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PMT15-02963 City of Menifee Permit No.: PMT15-02963 29714 HAUN RD. Type: Residential Electrical 4GCet MENIFEE, CA 92586 MENIFEE Date Issued: 0 9/2412 01 5 J 1 PERMIT Site Address: 27117 PETUNIA CT, MENIFEE, CA 92586 Parcel Number: 335-362-019 Construction Cost: $500.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 125A Work: Owner Contractor RONALD VISEUR SUNRUN INSTALLATION SERVICES INC 27117 PETUNIA 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 0tv Amount I$1 8 Building Permit Issuance 1 27.00 General Plan Maintenance Fee-Electrical 1 5.80 $149.80 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 Bidg_Permit Template.rpt Page 1 of 1 I City Of Menifee 4 LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the l 1 I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code and my license Is in full force and effect. which I must have resided for at least one year prior to completion- of License Class G 701 License No.—1 Sal Z41, Improvements covered by this permit, I cannot legally sell a structure that I have Expires I& Signature /C! ,- 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 WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when-this application is ❑ I Hereby affirm under penalty of perjury one the following declarations: I have and will maintain a certificate. of consentt submitted or at the following Web site: of self-insure for workers' http://www leginfo ca oov/calaw html. compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued.. Property Owner or Authorized Agent Policy# - ❑ By my Signature below, I certify to each of the following: I am the property ( have and will maintain workers'compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this ection 3700 of the Labor Code, for the performance of the work for which this application and the Information I have provided is correct. I agree to comply permit is Issued.My workers'compensation insurance carrier and policy number are: 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- Carrier 2 rJ V-( L H - - identified Property for the Inspection purposes. - Policy#N%ILf91, kCLQ 000. Expires /O' �' �$ i Date Property Owner or Authorized Agent (This section need not be completed if the permit is for - City Business License# one-hundred dollars($100)or less) ZD I.cert fy that In the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not emolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers compensation laws of California,and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwith am ply with those provisions, y— ❑YES �NO F Applicant; - .Date; - �• �-�/-• /�J - Will the intended use of the building by the applicant or future building _ occupant require a permit for the construction or modification from South WARNIN G: FAILURE TO !SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND ❑YES p.NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS T ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will.the.proposed building ormodified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES Ff`NO - CONSTRUCTION LENDING AGENCY - I have read the Hazardous Material Information Guide and the SCAQMD . I hereby affirm that under the penalty of perjury there Is a construction lending permitting checklist. I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. OWNER BUILDER DECLARATIONS VPYES ONO . I hereby affirm under penally of perjury that I am exempt from the Contractor's �L - Date -1— License Law for the reason(s)`indicated below by checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county.that requires a permit to construct, alter, improve, demolish, EPA RENOVATION REPAIR AND PAINTING(RRP) 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she Is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a.permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than ($500).) - - employees. For more information about EPA's Renovation Program visit: ❑ 1, as owner of the property, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at compensation, will do( )all of or( )parting of the work, and the structure is 1-800-424-LEAD(5323). - not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: the building or Improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.: ❑ I, as owner of the property an exclusively contractir ri with licensed El No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions _ Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP I & SAFETY PERM IT/PLAN CHECK APPLICATION &Pe Menifee DATE /S� PERMIT/PLAN CHECK NUMBER TYPE: " COMMERCIAL *RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME -`POOL/SPA O SIGN SUBTYPE: O ADDITION C%ALTERATION O DEMOLITION *ELECTRICAL O MECHANICAL :% NEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES I DESCRIPTION OF WORK eP(Ig6(JV& ($ N6 p0/I ^/ /f71/ 4) 12C PROJECTADDRESS Z u jui iq (� — ASSESSOR'S PARCEL NUMBER 335 3(o 2 09 LOT TRACT PROPERTY OWNER'S NAME (7 AL4 I e 'V ADDRESS f E ) R (. C-,N I F /4 'Is�(p PHONE �� 4� ( - ?yys EMAIL APPLICANT NAME ✓\ 0� ADDRESS .✓ •I Q� TAVi GI, G A - Z ? 3 J y' PHONE ( �Q�,S��' pZs EMAIL CONTRACTOR'S NAME UY) LAS V II CC-S , OWNER BUILDER? ')YES iNO BUSINESS NAME /' ADDRESS J �y 4 �./ (,� C {Q Z�•3 PHONE C.�( Q , 91-3 b L ;� EMAIL CONTRACTOR'S STATE LIC NUMBER 7 LICENSE CLASSIFICATION L• �(� VALUATION$ SO FT L SQ/FFT / APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT CASH C)CHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH %CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 'C NO DLNUMBER NOTARIZED LETTER YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213