PMT15-01081 City of Menefee Permit No.: PMT15-01081
29714 HAUN RD.
kGC�.4iA.' MENIFEE, CA 92586 Type: Residential Electrical
MENIFEE Datelssued: 05/07/2015
PERMIT
Site Address: 27437 CALLE RABANO, MENIFEE, CA Parcel Number: 336-324-032 '..
92585 Construction Cost: $28,050.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 19 PANELS, 19 MICROINVERTERS,4.845 kW
Work:
Owner Contractor
JOANN WOODWARD VIVINT SOLAR DEVELOPER LLC
27437 CALLE RABANO 3301 N THANKSGIVING WAY
MENIFEE, CA 92585 STE 500
Applicant Phone: 8558772974
ROBYN YOUNG License Number: 973756
VIVINT SOLAR DEVELOPER LLC
27449 COLT COURT
TEMECULA, CA 92585
Phone: 9517193795
Fee Description Qtv Amount f$1
bear•R2"I�en't"ia�P or SI cbmrLie�C al� ,� ��_ ""�"�'��a�,' �' � s�; �` �52
.. ,f ........, a� ae 1'� s'�S,wsd�i*� • ' �2S`� c'�e � �aa�.
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
S IP�ESIDE TTIA�v.�'' '�� '�, •-�, .. ,,�, �� - a 'ks�^rQO:::
$442.50
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 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 properly 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 fpe and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class ,11L License No. 1�r b who builds or Improves thereon, and who contracts for the projects with a
Expires (" signature_ '��_ 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' 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 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 b this permit, I cannot legally sell a structure that I have
permit is is ed.r (("" II? but as an owner-building yif it has not been constructed in Its entiret b licensed
Policy# lv� a o I JQ o 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 Bu iFed
d Professions Code,is uailable upon request when this application is
section 3700 of the Labor Code; for the performance of the work for which this 9 eJ, Ilowing site:hito•//www leg1 fo ca g v/ law tpermit is Issued.My w1.o,,rkers'compensation insurance carrier and policy number are: FS
'..
Carrier VanShyl Property Owner or utb rize gent Date
Expires I I-I y '5 � Policy#
Name of Agent- Phone# ❑ By my Signature below, I certify to each of the following: I am the property
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 representalivgs-of-th1s city or county to enter the above-
El I certify that In the performance of the work for which this permit is issued, I identi(Iad prpr pa t/Jy�for
rtthe
einssppeec/ti9r purposes.
shall not employ any persons f 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 Agent Date
Code,I shall forthwith comply with those provisions.
Date; Applicant;
City Business License#
�_
WARNING: FAILURE TO SE URE 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, DYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 0 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 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DN- 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 DYES 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, �U,❑.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 DYES 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 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) ✓ CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation,.will do ( ) all of or( ) porting of the work, and the structure is PROP(�RTY fDWN " ORIZED ENT
not intended or offered for sale.(Section 7044, Business,and Professions Code; /
The Contractor's State License Law does not apply th an owner of a property X
who, through employees' or personal effort, builds or Improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or Improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that It was not built or Improved for the
purpose of sale).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER �j—
TYPE: 0 COMMERCIAL RESIDENTIAL => MULTI-FAMILY MOBILE HOME C POOL/SPA C SIGN
SUBTYPE: 0 ADDITION ✓ALTERATION )DEMOLITION ELECTRICAL til MECHANICAL
6 NEW G PLUMBING % RE-ROOF-NUMBER OF SQUARES SOLAR
DESCRIPTION OF WORK solar roof mount 4.845 kW DC 19 module panels
e
PROJECT ADDRESS 27437 Calle Rabano Building & Safety Deg I.
ASSESSOR'S PARCEL NUMBER
Q- LOT TRACT APR 2 8 20
OWNER NAME Joann Woodward
e ri
ADDRESS 27437 Calle Rabano sun city CA 92585 &�
PHONE 951-679-3079 EMAIL
APPLICANT NAME Vivint Solar Developer LLC
ADDRESS 27449 Colt Court , Temecula, CA 92590
PHONE 951-719-3795 EMAIL robyn.young@vivintsolar.com
CONTRACTOR'S NAME —Robyn Youn OWNERBUILDER? YES �XNO
BUSINESS NAME Vivint Solar Developer LLC
ADDRESS 27449 Colt Court, Temecula, CA 92590
PHONE 951-719-3795 EMAIL robyn.young@vivintsolar.com
CONTRACTOR'S STATE LIC NUMBER 973756 LICENSE CLASSIFICATION C46
VALUATION$ 28,050.00 SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
thrystAFF USE ONLY
_.
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN C $MIP
INVOICEAMOUNTa
AMOUNT d `'CASH +.'CHECK# CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT ;CASH =:;CHECK# <l'CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED YES C` NO DLNUMBER NOTARIZED LETTER YES NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.citycfinenifee.us Inspection Request Line 951-246-6213
EsGil Corporation
In(Partnership with Government for Building Safety
DATE: 05/06/2015 ❑ APPLICANT
❑ JURIS.
JURISDICTION: City of Menifee ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT15-01081 SET: I
PROJECT ADDRESS: 27437 Calle Rabano
PROJECT NAME: Woodward 3,800 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
❑ GA ❑ EJ ❑ PC 4/29
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858) 560-1576
City of Menifee PMT15-01081
05/06/2015
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT15-01081
PREPARED BY: Morteza Beheshti DATE: 05/06/2015
BUILDING ADDRESS: 27437 Calle Rabano
BUILDING OCCUPANCY: TYPE OF CONSTRUCTION:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Ju nsd iction 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
Repeats � 1.5 Hrs. @"
l it Fee $105.00 $157.50
* Based on hourly rate
Comments: 1 1/2 hours plan review.
Sheet 1 of 1
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