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PMT18-06055 City of Menifee Permit No.: PMT18-06055 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 12/28/2018 PERMIT Site Address: 27198 TRAN CT, MENIFEE, CA 92585 Parcel Number: 331-461-021 Construction Cost: $18,000.00 Existing Use: Proposed Use: Description of INSTALLATION OF ROOF MOUNTED SOLAR SYSTEM, 20 PANELS, 20 MICROINVERTERS, 6KW Work: Owner Contractor TYE AND SARA NIELSEN SOLARMAX RENEWABLE ENERGY PROVIDER INC 27198 TRAN CT 3080 12TH STREET MENIFEE, CA 92585 RIVERSIDE, CA 92507 Applicant Phone: 9513000788 JOSH POGUE License Number: 972048 SOLARMAX RENEWABLE ENERGY PROVIDER INC 3080 12TH STREET RIVERSIDE, CA 92507 Phone: (951)300-0773 Fee Description Qty_ AnIQUIlt(Q 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 3.00 General Plan Maintenance Fee-Electrical 1 12.60 $466.74 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 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 Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class z � —L 72-01L8 �L't(') Livens By my signature below I acknowledge that,except for my personal residence Expires ql�* —b Signatur in which I musthave resided forat least one year prior to completion of improvements covered bythis permit.I cannot legallysell 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 ofthe following declarations:I licensed contractors.I understand that a copy ofthe applicable law,Section have and will maintain a certificate of consent of self-insure forworker's 7044 oFthe 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 this permit is issued. +yany.leginFo.ca;go�calaw.hnnl. Policy N Date ra 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 ofthe work for which o By my signature below t certify to each of the follov+irng:l 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 number are: application and the information I have provided Iseoirect.I agree tti comply with all applicable city and county ordinances and state laws relating to Carrier + building construction.I authorize representatives of this city or county to Policy It 967 6`313 IL.6 Expires f (q 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 o I certify that in the performance ofthe work for which this permit is issued, I shall not rmphr)y any persons in any mannerso as to become subject to the CITY BUSINESS LICENSE 11 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compernsation provisions of Section 3700 of the Labor Code,I shall forthwi y y with those provisions. + Will the applicant or Future building occupant handle hazardous material or a Applicant_r_ Date /IZ/ ) mixture containinga hazardous material equal toorgreaterthatthe amounts sppified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes dNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use ofthe 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 far guidelin5es- CONSTRUCTION LENDING AGENCY iu yes A40 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 Feet ofthe lending agency for the performance ofthe work which this permit is issued outer boun�dary of a school? (Section 3097 Civil Code) o Yes ;Z 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 Contractors License Law For the reason(s)indicated below by the h d checkmark(s)I have placed next to the applicable item a aus materials)(Section 7031.5 � g r Business and Professions Code).Any city or county that requires a permit to tomes oft construct,alter,improve,demolish or repair any structure,prior to its Date PER OWNER 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 ofthe Contractor's State EPA RENOVATION,REPAIR AND PAINTING{ggp} 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 Iicensure 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 forms 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 workthemselves or through their ❑1,as owner ofthe 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 ofthe work,and the structure is www.eoa.govllead or contact the National Lead Information Center at not intended or offered forsale.(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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project propertywho,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 ofthe 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 Acknowledgement.