PMT15-00643 i
9
A
City of Menifee Permit No.: PMT16-00643
29714 HAUN RD. i
WCCEL/ `,' MENIFEE, CA 92586 Type: Residential Electrical 1
MENIFEE Date Issued: 0410 2/2 01 5 ,I
PERMIT
Site Address: 29571 OAKBRIDGE DR, MENIFEE, CA Parcel Number: 338-213-011
92586 Construction Cost: $17,850.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 20 PANELS, 20 MICROINVERTERS, 5.1 kW
Work:
Owner Contractor
ROSE KOLB SOL FUSION INC
29571 OAKBRIDGE DRIVE 20061 SATICOY ST SUITE 100
MENIFEE, CA 92586 STE 430
Applicant Phone: 8557653874
RANDY COLE License Number: 980873
SOL FUSION INC
20061 SATICOY ST SUITE 100
WINNETKA, CA 91306
Phone: 6194052648
Fee Description Qtv Amount
�SO)ar�Resldep�ISlnOr�Sihall�OmfflRlefCla��g x `�-0� $ s�'�: d�� Msf ��252 0
Building Permit Issuance 1 27.00
dtiorl�l P a Rev ew��ectrica`�` �`�' �1 ,T 15$'"� � k �r157 5tl
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 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
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 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 6,f(,'> License No. G7'7 who builds or improves thereon, and who contracts for the projects with a
Expires z-A 0 1 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' 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:htto'//m—m.]eQinfo.ca.gov/calaw.html.
permit is issued.My workers comp nsation insurance carrier and policy number are:
Carrier 5 ?n. ;.._UA Property Owner or Authorized Agent Date
Expires ZAII CA Policy# (� L'J�- �'"'�`I
fs 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 property for the inspection purposes.
shall not any persons in any manner so 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 Agent Date
Code,I shall forthwith comply with those provisions.
City Business License#
Date; Z- � Applicant; -
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, AYES 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 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address 000 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 reasons)indicated below by the checkmark(s)I have placed AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable items)(Section 7031.5. Business and Professions Code: ,',,1/ BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, XNO 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 ES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from lcensure and the basis for the alleged exemption. Any (j 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 ($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPORIING.
compensation,will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
C❑ 1�T
ITY O1C MENIFEE PLCK No: P rmit No:
29714 Haun Road Date: Date: �3
Menifee, CA 92586
Phone: (951)672-6777 Ot Menitee t
ult Amount: Amoun:
Fax:(951)679-384� City &Safety Dep
ding Ck#: Ck
1 g 2015
Building Combination PPRU-1It
To Be *-Applicant
Legal Description: PlanningCase
F: L: Rt: R:
PropertyAddress: 29571 Ciakbridge Dr. Assessor's Parcel Number: 338213011
Projectlrenant Name: Unit#: Floor#:
Name:
Kolb, Rose F�9s1)3o1-s79s Fax No.
Property Address: Unit Number Zi Owner 29571 Oakbridge Dr. p Code 92586
Email Address:
Name: Cole y CI P 619-405-2648 Fax No.
Applicant Address: Rand Unit Number Zip Code
Email Address:
Name: Sol Fusion Ph Fax No.
(848)924-4740
Contractor address: 20061 Saticioy St Ste 100 CA 91306 cih Winnetka, ats CA zip Cod
9130s
Contractor's rt
y Business License o. Contractor's City State of r 980873 Cfass15 C10
Number of Squares:
Square Footage
Description of Work: Install roof mount PV System S � a0 cos ;,%b$
Applicant's Signature 0 Date: 25D
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 end only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for nine.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addifion' MeanslMethods
Work Type: Repair' Ld RetroBC Revision to Existing Permit` Requiree? 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 if
At Project Indicate YES or NO Indicate all klGeo-tech, Haz.Zane
I Construction Spnnklcred that apply: Coastal Zone
Completion:
Type(s): C Or O Noise Zone
Required? YES or NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commas Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project I JElec Vehicle Charger Landmark Seismic Retrofit Spe fa case.but,
OfticialA royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
buildinglSafery I Permit Specialist I City Planning I Civil Engineerng EPWM-Admin I Transportation Mgml- I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
EsGil Corporation
In Partnership with Government for Buiffing Safety
DATE: 03/27/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00643 SET: I
PROJECT ADDRESS: 29571 Oakbridge Dr
PROJECT NAME: Kolb 20 microinverter 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 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 Enclosures:
EsGil Corporation
[I GA ❑ EJ ❑ PC 3/19
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
I
City of Menifee PMT15-00643 j
03/27/2015
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-00643
PREPARED BY: Morteza Beheshti DATE: 03/27/2015
BUILDING ADDRESS: 29571 Oakbridge Dr
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod,
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Junsdiotion Code rnnf Manual Input _
Bldg. Permit Fee by Ordinance
Plan Check Fee byordinance
Type of Review, ❑ Complete Review ❑ Structural Only
Other
❑Re petiave Fee* Repeats Hourl 1.5 Hrs. @»
EsGil Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review. Sheet 1 of 1
macvalue,doo+