PMT16-02407 City of Menifee Permit No.: PMT16-02407
29714 HAUN RD. Type: Residential Electrical
'5A—CCEL/> MENIFEE, CA 92586
MENIFEE Date Issued: 08/04/2016
PERMIT
Site Address: 29880 PACIFIC CHANNEL WAY, Parcel Number: 338-312-018
MENIFEE,CA 92586 Construction Cost: $18,000.00
Existing Use: Proposed Use:
Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 22 PANELS, 1 INVERTER,6.050 kW
Work: REVISIONS APPROVED 10/19/16
Owner Contractor
MICHAEL VINEYARD HOSOPO CORPORATION
29880 PACIFIC CHANNEL WAY 7100 WEST FLORIDA AVENUE
MENIFEE, CA 92586 HEMET, CA 92545
Applicant Phone: 9519261176
HOLLY THOMPSON License Number: 1004233
HOSOPO CORPORATION
7100 WEST FLORIDA AVENUE
HEMET, CA 92545
Fee Description OQt Amount 1E1
Solar, Residential or Small Commercial 1 252.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 129 129.07
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
$582.17
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
forfeftdd.
AA_Bldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 effeJ/ct.'t�./�� f� the following reason:
License Class ^J"^Jr�L��' License)No. �W�Op` By mysignature below I acknowledge that,except formy personal residence
Expires �RJ Signature ( P,(i!�/i'I�A" 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
❑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 worker's 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
this permit is issued. www.ieginfo.ca.aov/Calaw.htm].
Policy It Date
o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o 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.1 have read this
number are: � � with all ap and the information I have provided d correct.I agree to comply
1-Lr. with all applicable city and county ordinances and state laws relating to
Carrier L / U building construction.l authorize representatives of this city or county to
Policyll tLV � 7 Expires � )7 enter the above identified property for inspection purposes.
I
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N
workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,(shall
/f$�)rt�hwith c�om�plywith th se revisions. Will the applicant or future building occupant handle hazardous material or a
Applicant liCic�riV� ��_ Date mixture containing a hazardous material equal to or greater that the
amounts sppggcifred on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes oWo
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 TOONE 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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oyes 01140
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 bo44n,dary of a school?
(Section 3097 Civil Code) ayes ¢YNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements underthe State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardopsmaterial reporting.
Business and Professions Code).Any city or county that requires a permitto aj ////,I(��z// f
construct,alter,improve,demolish or repair any structure,prior to its PRO.rA�/1N ' "- Date 1�O
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 IRRP)
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 7031.5 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 orthrough their
o 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.epa.eoy/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 oAn 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 or improvement 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. o No EPA Lead-Safe Certified Firm is required for this project because:
❑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.
4! horizon 7100 W. Florida Ave. I Hemet, CA 92545
S O L A R POW E R 951.926.1176 1 HorizonSolarpower.com
City of Menifee
Building & Safety Dept.
10/10/2016 OCT 13 2016
City of Menifee Received
The following revisions were made for the residential photovoltaic solar installation located at:
ADDRESS: 29880 Pacific Channel Way.
• Changed the KW to match the system
If you have any questions or concerns, please do not hesitate to contact me.
Thank you,
Justin Parrish
Engineering Project Manager
Horizon Solar Power
951.926.1176 1 Justin.parrish@HorizonSolarPower.com
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