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PMT15-00462 City of Menifee Permit No.: PMT15-00462 29714 HAUN RD.!! Type: Residential Electrical FtGCi MENIFEE, CA 92586 MENIFEE Date Issued: 03/26/2015 j PERMIT i Site Address: 27154 WHITE CT, MENIFEE, CA 92585 Parcel Number: 331-461-045 - Construction Cost: $11,492.00 - Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 20 PANELS, 1 INVERTER 5.2KW Work: Owner Contractor PHILIP TRAVIESO SOLARCITY CORPORATION 27154 WHITE CT 3055 CLEARVIEW WAY MENIFEE, CA 92585 ATTN ZOE STEELE Applicant Phone:6509635630 BEVERLY MILLER License Number: 888104 SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO, CA 94402 Fee Description 0yt Amount Solari Residential orSmall Commerciah.0 „y 1 252.00 Building Permit Issuance 1 27.00 Addifwnal Plan Review lectrlcal'.[i e „ y 15$ 157 61h GREEN FEE 1 1.00 SMIP RESIDENTIAL $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 Menlfee. 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 j IIi LICENSED DECLARATION 1 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 111 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 and my license is in full force (nd ect. Code:The Contractor's License Law does not apply to an owner of a property License Cla s OCL icense No. who builds or improves thereon, and who contracts for the rprojects with a Expires 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' �'i compensation,issued by the Director of Industrial Relations as provided for by By my signature below acknowledge that, except for my 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 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.leginfOrCa aovlcalaw html. permit is 1 y workers'compensAa--tiioo-n ipsprance carrier and policy number are: Carrier L✓LL+-+L/✓) Property Owner or Autharize Agent 1 Date Expires '7 j Policy# ��PtP ���, d63Oj� ❑ 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- ❑ I certify that in the performance of the work for which this permit is issued, I identified propertt�.- r1.e 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 4- subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Code, I shall forthwith comply with those provislo�r s. P 1 9 nt --.- Date ----''�Date; Applicant; City Business License# WARNING: FAILURE T 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, OYES 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 ONO 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 []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from 7the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items) (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 (S500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOR1 ING. compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED 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 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 OF 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: PF Me: .a 29714 Haun Road Date. D Menifee, CA 92586 1Sate: S' Phone: (951)672-6777 Amount, mount: Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Property Address:') I I ' /� t Assessor's Parcel Number: Projectlrenant Name: W (J� Unit#: -✓ Fll000/r#: Name: Phone No. Fax No. Property Address: .3 /OYV Owner Unit Number Zip Code Email Address: �" Name: Phone No. Trace Ott Fax No. 951-290-9270 Applicant Address: as contractor Unit Number Zip Code Email Address: tott solarcit .com Name: Phone No. Fax No. 650-638-1028 Contractor Address: city State Zip Code 3055 Clearview Wa ontractor s rty Business tense o. Coni=nWf64y State of California License No. Classification: Number of Squares: �066ZZ33 II 44 in r4g Square Footage r Description of Work: �, . �._ _ ,F— M� / ae� Cost of Work:$ Applicant's Signature Date: 'Y 3 / 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 ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 y:x 11) ❑ Foundation Plan ❑ Structural Calculations ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for also.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: I Repair' Retrofit' Revision to Existing PemtiP Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: 11 Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone At Project YES or NO Completion: Construction that apply:Spdnklered Coastal Zone 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 Retroffil special case:atdg. OffcialA roval Expedite Project(s): Child Care City Project Green Building Landmarkl I Affordable Housing For Staff Use Only Building/Safety Permit Specialist I City Planning I Civil Engineering I LPWM-Armin Transportation Mgmt. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Menifee PMT15-00462 3/20/2015 EsGil Corporation In Partnership with Government for(Auiffing Safety DATE: 3/20/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-00462 SET: II PROJECT ADDRESS: 27154 White CT PROJECT NAME: Travieso 4.2 KW 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 3/13