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PMT18-02664 City of Menifee Permit No.: PMT18-02664 Mir 29714 HAUN RD. Type: Residential Electrical MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 06/2612018 PERMIT Site Address: 31877 HARDEN ST, MENIFEE, CA 92584 Parcel Number: 360-580-032 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INSTALL NEW ROOF MOUNTED PV SYSTEM,9.72 KW-27 MODULE 1 INVERTER Work: Owner Contractor GOLDWYN&MISTY ESTRELLA NB BAKER ELECTRIC INC 31877 HARDEN STREET 2140 ENTERPRISE STREET MENIFEE,CA 92584 ESCONDIDO, CA 92029 Applicant Phone:7605466091 NB BAKER ELECTRIC INC License Number:858088 2140 ENTERPRISE STREET ESCONDIDO,CA 92029 Phone:7605466091 Fee Description Oty Amount ISI Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 65 64.55 Additional Plan Review Building 129 129.07 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $489.22 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_Permil 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 a am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full farce and effect the following reason: License Cllaass 00 -I'- C'lC License No. S 590fry By mysignature below l acknowledge that,except for my personal residence Expires_!'3 j- /1 Signature in which l 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 o I hereby affirm under penalty of perjury one of the following declarations:l 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.eov/alaw.html. Policy# Date I have and will maintain worker's compensa Lion insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By mysignature below Ice rtify 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 number are: ,pO \ application and the information I have provided is correct,I agree to comply Carrier U�� `>V.n�.y� � I_ nS -a with all applicable city and county ordinances and state laws relating to Policy# VIWG }pcj �-(,L -}-�_/Q� building construction.l authorize representatives of this city or county to Expires enter the above identified property for Inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT O l certify that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to became 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 shaillo4hyith comply with those provisions. �s Z Will the applicant or future building occupant handle hazardous material or Applicant rJ")/ Date mixture containing a hazardous material equal to or greater that the amounts spey'fled on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes p14o 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 requires permit for the construction or modification from South IN SECTIODITION N 306 OF THE LABOR CODE,INTERDAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060�THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin}}s' CONSTRUCTION LENDING AGENCY 0 Yes La7No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the _ lending agencyfor the performance of the work which this permit is issued outer bou0dary of a school? (Section 3097 Civil Code) o Yes ti No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l 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 item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to W-1 O No — n construct,alter,Improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTH15RIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter9(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 TheEPARiving oovatiotionfoi most Painting paint incontracto and the basis for the alleged exemption.Any violation of Section 7031.5 by recresidence compeor nsation nforre mosty to work thatdiitued rirmsindromplywith than Applicant for a permit subjects the applicant too civil penalty of not more required practices.This includes rental property owners and property than($500). r p rty managers who do the paint-disturbing work themselves or through their 01,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.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 Contractor's State License Law does not apply to an owner of OAn EPA Lead-Safe Certified Renovator will he responsible forthisproject 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 because: 0 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.