PMT14-03077 City of Menifee Permit No.: PMT14-03077
29714 HAUN RD. Type: Residential Electrical
' GCF4.l. MENIFEE, CA 92586
MENIFEE Date Issued: 12/04/2014
PERMIT
Site Address: 28978 ALMONDWOOD CT, MENIFEE, CA Parcel Number: 333-680-078
92584 Construction Cost: $20,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM, 26 PANELS, 1 INVERTER, 6.5 kW
Work:
Owner Contractor
JOSHUA PARSONS TA K ELECTRIC INC
28978 ALMONDWOOD COURT 1654 ILLINOIS AVENUE STE 18
MENIFEE, CA 92584 PERRIS, CA 92571
Applicant Phone: 9519703150
NADIA CONTRERAS License Number: 947912
T A K ELECTRIC INC
1654ILLINOIS AVENUE STE 18
PERRIS, CA 92571
Phone: 9512003650
Fee Description (3yt Amount($
Building Permit Issuance 1 27.00
eI I o
GREEN FEE 1 1.00
$440.50
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_eldg_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'arnd my license is in fullull fp effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class�n License No. �c(( Z who builds or improves thereon, and who contracts for the projects with a
Expires -31-1(. Signature/;- licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'Stale 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
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�//www.leuinfo.ca.aov/calaw.htmi.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier�aY 1�L TN5 Uif-3�tCCC. Property Owner or Authorized Agent Date
Expires 5,21-1 5 Policy# 1/�UI�+11IL(no0770l
❑ 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 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 inspection purposes.
shall not emolov any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become 12
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. 9
—; -_ City Business License# Q 3 51 •O
Date; Z " App licant;
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, DYES 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 )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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address JUNO 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, g 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(Chapter9 (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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I EPORIING.
compensation, will do ( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZEDAGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
Men
CITY OF MENtF I °t& Safety afety e
UI DEP' PLCK No: Permit No:
29714 Haun Road NOV 19 2014 Date: Dale:
Menifee, CA 92586 11 col
Phone: (951)672-6777 Amount: Amount:
Fax:(951)679-3843 Receive Ck#: Ck#:
Building Combination Permit
To Be Com leted By Applicant
Legal Description: PlanningCase:
F: L: Rt: R:
Property Address: n Assessor's Parcel Number.
rojec enant N,mee: ( •LO
Unit#: Floor#:
Name: Phone No. Fax No.
Property address: �
Owner Unit Number Zip Code
Emafl Address: /
Name: Phone No
Fax
O No.
Applicant Address'
' 5 Unit Number y/ ZIP Code 9
Emafl Address: lQ `ZS
ame: Phone No Fax No.
S! 00:3GS
Contractor Address: City Ste Zfp Cad
� (rA10(s �-u
on rac or a y usmess rcense, o. Contredor's Ci t to o Califomfa License No.ry CWssificallam
Number of Squares: Z —
Square Footage
Description of Work: 2 his ! Y I,, Cost of Work:$
Applicant's gnalure .( ,
Date: 9 -1
To Be Completed try Ciry Stall Only
Indicate As R-Recelved or NIA-Not Applicable
5 Completes sets of fully dunensioned.drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan
❑ Plot I Site Plan ❑ Geo Tech/Sogs Report(on )only)
Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on S'/:x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ SWdural Framing Plan d Detats ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition*
MeanstMethods
Work Type. Repair' Retrofit' Revislalto EWig Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units. #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate it Indicate all Geo-tech.Haz Zone
At Project Construction Sprinkle retl YES or NO that apply-. Coastal Zone
Completion: T e s: �Y'
yp O C of O YES or NO Noise Zone
Required? Listed on Historic Resouroes Inventory
CITY PLANNING,' ONLY
APPROVALS: Costal Commis ±,VReview Board landmark Comm. Planning Comm.Zon(ng Administrator
Fee Exempt: City Project
Landmark Seismic Ret, pAG aExpedite Project(s): Chikl Care omdO°of
Green Building Landma Affordable Housing
For Staff Use Only
11 Building/Safety erml Specialist City Plannmg I Civil cogmeeirm I E -A min Trans aeonI i'�gmt. Rent Conrroi
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government for ouiOng Safety
DATE: 12/01/2014 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT14-03077 SET: I
PROJECT ADDRESS: 28978 Almondwood Ct.
PROJECT NAME: JOSHUA PARSONS 6,000 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: John Le Vey (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 11/20/2014
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
City of Menifee PMT14-03077
12/01/2014
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT14-03077
PREPARED BY: John Le Vey (SA) DATE: 12/01/2014
BUILDING ADDRESS: 28978 Aimondwood 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 W
Type of Review: ❑ Complete Review ❑ Structural Only
E]Repetldve Fee U Other
RepeatsHourl1.5 Hrs. @
EsGil Fee $105.00 $157.50
Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+