PMT14-02716 i
i
City of Menifee Permit No.: PMT 14-02716
29714 HAUN RD. Type: Residential Electrical
i '#,.%�� MENIFEE, CA 92586
MENIFEE Date Issued: 10/23/2014
PERMIT
Site Address: 29181 SALRIO DR, MENIFEE, CA 92584 Parcel Number: 340-570-030
Construction Cost: $22,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 22 PANELS, 1 INVERTER, 5.5kW
Work:
Owner Contractor
PHILLIP TUGGLE PACIFIC SUN TECHNOLOGIES INC
29181 SALRIO DRIVE 28121 JEFFERSON AVE
MENIFEE, CA 92584 TEMECULA, CA 92590
Applicant Phone: 9513081800
TAMARA LAWS License Number: 896158
PACIFIC SUN TECHNOLOGIES INC
28121 JEFFERSON AVE
TEMECULA, CA 92590
Fee Description qty Amount f$1
Building Permit Issuance 1 27.00
Ad t o`na 2n`Reu ': EI r ra 57 '^�
GREEN FEE 1 1.00
$440,50
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 Cade and my license is in full fo a and effect. Cade:The Contractor's License Law does not apply to an owner of a property
License Class <-i� License No. q 614) who builds or improves thereon, and who contracts for the projects with a
3 Expires 5 t Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION CLARATION
� ❑ I am exempt from licensure under the Contractors'State License Law for the
`fyl 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# "l O(o 7 L1 b 5 I _S built as an owner-building if has not been constructed in its entirety by licensed
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 Iepinfo ca govlcalaw html.
permit is issued.My workers'compensation insurance canter and policy number are:
Carrier 'SC7_C o t?, Property Owner or Authorized Agent Date
� II Expires I 1 11 )— 1 Policy# aoOq✓o $!j
N'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. 1 agree to comply
one-hundred dollars($100)or less) with all appfc le city and county ordinances and state laws relating to building
construction 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 identifed operty 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 Pr*6 Owner or Authorized Agent Date
Cade,I shall forthwith comply with those provisions. G
City Business License# t'3 So3 q3
Date; I.0 2-'S N Applicant; )7, 1,
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
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
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 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, ❑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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE S sTI ON 25505RIAL f';EP533 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;
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).
CITY OF MENIFE &y of Menifee PLCK No: P MLA
No:
29714 Haun Road Building & Safety Dept. _ I LV
Date: Date:
Menifee, CA 92586 OCT 0 8 2014
Phone: (951)672-6777 nt: °unt° s-o
Fax:(951)679-3843 I
Received Ck ' Ck V.
�S 1fs3
Building Combination Permit 3
To Be Completed By AppiIcant
Legal Description.' Planning Case: t:
Property Address'. 1 I Assessor's Parcel Number.
•5 a'#:
Project/ anent Name: � Unit H:p: Floor
Name: Pkk LLt P �� Fhgne o- 91 Fax No.
Property Address: Und Number T Z' e5
Owner SAL J
Email Address:
Name:
TA P S_No. yo F
Applicant Add3 lal Unit Number Zip CodeAC
r l �D
Email Address: "I
A 2l+ P (011
ame: Ck `'� P No. R Fa o 3 - 151 a
Sv f�b , �
Contractor Address: City -- O1 S le Zip4 ER-D
Uomracvor s 4r as I Tr o. Contractor's City S to of C lif is License No. ClessiMation:
Number of Squares:
Square Footage
Description of Work: mC)
l� 1).V. Cost of Work:S OOO
Applicant's Signature
Dale:
To Be Completed By City StaffOnly V
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: t set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Freeing Plat&Delails ❑ Shoring Plan 1 ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addifion• Means/Mellwds
Work Type: Repair Retrofit* Revision to Existing Peoriel Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
B Buildings: It Units: N Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicated Indicate all Geattsch.Haz.Zone
At Project Sprinklered YES or NO
Completion: Construction that appty: Coastal Zone
Type(s): C m o YES or NO Noise Zone
Raquired7 Listed an Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project I jElm.Vehicle Charger Landmark Seismic Retrofit I SPOciaJCase:Bldg
Ochs Appovai
Expedite Project(s): Child Care I City Protect Green Building Landmark Alioroeble Housing
For Staff Use Only
Buildm lSalet Brml1 peaaisl iZity Planningrvi ngineennq I tVWM AUrnin I uransporiatoonmgmt. 1 Rent Control
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.: PMT14-02716 SET: I
PROJECT ADDRESS: 29181 Salrio Dr.
PROJECT NAME: PHILLIP TUGGLE 22 Modules 5,000 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, Califomia 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
City of Menifee PMT14-02716
10/16/14
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT14-02716
PREPARED BY: Eric Jensen (SA) DATE: 10/16/14
BUILDING ADDRESS: 29181 Salrio Dr.
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
Type of Review: ❑ Complete Review ❑ Structural Only
ElRepetitive Fee ❑ Other
—� Repeats Hourly 1.5 Hrs. @
J EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+