PMT14-02856 I
1
City of Menifee Permit No.: PMT14-02866
'''�+�. 29714 HAUN RD.
A Type: Residential Electrical 4,
VC1G£L.Ir MENIFEE, CA
cm.xsa" , MENIFEE Date Issued: 11/18/2014
I
PERMIT
Site Address: 25100 PAINTED CANYON CT, MENIFEE, Parcel Number: 339432-021
CA 92584 Construction Cost: $12,961.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 23 PANELS, 1 INVERTER, 5.865 kW
Work:
Owner Contractor
REFUGIO GONZALES SOLARCITY CORPORATION
25100 PAINTED CANYON COURT 3055 CLEARVIEW WAY
MENIFEE, CA 92584 ATTN ZOE STEELE
Applicant Phone: 6509634722
TRACEY OTT License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Phone: 9512918703
Fee Description Qtv Amount 1$1
o a; es' e•t' 1'or'S all+Co erd`al 2 00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
I I
TIAL 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 Template.rpt 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 C de and Iqense is in full�f (c�e an—�d�effe t. Code:The Contractor's License Law does not apply to an owner of a property
License Clas O 'L-License o. who builds or improves thereon, and who contracts for the projects with a
Expires J 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
❑ 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 3 of the Labor Code, for the performance of work for which this improvements covered b 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
❑ 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 o �tha Ilowing Web site:hftp://Lmm,leginfo.ca.gov/cqlaw. tml,
permit Is issue .My workers'compensation insurance carrier and policy number are:
Carrier 0- r ropert or Authorized Agent Dat
Expires Policy# `)1//�1D l Uo�a6 S O3j
Name of gent 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-
❑ I certify that in the performance of the work for which this permit is issued,I 41dentiffliederty for the inspection purposes.
shall not employ any persons in any manner so as to become subject to theworkers'compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Laborner or Authorized Agent Date/
Code, I shall forthwith comply with those provisions.
Date;y�CF Applicant{'- -r ---- City Business License#
P �
WARNI G: 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES kj.�10 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 EYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
S FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ^B.N.4_ 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 AYES 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, -E-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 ❑yES 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 --E-NO_ UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than ($500),) CODE, SECTION 25505. 25533 AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation, will do ( ) ail of or ( ) porting of the work, and the structure is PRO E T HORIZEDAGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCKNo: Permit No:
29714 Haun Road City of Menifee m
Building & Safety Dept. Date: Date:
Menifee, CA 92586 0
Phone: (951)672-6777 OCT 2 8 2014 Amount: mount:
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Perrml elve
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R:
Property Addre C>V J � Assessor's Parcel Number
l�
Projectrfenant Name: Unit#: Floor#:
Name: i „i� t,-ir
C� P ne o.4 z� Fax No.
Property Address: f V 1i Unit Number Zip Code
Owner � -'
Email Address:
Name: Phone No. Fax No.
Tracey Ott 951-291-8703
Applicant Address: Unit Number Zip Code
same as contractor
Email Address:
tott solarcit .com
Name: Ptwne No. Faz No.
650-638-1028
Contractor Address: city State Zip Code
3055 Clearview Wa
Contractors ay Busness icense No. Contppgipr�s(ity State of California License No- Classification:
Number of Squares: 6O�OLL3S II 44
Square Footage
Descriphon of Work: !I Cost of Work:$
Applicant's Signature ',� Date:
(• l —T
To 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: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gea Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ ❑ Structural Calculations
Foundation Plan ❑ Cross Section ❑ Plumbing Plan
❑ Single Line diagram for elec.services over Ogg AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan 1 ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition* Means/Methods
Work Type: Repair* Retrofit* Revision to Fisting Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: It Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone
At Project Sprinklered tha pp y: Coastal Zone t a I
Completion: Construction
Type(s): C Of O 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 Elec.Vehicle Charger Landmark Seismic Retrofit spacial case:Bmg.
Offid.lApteov.1
Expedite Project(s): Child Care City Project Green Building I Landmarkl I Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist City Planning Civil Engineering EPWM-Admin I Transportation Mgml. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Bartnership with Government for Buifding Safety
DATE: 11/05/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City Of Manifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02856 SET: I
PROJECT ADDRESS: 25100 Painted Canyon Ct.
PROJECT NAME: GONZALES 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:
Z 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 10/2.9/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
City Of Manifee PMT14-02856
11/05/2014
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City Of Manifee PLAN CHECK NO.: PMT14-02856
PREPARED BY: John Le Vey (SA) DATE: 11/05/2014
BUILDING ADDRESS: 25100 Painted Canyon Ct.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Imnf Manuallnput
Bldg. Permit Fee by Ordinance '►
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑❑Repetitive Fee Other
Repeats ❑,_ Hours 1 1.51 Hrs. @*
EsGII Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+