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PMT18-02999 City of Menifee Permit No.: PMT18-02999 29714 HAUN RD. Alf Air ff MENIFEE, CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 06121/2018 PERMIT Site Address: 29914 PEBBLE BEACH DR, MENIFEE, Parcel Number: 336-133-007 CA 92586 Construction Cost: $25.000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED 5.90KW SOLAR SYSTEM WITH 20 MODULES AND 1 INVERTER Work: Owner Contractor ROBERT KESSLER COMPLETE SOLAR INC 29914 PEBBLE BEACH DRIVE 1850 GATEWAY DRIVE SUITE 450 MENIFEE, CA 92586 SAN MATEO, CA 94404 Applicant Phone:8772994943 1850 GATEWAY DRIVE SUITE 450 License Number.961988 SAN MATEO, CA 94404 Phone:8772994943 Fee Description OQt 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 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $425.67 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 building 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_Permft 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 lam 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 IT (ct�� ((''��•//•r�sr��t� the following reason: License ass_ License No. By my signature below I acknowledge that,except for my personal residence Expires Signature C ) in which)must have resided far atleast one year prior to completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑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 in�fo.ca.Roovv/cala w.html (� C Policy# 1 1fL r ` / Date o 1 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 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 numb .a application and the information I have provided is correct.I agree to comply Carder' 'l_. with all applicable city and county ordinances and stale laws relating to Or^�o building construction.I authorize representatives of this city or county to Policy# kL/ 1. Expires �er�the ('a�b�ovv�e Identified property for inspection purposes.` (This section need not to be completed is the permit is for one-hundred ( AN lWy L t U t V/c-\� Date - I 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 It 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 sh rthwithh 1co, lyw'thth seprovisic Will the applicant or future building occupant handle hazardous material or Applicant 'f7�i \ CDC e �—�S�� 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'SC MPENSATION COVERAGE IS OYes oNo 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)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelfnes CONSTRUCTION LENDING AGENCY oYes 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 agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes oNo 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 h dous ma terial reporting. p checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s o 1` 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 ORA THORI7ED 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)orthat 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 firths 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 a1,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.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 Contractor's State License Law does not apply to an owner of a 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. D 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 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. BUILDING & SAFETY PERMIT/PLAN CHECK A. • • IY �a'• 'Menifee DATE: 06/15/18 PERMIT/PLAN CHECK NUMBER ` TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Installation Of a 5.9OkW photovoltaic roof top solar system. PROJECTADDRESS 299142 Pebble ^ Beach Dr., Menifee, CA ZIP 92586 ASSESSOR'S PARCEL NUMBER 5 W a 133'VCL T TRACT OWNER NAME Robert Kessler ADDRESS 29914 Pebble Beach Drive, Menifee, CA 92586 PHONE 951-609-5414 EMAIL Permits@completesolar.com APPLICANT NAME ADDRESS 1850 Gateway Drive, Suite 456, San Mateo, CA 94404 PHONE 650.263.8984 EMAIL permits@completesolar.com CONTRACTOR'S NAME Complete Solar OWNER BUILDER? O YES O NO e�A BUSINESS NAME o`M Bpi• ADDRESS 1850 Gateway Drive, Suite 450, San Mateo, CA 94404 ®u��A� , o PHONE 650.263.8984 EMAIL Permits@cwmpletesolar.cwm '\ ' CONTRACTOR'S STATE LIC NUMBER 961988 LICENSE CLASSIFICATION C-10 ea .T VALUATION$ Z s� 0 00 / SQ FT L SO FT APPLICANT'S SIGNATURE G'"� DATE 06/15/18 CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGIN EKING FIRE ACCEPTED BY: PERMIT FEE �� . 1a 0 SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www,cityofm enifee.us