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PMT15-01910 1 City of Menifee Permit No.: PMT16-01910 29714 HAUN RD. `�CCEL. ? MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Datelssued: 07116/2015 PERMIT Site Address: 31896 ARIEL CT, MENIFEE, CA 92586 Parcel Number: 339-362-004 Construction cost: $1,000.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 125A Work: Owner Contractor DEONNE GORDON SUNRUN INSTALLATION SERVICES INC 31896 ARIEL COURT 775 FIERO LANE STE 200 MENIFEE, CA 92586 SAN LUIS OBISPO, CA 93401 Applicant Phone: 8886576527 DULCE CORREA License Number: 750184 SUNRUN INSTALLATION SERVICES INC 775 FIERO LANE STE 200 - SAN LUIS OBISPO, CA 93401 Phone: 9095873825 Fee Description Qttv Amount l$) Building Permit Issuance 1 27.00 $144.00 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.rpl Page 1 of 1 Y Aq. City Of Menifee LICENSED DECLARATION � I I hereby affirm under penalty or perjury that I am licensed under provisions of O I, as owner of the property an exclusively contracting witfi license Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Profess6, Professions Code and my license is in full force anoeffect. Code:The Contractor's License Law does not apply to an owner of a grope License Class C Licens/eJyo. 1 SO 11`, who builds or Improves thereon, and who contracts for the projects 'it Expires -_ U "f b Signature U' `-" licensed contractor(s)pursuant to the Contractors State License Lala w) WORKERS' COMPENSATION DECLARATION is ❑ I am exempt from licensure under the Contractors'Slate License Law for e 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 3_y 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. 1 / built as an owner-building If it has not been constructed In Its entirety by licensed ,, Policy# W c U t r) ('000 contractors. I understand that a copy of the applicable law, Section 7044 of the:'y' 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:ht1piJ/www.1eQinfoca gov/calaw.Irtim. permit is issued.My(workers'compensation insurance carrier and policy number are: Property Owner or Authorized Agent Carrier Z/IUfG� Date Expires IU - I- Iy" Policy# WCo1�6� yo0° , Name of Agentld� / 11 q�y cy,U �1)0� ❑ By my Signature below, I certify to each of the following: I am the property 0ti GaI�G�hP�Phone# js f, 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 ideodfigd property for the Inspection purposes. shall not employ any persons in 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 p.oG4ns. Date; ( ^7— 1 Is - Z _ _- City Business License# 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES 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 WNO 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address pNO 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 reasons)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, JA 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 Slate License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MA T E R A L Section 7000)of Division 3 of the Business and Professions Code)or that he or -YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from lcensure 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 ❑ I, as owner of the property, or my employees with wages as their sole HAZZP,RRDUS MATE IAL REPORTING. compensation, will do ( ) all of or ( ) porting of the work, and the structure is PROPE TY OW 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).