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PMT17-03370 City of Menifee Permit No.: PMT17-03370 29714 HAUN RD. T Residential Electrical <A�CCELA? MENIFEE,CA 92586 Type: MENIFEE Date Issued: 09/28/2017 PERMIT Site Address: 32115 HOOK LN, MENIFEE, CA 92584 Parcel Number: 372-213-000 Construction Cost: $32,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED PV SYSTEM 14.26KW,56 MODULES AND 26 MICRO-INVERTERS, 19.5kw Work: GENERAC GENERTATOR,AND GENERAC TRANSFER SWITCH Owner Contractor TONY FALCO NEW DAY SOLAR 32115 HOOK LANE 23811 WASHINGTON AVE STE C110 MENIFEE, CA 92584 #224 Applicant Phone:8554446329 BRANDON CARLSON License Number: 812958 NEW DAY SOLAR 23811 WASHINGTON AVE STE C110 #224 MURRIETA, CA 92562 Fee Description QtV Amountl$ _ Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 65 64.55 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 5.00 General Plan Maintenance Fee-Electrical 1 12.60 $363.16 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_Pennit Template.rpt Page 1 of 1 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 ❑I am exempt from 1lcensure under the Contractors State License Law for Professions Code and my license is' full force and effe . the fallowing reason: t ^ License Class t lV Lice9sz No. By my signature below I acknowledge that,except for my personal residence Expires in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DEC RATIO improvements covered by this permit.I cannot legally sell a structure that 1 have built as an owner-builder if it has not been constructed in Its entirety by in 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 workers 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 www.leainfo.ca-eov/calaw.html. this permit is issued. Policy# Date ei'1 ave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑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 an the property owners behalf.I have read this number are: ��9 application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# 20 xpues 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 a 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 If workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker�pensa .visions of Section 3700 the Labor Code,I sh o wi comply w ase provisions. / 3 / Will the applicant or future building occupant handle hazardous material or a Appli nt r Date X 1/ mixture containing a hazardous material equal to or greater that the amounts spe d on the Hazardous Materials Information Guide? WARNING. AILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occI the intended use of the building st the applicant orfutu reion building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require Manage enor theconstructionormodificationfrom South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7 See permitting checklist for guldelin�a' CONSTRUCTION LENDING AGENCY a Yes ; I hereby affirm that under the penalty of perjury there is a construction Will the propose Ilding or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bound96 of a school? (Section 3097 Civil Code) ❑Yes 4rlgo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the Callforni ealth&Safety Cod coon 25505 and 25534 concerning repo checkmark(s)I have placed nett to tire m hazous material e applicable Item(s) s)(Section 7031.5 es Business and Professions Code).Any city or county that requires a permit to effl Dat construct,alter,Improve,demolish or repair any structure,prior to its pR R OWNER UTHORIZED 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 Contractors 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 requiresincontractors Business and Professions Cade)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in apre-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 or through their ❑I,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( I portion of the work,and the structure is www.eoa.eov/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 p o 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. 0 No EPA Lead-Safe Certified Firm is required for this project because: D 1,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 projeq does not comply with EPA RRP rule please fill out the RRP Acknowledgement. DATE: y Z F PERMIT/PLAN CHECK NUMBE I_1-'Q J 00 TYPE: O COMMERCIAL eRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O E CTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK ` PROJECTADDRESS _ ?Z11 11vp'k W. Aft-Aw_ N`l 72�ftIP ASSESSOR'S PARCEL NUMBER 2j�'ZZ(3-�'�Y LOT TRACT OWNER NAME X "? 11VB ADDRESS PHONE � l3-y/z/RY EMAIL APPLICANT NAMMEQ/ ay�;7f � t �,I A�-� �+ C� / ADDRESS 0J V/ /wdJ"1L7 CCi'+ Aw-- o[ ` C D ! 1 /� cA fz PHONE �� �3Z EMAIL ,�i'ay(6l1(y�Y�2 5'6'd(= C-4-? CONTRACTOR'S NAME ew J)o/ 5/,✓tom/ OWNER BUILDER? O YES 990' BUSINESS NAME ADDRESS Z� I� 2//S jc 5UI4e /10 *22 .,4,tVYr`I�� C��1ZZ PHONE g `b J} T EMAIL a � 6ta`�- �C: tGf� CONTRACTOR'S STATE LIC NUMBER q53 LICENSE CLASSIFICATION VALUATION$ 3Z D® D FT O'er L SQ FTT�' APPLICANT'S SIGN R. = ' DATE CITYSTAFF USE ONLYL___� DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE Lo g6l4g SMIP GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE## NOTARIZED LETTER O YES O NO City Of Aeniiee; Building & Safety Dept. SEP 2 5 2017