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PMT17-01774 City of Menifee Permit No.: PMT17-01774 29714 HAUN RD. <-�CCEL/-> MENIFEE,CA 92586 Type: Residential Electrical MENIFEE Date Issued: 06/0912017 PERMIT Site Address: 24677 COMANCHE CREEK DR, Parcel Number: MENIFEE,CA 92584 Construction Cost: $9,720.00 Existing Use: Proposed Use: Description of SOLAR TR 36485 WILLOWTREE Work: 12 PANELS, 324KW LOT 3 Owner Contractor RSI COMMUNITIES R S I COMMUNITIES LLC 620 NEWPORT BEACH CENTER DR 620 NEWPORT CENTER DRIVE#12 12TH FLOOR NEWPORT BEACH, CA 92660 Applicant Phone:9492703602 CARRY COFFEY License Number: 1015892 R S I COMMUNITIES LLC 620 NEWPORT CENTER DRIVE#12 NEWPORT BEACH, CA 92660 Fee Description city Amount t$1 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Electrical 1 12.60 $294.60 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. M 6ldg_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 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 ❑I am 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 P) License No. By my signature below I acknowledge that,except for my personal residence Expires ?/ 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 DECLARATI 1 have built as an owner-builder if it has not been constructed in its entirety by D 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.leeinfo.ca.eov/calaw.html. Policy# ,7k Q00 /7 LI S Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZEDAGENT section 3700 of the Labor Code,for the performance of the work for which D 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 owner's behalf.I have read this number are:s. r application and the information I have provided is correct.I agree to comply L vC�f41 At, i-1zM 1rt$t.fcn�Q CUMO4w with all applicable city and county ordinances and state laws relating to Carrier _ Y building construction.I authorize representatives of this city or county to Policy# 71 //700 17 2 cr5 Expires 0/001 Q enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith omply with those provisions. // Will the applicant orfuture building occupant handle hazardous material or Applicant Date !v 9/ mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAI RE TO S Uji WORKER'S COMPENSATION COVERAGE IS ❑Yes f3,No 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 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 forguidelines CONSTRUCTION LENDING AGENCY ❑Yes ,6No 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 QCNo 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 perjurythat I am exempt from the Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material r porti checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 5Wes D No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY 1ER O T,F� IZED AGENT issuance,also requires the applicant for the permit to file a signed statement V/ that he or she is licansed pursuant to the provisions of the Contractors State EPA REND ATION. EPA 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 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 ar through their O 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( )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 Contractors State License Law does not apply to an owner of a D 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,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. ❑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. ��i Y�� DATE 05/26/2017 PERMIT/PLAN CHECK NUMBER N 1 1- TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY []MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION [Z]ELECTRICAL ❑MECHANICAL []NEW [—]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Solar(PV) 12 Panel 3.24kw PROJECT ADDRESS 24677 Comanche Creek Or ASSESSOR'S PARCEL NUMBER LOT 3 TRACT 36485 PROPERTY OWNER'S NAME RSI Communi8es ADDRESS 620 Newport Beach Center Dr. 12 Floor Newport Beach,Ca.92660 PHONE (951)794-4705 EMAIL APPLICANT NAME LarrY Coffey ADDRESS 620 Newport Beach Center Dr. 12 Floor Newport Beach,Ca. 92660 PHONE (949)230-1497 EMAIL Icoffey@rsisolar.com CONTRACTOR'S NAME Pat Donahue OWNERBUILDER? ❑YES❑NO BUSINESS NAME RSI Communities ADDRESS 620 Newport Beach Center Dr. 12 Floor Newport Beach,Ca.92660 PHONE (949)270-3603 EMAIL pdonahue CONTRACTOR'S STATE LIC NUMBER 1015892 LICENSE CLASSIFICATION VALUATION$ $9,720.00 sqrl.F7 L SQ FT APPLICANT'S SIGNATURE DATE 05/26/2017 DEPARTMENT DISTRIBUTION II LG Lrt� CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 6 SMIP INVOICE �O PAID AMOUNT 0n AMOUNT CASH CCHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# C CREDITCARD VISA/MC OWNER BUILDER VERIFIED C'YES C NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO � GOMPNGNE GREEK OR1VE /_� C17 — W a � r Q m Q W � o N W ° a I 02 i tQ W 0 CD 36"FIRE CODE COMPLIANCE FT 7 TT 1 1 t 1s1s14161 LJJJJ_J_J rJ p -a Yi a p t m Pr7 /z^� CON > m — vD, D m M. a I m a O30> u — d ID " QJ o rn x o a z FmTn ,wo mi4 m _ � `IX X g n 3 N PREPARERDPPIANS: N o m z 4 o fn„ o DuCal Technology,LLC m i a22o� Q e 8 r o __e pgn w- m sxo Newen eeaa cenew or. A e d°2'4 N G 8 3 3 g m' m n 9 p p "'^»o no o y A N Inh blow p y Hewpart6eaeM1.G92660 ru 3 n n n 3 m n \{�\\\��\'e—P\�' N g n T B 0 a O O Tel:(953)949-0205 fs I951P494701 O N3a Y. .ig�0 a ; �>Z 6 � aO o �iN � Nm OWNER: K v4�Ga :' Yseg ^ c9 d 7 g or � '`S c Do m 'm fn r :; • P a s _ _ A Q N RSI Communities, LLC y RSA 4 o g F .. � � G 5 � 3�a r . $ m 62o N,rt e.am Q,1.r or. i o C"' m sshBoor NewpnRB=U12660 Willow Tree , DuCal Technology LLC.expressly reserves 8s common Yaw copytht and other ploperty,righ6lo these plans.Theo plans are not to be mpmduced,charged Drooped!in any form whatmeuernorare they to he assigned to a third party without wttten pennissoq of DuCal Technology L.C.In the evert of unauthorized reuse offhese plans by athird parry,the third party shall hold DuCal Technology I.I.C.harmless.