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PMT18-03012 City of Menifee Permit No.: PMT18-03012 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued 06/21/2018 PERMIT Site Address: 30482 MISTY CREEK DR, MENIFEE, CA Parcel Number: 360-472-025 92584 Construction Cost: $30.000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM,20 PANELS,20 MICROINVERTERS,6.54 KW Work: Owner Contractor BARBARA ALLEN SUNPRO SOLAR INC 30482 MISTY CREEK DRIVE 34859 FREDRICK STREET STE 101 MENIFEE, CA 92584 WILDOMAR, CA 92595 Applicant Phone: 9516787733 JESSE GREEN License Number:830451 SUNPRO SOLAR INC 34859 FREDRICK STREET STE 101 WILDOMAR, CA 92595 Fee Description O_yt Amount 15) 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 carded 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). Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑1 am exempt from licensure under the Contractor's State License Law for Professions Co I'-de and my license is In full force and effect. � the following reason: License ClasX. 6 Anse /'Y SO y) By my signature below I acknowledge that,except for my personal residence Expires2-Z 1-ZO vo Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATI N 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 37G0 of the Labor Code,for the performance of work for which this permit Is issued. www.leeinfo.ca.gov/calaw.html.. Policy p Date 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 n 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 number are: 1 application and the information I have provided is correct.I agree to comply Carrier S �k� 'F�'n t1 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy p GIO S^/S rZ Expires - 2011 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 If worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the orker's compensation provisions of Section 3700 of the Labor Code,I shall f hwitIn c ly with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant ' Date f : L mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:VILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o No 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines 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 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Cwil Code) D Yes aft 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 al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable Rem(s)(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 OWN ER 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(RRPi 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 receivingcompensation for most work that disturbs and the basis for the alleged exemption.Any violation of Section 7031.5 by p paint in a comply residence or childcare facility to he 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($SOD). managers who do the paint-disturbing work themselves or through their ❑1,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.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑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. o No EPA Lead-Safe Certified Firm is required for this project because: D 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION l li ee DATE: 6 PER CHECK NUMBER TYPE: O COMMERCIAL V*RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: Qy ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 6 , 5 r V s. r3o AC- r[ odupcs lnI c ro r {/2, i "�'6ncr pm 3D PROJECTADDRESS � Da 1�-j cre o I✓_ IDC. ZIP d ASSESSOR'S PARCEL NUMBER NA-y.�•()� LOT TRACE Building Dept. OWNER NAME r bcrc` ,i1 ADDRESS C( • + PHONE Hqq g,}� ' ) I I EMAIL Received APPLICANT NAMEnll n ADDRESS 1 C C_ t • sJs > Jal O 13- aS-rJ" PHONE I [�� 7 ?j EMAIL (lG �i, rU - 5 v r. LC M CONTRACTOR'S NAME (G SCA CA r OWNER UILDERT OYES NO BUSINESS NAME �� ct r C �II�G ^ /�, ADDRESS QQY �J 2ZP (+- cl J ( - I I cA o5f PHONE 07D '� / �JJ uE`MAIL J(� II '��,. SV/1 (�`+-JGIR r. Cot4-7 CONTRACTOR'S STATE LIC NUMBER V l30 `IS LICENSE CLASSIFICATION VALUATION$ -A SQ FT (p r, L SQ FT APPLICANT'S SIGNATURE DATE 6 0' CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE 62,91. UO SMIP 4. GREEN LOWPNER CHECK FEE INVOICE TOTAL BUILDER VERIFIED 0YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO