PMT15-00519 l
City Of Menifee Permit No.: PMT15-00519
29714 HAUN RD. Type: Residential Electrical I
";C!E -% MENIFEE, CA 92586
MENIFEE Date Issued: 03/26/2016 1
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PERMIT
9
Site Address: 26395 RIDGEMOOR RD, MENIFEE, CA Parcel Number: 337-212-003
92586 Construction Cost: $8,619.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 15 PANELS 1 INVERTER 3.9KW
Work:
Owner Contractor
MARLYS BURDETT SOLARCITY CORPORATION
26395 RIDGEMOOR RD 3055 CLEARVIEW WAY
MENIFEE, CA 92586 ATTN ZOE STEELE
Applicant Phone: 6509635630
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Fee Description Q�t Amount f$1
Solar Residential or Small Commercial 1 252�00
Building Permit Issuance 1 27.00
Addittonal Plan Review Electrcal ' 158 157.50�gq
GREEN FEE �1 1.00
SMIP RESIDENTIAL 1 2-00
$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 building 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
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City Of Menifee
LICENSED DECLARATION
I
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 bivision 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
ProfessW
pense is in full ffecL Cade:The Contractor's License Law does not apply to an owner of a property
License / who builds or improves thereon, and who contracts for the projects with aature licensed contracer(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from icensure under the Contractors'Slate License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations, following reason:
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 Relato rovided for by
Section 3700 of the Labor Code, for the performance of work for which this which 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
❑ 1 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:httq://www.1eqlnfo.ca eov/calaw htm1.
permit is iss y workers'compenspa-t-ion ipppsss rance carrier and policy number are:
Carrier C��-.''tom L.�t.�-E r / P Property Owner or Authorize Agent Date '..
Expires �"I ( Policy# 7�Pb �nkc�o �5 G,�3
❑ 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 prope-lrt 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. -..�__��
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized A
Code, I shall forthwith comply with those provisio s. _ P 1 gent Date
City Business License#
Date; Applicant;
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 ONFF HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITIOWTO THE COST OF COMPENSATION, WILL THE APPLICANT OR FUTURE BUILDING
AYES OCCUPMIXTURE
CONTAININGT HANDLEA A ARDOUSHAZARD MATERIAL MATERI L
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST, AND ATTORNEYS FEES [I NO 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 (SCAOMD) 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 ❑YES 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, ❑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 exemplion. 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 ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
El1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation, will do ( ) all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
& SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE (S PERMIT/PLAN CHECK NUMBER l J oo ii 44
TYPE: COMMERCIAL ✓❑RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN j
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑J ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-RO�OLF-pNU`MBEROF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS ^-
ASSESSOR'S PARCEL NUMBER 7j9j 1 1��3 LOT �5D TRACT
OWNER NAME
ADDRESS cc
PHONE 5 J ��()�NS J EMAIL
APPLICANT NAME Beverly Miller
ADDRESS 41568 Eastman Dr. Murrieta,CA 92562
PHONE (951)291-8703 EMAIL bmiller2@solarcity.com
CONTRACTOR'S NAME OWNERBUILDER? ❑YES❑NO
BUSINESS NAME Solarcity
ADDRESS 3055 Clearview Way San Mateo, CA 94402
PHONE (650)638-1028 EMAIL
CONTRACTOR'S STATE LIC NUMBER 888104 LICENSE CLASSIFICATION B, C10, C46
VALUATION$ „ 1 `i s SO FT �7 L SQ FT G
APPLICANT'S SIGNATURE DATE /
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE pglD AMOUNT
AMOUNT 3CASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT ')CASH �tCHECK# `,>CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED "YES Cr NO DL NUMBER NOTARIZED LETTER YES 0 NO
City of Menifee Building& Safety Department 2.9714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In Partnership with Government for(Building Safety
DATE: 03/18/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00519 SET: I
PROJECT ADDRESS: 26395 Ridgemoor Rd.
PROJECT NAME: MARLYS BURDETT 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: Morteza Beheshti (SA) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 03/09/2015
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
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City of Meniffee PMT15-00519
03/18/2015
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-00519
f
PREPARED BY: Morteza Beheshti (SA) DATE: 03/18/2015
BUILDING ADDRESS: 26395 Ridgemoor Rd.
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING F—TTE—A-7 Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Judsdiction Code mnf Manual Input
Bldg, Permit Fee by Ordinance w'
Plan Check Fee by Ordinance W
Type of Review: ❑ Complete Review ❑ Structural Only
❑Repetitive Fee ❑ Other
w Repeats ❑, Hourly 1 1.5 Hrs. @
EsGII Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
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