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PMT16-03851 City of Menifee Permit No. PMT16-03851 29714 HAUN RD. Type: Residential Electrical MENIFEE, CA 92586 SA—, MENIFEE Date Issued 12/1912016 P E R M I T Site Address: 26639 MEHAFFEY ST, MENIFEE,CA Parcel Number: 335-282-008 92586 Construction Cost: $1,000.00 Existing Use: Proposed Use; Description of 200 AMP PANEL UPGRADE FOR SOLAR PERMIT PMT16-03850 Work: Owner Contractor CHRISTINA HOLLAND PEAK POVVER SOLUTIONS INC 26639 MEHAFFEY ST 1542 EDINGER AVENUE SUITE D MENIFEE, CA 92586 TUSTIN, CA 92780 Applicant Phone:7142583900 HENRY AFFRE License Number:973253 1542 EDINGER AVENUE SUITE D TUSTIN, CA 92780 Fee Description Qtv 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 &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 Bldg_Pemit 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 a m 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: License Class 5 c.pns,e No. 6(_1 3 By my signature below I acknowledge that except for my personal residence Expires 17- -3 1 , ha SignatukA--�� in which I must have resided for at least one year prior to completion of �%J 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 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.IeAinIo.ca.goy/calaw.htmI. Policy# Date r6ahave and will maintain worker's compensation insuran PROPERTY OWNER OR AUTHORIZED AGENT L ce,as required by 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 a m the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this numberare: application and the information I have provided is correct.I agree to comply with all applicable city a nd county ordinances and state laws relating to Carrier G R-49 t )I--r- building construction.I authorize representatives of this city or cou nty to Policy# 0 1 P- C)o 2-2—q Expires 7 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-h undred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT c;I certify that in the performance of the work for which this permit is Issued, Ishalinotemplo 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 to the worker's compensation provisions of Section 3700 of the Laboi Code,I s rt ith comply)uith se provisions. Will the applicant or future building occupant handle hazardous material or a I f)5� Date mixture cantaininga hazardous material equal to or greater that the Ap. t1l, !M= amounts specified on the Hazardous Materials Information Guide? WARNING:Fjktl�;RE i6`SECURE WORKERS COMPENSATION COVERAGE IS ciYes 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($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguldelines CONSTRUCTION LENDING AGENCY o Yes '0 No I hereby affirim that under the pena Ity 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) ci Yes )zi'ho OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQNID I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understap.1 my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 2S505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous mated I rt, Business and Professions Code).Any city or county that requires a permit to /1"Yes Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWMF:Olk�AUTHOAIZED 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(FIRM 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 a lleged exemption.Any violation of Section 7031.5 by residence or childca re facility to be RAP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required pracfice�s.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their a 1,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( 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 forthis 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. a No EPA Lead-Safe Certified Firm is required forthis project became: a 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractoes 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