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PMT18-03994 City of Menifee Permit No.: PMTIB-03994 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Electrical A& MENIFEE MENIFEE Date Issued: 08/23/2018 PERMIT Site Address: 26416 TANGLEWOOD DR, MENIFEE, CA Parcel Number: 337-201-009 92586 Construction Cost: $16,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR PV SYSTEM 15 MODULES, 15 MICRO-INVERTERS 3.933kW Work: Owner Contractor RON&EMMA OLSEN NEW DAY SOLAR 26416 TANGLEWOOD DR 23811 WASHINGTON AVE STE C110 MENIFEE, CA 92586 #224 Applicant Phone:8554446329 ALEX CARDIEL License Number:812958 NEW DAY SOLAR 23811 WASHINGTON AVE STE C110 #224 MURRIETA, CA 92562 Fee Description City 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 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_Pennit_Templale.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 licensure under the Contractors State license Law for Professions Code and myf license is in full form and effeecc't. /� �/ the following reason: License Class�ND �G'-ib 1. se NNlo. 711 15% By my signature below l acknowledge that,except for my personal residence Expiresq/r30/) '9 Signature C(it/y`— in which l must have resided for at least one year pdor to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by a 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 workers 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 www.leginfo.ca.gay/calaw.html.permit is issued. Policy# TT. gq)� Date af have and will maintain worker PROPERTY OWNER OR AUTHORIZED AGENT s compensation insurance,as required by �� section 3700 of the Labor Code,for the performance of the work for which e.ls'y my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance arrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier c c7-S'eisy_ (_C;,fVl9en, '4'S YA �{JSVf�YXt'ti�tJYts) with all applicable city and county ordinances and slate laws relating to building construction.I authorize representatives of this city or county to Policy# Expires !z LibK enter heave identified property for inspection purposes. (This section need not to be completed Is the permit is for one-hundred (late V � )t dollars($300)or less RO RTYOWNER OR AUTHORIZED AGENT o l certify that in the performance of the work for which this permit is issued, 1 t Q 1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS UCENSE# J�'1 I workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the Workees compensation provisions of Section 3700 of the Labor Code,Ishallf hwitfi comply with those provisions, Will the applicant or future building occupant handle hazardous material or Applicant Date 2. mixture containing a hazardous material equal to or greater that the amounts sQQecifred on the Hazardous Materials Information Guide.' WARNING:FA LURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 .Yes _Z 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($100,00D),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 forguideliff��es CONSTRUCTION LENDING AGENCY .Yes e4Vo 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 boulI��dary of a school? (Section 3097 Civil Code) o Yes 30 o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the reason(s)indicated below by the California Health alSafety Code,Section 25505 and 25534 concerning �zardous mate al reporting. ms)checkmark(s)I have placed next to the applicable ite (Section 7031.5 es .No Business and Professions Code).Any city or county that requires a permit to Date �fya Ab construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWI 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 Contactors State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 a pre-1978 and the basis for the alleged exemption.Any violation of Section 7032.5 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 in 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( )all of or I )portion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7D44,Business and Professions 1-800-424-LEAD(5323). Code,The Contactors State License Law does not apply to an owner of a ciAn 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 bemuse: o I,as owner of the property am exclusively contacting with licensed - contractors to construct the project(Section 7044,Business and Professions Code:The Contactors State License Law does not apply to an owner of a If your project does not comply with EPA RRP role please fill out the RRP AvAp r C Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 'Wenifee DATE: PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESSgtjL ZIP ASSESSOR'S PARCEL NUMBER LOT A5(0 TRACT Y� OWNER NAME ADDRESS �L_ y\ Co L,.k M() Qii -iwG-vO PHONE gs'� .37n. 140ki EMAIL APPLICANT NAME P' C4-t1'Lp l G✓t, ADDRESS PHONE 55.L1L{L-j, 1012.Ck EMAIL CONTRACTOR'S NAME L.,J OWNER BUILDER? OYESili,40 If BUSINESS NAME qq `• ' c CA lb�361, `iV'I�Sc1\Y1(,,�j lam. c� \'C, C1l0 PLO %Zvk IF PHONE $Sj,yL{L4 .(o2)Z-j EMAIL %LX:6D t,.0 .9D \-YkSz. CD rv� CONTRACTOR'S STATE LIC NUMBER 0115`6 LICENSE CLASSIFICATION Clef ' t6 VALUATION$ ono. SQ FT L SO FT APPLICANT'S SIGNATURE � DATE �gll3/ l�S DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE D 0 SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us S� as