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PMT18-05609 City of Menifee Permit No.: PMT18-05609 29714 HAUN RD. Type: Residential Electrical MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 01/03/2019 PERMIT Site Address: 28891 BRADLEY RD, MENIFEE, CA Parcel Number: 337-391-026 92586 Construction Cost: $15,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED SOLAR SYSTEM, 12 PANELS, 12 MICROINVERTERS, 3.54 KW Work: Owner Contractor RONALD HIGHSMITH SUNLIGHT SOLAR INC 28891 BRADLEY ROAD 1300 N JOHNON DR SUITE 104 MENIFEE, CA 92586 SUITE 205 Applicant Phone: 8585648032 VIC LUNA License Number: 997589 SUNLIGHT SOLAR INC 1300 N JOHNON DR SUITE 104 EL CAJON, CA 92020 Fee Description Qtz Amount($) Solar, Residential or Small Commercial JWE 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 86 85.70 Additional Plan Review Building 171 171.14 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee- Electrical 1 12.60 $551.44 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. O/ the following reason: License Class GL'7 Lfc se No. / By my signature below I acknowledge that,except for m g g p y personal residence Expires Signature futth 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 COM EN5ATIOAI OECLARA710N 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.leeinfo.ca.gov caiaw.html. this permit is issued. - Policy# Date ❑I have and will maintain workers 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:I am the property this permit is issued.My workers compensation insurance carrier 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 �� ,�6}/tf with all applicable city and county ordinances and state laws relating to 1 I/ buIII, constr ction.I authorize representatives of this city or county to Policy# 1 � 5751 C� Expires �. en r t77, ve ide tified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date r dollars{$100}or less PR RTY ER OR AUTHORIZED AGENT decertify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensati laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the war er s mpensaVon provisions of Section 3700 of the Labor Code,I shall fo w' mply ith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? LU WARNING:FA RE 61, URE WORKER'S COMPENSATION COVERAGE IS a Yes erN'o UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES i Will the intended use of the building by the applicant or or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construct modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC ion r See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideline CONSTRUCTION LENDING AGENCY [3 Yes �fa 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 "Wr— 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 California a th&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ha ?C3 t ial reporti Business and Professions Code).Any city or county that requires a permit to l s / ` Dateconstruct,alter,improve,demolish or repair any structure,prior to its PROPEN 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 IRRP 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 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.eovllead 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 ❑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: ❑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 11 — MEMIFEE DATE: zv Z �[ PERMIT/PLAN CHECK NUMBER �P GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: COMMERCIAL RESIDENTIAL MULTI-FAMILY ::: MOBILE HOME C POOL/SPA SIGN SUBTYPE: ADDITION 1D ALTERATION :::: DEMOLITION ELECTRICAL MECHANICAL NEW PLUMBING RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK / 1 5 v '/c'w �- OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES 0 NO PROJECT ADDRESS ,22L26 ZIP ASSESSOR'S PARCEL NUMBER L.p LOT TRACT e ty of Menifee OWNER NAME1-116-171_swlz�1-4 levlw Building Dept. ADDRESS 2' 018 PHONE � � �� EMAIL ^Q \gyp APPLICANT NAME ADDRESS PHONE _ 6145-!/ 1� `� EMAIL [�(�fU'7 � �- o� �`► CONTRACTOR'S NAME (��(�! /�� OWNER BUILDER? YES 0 NO BUSINESSNAME AZ ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER _I!LZ5r � LICENSE CLASSIFICATION 7 r l I VALUATION$ � SQ FT L SQ FT APPLICANT'S SIGNATURE. DATE G ;J CITY STAFF USE• DEPARTMENT DISTRIBUTION ACCEPTED BY: n „� CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL a('u, �O GREEN I - SMIP 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.cityofmenifee.us iENIF