PMT15-00750 City of Menifee Permit No.: PMT15-00750
29714 HAUN RD. Type: Residential Electrical
' GCF-1../1. MENIFEE, CA 92586
MENIFEE Date Issued: 04/10/2016
PERMIT
Site Address: 30486 GALLUP CT, MENIFEE, CA 92584 Parcel Number: 358-490-065
Construction Cost: $10,917.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 19 PANELS 1 INVERTER 4.94KW
Work:
Owner Contractor
LAURA SPENCER SOLARCITY CORPORATION
30486 GALLUP CT 3055 CLEARVIEW WAY
MENIFEE, CA 92584 ATTN ZOE STEELE
Applicant Phone: 6509635630
BEVERLY MILLER License Number: 888104
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Fee Description Qtv Amount
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$439.60
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
ProfessW
Fense is in full fore �Odect. Code: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 a
ature licensed contractor(s)pursuant to the Contractors State License law).
WORKERS'COMPENSATION DECLARATION
❑ 1 am exempt from licensure under the Contractors'State License Law for the
❑ 1 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' g m Signature
compensation,issued by the Director of Industrial Relations as provided for by y y below I acknowledge 9 that, except P for m y personal residence in
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. built as an owner-building if it has not been constructed in its entirety by licensed
Policy# 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 Cade, for the performance of the work for which this submitted or at the following Web site:htto://www leginfo ca gov/calaw html.
permit is iss y workers'compensation rance carrier and policy number are:
Carrier //11 --7 r r r ! �1 Property Owner or Authorized Agent Date
Expires "1 Policy# /�Pb ro�,Gdos033
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone If 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 prop a inspection purposes.
shall not employ any persons in any manner so as to become subject to the �- n
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
forrthwithh/comply with those provisio s. Property Owner or Authorized Agent Date
L
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 OYES 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 the 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 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 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
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOWfING.
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).
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: 6COMM, ERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY []MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION [Z]ELECTRICAL ❑MECHANICAL
[-]NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS - (.
ASSESSOR'S PARCEL N VIBER � 10 -WS LOT 115-1 TRACT
OWNER NAME
ADDRESS
PHONE )('� '7/ Lf� EMAIL
APPLICANT NAME Beverly Miller
ADDRESS 41568 Eastman Dr. Murrieta, CA 92562
PHONE (951)291-8703 EMAIL bmiller2@solarcity.com
CONTRACTOR'S NAME OWNER BUILDER? ❑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 $ /C2, q/ : — SO FT t 3 L SQ FT
APPLICANT'S SIGNATURE DATE �J
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN k SMIP
INVOICE M PAID AMOUNT
AMOUNT w%'CASH -"CHECK# L3 CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH =.'CHECK# ':)CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED YES 0, NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586.951-672-6777
www.cityofineni(ee.us Inspection Request Line 951-246-6213
EsGil Corporation
In(Partnership with Government for Buififing Safety
DATE: April 7, 2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00750 SET: I
PROJECT ADDRESS: 30486 Gallup Court
PROJECT NAME: Spencer 4200 Watt 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 Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ PC 03/30
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576
4
Menifee PMT15-00750
April 7, 2015 j
l
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT15-00750
PREPARED BY: Eric Jensen DATE: April 7, 2015
BUILDING ADDRESS: 30486 Gallup Court
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod,
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Imarmal Input
— -_...
Bldg. Permit Fee by Ordinance �
Plan Check Fee by Ordinance $196.88
Type of Review: ❑ Complete Review ❑ Structural Only
El Repetitive Fee El Other
1
Repeats G Hourly 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.doc+