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PMT16-03331 City of Menifee Permit No.: PMT16-03331 29714 HAUN RD. Type: Residential Electrical <A-CCIELA> MENIFEE,CA92586 MENIFEE Date Issued: 1011212016 P E R M I T Site Address: 25039 CRESTPEAK CT,MENIFEE,CA Parcel Number: 339-432-026 92584 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of MSP UPGRADE TO 225AMP FOR SOLAR PERMIT PMT16-03326 Work: Owner Contractor MICHAEL FORNAROTTO HOSHAW ELECTRIC 25039 CRESTPEAK CT 6311 PULLMAN CT MENIFEE,CA 92584 RIVERSIDE, CA 92505 Applicant Phone:9515446574 JOSH POGUE License Number.,814080 HOSHAW ELECTRIC 6311 PULLMAN CT RIVERSIDE,CA 92505 Fee Description City Amount Receptacle, Switch, Outlet&Fixture 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 6.80 $149.80 The issuance of this permit shall not prevent the building official from thereafter requiiing the correction of errors in the plans and specifications or from preventing builicling 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 commenoad is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA BldgPemit-Templaterpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ci I am exempt from Hcensure under the Contractor's State Uicense Law for Professions Code is in full force and effect. the following reason: License Class 7;v License No. firIM1040.0 By my signature below I acknowledge that,except for my personal residence Expires A/ &e?J�Z2! _Signature in which I 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 o I hereby affirm under pena Ity 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 Professlans Code,is available upon request when com pensation,issued by the Director of Inclustrila I 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 www.Ieginfo.ca.gov1­caIaw.htmI. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT a I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which cr By my signature below I certify to each of the following:I a on the property this permit is issued.My workerrs compensation insurance ca rcler and policy owner or authorized to act on the property owner's behalf.I have read this number are; application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier 22�-­P— 7 building construction.I authorize representatives of this city or county to Policy# /­ enter the above identified property for inspection purposes. I r Expires s!��/ — (This section need not to be completed is the permit is for one­hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT a I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in a ny me nner so as to becom e subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwithvomply with those provisions. Will the applicant or future building occupant handle hazardous material or a App I im at —Date mixture containing a hazardous material equal to or greater that the am�o�specified on the Hazardous Materials Information Guide? WARNING:FAILL14 TO SECURE WORKER'S COMPENSATION COVERAGE IS goTes ci No UNLAWFUL,AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building bythe 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 COSTOF 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 forguidelines CONSTRUCTION LENDING AGENCY m Yes a 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) a Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 2S505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the h .�;�zar usmaterial reporting. e, , checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es o No Business and Professions Code).Any city or county that requires a permit to 4Z06E=�;� Date construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWNERTWAIDTHORIZED 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 Contractor's 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 a nd the basis for the a Ileged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP­certified firms and comply with an Applicant for a permit subjects the applicant to a civil pena Ity of not more required practices.This includes renta I property owners and property than($500). managers who clothe paint-clisturbing work themselves orthrough their ci 1,as owner of the property,or my employee with wages as their sale employees.For more information about EPA!s Renovation Program visit: compensation,will do( I all of or( )portion of the work,and the structure is www.epagov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80G-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a ci 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,howeverthe building or Improvement issold within oneyearof 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. cr No EPA Lead-Safe Certified Firm is required for this project bemuse: a 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contoctoes 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.