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PMT14-02715 City of Menifee Permit No.: PMT14-02715 29714 HAUN RD. Type: Residential Electrical <XCCIl.,% MENIFEE, CA 92586 MENIFEE Date Issued: 1 012 2/2 01 4 PERMIT Site Address: 29138 QUAIL BLUFF RD, MENIFEE, CA Parcel Number: 339-472-004 92584 Construction Cost: $38,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 36 PANELS, 2 INVERTERS, 9.0 kW Work: Owner Contractor KARYN HOWE T A K ELECTRIC INC 29138 QUAIL BLUFF ROAD 1654ILLINOIS AVENUE STE 18 MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone: 9519703150 NADIA CONTRERAS License Number: 947912 T A K ELECTRIC INC 1654ILLINOIS AVENUE STE 18 PERRIS, CA 92571 Phone: 9512003650 Fee Description ON Amount isl Building Permit Issuance 1 27.00 tlo�a�181"`i '� w�Eeexr�a " ��'�'•r: "`� a�� c�.a � .�,.,zr�a�57 "-�� GREEN FEE 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-In License No, 2-- 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 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 y 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 s'e°btion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto//www.leginfo.ca.ciov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: 5 ��gf-- Property Owner or Authorized Agent Date Carrier_C 1Ae-y f 37 1nPSO�y,1GC-I�Co Expires J- - Policy# ��J�.l ��,�� 3!},zi�� ❑ By my Signature below, I certify to each of the following: I am the properly 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 stale laws relating to building construction. I authorize representatives of this city of county to enter the above- 0 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 provisions. //// =' City Business License# Date; 4�'2Z-"1`y' 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 HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO 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 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address 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 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, XNO 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 ;AYES 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 25505RIAL f�E5633 AND 25534 CONCERNING ❑ I, 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 ORAUTHORIZED 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 propertywho, 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). CITE' OF MENIFEE PLCK No: Permll No: City of Menifee 29714 Haun Road Building & Safety Dep pate: Date: Menifee, CA 92586 10 10 a� Phone: (951)672-6777 OCT 0 8 2014 Amount: Amount: g0 Fax:(951)679-3843 5 — y Ck#: �f ��°-,FO,l V h,J Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R Property Address: Assessor's Parcel Number. 2"JOe' Blv 337-t o0 Projectltenant Name: Unit#: Floor#: Name: o Phone N , Fax No. Property Address:Z 113 6 I r _641 1 Unit Number Zip Code p Owner 1 7 Email Address: Name: ` ILdj`a S Phone No./5j/ zoo-3 65� Fax No. �Applicant Address: 1 f (S Unit Number JF N Zip Code q2s7- Email Address: 6 _6 Name: Phone No Fax No. C• C S� Zee 3GSo Contractor Address: // �rfyNOlS ✓e e ! City � 5 State� Zip Code ontractor s ulty business License No. Contractor's City State f Cali(17 License No. Classification: Number of Squares: Square Footage Description of Work: ,/ rJ5 3 5 Cost of Work:S 2 p•QOd Applicants Signature V ✓6 Date: To Be Completed By City Staff Only Q Indicate As R-Receivod or NIA-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include. 1 set of documents which include ❑ Ttle Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on call only) ❑ Plat/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Ttle 24 Energy(on 8'A x 1f) Foundation Plan ❑ Structural Calculations ❑ ❑ Cross Section ❑ Plumbing Plan ❑ Single line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Rearing Plan&Details ❑ Shoring Plan 1 ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition* Meansltlho teds Work Type. Repair' Retrofit' Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units. 0 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 Sprinklered that a I Coastal Zone Completion: Consbuction PP Y Type(s): C Of O YES or NO Noise Zone Required? Ellisled 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 lElec.Vehicle Charger Landmark Seismic Retrofit Spada ase� mg Gird.'Apomeal Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing For Staff Use Only Buildingisalety Permit Speclahsl City Planning I Gvd Fugmeenng I EPWM-Admin I Transportation Mgmt. Rent Conbol THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY EsGil Corporation In Partnership with Government for(Bui(ding Safety DATE: 10/16/14 ❑ APPLICANT ❑ JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-02715 SET: I PROJECT ADDRESS: 29138 Quail Bluff Road PROJECT NAME: Karyn Howe 36 Modules (2) 3,800 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 building 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: Eric Jensen (SA) Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 10/09/14 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 l i City of Menifee PMT14-02715 10/16/14 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT14-02715 PREPARED BY: Eric Jensen (SA) DATE: 10/16/14 BUILDING ADDRESS: 29138 Quail Bluff Road BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manual Input Bldg, Permit Fee by Ordinance Plan Check Fee by Ordinance W Type of Review: ❑ Complete Review ❑ Structural Only ElRepetitive Fee El Other --WiRepeats Hourly 1.5 Hrs. @ EsGII Fee $105.00 $157.50 * Based on hourly rate Comments: 1 1/2 hours plan review. 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