PMT14-02726 City of Menifee Permit No.: PMT14-02726
29714 HAUN RD. Type: Residential Electrical
"�-kCCEL—/-; " MENIFEE, CA 92586 -
s°"""""'Asmt,.P MENIFEE Date Issued: 11/04/2014
PERMIT
Site Address: 29642 MESA VERDE CIR, MENIFEE, CA Parcel Number: 340-450-027
92584 Construction Cost: $15,000.00
Existing Use: Proposed Use:
Description of INSTALLROOF MOUNTED SOLAR SYSTEM,24 MODULES, 1 INVERTER,6.48 KW
Work:
Owner Contractor
RICARDO CARLON
29642 MESA VERDE CIR
MENIFEE, CA 92584
Applicant License Number:
STEVEN GOSCHING
PRECIS DEVELOPMENT INC
36625 KEVIN RD STE 147
WILDOMAR, CA 92595
Phone: 9516969400
Fee Description Qtv Amount 1$1 Building Permit Issuance 1 27.00
r
GREEN FEE 1 1.00
D 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 Temp[ate,rpt Page 1 of 1
II
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of Cl 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.
License Class License No. O z D; Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
Expires 0 -/4Signature -- licensed contractor(s)pursuant to the Contractors State License Law), j
WORKERS'COMPENSATION DECLARATION P
❑ 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' 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 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
permit is issued. Improvements covered by this permit, I cannot legally sell a structure that I have
Policy# $/e V!i?2 7y—�Y 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
❑ 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:120-1/www l9ginfoca.gov/calawhtmi.
permit is issued.My workers'coompensation Insurance carrier and policy number are:
Carrier 544 I-e- 17l, -% r Property wneror uthorized Agent Date
Expires 4�7_- rl ! Policy#_Q�Gs 3 -Jy_l
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-
0 1 certify that in the performance of the work for which this permit is issued, I identified ppp rty 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 I should become f---� i
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions Property Owner or Authori Agent Date
Date; Applicant;y i''a�.7 City Business License#
�� — (—j`-�
WARNING: FAILURE TO SECURE ORKERS' 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, ❑YES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES El 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
3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name ❑YES 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 EIYES 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 DyES 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 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
El 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I'dEPORI'ING.
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 MENIFEE PLCKNo: Permit No:
29714 Haun Road City of Menife6 6'M"TIH_ 2l.
Menifee, CA 92550'lldirlg & Safety Dept. Date: Date:
Phone: (951)672-6777 OCT O 9 2014 Amount'.
moC°� 00 Amounf: ,
Fax:(951)679-3843 UK IF: Ck#:
Building Combination pWAived
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R:
Property Address: 2-9 �I M F_5A VF R9E Assessor's Parcel Number.
3'-l0 vSoo2-q -L
Project/Tenant Name: Unit#: Floor#:
Name: Phone No.
RIC.A2Oo CAa-Lon,/ Fax No.
Property umber 73°I-l7"7 9
Owner Address: Y � Unit Number Zip Code
Email Address: 9 Z S8`i
Name: S.t-EVErb 6�SC-f-t trUF Phone No. Fax Nc.
leI%-%%U-1(nb9
Applicant Address: Unit Number Zip Code
Email Address:
Name: ^ Phone No, Fax No.
r GIS �'-aA- q51-fn9(n-9v oo
Contractor Address: Citywt Cft Zip CodTe
a 7-s' jC.6vw '1ZD wr •>^✓"`r'� Z Contractor's City Business License No. Contractor's Cfty State of California License No. Classification:
527oS a 4
Number of Squares:
Square Footage
Description of Work: y� 3 Tr4 t o - �<- Cost of wo $
Applicant's Signature
Date: to
` a-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)
❑ Foundation Plan ❑ Structural Calculations
❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration" Addiffon" Means/Methods
Work Type:HRepair* - Retrofit" Revision to Existing Pearde Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: If Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate it Indicate all Gee-tech.Haz.Zone
At Project Sprinklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C m O YES or NO Noise Zone
Requfred7 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 Elec.Vehicle Charger Landmark Seismic Retrofit Speclat case:Bldg.
Official Approval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safely I Permit Specialist City Planning I Civil Engineering I Ovvm,dmin I Transpodalion Mgml. Rohl Control
THANK YOU FOR HELPING US CREATE ABETTER COMMUNITY
EsGil Corporation
In Partnership with Government for ouilfing Safety
DATE: October 31, 2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02726 SET: II
PROJECT ADDRESS: 29642 Mesa Verde
PROJECT NAME: Carlon 6000 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 Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 10/24
9320 Chesapeake Drive, Suite 208 ♦ San Diego, Califomia 92123 ♦ (858)560-1468 ♦ Fax(858) 560-1576