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PMT15-01007 City of Menifee Permit No.: PMT16-01007 29714 HAUN RD. Type: Residential Electrical 4�CCEL MENIFEE, CA 92586 MENIFEE Date Issued: 06/11/2015 PERMIT Site Address: 31784 CYPRESS VIEW CT, MENIFEE, Parcel Number: 372-221-021 CA 92584 Construction Cost: $27,716.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 26 MODULES, 26 OPTIMIZERS, 1 INVERTER, Work: 6.760KW Owner Contractor MIKE SWOVELAND HORIZON SOLAR POWER INC 31784 CYPRESS VIEW CT 7100 WEST FLORIDA AVENUE MENIFEE, CA 92584 HEMET, CA 92545 Applicant Phone: 9519261176 HEATHER COULTER License Number: 992053 HORIZON SOLAR POWER INC 7100 WEST FLORIDA AVENUE HEMET, CA 92545 Fee Description Qtv Amount is Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 $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 Marilee. 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_Templatespt Page 1 of 1 i 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 an my license is in full and effect. License Class 3 Cjri License No. -`�2b 5 s Code:The Contractor's License Law does not apply to an owner of a property Ex Tres ` �' who builds or Improves thereon, and who contracts for the projects with a P Signature - - licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATI ON DECLARATION ❑ 1 hereby affirm under penalty of perjury one of the following declarations: ❑ amexempt reason: licensure under the Contractors'State License Law for the _ followingre I have and will maintain a certificate of consent of self-insure for workers' ' compensation,issued by the Director of Industrial Relations as provided for by By my signature below I acknowledge that, except for my personal residence in Section 3700 of the Labor Code, for the performance of work for which this which I 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 4 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:httP:I/Mmw.iecinfo.ca.c:ov/calaw.htmI permit is issued.My workers'compensation insurance carrier and policy number are: Carrier S'R, Comb Fo/d property Owneror uthonzed gent Expires _ + j L9 U 3 3 O Z q1 Date 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 ❑ certify that in the performance of the work for which this permit is issued, construction.I authorize representatives of this city or county to enter the above- shall not emolov any persons in any manner so as to become subject to the identified property for the inspection purposes. workers' compensation laws of California, and agree that if I should become r subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro v' ions. Property Owner or Authorized Agent _ �� - j Z Date Date; Applicant; City Business License# WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE SUBJECT AN EMPLOYER TO ICR MINALFPENA TIIES AND UL, AND SHALL HAZARDOUS MATERIAL DECLARATION CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION DAMAGES AS PROVIDED FOR IN SECTION COST 3706 OF THE THE OF COMPENSATION WILL THE APPLICANT FUTURE BUILDING OYES OCCUPANT HANDLE A HAZARDOUS DOUS MATERIAL OR A LABOR CODE, INTEREST,AND ATTORNEYS FEES MIXTURE CONTAINING A HAZARDOUS MATERIAL CONSTRUCTION LENDING AGENCY ONO EQUAL TO OR GREATER THAN THE AMOUNTS I hereby affirm that under the penalty of perjury there is a construction lending SPECIFIED ON THE HAZARDOUS MATERIALS agency for the Performance of the work which this permit is issued (Section INFORMATION GUIDE? 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE Lender's Name APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Address AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION[I NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTR OWNER BUILDER DECLARATIONS GU DEICT LINES AQMD) SEE PERMITTING CHECKLIST FOR 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 next to the applicable item(s) (Section 7031.5. Business and Professions Code: DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY a Any city or county that requires a permit to construct, alter, improve, demolish, - BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A or repair any structure, prior to its issuance, also requires the applicant for the NO SCHOOL? permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale 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 she is exempt from licensure and the basis for the alleged exemption. An OYES INFORMATION GUIDE AND THE CHECKLIST. UNDERSTAND MY RE MY RE PERMITTING violation of Section 7031.5 by any Applicant for a permit subjects the applicant to QUIREMENTS a civil penalty of not more than($500).) O NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY ❑ I, as owner of the property, or my employees with wages as their sole CODE, SECTION 25505 25533 AND 25534 CONCERNING compensation, will do ( ) all property, or( )porting of the work, and the structure is HAZARDOUS MATERIAL F}EPOR�ING. not intended or offered for sale.(Section 7044,Business and Professions Code; PROPRTY OWN OR AUTHORIZED AGENT The Contractor's Stale License Law does not apply to an owner of a property X ,\f�,,YY�" 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). EsGil Corporation In Partnership with Government far Bui(ding Safety DATE: 06/01/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-01007 SET: III PROJECT ADDRESS: 31784 Cypress View Ct. PROJECT NAME: MIKE SWOVELAND 6,000 Watts Solar Photovoltaic System Z The plans transmitted herewith have been corrected where necessary an'S%pbstantially 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: z 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 (SA) Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 05/22/2015 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 i�