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PMT16-03981 City of Menifee Permit No.: PMT16-03981 29714 HAUN RD. Type: Residential Electrical "ACCELA-> MENIFEE, CA 92586 MENIFEE Date Issued: 12/2112016 P E R M I T Site Address: 32255 LINDENBERGER RD, MENIFEE, Parcel Number: 372-140-014 CA 925154 Construction Cost: $31,850.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,44 PANELS,44 MICROINVERTERS, 10.252 kW Work: Owner Contractor SCOT&LORA STEVENS NEW DAY SOLAR 32255 LINDENBERGER ROAD 23811 WASHINGTON AVE STE C1 10 MENIFEE, CA 925134 #224 Applicant Phone:8554446329 DANE JOHNSTON License Number: 812958 NEW DAY SOLAR 23811 WASHINGTON AVE STE C1 10 #224 MURRIETA, CA 92562 Fee Description Qtv 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 2.00 SMIP RESIDENTIAL 1 5.00 General Plan Maintenance Fee-Electrical 1 12.60 $466.10 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.Bidg_Permil—Template.ript Page I of I 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 Cod;eAn4�HcFisin fullforce and eff t the following reason: License Class It Li s e DO. ASP By my signature below I acknowledge that,except for my personal residence .11 rJJ 2��. in which I must have resided for at least one yea r prior to completion of Expiresf'2100L SignaturC ra2 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.leginfo.ca-gov/calaw.html. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT A'h',ve and will maintain worker's compensation insurance,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 am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's beha If.I have read th Is number are: application and the information I have provided is correct.I agree to comply r with all applicable city and county ordinances and state laws relating to Carrie A-V building construction.I a5l"yze representatives of this city or county to Policy# Expires enter the above identio0ybperty for inspection purpos s. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less AUTHORIZED AGENT ci I certify that in the performance of the work for which this permit is issued, Ishallnotemplo 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 Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts spe !fled on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS, 0 Yes 2. 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 for guide[' CONSTRUCTION LENDING AGENCY 0 yes Z. I hereby affinm 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 b d of a school? (Section 3097 Civil Code) o Yes ; or 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 underthe State of Contractor's License Law for the reason(s)Indicated below by the California Health&Safety C?.Oa�Sectlon 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 haz!oms material repo 9. �Wes Business and Professions Code).Any city or county that requires a permit to rl_ Az A 7'�E Date—4—IAL construct,alter,improve,demolish or repair any structure,prior to its PR R OWNEROkAUTHORIZED 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 Contractoes 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 alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certifled firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more than($500). required practices.This Includes rental property owners and property 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 I all of or( )portion of the work,and the structure is www.epa-goy/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 o 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale. A`cEPA Lead-Safe Certified Firm is required for this project because: u 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. City of Menifee PMT16-03981 12/19/2016 [DO NOTPAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-03981 PREPARED BY: Morteza Beheshti DATE: 12/19/2016 BUILDING ADDRESS: 32255 Lindenberger BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING F-7ff E—A—] Valuation Reg. VALUE PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALU���j Jurisdiction Code Imnf IlManual Input Bldg. Permit Fee by Ordinance W 7, Plan Check Fee by Ordinance Type of Review: F-1 Complete Review Ej Structural Only E] Repetitive Fee El Other Repeats Hirs. @ EsGil Fee $157.501 Based on hourly rate Comments: 1 1/2 hours plan review. Sheet 1 of 1 macvalue.doc+