PMT15-00894 l
City of Menifee Permit No.: PMT15-00894
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0412812015
i
PERMIT
Site Address: 25828 WILDERNESS CIR, MENIFEE, CA Parcel Number:
92585 Construction Cost: $13,200.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 24 PANELS, 1 INVERTER, 6.24 kW
Work:
Owner Contractor
DAVID COX SOLARCITY CORPORATION
25828 WILDERNESS CIRCLE 3055 CLEARVIEW WAY
MENIFEE, CA 92585 ATTN ZOE STEELE
Applicant Phone: 6509635630
ASHLEY SHELTON License Number: 888104
SOLARCITY CORPORATION -
3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Phone: 7142747895
Fee Description Qty Amount f$1
gSolar Residenttal oY..Small�Cornmercla'1 `t'�� � " ��1��,��� �,� N,
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$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 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 slated, 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,mt 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 Co e, m license is in full orce and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class C.License No. who builds or improves thereon, and who contracts for the projects with a
r
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
Io
I hereby afrm under penalty of perjury one of the following declarations: following reason:
aveandwill maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
mpensation,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
ction 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 iss e�. / built as an owner-building if it has not been constructed in its entirety by licensed
Policy#1 0 � z� �•`f 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 Cade,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'/1www.lealnfo.ca.Qov/caIaw.html.
permit is issued.My workers'comp nsation insurance carrier and policy number are:
Property Owner or Authorized Agent Date
Carrier
Expires l R' 's Policy# f ' {�Y
❑ By my Signature below, I certify to each of the following: am the property
Phone#�;�'1 1�/
Name of Agent 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 s
subject to the workers'compensation provisions of Section 3700 of the Labor Pr party Owner or Authorized Agent Date
Code, I shall forthwith comply with those provisions. O�_+
]�� ' I ,� City Business License# +�
Cy
Date,)I L1� 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
($700,000), 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 -10 EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY / SPECIFIED ON THE HAZARDOUS MATERIALS
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
agency for the performance of the work which this permit is issued (Section WILL THE fNTENDED 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 -L7NA DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
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 AYES 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, 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 S 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
El1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL AEPORTING.
compensation,will do( )all of or( )porting of the work, and the structure is PROAERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; ��\g
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
�1a3
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE I PERMIT/PLAN CHECK NUMBER P
TYPE: ❑COMMERCIAL RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA [:]SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ELECTRICAL []MECHANICAL
❑NEW ❑PLUMBINGG IRE-ROOF-NUMBER OFSQUARES
DESCRIPTION OF WORK GQ.Q,�'h, �QQV' cv
2L (� Z
PROJECTADDRESS ,1- City of Menifee
� �g Bu Ing t•
ASSESSOR'S PARCEL NUMBER �..C1- �, - 1 "� p LOT TRACT
OWNER NAME U�C� CCU A
ADDRESS
Receivec
PHONE EMAIL
APPLICANT NAME
ADDRESS n rr '' >�
PHONE I I� -2,1`y EMAIL
CONTRACTOR'S NAME S �ji, OWNER BUILDER? ❑YES 0
BUSINESS NAME
ADDRESS CL (x-
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER rtZy LICENSE CLASSIFICATION C D
VALUATION$ 1'2512oc) SO,FT L SQ FT
APPLICANT'S SIGNATURE DATE L
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BU5INESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN / SMIP
INVOICE PAID AMOUNT
AMOUNTagg- 0CASH CHECK# CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# 'O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED """YES C, NO DLNUMBER NOTARIZED LETTER YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
EsGil Corporation L(
In Tartnership with Government for Buifding Safety
DATE: April 20, 2015 ❑,APPLICANT
/ j JURIS.
JURISDICTION: Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-00894 SET: I
PROJECT ADDRESS: 25828 Wilderness Way
PROJECT NAME: Cox 6,000 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 04/10
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858) 560-1576
Menifee PMT15-00894
April 20, 2015
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT15-00894
PREPARED BY: Eric Jensen DATE: April 20, 2015
BUILDING ADDRESS: 25828 Wilderness Way
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Imnf Manual Input
-I---
Bldg. Permit Fee by Ordinanc
Plan Check Fee by Ordinance $196.88
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Other
❑Repetitive Fee
=1 Repeats ❑ Hourly 1.5 Hrs. @
—9 EsGol Fee $105.00 $157.50
" Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
macvalue.doc+