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PMT16-00030 City of Menifee Permit No.: PMT16-00030 29714 HAUN RD. <ACCEL/-> MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 01/05/2016 PERMIT Site Address: 25329 COUNTRY FAIR DR, MENIFEE, CA Parcel Number: 339-393-021 92584 Construction Cost: $900.00 Existing Use: Proposed Use: Description of DERATE MAIN PANEL TO 100A Work: Owner Contractor PAUL KILER SOLCIUS LLC 25329 COUNTRY FAIR DRIVE 1145 SOUTH 800 EAST#201 MENIFEE, CA92584 OREM, UT84097 Applicant Phone: 8018994540 CHRISTIAN OSORIO License Number:976336 SOLCIUS LLC 12155 MAGNOLIA AVE,#12B/C RIVERSIDE, CA 92503 Fee Description 01tr Amount(S) Services,Switchboards, Control Centers&Panels 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 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_81dg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION 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 full force and effect. Code:The Contractors License Law does not apply to an owner of a property License Class C.—10 License No. �17_,336 who builds or improves thereon, and who contracts for the projects with a Expires' 130 IC Signature (o. licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'State 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 Cade, 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 entirely by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the 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:hfto://www.leginfo.m.gaftalaw.html. permit is issued.My workers'compensation insurance carder and policy number are: Carrier L- 7L65 �ylf� W Property 0wnerorAuthonze Agent Dale Expires 1/ /zl 1`5 Policy# ±)CQG 501g01 ❑ 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 owners 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(5100)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- 0 1 certify that in the performance of the work for which this permit is issued,I identified p erty for the in action purposes. shall not compensation any persons in any manner so to become subject to the C 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 provisions.//� ��y/1 City Business License# lJ 0/1 .3 0'36 Date; /7 1 55 Applicant f Y IE �kpq V c0yfo 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 OR DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES 4140 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 /CNO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES 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, -KNO 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 \ZYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant fora permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(S500).) C0ODAEf20SECTION 05 MATERIAL 25531'I AND 25534 CONCERNING ❑ I, 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 NER OR IZEDAGENT 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 CCC 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). r�., Y 2 © pI`�x tj/`��Ylro� '��++��4��°-�l o • iQi- � �, .et � � ,�y� M' •M1 "'�`_,' ' .['��+c,w. t'x, 'r +�.,� i!e t+�L�j11 �..rp•_}.Smz :yh"L ' �u .rR�.i�-+1^" ,t7.' { l DATE 1 212 8/201 5 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL f7 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL IFI NEW O PLUMBING ORE-ROOF APPLICATION NAME Charles Jones (,ity Of Menifee a t. gu DESCRIPTION O n f S Tar PV System 16 panels, 16 inverter/s -4.48 kW -b 1W PROJECTADDRESS 25329 Country Fair Drive Menifee.CA 92584 celVed ASSESSOR'S PARCEL NUMBER �I �- Oo� LOT TRACT OWNER NAME Paul Kiler ADDRESS 25329 Country Fair Drive,Menifee,CA 92584 PHONE 714-809-5369 EMAIL APPLICANT NAME Charles Jones ADDRESS 1145 S 800 E STE 200 Orem UT 84097 PHONE 844-357-2258 opt 4 EMAIL sofa errnits solcius.com CONTRACTOR'S NAME OWNER BUILDER? O YES^O BUSINESS NAME Solcfus ADDRESS 12155 Magnolia Ave Suites 12 BIC Riverside,CA,92503 PHONE 844-357-2258 opt.4 EMAIL solarpermits@soiclus.com CONTRACTOR'S STATE LICN�UMBER 976336 LICENSE CLASSIFICATION C10 VALUATION$ � /Ct 06^ SQ FT 2880 L SO FT APPLICANT'S SIGNATURE DATE 12/28/2015 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE SMIP GREEN 54 INVOICE PAID AMOUNT AMOUNT twlOCASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK4 OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO LICENSE NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 wwvw.cityofinenifee.us Inspection Request Line 951-246-6213