PMT14-02741 City of Menifee Permit No.: PMT14-02741
29714 HAUN RD,
1„ MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 1 0/2 412 01 4
PERMIT
Site Address: 28174 COBBLER CT, MENIFEE, CA Parcel Number: 329-372-027
92585 Construction Cost: $10,143.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 18 PANELS, 1 INVERTER, 4.59 kW
Work:
Owner Contractor
JESSE ABELLAR SOLARCITY CORPORATION
28174 COBBLER COURT 3055 CLEARVIEW WAY
MENIFEE, CA 92585 ATTN ZOE STEELE
Applicant Phone: 6509634722
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Phone: 9512918703
Fee Description Qtv Amount IS
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 building 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_Templatespt Page 1 of 1
I
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 fore and effect.
'�%'6I 0 t' Code:The Contractor's License Law does not apply to an owner of a property
License Class (LJ Lic6 No. who builds or improves thereon, and who contracts for the projects with a
Expires •�1? G Signature ' C licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLAR TION
❑ lam 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 permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
Polio,.# 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 leglnfo ca pov/calaw html.
permit is Issued.My workers'compensation insurance carrier and policy number are:
Carrier '. L�i` �.Ct� Property caner or Authorized Agent Date
Expires 1I 115 0 Policy#acgw DC11,= (",6c)4r;
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- Gndred dollars($100)or less) with all applicable city and county ordinances and stale laws relating to building
construction.I authorize representatives of this city or county to enter the above-
1 certify that in the performance of the work for which this permit is issued,I id Intified 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 A ^ I
subject to the workers'compensation provisions of Section 3700 of the Labor
i ,i_I �.J b C.
Code,I shall forthwith comply with those provisions. Property Own r or Authorized Agent DateDate
Date; lino t-1 i lq Applicant, `� City Business icense 4 0 J�—y 1 G
WARNING: FAILURE TO S URE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLA FUL, 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 HANDLEA 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
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, ❑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 OYES 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 ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOkTING,
compensation, will do ( )all of or ( ) porting of the work, and the structure is PROP RTY OWNER OR AUTHPRIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; /+ _
The Contractor's Slate License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCKNo: Permit No:
04 Of Menifee
29714 Haun Road /Suilc;lrlg ,-
s Sa iety Dept, Date: Date:
Menifee, CA 92586 l
Phone: (951)672-6777 OCT 14 2014 Amount: �- Amount
Fax:(951)679-3843 Ck
T. t=-
'Ceived
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number.
Project/Tena a;i/ �U, -,b—n—oa-1
rat Name: Unit#: Floor#:
Name: Pho No- 2 Fax No.
Property Address Unit
3.
Owner Unit Number Zip Co ; —
Email Address:
Name: Phone No. Fax No.
Beverly Miller 951-291-8703
Applicant Address: Unit Number Zip Code
as contractor
Email Address:
bmiller2 solarcit .com
Name: Phone No. Fax No.
650-638-1028
Contractor Address: City State Zip Code
3055 Clearview Wa
Contractors dy Business icense o- Conl�Gtgr$�jty State of California License No. CIa55ification:
Number of Squares: 66�aii33 II 44
Square Footage
Description of Work: .,
Applicants Signature J `1
To Be Ondolefed By City Staff Only
Indicate As R-Received or N/A-Nol 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 Y x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ 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' Retrofit' Revision to Existing Permiel Required? 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 Spdnkleretl YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C Of O YES or NO Noise Zone
Required) l ed 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 RetroFlt Special Case:Bldg.
Ooho.A royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist City Planning I Civil Engineering I EPWM-Admin Transpodation Mgml. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 10/21/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02741 SET: I
PROJECT ADDRESS: 28174 COBLER CT.
PROJECT NAME: RAFAEL CRUZ 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: John Le Vey (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 10/14/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
City of Menifee PMT14-02741
10/21/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT14-02741
PREPARED BY: John Le Vey (SA) DATE: 10/21/2014
BUILDING ADDRESS: 28174 COBLER CT.
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
❑ Other
❑Repetitive Fee
— �� Repeats G Hourly 1.5 Hrs. @
--- EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+