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PMT18-03460 City of Menifee Permit No.: PMT18-03460 29714 HAUN RD.11 MENIFEE,CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 0711612018 PERMIT Site Address: 29869 WARM SANDS DR, MENIFEE,CA Parcel Number: 340490-004 92584 Construction Cost: $17,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 14 PANELS, 14 MICROINVERTERS,4.20 KW Work: Owner Contractor KEVIN FOSTER INFINITY ENERGY INC 29869 WARM SANDS DRIVE 1108 TINKER ROAD STE 150 MENIFEE, CA 92584 ROCKLIN, CA 95765 Applicant Phone:8882442513 LIZZETTE JAQUEZ License Number.998627 INFINITY ENERGY INC 1108 TINKER ROAD STE 150 ROCKLIN, CA 95765 Fee Description q1t rr Amount fSl 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 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $424.67 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_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 I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7G00)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Classic C D License No. 34 By my signature below I acknowledge that,except for my personal residence Expires 19 Signature I in which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION OECIA TION rV VVimprovements 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 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.leeinfo.ca.eovycalasv html. Policy# Date dl have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AG ENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below l 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 beha If.I have read this number are: � application and the information I have provided is correct.I agree to comply Card c Carrier Ji L coin �VI� End with all applicable city and county ordinances and state laws relating to T building construction.I authorize representatives of this city or county to Policy# qly(y(y 1�1IB Expires_1111q-`1IR 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 01 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 N 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 shall torthwi It ca nply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date3 1 70 A mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNIN :FAILURETO CUREWORKER'S COMPENSATION COVERAGE 15 Dyes sf 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 for guideli s CONSTRUCTION LENDING AGENCY ❑Yes of Na 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 boon ryofa school? (Section 3097 Civil Code) o Yes 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 h rdous material reporting. chsiness and I have placed nett to the applicable that j(Section permit � o � cosinessand Professions Code).Any city repair that requires apermit to Date 31�jg construct,alter,improve,demolish for the permitru file a signeor d sta itstement t gt TV OWNE O rA HORIR�T ZED 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 IRRPI 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)exemption.that he or she is exempt from Iicensure receiving compensation for most work that disturbs paint in a pre-1978 andthebant for the allegedctsthapplican t a civil penalty of not o residence or childcare facility to be RRP-certified firms and comply with than Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or Improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. o No.EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the ARP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECI< APPLICATION MENIFEI_. DATE: 7 PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL VRESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION Q-E-CECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 900- ")"'ll{ LI,ZD l`k) (QnsIS11 q nd Iq PROIECTADDRESS 2gZbq J)nrl 5ands Ty Mfnh1 c ZIP q2.5 0 enl ee ASSESSOR'S PARCEL NUMBER (-II„ 0 • ,{ LOT TRACTEluilding Dept. OWNER NAME 14tVin ADDRESS Zq$o (A)QfM n PHONE f gS).)217 S - 03cl5 EMAIL ' eceive APPLICANT NAME liue+k Aun ADDRESS Z U YRiVeMkI Z PHONE (g5l)b4o -CIU-]Z, EMAIL I B' CONTRACTOR'S NAME 1 OWNER BUILDER? O YES `N BUSINESS NAME R ADDRESS «Z 6 V�Qt� l-V2S Y A r f& C qM-7 PHONE (`n 5i)(yg0_q& qz EMAIL CONTRACTOR'S STATE LIC NUMBER gG($(QZ I LICENSE CLASSIFICATION Q O p VALUATION$ ) 7, SOFT 210 LSQFT 1 APPLICANT'S SIGNATURE ,� DATE -7 I �� / • DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN �- SMIP 3- OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building & Safety Department 129714 HaUn Rd., Menifee, CA 92586 (951)672-6777 www.cityofineni fee.us 4AENI elc QPOFESS1p�9 E. w U C 366 m CC F f CAUF�. r '%✓1J 'I �rJl—Grizyr✓� I City of Menifee Building Depf. JUL 12 2018 QO� G1y C�ic� Received b/-, CI T M (jI EE AVETY ARTMENT PLAN APPROVAL REVIEWED B �. "� l e DATE 'Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion.