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PMT15-02252 City of Menifee Permit No.: PMT16-02262 29714 HAUN RD. qC;kCCELf? MENIFEE, CA 92586 Type: Residential Electrical mom usaft ° MENIFEE Date Issued: 0 8121/2 01 5 i PERMIT Site Address: 26143 MANTLE DR, MENIFEE, CA 92586 Parcel Number: 331-432-001 Construction Cost: $16,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 18 PANELS, 18 MICROINVERTERS, 5.13 kW Work: Owner Contractor CATHLENE DUMAS SUNX SOLAR INC 26143 MANTLE DR 1558 STERLING COURT MENIFEE, CA 92586 ESCONDIDO, CA 92029 Applicant Phone: 7607388398 TOMMY MURPHY License Number: 969780 SUNX SOLAR INC 1558 STERLING COURT ESCONDIDO, CA 92029 Fee Description Div Amount f$1 Building Permit Issuance 1 27.00 s GREEN FEE 1 1.00 $440.50 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 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 Code and my license is in ful cirmd_effect. Code:The Contractor's License Law does not apply to an owner of a property License Class License 1p1� CC��UU who builds or improves thereon, and who contracts for the projects with a Expires) '[b Signature �.�Ld/� licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'Slate 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 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 structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy itC contractors. I understand that a copy of the applicable law, Section 7044 of the acI have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is tion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http://www.leainfo,ca.Clov/calaw.html. permit is issued,My workers'compensation insurance carrier and policy number are: {/ Property Owner or Authorized gent Date Carrier Vl_ few Expires �`�� I ] Policy# 20S 3'20 f \' � —my Signature below, I certify to each of the following: I am the property Name of Agent i,V 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 agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building co uction. 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 ide till d pro rty 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 _6-21^I� subject to the workers'compensation provisions of Section 3700 of the Labor property Owns or Authorized Agent Date Code, I shall forthwith comply with those pfayisions. 011��jI City Business License# O Date; —��—�� 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, OYES 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 2'flb 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 01qO 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 OYES WILL THE PROPOSED BUILDI G 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 HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or riy-ES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any /P 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($501 HNAR S ONER5"'EPOR'INGD 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY NE R 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). ®�j8(o8 I EsGil Corporation In Partnership with Government for Building safety DATE: 08/13/15 ❑ / PPLICANT �3 JJURIS. JURISDICTION: City of Menifee ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: PMT15-02252 SET: I PROJECT ADDRESS: 26143 Mantle Dr. PROJECT NAME: CATHLENE DUMAS 18 @ 250 Watts Micro-inverters 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 (SA) Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 08/05 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576