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PMT18-05449 City of Menifee Permit No.: PMT18-05449 29714 HAUN RD. Type: Residential Electrical MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 11/19/2018 PERMIT Site Address: 29920 CAMINO CRISTAL, MENIFEE, CA Parcel Number: 340-082-007 92584 Construction Cost: $24,000.00 Existing Use: Proposed Use: Description of INSTALLATION OF ROOF MOUNTED SOLAR SYSTEM, 23 PANELS, 23 MICROINVERTERS,6.030KW Work: Owner Contractor DEBRA STEINBRINK NEW DAY SOLAR 29920 CAMINO CRISTAL 23811 WASHINGTON AVE STE C110 MENIFEE, CA 92584 #224 Applicant Phone: 8554446329 ALEX CARDIEL License Number: 812958 NEW DAY SOLAR 23811 WASHINGTON AVE STE C110 #224 MURRIETA, CA 92562 Phone'. (951)970-5746 Fee Description Oty Amount 1$) Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 171 171.14 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 12.60 $467.74 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 with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of 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(N D )C,L4 b License No. t�� By my signature below I acknowledge that,except for my personal residence Expires /col l Signature in which I must have resided for at least one year prior 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 ❑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.leginfo.ca.gov/calaw.html. this permit is issued. Policy# 6kt a,_�� Date have and will maintain worker's OWNER OR AUTHORIZED AGENT compensation insurance,as required by / section 3700 of the Labor Code,for the performance of the work for which Jy my signature below I 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 owners behalf.I have read this number are: f application and the information I have provided is correct.I agree to comply Carrier- c—'�f Yt�2Y1� ip}J �VZYXY�c YJ f1� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# �,3��,0 Expires /�/1 enter he ataQve identified property for inspection purposes. p� (This section need not to be completed is the permit is for one-hundred I bate O dollars($100)or less RO RTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, cS ((rr I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# -1 �� worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the orker's compensation provisions of Section 3700 of the Labor Code,I shall fi0hwt h comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant. Date 2 mixture containing a hazardous material equal to or greater that the amounts s ecified on the Hazardous Materials Information Guide. WARNING:FA LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes IN- 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 guidelines CONSTRUCTION LENDING AGENCY ❑Yes stV0 1 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 bou dary of a school? (Section 3097 Civil Code) ❑Yes s1No 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the Tardous mate (al reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OW 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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($500). managers who do the paint-disturbing work themselves or through their o 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑11 as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Al (T 0 o fps pp� Acknowledgement. A 2 fP n✓_-0 Q a Y 1.ra a s '$��`irfdt I/ . �:P9 14 BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION . DATE: 11 S/1 PERMIT/PLAN CHECK NUMBER M� I ^ O GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: 0. COMMERCIAL ® RESIDENTIAL E)MULTI-FAMILY © MOBILE HOME 0 POOL/SPA Q SIGN SUBTYPE: QADDITION ®ALTERATION Q DEMOLITION ® ELECTRICAL © MECHANICAL [&NEW ®PLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK F 6030 �W Pre— / OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLLEERS©YES ONO PROJECTADDRESS 161 Ga I'1.() l��•�1(y�,(10 C��S['(�ft_ ,YYI�I\�L ZIP 1 S� ASSESSOR'S PARCEL NUMBER 3`lO'O8)-- 007 LOT TRACT fee OWNER NAME �G �A S -�Yl jsl•^11t� City O Dept. t. ADDRESS 199 MEy1)Fe_' C.*\ PHONE 151 • SOS - 7951 EMAIL APPLICANT NAME C)A IOIC-'� _ Received ADDRESS ,0Xv-, CAb Z'Z`l MvQ -tom 6f� q�5� PHONE �Oj�, -11�. ]� { EMAIL J�30U�tN. C 3YNA— CONTRACTOR'S NAME i.� SCjLt OWNER BUILDER? ®YES NO BUSINESS NAME ADDRESS �.3��'� �t�)(�'bN�flL�.'ti► ` �1v�• Sc��c16 CJp ZZ�-I M LS Io PHONE 25S . LJ�i--) ,�'3��( EMAIL �1 CONTRACTOR'S STATE LIC NUMBER �j11�S p LICENSE CLASSIFICATION VALUATION $ �`I ��•6� SQ FT L SQ FT APPLICANT'S SIGNATURE,--- DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: ' ` � A CITY OF,MEN fEE�IN-ESS ENSE NUMBER BUILDING PLANNING ENGINEERING FIRE � INVOICE TOTAL 2 7 (0 . (00 GREEN I SMIP QO OWNER BUILDER VERIFIED YES NO DRIVERS LICENSE# NOTARIZED LETTER YES NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us NIF