PMT14-02769 i
i
City of Menifee Permit No.: PMT14-02769
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
MENIFEE Date Issued: 11/24/2014
PERMIT
I
Site Address: 28897 EVENING PASSAGE DR, Parcel Number: 372-350-002
MENIFEE, CA 92584 Construction Cost: $26,250.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 25 PANELS, 25 MICRO INVERTERS, 7.5KW
Work:
Owner Contractor
RICHARD VOSS WEST COAST APPLAINCE SERVICES INC
28897 EVEING PASSAGE DRIVE 1282 FAYETTE ST
MENIFEE, CA 92584 EL CAJON, CA 92020
Applicant Phone: 6195570446
WEST COAST APPLAINCE SERVICES INC License Number: 810930
1282 FAYETTE ST
EL CAJON, CA 92020
Fee Description Qy Amount f$1
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
$442.60
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 CI ss License No.Q �% who builds or improves thereon, and who contracts for the projects with a
Expires? 3( 1 6 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
❑ 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. built as an owner-building if it has not been constructed in its entirety by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
tT 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:htto,//www Ieainfo ra aov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier 4J-te.! naTQ Property Owner or AuthorizedAgent Date
(N
Expires O ! (� policy# 1.✓C fJo/—OQ-0R6.6
❑ 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. 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 or county to enter the above-
0 1 certify that in the performance of the work for which this permit is issued,I identified prope r 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 41-
subject to the workers'compensation provisions of Section 3700 of the Labor properly Owner or Authorized Agent Dais
Code,I shall for4hmmply with those provisions. -/ cl
City Business License# � 109Date; (! Applicants.
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 HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES b-iVQ 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 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, EhNb 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 (Chapter9 (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 BiGO 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 I';EPOOING.
compensation,will do( )all of or( )porting of the work,and the structure is PROPER7NER UTHORIZED 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 C
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 O MENIFEE
City of Menifee PLCK No: Permit No: I
29714 Haun RoacPullding & Safety Dept. *lTly —C 27 co q
Date: Date:
Menifee, CA 92586 OCT 1 6 2014 A10 nL, aunt:
Phone: (951)672-6777
Fax:(951)679-3843 Ck#: Ck#:
Received
Building Combination Permit
To Be Completed By Applicant
Legal Description: k404P Sit Planning Case: F: L: Rt: R:
Property Address: ,Z Assessor's Parcel Number.
S$91 '6t/EN iN Cr pl9-t�A-C� — 3'12
Project/TenantName: Unit#: Floor#:
Name: �ZAS: k -{Zb vo S S Pha -LIK�^45b Fax No.
Property Address: t�dQ Unit Number Zi C d
Owner p��l �✓S N!/L /�i9'SgZ P
Email Address:
Name: W KT- COA-C - C_lY}NLZ C�rZV(te5 Phone No. Fax No.
Applicant Address: _/ Unit Number Zip Code
/2 �(h2 p 202o
Email Address:
-F'b.we A-S 13
Name: - Phone No. Fax No.
W ESQ CQ k%T "4) &'J 491eVAC67 rctR 5zi 7 QYY(�
Contractor Address: 12g2—
e-#e � City State Zi�CRde
�/ �'�
ff-onVactor s ity B,ps4 License o. Contract 's C' tote of Califomla License No- Classific�tion:�
Number of Squares: C7 w C�
Square Footage
Description of Work: I Ng C• ,w c^• n /_ M K Cost of Work:$ 2-fo
Applicant's Signature �`K•R 1�G
Date: (O L6 l�
; %(R,;y, %✓, ', . f,j�''¢erCoriPleted By:City Staff Only,w. µ'?%. :
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: i set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan
❑ Geo Tach/Soils Report(on call only)
❑ Plat/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on S Y:x 11)
❑ Structural Calculations
ElFoundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Detaiils ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addifion' Means/Methods
Work Type: Repair' Retrofit' Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: - #Units: it Stories: Will the Building Have at Basement?
Bldg-Code Occupancy GroupY of N
p y Indicate Indicate if Indicate all Geo-tech.Haz.Zone
Al Project Spnnklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C Of O Noise Zone
Re ulred7 YES or NO
q r 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 Elec.Vehicle Charger Landmark Seismic Retrofit spacial Case:aldg.
OmcialA ravel
Expedite Project(s): Child Care Clty Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/safety Permit Specialist City Planning I Civil Engineering I EPWM-Admin I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
Ii
In Bartnership with Government for Buikfing Safety
DATE: 11/14/2014 ❑ LICANT
71 JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02769 SET: II revisited
PROJECT ADDRESS: 28897 Evening passage
PROJECT NAME: Voss 25 x300 watt LC microinverter rooftop PV 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
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: ) Email: Fax #:
Mail Telephone Fax In Person
❑ REMARKS:
By: Morteza Beheshti Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 11/14
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576