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PMT18-03274 City of Menifee Permit No.: PMT18-03274 29714 HAUN RD, Type: Residential Electrical MENIFEE, CA92586 MENIFEE MENIFEE Date Issued: 0 7/0 512 01 8 PERMIT Site Address: 29844 BEREA RD, MENIFEE, CA 92584 Parcel Number: 339-284-024 Construction Cost: $34,650.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR - 9.9KW, 36 MODULES AND 1 INVERTER Work: Owner Contractor DANIEL TREPANIER BRIGHT PLANET SOLAR INC 29844 BEREA ROAD 5 A STREET MENIFEE, CA 92584 AUBURN, MA 01581 Applicant Phone: 8889974469 BRIGHT PLANET SOLAR INC License Number: 1020761 5 A STREET AUBURN,CA Phone: 8889974469 Fee Description OQt Amount lEl 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 5.00 General Plan Maintenance Fee-Electrical 1 12.60 $427.67 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 Buifding 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 i Jr-ehd2 - - ` 2.— CITY OF MENIFEE LICENSED DECLARATION �rtght Plan 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 contractors)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 effect. '7/,, the following reason: License Class UcenseN {116� By my signature below i acknowledge that,except for my personal residence Expires 11 30 Signatur 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 In 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 7D44 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 or the Labor Code,for the performance of work for which svww.leeinfo.ca.eav/calaw.html. this permit is issued. � /-�� 6 Policy# '1 Iklx Lc4"L Date ❑I have and will maintain workers compensation 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 my signature below I certify to each of the follovdng:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this numberare: application and the information I have provided is correct.I agree to comply Carrier L,p 1'N p with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Q«OIL(2a14 Expires 12 Jr- `Q- enter the above identifie perty for inspection purposes. (This section need not to be completed is the permit is for one-hundred Oa[e !Y t� dollars($100)or less OPER O W HER ORA THORIZED AGENT o l 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 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 37DO of the Labor Code,Ishall rthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or A lica t No nLG/�/2Q�- Date J l� mixture containing a hazardous material equal to or greater that the pp `-� amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS l-rffes 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($100,0001,IN occupant require apermit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management Oistrict cons(SCtionor See permitting from IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY phes D 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 Civil Code) p-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 Contractors Ucense Law for the reason(s)indicated below by the California Health&Safety Code,Section 255115 and 2SS34 concerning checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 hazardous material reportfnpG�A7 N_o' Business and Professions Code).Any city or county that requires a permit to ez � 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(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 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 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( 1 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 a ctAn 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: o 1,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 rill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION +Menifee DATE: 4 11Ck PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL MULTI-FAMILY O MOBILE HOME 0 POOL/SPA SIGN SUBTYPE: 0 ADDITION :�,ALTERATION C DEMOLITION Q ELECTRICAL MECHANICAL NEW O PLUMBING RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS Zq�>�4Y�� ZIP ASSESSOR'S PARCEL NUMBER1•2�i1� .02y LOT TRACT OWNER NAME��//�� '' `` ADDRESS p��l 4 kj PHONE EMAIL BrendaL@BrightPlanetSolar-com APPLICANT NAME Brenda Lopez ADDRESS 7706 Trade st Suite A San Diego CA 92121 PHONE (619) 721-2660 EMAIL BrendaL@BrightPlanetSolar.com CONTRACTOR'S NAME Bright Planet Solar OWNER BUILDER? O YES *NO BUSINESS NAME Bright Planet Solar ADDRESS 5 A st Auburn MA 01501 PHONE (888)997-4469 EMAIL CONTRACTOR'S STATE LIC NUMBER 1020761 LICENSE CLASSIFICATION G-10 VALUATION$ y I SQ L SO FT APPLICANTS SIGNATURE _ ^ DATE L't' )-q I DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE 2 , �Q� SMIP GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED OYES 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.cityofimenifee.us City of Menifee Building Dept. JUN 2 9 2018 Received