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PMT16-03698 City of Menifee Permit No.: PMT16-03698 29714 HAUN RD. Type: Residential Electrical <A—CCEU� MENIFEE, CA 92586 MENIFEE Date Issued: 12/0212016 P E R M I T Site Address: 26695 CHAMBERS AVE, MENIFEE,CA Parcel Number: 335-231-012 92586 Construction Cost: $14,000.00 Existing Use: Proposed Use: Description of INSTALL 14 ROOF MOUNTED PV MODULES. 1 WALL MOUNTED STRING INVERTER 3.70KW 245 Work: SOFT Omer Contractor NORMA MCGUIRE PEAK POWER SOLUTIONS INC 26695 CHAMBERS AVE 1542 EDINGER AVENUE SUITE D MENIFEE, CA 92586 TUSTIN, CA 92780 Applicant Phone:7142583900 HENRY AFFRE License Number:973253 PEAK POWER SOLUTIONS INC 1542 EDINGER AVENUE SUITE D TUSTIN, CA 92780 Fee Description 9ty Amount 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 2.00 General Plan Maintenance Fee-Electrical 1 12.60 $452.10 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. AkBIdg_Pe=t-TempIate.rpt Page I 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 a I am exempt from licensure under the Contnictor's State License Law for Professions Code and in license Is in full form and effect. -S the following reason: License Ciao 3 License No. By my signature below I acknowledge that,except for my personal residence Expires Signartur 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 a nd 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 La bar Code,for the performance of work for which www.Ieginfo.ca.gov/caIaw.htmL this permit is issued. Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date &I'llave and will maintain worker's compensation insurance,as required by section 3700 of the La bar Code,for the performance of the work for which u By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act an the property ownees 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 CI P—PC u I building construction.I authorize representatives of this city or county to Policy# 0 12-15 04, '2 Z 14 -Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hu ndred 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 any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject tothe worker's compensation provisions of Section 3700 of the Labor Code,I S. e provisions. Will the applicant or future building occupant handle hazardous material or a te mixture containing a hazardous material equal to orgreater that the A..Iim _D. amounts specified on the Hazardous Materials Information Guide? MtARNING--AV!URE TO SECUR�E WORKER'S COMPENSATION COVERAGE IS a Yes dNo UNLAWFUL,AND SHALL SUBJECT AN 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[$100,00D),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,INTERM,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGEN a Yes 6 No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified faciRty be within ID00 feet of the lending agency for the pen-Formarim of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) oYes; erflo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACJMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that I am exempt from the California Health&safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indimted below by the hazardous materipil na ort,ng checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to A-�' Date construct,alter,improve,demolish or repair any structure,prior to its PR(WEMIOWNER 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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-certhfied firms and comply with an Applica at 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 ci 1,as owner of the propertY,or my employee With wages as their sale em plDyees.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.epa.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 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 improveu;the property provided that the Improvements a re 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 o No EPA Lead-Safe Certified Firm is required for this pniject because: not built or improved for the purpose of sale. ci 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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.