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PMT18-03746 City of Menifee Permit No.: PMT18-03746 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 07/31/2018 PERMIT Site Address: 32180 LINDENBERGER RD, MENIFEE, Parcel Number: 372-170-015 CA 92584 Construction Cost: $2,500.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 200AI225A BUSS Work: Owner Contractor JOHN&BOBBI ALLEN SUNPRO SOLAR INC 32180 LINDENBERGER ROAD 34859 FREDRICK STREET STE 101 MENIFEE,CA 92584 WILDOMAR, CA 92595 Applicant Phone:9516787733 BOB KORNMANN License Number:830451 SUNPRO SOLAR INC 34859 FREDRICK STREET STE 101 VALDOMAR, CA 92595 Fee Description 01t r Amount!$1 Services,Switchboards, Control Centers&Panels 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 5.80 $149.80 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 sift months,shall expire,and fees paid shall be forfeited. AA_Bldg_PermH_Template.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjurythat 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 licensure under the Contractor's State License law for Professions Code and my license Is In full force and effect. the following reason: Ucense Class 6-1d License No. g3G t(S By my signature below I acknowledge that,except for my personal residence Pires_ ignature 9`--- ��— in which lmust have resided for at least one year prior rocompletion 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 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 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 fallowing website: by Section 370D of the Labor Code,for the performance of work for which this permit is Issued. www.leginfo.ca goy/wlaw.html. Policy# Date of-h;ve and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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 workers rompensation insurance carrier and policy owner or authorized to act an the property owner's behalf.I have read this number are: application and the information I have provided Is correct.I agree to comply Carrier . _ with all applicable city and county ordinances and state laws relating to Q building construction.I authorize representatives of this city or county to Policy ��.S� JSa-)'y Expires enter the above Identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($1ODI or less Date 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# workers compensation laws of Califomia,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 /« lC I Date 7-,98-17 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 IS aYes olNo 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($100,000),IN acoupant require permit for the construction ormadificationfrom South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMDI?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY 0Yes ErKo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes O-No OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable ttem(s)(Section 7031.5 hhaz�crdouu aterlal reporting. Business and Professions Code).Any city or county that requires a permit to - - -"- pp construct,alter,improve,demolish or repair any structure,prior to its / Date f-d8-12 issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she Is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING JRRP) License Law(Chapter 9(commenctng with Section 7000)of Division 3 of theBus The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the and Professions alleged Code)exemption. .Anye or violation is on of S from 7031.5 b receiving rompensation for most work that disturbs paint in a pre-1978 andthecastsor a peallegedexemption.Anyvtotoaci of Section of not o residence or childcare facility to be RRP-certified firms and comply with than n($SOApplican[fora permit subjects the appllcan[toacivil penalty of not more required practices.This includes rental pmperty owners and property than($SOD). managers who do the paint-disturbing work themselves or through their o1,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( I all of or( I 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-BOD-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of oAn EPA Lead-Safe Certified Renovator will he 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 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 Ucense 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 CHECI< APPLICATION MENIFEE DATE: 7- 3 PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL MRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION +ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK cc WL a a;n PROJECTADDRESS 3 IX I�O p.., I �p n , ROJ ZIP G� 5 ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME s (� Bui 0 � � �b+ � /1 uildin Dept. ADDRESS O PHONE S� — C.� �1... /S� EMAIL APPLICANTNAME �J o ` / G id- ADDRESS bS Q CIC.(L Jt. + O ya PHONE y�/' � — S-yC) EMAIL /1/�'l�i'7�J SUei r0 -SO ..0 (i> CONTRACTOR'S NAME S U,7 f J(3 c4r- OWNER BUILDER? O YES Z-146 BUSINESS NAME Pit E[`4, ADDRESS `J rCl! le- S PHONE J `s�/ (jX EMAIL Su /'0 -S6I4: CQM CONTRACTOR'S STATE LIIC�NUlIMBER e3c)!S A / LICENSE CLASSIFICATION VALUATION$ ��7 Ov SQ FT L SQ FT APPLICANT'S SIGNATURE_ DATE_ CITYS'rAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL GREEN SMIP X OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE 7t NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us hi ENIF 71