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PMT18-04345 City of Menifee Permit No.: PMT18-04345 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 0 910 712 01 8 PERMIT Site Address: 27858 SENECA CT,MENIFEE,CA 92585 Parcel Number: 333-731-014 Construction Cost: $19,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM WITH 28 PANELS, 1 INVERTER, 8.54 KW Work: Owner Contractor JAMIELYNN ALFTER RAYKER INC 27858 SENECA COURT 3130 WILSHIRE BLVD STE 200 MENIFEE, CA 92585 SANTA MONICA, CA 90403 Applicant Phone:3104777686 RAYKER INC License Number: 1018241 3130 WILSHIRE BLVD STE 200 SANTA MONICA,CA 90403 Phone:3104777686 Fee Description gtv Amount I$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 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_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 contractar(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: License Class e — o License No. J T By my signature below I acknowledge that,except for my personal residence Expires W105 Signature in which 1 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 ❑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 following website: by Section 3700 of the Labor Code,for the performance of work for which WWW.Iepinfo.ca.gov/calaw.html.permit is issued. Polity g Date ❑I have 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 ❑By my signature below I certify to each of the following:)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 behalf.I have read this numberare: 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 building construction.I authorize representatives of this city or county to Policy K Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ,$Lcertlfythat in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to became subject to the CITY BUSINESS LICENSE g worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the worker's 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 ApplicantLL e27�c �,��Date 6 l amoure nts specified o hazardous material Ma equal In or abate that the /�— amounts specified on the Hazardous Materials Information Guide? WARNI :FAILtdG URE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes dNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN WIII the intended use of the building by the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY o Yes & I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the lending agency for the performance of the work which this permit is issued outer bou dary of a school? (Section 3097 Civil Code) ❑Yes 7No 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 License Law for the reason(s)indicated below by the Califomia Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to r es a /��/ 1/- 4 Date l0 construct,alter,r,quiresheeplicansh ofrthe any structure,signets its RTY OWNER OR UTH IZED 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)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 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 ❑I,as owner of the property,or my employee with wages as their sale 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.epa.gov/!ead 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-Buitder will have the burden of proving that it was not built or improved for the purpose of sale. ❑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 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER O 'J PLANNING CASE NUMBER TYPE: O COMMERCIAL "RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION kELECTRICAL OMECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK G.Jradef, In cLn A PROJECiADDRE55 ,s8 ZIP ASSESSOR'S PARCEL NUMBER ��", �� dI�'!" LOT TRACT OWNER NAME C qv/j „� C�hr Of Menifee 2luildhi9 uept. ADDRESS fr (/) /Y)tryij^Ce PHONE g5-J �s" 07 EMAIL 4 018 v APPLICANT NAME ADDRESS Wi L,fY� �I/GI S /+TG»�C CJ CJ PHONE CJC? LJ I EMAIL SfiY7, &L Pi /lam. CONTRACTOR'S NAME —qreenaanc, OWNER BUILDER? O YES ONO BUSINESS NAME ADDRESS Gory O O PHONE 3lG 6 EMAIL a C CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ /9j CJC)C),Crj SQ FT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION ACCEPTED BY:� CITY OF MENIFEEB SINE SLI ENSE NUMBER BUILDING PLANNING ENGINEERING FIRE b4I INVOICE TOTAL 2- le;7-• (Q 0 1 GREEN 1 SMIP ,vv OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIP