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PMT14-02729 City of Menifee Permit No.: PMT14-02729 29714 HAUN RD.MENIFEE, CA 92586 Type: Residential Electrical s"'�"s k�o MENIFEE Date Issued: 1211112014 PERMIT Site Address: 29089 GLENCOE LN, MENIFEE, CA Parcel Number: 372-361-015 92584 Construction Cost: $31,250.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 25 PANELS, 25 MICROINVERTERS, 6.25 kW Work: Owner Contractor ROBERT SANDS VIVINT SOLAR DEVELOPER LLC 29089 GLENCOE LANE 4931 N 300 W MENIFEE, CA 92584 PROVO, UT 84604 Applicant Phone: 8012346399 NICOLE POWELL License Number: 973756 VIVINT SOLAR DEVELOPER LLC 4931 N 300 W PROVO, CA 84804 Phone: 9517193795 Fee Description QQrt Amount 1$1 �r ..aR�vemS�.Or.ntLa� ?S al Qur171T1,L'rCla� �..;a.,:r M.,.1m .Sr.,:-t'..', mca..v�.:,�su":i�a - 'r-,a.hS"� K� Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 .,�,,,�u,_�..r,�,..�,�,2,.��,w,.5r:+;�v.>unYe.+�.,a�..$.��' .a..w.1, mt�i�,.Es�a.s,.1�� .wa,. .✓�a.�.�� $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 bulliding 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&dy censeis in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License ClassLicense No. J/Jyy��,gwho builds or improves thereon, and who contracts for the projects with a Expires ® ature2oh (�( licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from icensure 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. Policy# 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:http�llwww leoinfo ca govlcalaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier l\I U) �� (vyyA`E✓ �/�I/��(/5 ! Property Owner or Authorized Agent Date Expires 11 � I k Policy# 6 " OgLa �� ❑ By my Signature below, I certify to each of the following: 1 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 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 property for the inspec n purposes. shall not compensation any persons in any manner so as to become subject to the t- ,1,f / ' '// mo workers' compensation laws of California, and agree that if I should become V�1��(�{ [�(� 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# V ✓ ��y� Date; 17, 9 I I ,l)i4 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, ❑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 KNO 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address „O 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 []YES 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 ES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY r NER OR AUTH ED AGENT not intended or offered for sale.(Section 7044 Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFE E PLCK No: Permit No: City of Menifee 29714 Haun Road Building & Safety Dept. Date: Date: Menifee, CA 92586 O o t Phone: (951)672-6777 OCT 1 D 2014 Amountnt: Amount: Fax:(951)679-3843 Ck#: Ck#: 5 Received Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R: Property Address: 29089 Glencoe Lane, Menifee, CA Assessor's Parcel Number. Projectrrenant Name: Unit#: Floor#: Name: Robert Sands Ph°"5M-837-9147 Fax No. Property Address: Unit Number Zip Code Owner 29089 Glencoe Lane, Menifee CA 92584 Email Address: sheysa ail-corn Name: Gail Schaefer or Nicole Powell PwncM-719-3795 'Fax Applicant Address: 27449 Colt Court Temecula Unit Number Zip code d2��b Email Address: Nicole.Powell@vivintsolar.com Name: Vivint Solar Developer LLC PhOnt4n-719-3795 Fax No. Contractor Address: 27449 Colt Court Icity Temecula S",9k IZIPCOds 92590 Contractor's City usrness cense 1No. Contrac97s�3C7 ^3tate of California License No. Classification:C-46 Number of Squares: �j Square Footage Descriptionof Work: Solar Roof Mount, 25 Modules/Inverters, No Panel Upgrade cost of work:$ 31,250.00 Applicanrs Signature Date: 1 D lyL7 I . 10 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: t set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Solls 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 Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition" Means/Methods Work Type: Repair' Retrofire Revision to Existing PermiC IRequired? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: it Stories: Will the Building Have a Basement? Bldg.Code Occupancy GroupY of N p y Indicate Indicate if Indicate all Geo-tech.Haz.Zone At Project Spdnklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C of 0 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 I JEIec.Vehide Charger Landmark Seismic Retrofit spec su case:slag. official rwal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist I City Planning I Owl Engineering EPWM-Admin 1 Transportation Mgmt. 1 Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY EsGil Corporation In Partnership with Government for Bui[diug Safety DATE: December 09, 2014 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT14-02729 SET: IV PROJECT ADDRESS: 29089 Glencoe Lane PROJECT NAME: Sands 25 Microinverters 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 12/02 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576