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PMT18-03579 City of Menifee Permit No.: PMT18-03579 29714 HAUN RD. MENIFEE, CA 9258E Type: Residential Electrical MENIFEE MENIFEE Date Issued: 07/20/2018 PERMIT Site Address: 25875 BALSAM FIR CIR, MENIFEE, CA Parcel Number: 335-480-050 92585 Construction Cost $27,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 23 MODULES,23 MICROINVERTERS,7.94 kW Work: Owner Contractor ROBERT LACHASE SUNPRO SOLAR INC 25875 BALSAM FIR CIR 34859 FREDRICK STREET STE 101 MENIFEE, CA 92585 WILDOMAR, CA 92595 Applicant Phone:9516787733 JESSE GREEN License Number:830451 SUNPRO SOLAR INC 34859 FREDRICK STREET STE 101 WILDOMAR,CA 92595 Fee Description Q�l Amount($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 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 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_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). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Ilcensure under the Contractor's State License Law for Professions Code and my license is in full force and effect the following reason: License Class t"—/0 License No. 93ows By my signature below I acknowledge that,except farmy personal residence Expires F'-A 1 7 Signature in which I must have resided for at least one year priarto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder If it has not been constructed to 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 far 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 oratthe following websile: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leeinfo.ca.eav/calaw.hbnL Policy# Date �ave 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 0By mysignature below l 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 owner's behalf.I have read this numberare: ! application and the information I have provided is correct.I agree to comply Carder .l - �7+�� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy It 9b 51 Syd-1 y Expires Zl-/-I f( enter the above identified property for inspection purposes. (This section need not to be completed Is the permit is for one-hundred dollars($10D)or less Date PROPERTY OWNER OR AUTHORIZED AGENT 01 certify that in the performance of the work for which this permit Is Issued, (shall not emolov any persons In any manner so as to become subject to the CITY BUSINESS LICENSE 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 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 17-a8'17 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 DYes WQo 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 requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air quality Management District(SCtionor See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air ines Qua CONSTRUCTION LENDING AGENCY DYes ergo 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) 0 Yes CA10 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCADMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 703LS hat dour�raterlal reporting. Business and Professions Code).Any city or county that requires a permit to a4es X. / p construct,alter,improve,demolish or repair any structure,prior to Its Date Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor'sState EPA RENOVATION,REPAIR AND PAINTING(ARP) 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 Ilcensure receiving compensation for most work that disturbs pant inapre-1978 and[hebants forthemitsdects th applican.Any nt toci of penaltyion of not my residence or childcare facility to be RRP-certified Rims and comply with thanApplicant fora permit subjects the applicant toacivil penalty of not more required practices.Thistnctudes rental ro e than($500), q P p p rty owners and property 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 a bout EPA's Renovation Program visit: compensation,will do( )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 Contractors State License Law does not apply to an owner of a D 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 buift or Improved for the purpose of sale. 0 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 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.