PMT14-02997 City of Menifee Permit No.: PMT14-02997
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 11/24/2014
PERMIT
Site Address: 29641 ASH DALE WAY, MENIFEE, CA Parcel Number: 351-101-013 '..
92587 Construction Cost: $8,453.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 15 PANELS, 1 INVERTER, 3,825 kW
Work:
Owner Contractor
MANUEL GOMEZ SOLARCITY CORPORATION
29641 ASH DALE WAY 3055 CLEARVIEW WAY
MENIFEE, CA 92587 ATTN ZOE STEELE
Applicant Phone:6509634722
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Phone: 9512918703
Fee Description ON Amount($)
Building Permit Issuance 1 27.00
ec a
GREEN FEE 1 1.00
,A
$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
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 Co ja 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 Class C ly-Icense No. �/ who builds or improves thereon, and who contracts for the projects with a
Expires Signature rL licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensors 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' a that,By my signature below I acknowled except for m compensation, issued by the Director of Industrial Relations as provided for by 9 P y personal residence in
Section 3700 of the Labor Code, for the performance of work for which this which I must have resided for at least one year prior to completion of
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
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
❑ I have and will maintain workers' compensation insurance, as required by Business and PTf ssions 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�Yt -fCF ing Web site:htto://www.leql'nfo.ca.clov/c awhim.
permit is issued�y wor�kersp_c_o_mpensation insurance,c'afrier and policy number are:
Carrier 7e.�C. � /J Property w er-ar'Ats/thn)nzed gent
DaP
Expires Policy# �7�%�[CCG,;},S
Name of Agent Phone# ElBy 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($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
El I certify that in the performance of the work for which this permit is issued, I identified pyo e for the inspection purposes.
shall not emolov any persons in any manner so as to become subject to the
/V/J/
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Property Owner or Authorized Agent Dat
CityBusiness License#
DateApplicant;
��
WARNING: FAILURE TO SEC- WOR
KERS'
COMPENSATION COVERAGE IS UNLAWFU HAZARDOUS MATERIAL DECLARATION
L, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLI
CANT OR FUTURE
($'100,000), IN ADDITION TO THE COST OF COMPENSATION, BUILDING
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE ❑YES MIXTURE
CONTAININGHANDLE A A HAZARDRDOUS OUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES MIXTURE CONTAINING A HAZARDOUS MATERIAL
�,[]! 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 EYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address -NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penally 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 1 D00 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, 0 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 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 — ErNO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than ($500).) CODE SECTION 25505, 25533 AND 25534 CONCERNING
El1, 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 PRr Y OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Stale License Law does not apply to an owner of a property >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).
EsGil Corporation
In Bartnership with Government for Buirding Safety
DATE: 11/19/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-02997 SET: I
PROJECT ADDRESS: 29641 Ash Dale Way
PROJECT NAME: MANUEL GOMEZ 3,000 Watts 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 (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 11/13/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
City of Menifee PMT14-02997
11/19/2014
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT14-02997
PREPARED BY: Eric Jensen (SA) DATE: 11/19/2014
BUILDING ADDRESS: 29641 Ash Dale Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Marwal Input
Bldg. Permit Fee by Ordinance T
Pan Check Fee by Ordinance
Type of Review. L] Complete Review ❑ Structural Only
FRepetiuve Fee ❑ Other
RepeatsHourly 1.5 Hrs. @*
EsGiI Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+