Loading...
PMT14-00998 City Of Menifee Permit No.: PMT14-00998 29714 HAUN RD. VELA-* MENIFEE, CA 92586 Type: Residential Electrical cvrn ,u ax`""" MENIFEE Date Issued: OS/02/2014 PERMIT Site Address: 29788 TIERRA SHORES LN, MENIFEE, Parcel Number: 340-500-010 CA 92584 Construction Cost: $500.00 Existing Use: Proposed Use: Description of ADD PV LOAD CENTER 100 AMP Work: Owner Contractor MARY&DAVID BILLINGS AMERICAN SOLAR DIRECT INC 29788 TIERRA SHORES LANE 11766 WILSHIRE BLVD STE 500 MENIFEE, CA 92584 LOS ANGELES, CA 90025 Applicant Phone: 4242146700 AMERICAN SOLAR DIRECT INC License Number: 941069 11766 WILSHIRE BLVD STE 500 LOS ANGELES, CA 90025 Fee Description _ t3.yt Amount S'ervices,Sw,tfchboSrds,Control Centers&Penels 9 116,;pp Bwlding Permit Issuance 1 27.00 GREEN FEE 1 100 $144,00 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 thereunderwhen 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,orwhere 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 I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class C(b 01 License y(G� who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: _ I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the VI have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http'//www.IeciinfQ.m.gov/mIaw.htmI. permit is issued.My workers'compensation insurance carrier and policy number are: Property caner or Authorized Agent Date Carrier ( � d�r�l hCt Expires Policy# - '�. IA � L'Q ffy my Signature below, I certify to each of the following: I am the property hJ Name of Agent ,-4X Co-t J"x.�lfi Phone# / / 7 O owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply (This section need not be completed if the permit is for one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize represen Ives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I id I i erty for the Re on ur $as. /, shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor o Owner or ulho ized Agent Date Code,I shall forthwith comply with those provisions. City Business License# Date; Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES OCCUPANT HANDLE A HAZARDOUS MATERIALORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? 1 hereby affirm that under the penalty of perjury there is a construction lending agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES OWNER BUILDER DECLARATIONS PRINT NAME: I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION ECTIOUS N 25505RIALifE5533 GD 25534 CONCERNING HAZAR❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; X The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCKNo: Permit No: City of Menifee 6 29714 Haun Road Building & Safety Dept — O Date: ate5 Menifee, CA 92586 MAY 01 2014 Amount Amount: Phone: (951)672-6777 Fax:(951)679-3843 Received Ck#. Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: PlanningCase: F: L: Rl: R: Property d s �. Assessor's P I Number. ��e�` h b 6D6 O Project/Tenant Name: Unit#: Floor#: Name: r�1 Ph ne o. a Jrd !J,- �/y h -r�[/d - Fax No. _ Property Address: - Owner Unit Number Zip Co Email Address: Name: /L/ Ir/ Pf, 78"' qr� Fax No. P f-f-�/,1 Applicant Addre U o Unit Number 0 t Zip C Nt . it f Email Address: ( LAddresz;: e: -!1` . L. J� i cL L Phone No. Fax No. Contractar -t ��t° 7 State Zip' e 2-i 4rs / / 7actor's Cry Business tense o. Contractor's City Slate o/Calif i License No. r7 r Classification:G Number of Squares: Square Footage G'o Description of Work: h Applicant's Signature V Date: _ mpleted By y Sta Onl - - - ,_ - Intlicate As R-Received or N/A-Not Applicable 7 Campletzs-seLs'bf Cully dimensianed,draWnlo sale plans which include: 1 set of documen6 which include ❑ Title Sheet ❑ Elevations ❑ Electdcal Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on a''/.x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition` Means/Alethads Work Type: Repair' Retrofit` Revision to EXlsting Pemtif Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: d Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate it Indicate allNGeo-tech.Haz-Zone At Project Construction Spdnklered YESorNO that apply: Coastal Zone Completion: Type(s): C Of 0 YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commis, Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fez Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Spacial Case:Bld,. nfidaiA pmval Expedite Project(,): Child Care City Project Green Building Landmark I Affordable Housing For Staff Use Only Building/Safety IPermit Specialist City Planning I Civil Ergineenng I EPWM-Admin Transporialion Mgml. ftenl Cpnfml THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY