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PMT18-02517 City of Menifee Permit No.: PMT18-02517 29714 HAUN RD. �CCELl74. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 05/29/2018 PERMIT Site Address: 28762 ERIDANUS DR, MENIFEE, CA Parcel Number: 339-352-028 92586 Construction Cost: $29,500.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM,26 MODULES, 1 INVERTER, 7.67kW Work: Owner Contractor ROBERT PEREZ COMPLETE SOLAR INC 28762 ERIDANUS DR 1850 GATEWAY DRIVE SUITE 450 MENIFEE, CA 92586 SAN MATEO, CA 94404 Applicant Phone:8772994943 SARAH PRADO License Number: 961988 COMPLETE SOLAR INC 1850 GATEWAY DRIVE SUITE 450 SAN MATEO, CA 94404 Fee Description Cry Amount f$1 Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 129 129.07 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $426.67 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_Permit 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 o I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and ffe(ctrs ('{ the following reason: License lass ic -` �`� ) License. o (i `l. , 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 WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 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.le info.a. o�v w.html. C Policy 11 t y Date o I have and will maintain worker's 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this numb application and the information I have provided is correct.I agree to comply Carder' with all applicable city and county ordinances and state laws relating to Of�� Building construction.I authorize representatives of this city or county to Policy ` Expires — erthhe('aQb�o/v�e identifierdyR'r(oplerty for inspection purposes.` (This section need not to be completed is the permit is for one-hundred ( j w"v L Date - I I! dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑1 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 N worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I sh4fi,farthwith`co, lywth th se provisi Will the applicant or future building occupant handle hazardous material or ons. Applicant IGt1 \ I,QY) (- � J--`S 1� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE W RKER'S C MPENSATION COVERAGE IS O Yes o No UNLAWFUL,AND SHALL SUB1ECf 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 Districtconstruction See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airlines Qua CONSTRUCTION LENDING AGENCY DYes oNo 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 agencyfor the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) D Yes D No 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 under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable Items)(Section 7031.5 h ous material reporting.Business and Professions Code).Any city or county that requires a permit to r s o In n Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENTissuance,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(RRPI License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contactors Business and Professions Code)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 orchildcarenfor moy to st eork thatdisubspaied firms nicomplywith than Applicant fora permit subjects the applicant toacivil penalty of not mare required practices.This includes rental propertyownenand property than($500). managers who do the paint-disturbing work themselves orthrough their o 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( )all of or( )portion of the work,and the structure is www.epa.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 Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovatorwill he 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. o No EPA Lead-Safe Certified Firm is required for this project bemuse: o I,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. via DATE: PERMIT/PLAN CHECK NUMBER —o,;?_5 TYPE: 0 COMMERCIAL RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN SUBTYPE: C,ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL C> MECHA ICAL 0 NEW PLUMBING 0 RE-ROOF NUMBER OF SQUARES c 7 a DESCRIPTION OF WORK w m `0 ►� ides h eoe1Y ` o Ian ul uDbir�au PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT ��,/ TRACT V a OWNER NAME V AID ADDRESS lQ a II ^ `r S r. PHONE G� �— y'lll— -1 q a`J EMAIL APPLICANTNQA rME � b ADDRESS �U� ' yl PHONE ( �Q ;�L EMAIL CONTRACTOR'S NAME Cf OWNER BUILDER? G YES NO BUSINESS NAME ADDRESS 1 l� _ l� Q� PHONE II EMAIL CONTRACTOR'S STATE LIC NUU-MBBE(RR q\Q� LICENSE CLASSIFICATION - VALUATION$ 7�IJ�IJ/�(� SQ FT L SQ FT APPLICANT'S SIGNATURE '1.IV \Vl�'n` . DATE i DEPARTMENT DISTRIBUTION ..ACCEPTED CITV OF MENIFEE BUSINESS LICENSE NUMBER BY: BUILDING PLANNING ENGINEERING FIRE PERMIT FEE �� (per SKIP r GREEN. FOWNER CHECK FEE INVOICE TOTAL BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED.LETTER 0 YES 0 NO City of h?enifee Building& Sofety Deportment 29714 HaUn Rd. IV;enifee,CA 92586 951-672-6777 www.0yofinenifee.us