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PMT18-02744 City of Menifee Permit No.: PMT18-02744 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 06/12/2018 PERMIT Site Address: 29689 PEBBLE BEACH DR, MENIFEE, Parcel Number: 338-064-001 CA 92586 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 225A Work: Owner Contractor CHRISTOPHER ROESEN HOSOPO CORPORATION 29689 PEBBLE BEACH DRIVE 7100 WEST FLORIDA AVE MENIFEE,CA 92586 HEMET, CA 92545 Applicant Phone:9519261176 HOLLY THOMPSON License Number: 1004233 HOSOPO CORPORATION 7100 WEST FLORIDA AVE HEMET, CA 92545 Fee Description Qtv Amount($1 Services, Switchboards, Control Centers&Panels 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee- Electrical 1 5.80 $149.80 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_Templete.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 licensure under the Contractor's State License Law for Professions Code and my license is in full farce and effect. the following reason: License Class?j Li y Q License No. I d dyo�53 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 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. sysysv.leeinfo.ca.eov/calaw.html. �I Polity g ` Date �I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,for the performance of the work for which o By my signature below 1 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: r application and the information I have provided is correct.I agree to comply Carrier J�I�-I- L'Y I aTJrY.� with all applicable city and county ordinances and state lava relating to p� building construction.I authorize representatives of this city or county to PolicV11twPla/YY79r7 Ste n Expires L4-1-19 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 o I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I a rthwith comply with those provisions. Date provisions. Will the applicant or future building occupant handle hazardous material or a A li n /(YU G&UW-1 t��a�l mixture containing a hazardous material equal to or greater that the pp amounts specified an the Hazardous Materials Information Guide? WARNING.FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS in Yes o No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN WIII the intended use of the building by the applicant or future building 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 guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Cade) ❑Yes o 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 hazardous material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 oYes ❑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 OWNER OR AUTHORIZED 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 Contractor's State EPA RENOVATION,REPAIR 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 or through 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( 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 700,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 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 because: 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. w0 r IZon �I _5 L i', L HoSoPo Corporation DBA Horizon Solar Power Contractor's License 1004233 November 1, 2017 — November 1, 2018 To Whom It May Concern: HoSoPo Corporation DBA Horizon Solar Power, hereby authorizes the following employees to submit/receive permits and apply for business licenses on our company's behalf: Rory Akin Brett Dowis Daniel Luther Andre Roach Lateef Amin Heather Dowis Estaban Lara Victor Rodriguez David Andersen Mary Duntsch Jose M Lopez Ira Siegal Laura Barlow Khari Elfarrah Ryan Lopez Daniel Solis Giovanni Bejarano Mateo A Garcia Xochilt Lopez Cathy Stevens Kenny Bloedel Reyes Garcia Javier Macias Cheryl Stuart Victor Cabadas Travis Gerlach Linda Malone David Stupplebeen Christian Campisi Alan Gillett Troy Matthews Alan Suneson Aaron Cato Caryn Gower JP McArthur Holly Thompson Joanna Christopher Josefino Gutierrez Ryan McPherson Raquel Valdez Walter Cristales Jamie Hempel Diana Miller David Van Ackeren Terry Cobb Juan Heredia Derick Mills Nick Vida Jose Cortez Dale Holliday Bryant Muniz Deanna Waterbury Alisha Cosio Alyssa Juarez Robert Penfold Lori Woodward Christina Cox Susan Jukich Harshan Prewal Jonathon Yarnell Christy Cruz Leo Kirk Brita Richardson Shane Youso Frank Davis John Le Febvre Andrew Ritzman Cordially, _ Alan Gillett, Vice President of Operations Horizon Solar Power (951) 926-1176 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 4`.Ne�MN�.[yC«`.N<N.i•NaNFv•IN�PM' M+MM�'NiM.MM�(`M '.M .ch '4Yh yt - A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California� ) County of. f,1 ey`1.P P ) On I7d 201 before me, �h D+6Lr I Date Here Insert Name and Title off a Officer �11 personally appeared � 1 h Fir e_kw I c t G I 41 P A Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/ske/*ey executed the same in his/12er/t#reir authorized capacity(les),and that by his/her/Heir signature(e)on the instrument the person(s), or the entity upon behalf of which the persona)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ,.C.FONSECA commlrslon No. 2167W2 i D NOTARY PUBLIGCALIFOANIA 2S Signature 1 RIVERSIDE COk"M ignature of Notary Public My.Comm Erpint OCTOBER 13.2W Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑ General ❑Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907