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PMT16-01191 City of Menifee Permit No.: PMT16-01191 _A? 29714 HAUN RD. Type: Residential Electrical 4l�CCEL MENIFEE, CA 92586 MENIFEE Date Issued: 05/17/2016 PERMIT Site Address: 25776 BUFFALO CIR, MENIFEE, CA Parcel Number: 358-502-021 92585 Construction cost: $19,500.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,31 PANELS, 1 INVERTER, 8.215 kW Work: Owner Contractor BENJAMIN DIEDERICH SUNRUN INSTALLATION SERVICES INC 25776 BUFFALO CIRCLE 775 FIERO LANE STE 200 MENIFEE, CA 92585 SAN LUIS OBISPO, CA 93401 Applicant Phone:8886576527 JORDAN AUDIFFEREN License Number:750184 SUNRUN INSTALLATION SERVICES INC 775 FIERO LANE STE 200 SAN LUIS OBISPO, CA 93401 Phone:7607986548 Fee Description 01t r Amount rSl Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Electrical 158 157.50 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $453.10 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_BItlg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: Ucense Class License No.`?TO By my signature below 1 acknowledge that,except for my personal residence Expires Signature �� in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by u I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which ,A,i,�w,leeinfo.ca.eov/ralaw.html. this permit is issued. Policy# 2 Vrl 'C j- A po 4? r C q Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier 7 UfL'C k Q yYL P 121 'C UI"L with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy It W L c43 L4 CC:-I Expires 0-IN— /G enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($SOD)or less PROPERTY OWNER OR AUTHORIZED AGENT u I certify that in the performance of the work forwhich this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE q workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date �— 17/6 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURTID SECURE WORKER'S COMPENSATION COVERAGE IS o Yes D No UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes u No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) D Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health al Safety Code,Se Contractors License Law for the reason(s)indicated below by the Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 oyes D No Business and Professions Code).Any city or county that requires a permitto Dale construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.S by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building orimprovement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because: o I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. E Corporation O-"kTE: 0s In Partnership with governme J /12/16 nt.for Buifdin#Safety NCH TION: City of Menifee Q APPLICANT pRO ECF( NO.: PATT16-01191 U -JGRI A �ECTgppREs O PLAN REVIEL R S: SET.2577 FILE 6 Buffalo Circle JECT NgME: BENJAMIN DIEDE1uCII 7,600 with the s transmitted Watts Solar D herewith Photovoltaic Jurisdiction's b have been SYst� T uildln9 codes. corrected where he plans necessary and substantiall When transmitted herewith will substantially minor deficiencies ?'ham identified below are r solved audit checked jurisdiction's building c, aid Plans transmitted here b Cl Th should be corrected with have significant d d by building de and resub deficiencies identifiedpartcl Cor check list transmitted mitted for a complete rechec on the cl boratio nsmitted here enclosed Thy n until corrected with 1s for your information co plans are submitted for h The plans are being h* Aplicant's co check. g held at E; The ct person. py°f the check list is enclosed for the jurisdiction to fo bplicant's copy of the been for to the a check list has pp�u E:sgil sent to: C Esgil � rporation staff did C� not advise the applicant that the f'ersor� ~poration staff plan the did advise the check has been co Date co contacted: applicant that the completed. o Mail T acted: /� (� Telephone #: plan check has been completed. RFMgR� /ephone Fax (o rl! I Fax #: b'i In Person E-mail: ey: ser _ ESGi/ Azuela �A rporation EJ Enclosures: 0 PC 05105 9320 Chesapea e Drive, Suite 208 ♦ San Diego, California 92123 * (858) sFn „_ i City of Menifee PMT16-01191 04/26/16 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE PLAN CHECK NO.: PMT16-01191 JURISDICTION: City of Menifee DATE: 04/26/16 PREPARED BY: Sergio Azuela BUILDING ADDRESS: 25776 Buffalo Circle TYPE OF CONSTRUCTION: BUILDING OCCUPANCY: Reg VALUE ($) AREA Valuation Mod. �pO'RTION ULDING I ( gq Ft ) I Multiplier Air Conditionin Fire S rinklers TOTAL VALUE mnf ManuallnWA dsdiction Code B I Id9•Permit Fee by Ordinance � �I plan Cl,ec k Fee by Ordinance ❑ Structural Only ❑ Complete Review Type of Review: ❑ Other 1.5 Hrs. @ ❑Repetitive Fee I ,,__Hourly $157.50 Repeats $105.00 � sGil Fee Based on hourly rate Ian review. Sheet 1 of 1 Comments: 1 112 hours p macvalue.doc+ BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE L— PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION [-]DEMOLITION [-]ELECTRICAL ❑MECHANICAL ❑NEW []PLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK kw( X;) )modules( 1 )inverters( 1 ) No panel upgrade/PV flush roof mount Building 8 Safety Dept. PROJECTADDRESS 26—'776 )ju M; LoP APR 19 2016 ASSESSOR'S PARCEL NUMBER �j��4j ZQ t LOT TRACT PROPERTY OWNER'S NAME 13 e yr zM VYl 1D Y C ADDRESS �7� -�GCt PHONE q �� Q—�D ( � �� 1 �1 .7 EMAIL APPLICANT NAME Jordan Audifferen ADDRESS 295 Trade St.Ste A San Marcos CA 92078 PHONE (760)798-6548 EMAIL Jordan.Audifferen@sunrunhome.com CONTRACTOR'S NAME Sunrun Installation Services Inc. OWNER BUILDER? DYE45NO BUSINESS NAME Sunrun ADDRESS 295 Trade St.Ste A San Macros Ca 92078 PHONE (760)798-6548 EMAIL Jordan.Audifferen@sunrunhome.com CONTRACTOR'S STATE LIC NUMBER 750184 LICENSE CLASSIFICATION C-10 VALUATION$ ("1 Goo SOFT LSQ FT /y /� I APPLICANT'S SIGNATURE DATE 1 liq I l.�D DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE 5Lvo PAID AMOUNT ��� AMOUNT OCASH OCHECK IF OCREDR CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK U O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213