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PMT15-01167 a a City of Menifee Permit No.: PMT15-01167 ,�-�•'' 29714 HAUN RD. <;KCC£L/�k. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 05/15/2015 PERMIT Site Address: 32105 HEATHER LN, MENIFEE, CA Parcel Number: 372-170-011 92584 Construction cost: $65,500.00 Existing Use: Proposed Use: Description of INSTALL GROUND MOUNTED SOLAR SYSTEM, 56 PANELS, 2INVERTERS, 14.56 kW Work: Owner Contractor ARTURO CASTILLO HORIZON SOLAR POWER INC 32105 HEATHER LANE 7100 WEST FLORIDA AVENUE MENIFEE, CA 92584 HEMET, CA 92545 Applicant Phone: 9519261176 HOLLY THOMPSON License Number: 992053 HORIZON SOLAR POWER INC 7100 WEST FLORIDA AVENUE HEMET, CA 92545 Fee Description Qty Amount Building Permit Issuance 1 27.00 GREEN FEE 1 3.00 NTf - $448.50 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 ProfessWCdy I'cense is in full fo a Code:The Contractor's License Law does not apply to an owner of a property icen eNo. who builds or improves thereon, and who contracts for the projects with a Signature V licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECL ❑ I am exempt from licensors 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 .are [list I have permit is issued. a Policy# built as an owner-building if it has not been construrfr' ,,,Its ei„ contractors. I understand that a cony�r dpo0rabls 'aw, Section iLa t al. have and will maintain workers' compensation insurance, as required by Business and Professions Code m _ „pun request when this application Is ection 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http'//www.Ieqinfo.ca.00v1caIaw html. emiit is issssuu .My workers'compensation insurance carver and policy number are: Carrier l7 C Property caner or Authorized gent Date Expires Policy# '"I LJbZ� ' ❑ 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 a e to comply one-hundred dollars($100)or less) with all applicable ci and oun ordinances and state laws re ti g to building constructio . auth n ep ese tatives of this city or county to ant r the above- El I certify that in the performance of the work for which this permit is issued,I entifi d roperty f r the i pact n pur es. shall not employ any persons in any manner so as to become subject or the workers' compensation laws of California, and agre h uld b come subject to the workers'compensation provisions o action 70 th Labor rop rty d Agent Date Code,I shall forthwith comply with th rovisi usine e# d 5(P-779 Date; Applican WARNING: FAILURE TO SEC ORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAW 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, ❑YES 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 IA0 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION �„� FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ��" 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 ❑YES 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, �0 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 r1YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensors 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 CALIFOR IA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTIO . 5 3 NO 25534 CONCERNIN ❑ I, as owner of the property, or my employees with wages as their sole AZARDOU ATERIAL 0 �I G compensation,will do( )all of or( ) porting of the work, and the structure is P PERT O NER O A 0 1 ED GENT 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 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).