PMT14-02698 I
City of Menifee Permit No.: PMT14-02698
29714 HAUN RD.' MENIFEE, CA92586 Type: Residential Electrical
snumaerAWk.x MENIFEE Date Issued: 10/24/2014
i
PERMIT
Site Address: 29097 N FORK CIR, MENIFEE, CA 92584 Parcel Number: 340-450-012
Construction Cost: $7,889.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 14 PANELS, 1 INVERTER, 3.57 kW
Work:
Owner Contractor
MALCOLM GRUBER SOLARCITY CORPORATION
29097 N FORK CIRCLE 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
Fee Description Qtv Amount i$1
"So' a_'r, ets`ident al orSmaO�Ca m. 'rcia ; i"a��"'� a�z� ass, � s�' '�� 25�"bD`
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$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 ❑ 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 for e and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class 1�CI E) Ucens No. p ,6 I C) `I 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 DECLAR TION
❑ I 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' gded for by y my signature below acknowledge that, except for my personal residence in
Section 3700 of the dLabor Code, for the performance by the Director of Industrial 'of work for ons as Iwhich this which I must have resided for at least one year prior to completion of
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
Polic ,# 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
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:http�L/www.lecinfo,ca.aov/calaw.html,
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrierdi.�f1.P:4�d a t i _l� Property Owner or Authorized Agent Date
Expires61� Policy#`iU IQ(+62L95D-�'�
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- undred 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-
I certify that in the performance of the work for which this permit is issued, I id tntifed property for the inspection purposes,
shall not emnlov 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 Own r or Authorized Agent Date
Code,I shall forthwith comply with those provisions. '\
4 L. City Business License
Date; IUI I�1 Applicant,
WARNING: FAILURE TO SERE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS LINEA. FUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($700,000), 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 OYES 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 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 AYES 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 ❑YES 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 or 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 OR AUTHPRIZED AGENT
not intended or offered for sale.(Section 7044, Business and Professions Code; 9
The Contractor's State License Law does not apply to an owner of a property X „u�,40"V.21v1 l.,ytkJ /jJ�t2ZILI
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 M ENIFEE PLCK No: Permit No:
29714 Haun Road a
Date: Date:
Menifee, CA 92586 City of Menitee id 1
Phone: (951)672-6777 Building & Safety F Mount: Amount:
Fax:(951)679-3843 OCT 07 201tck#: Ck#:
Building Combination Permit t°��fp'�d li� �� .f��J 4
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: �-, Assessor's Parcel Number. —
�ti�
Projec enant Name: Unit#: Floor#:
Name: _ ' // _ P� n N Fax No.
Property Owner Address:,.% e� Unit Number Zip CdS
Email Address:
Name: Phone No. Fax No.
Beverly Miller 951-291-8703
Applicant Address: Unit Number Zip Code
as contractor
Email Address:
bmi11er2 SOlarcit .COm
Name: Phone No. Fax No.
650-638-1028
Contractor Address: City State Zip Code
3055 Clearview Wa
Contractor s Ary Business icense No. Cont tpr �yy State of California License No. Classification:
RcInnAR
Number of Squares:
Square Footage
Description of Work: Cost of Wo :
Applicant's Signatur / � �
'�___ Date: p
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 cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
[I Structural Calculations
ElFoundation Plan ElCross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition' Means/Methods
Work Type: Repair' RetroBC Revision to Existing PemtiP Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: 11 Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At Project 3dl. k-ered 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 Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Spedal Case:aldq.
Official
royal
Expedite Project(s) Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist I City Planning Civil Engineering I EPWM-Admin Transportation Mgnet. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government for ouif ing Safety
DATE: 10/15/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02698 SET: I
PROJECT ADDRESS: 29097 N Fork Circle
PROJECT NAME: Gruber 3KW 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 10/8/2014
i
I
Menifee PMT14-02698
10/15/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-02698
PREPARED BY: Morteza Beheshti DATE: 10/15/2014
BUILDING ADDRESS: 29097 N Fork Circle
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING FAREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Cade lmnf Imanual Input
Bldg. Permit Fee by Ordinance __. W
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee
❑ Other
Repeats o- Houma 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+