding & Safety Dept, 29714 Haun Roa Date: Date: Menifee, CA 92586 OCT 0 1 2014 Amount: Amount: Phone: (951)672-6777 Fax:(951)679-3843 Iecelved Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Desorption: Planning Case: F: L: Rt: R PropertyAddress: n/� Assessor's Parcel Number. C%� O" Projectlfenant Name: Unit#: Floor#: Name: Phone No Fax No. Property Address: U Owner Unit Number Zip Cc� Email Address: Name: Phone No. Fax No. Beverl Miller 951-291-8703 Applicant Address: Unit Number Zip Code e as contractor Email Address: bmiller2 solarcit .tom Name: phone No. Fax No. 650-638-1028 Contractor Address: City State Zip Code 30 learview Wa ontractor s ity uslness tense o. Con tpgtpr�,City State of California License No. Classification: in r4A Number of Squares: 88662t35 llJJ44 Square Footage Description of Work: Cost of Work:$ Applicant's Signature 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 ❑ Goo Tech/Solis 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 E fisting Perlrut' 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 Spdnkleretl that apply: Coastal Zone Completion: Type(s); C of O Noise Zone Required? YES or NO 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 Else.Vehicle Charger Landmark ISeismic,Retrofit Special Case:Bldg. OffidalApproval Expedite Project(s): Child Care City Project Green Building Landmarkl I Affordable Housing For Staff Use Only Building/Safety I Peanut Specialist City Planning Civil Engineering EPWM-Armin I Transpodalion Mgml. I Rent Conuol THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Menifee PMT14-02653 12/4/2014 EsGil Corporation In Partnership with Government forOuilding Safety DATE: 12/4/2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-02653 SET: II PROJECT ADDRESS: 28392 Champions Dr PROJECT NAME: Hippert 6,000 watt 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 0 GA ❑ EJ ❑ MB 171 PC 11/25