PMT14-01902 City of Menifee Permit No.: PMT14-01902
29714 HAUN RD. Type: Residential Electrical
L ILL MENIFEE, CA 92586
MENIFEE Date Issued: 0 712 2/2 01 4
PERMIT
Site Address: 30203 VIA AMANTE, MENIFEE,CA 92585 Parcel Number: 364-104-005
Construction Cost: $1,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200 AMP
Work:
Owner Contractor
MEGAN LOPEZ LA POWER CENTER CORPORATION
30203 VIA AMANTE 9862 GLENOAKS BLVD -
MENIFEE, CA 92585 SUN VALLEY, CA 91352
Applicant Phone: 8188076527
ROBERT BAGHDASARIAN License Number: 978687
LA POWER CENTER CORPORATION
9862 GLENOAKS BLVD
SUN VALLEY, CA 91352
Phone: 8184808273
Fee Description ON Amount($1
Building Permit Issuance 1 27.00
$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 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 Templats.rpl 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 p effect. Code:The Contractor's License Law does not apply to an owner of a property
�License Class CL-License No. �-&? who builds or improves thereon, and who contracts for the projects with a
Expires 11-30—N Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
I ❑ lam exempt from licensure under the Contractors'State License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I'. 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
❑ I 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.leginf-Q.gg.gov/calaw.html.
permit is issued.1My workers'compensation insurance carrier and policy number are:
Property Owner or Authorize Agent Date
Carrier -7 Q �
Expires Z'��' Policy# -I(y O 1'�()��—ILIJ'
1x5"7,PhneK ^&5b0_O01 ` 4e my Signature below, certify to each of the following: am the property
Name of Agent on � L' Koyafer or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I h ve pr ided is correct. agree to comply
one-hundred dollars($100)or less) with all applicable city and county inanc s and state laws relating to building
constru n.I authorize r pr ant i as
of is city or county to enter the above-
El I certify that in the performance of the work for which this permit is issued,I iden' a roperty for the s ctiol ur
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 comLabe
subject to the workers'compensation provisions of Section 37 of t Property Ow er or thor a Agen Date
Code,I shall forthwith comply with those ovi ions.
Date; 7
City Business License#
�.-1�. Applicant;
WARNING: FAILURE TO SE E WORK R 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, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending
INFORMATION GUIDE?
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
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(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 OYES 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
HAZARDOUS MATERIAL REPORTING.
compensation, will do( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE City of Menifee PLCKNo: pemritNo:
Building & Safety Dept. IAM a
29714 Haun Road Date: Date:
Menifee, CA 92586 JUL 2 2 2014 —1 I
Phone: (951)672-6777 Amount: Amount:
Fax:(951679-3843 a P�{ �
` ) deceived Ck#: Ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R:
Property Address: ma AeA t fl e I CA Assessor's Parcel Number. — 0 C6
309,p3 Via a '6�
ProjecVTenant Name: (� 9 _ n� Unit#: Floor#:
Name: r,, eW c/C Phone No. Fax No.
Property Address: Unit Number Zip Code
3 0 wl �sS
Email Address:
Name: 1_ V�pOt9�Ct.r'I t7ty� P�e y — `k`3
D Fax No.
Applicant Address: %/� �r0� 1'^ b ��a Unit Number Zip Code
Email Address: 6 a.Y�a T� I
LASo,n.rCe.�X vtAa;\ Coca
Name: L 1 A VOWS Qvittex cor f . p�ona Ni 2SCI_ �3 Fax No.
Contractor Address:tvj�/�� A D S Ciry u"yk Stat Zi o
mt3 r4k t
2-
Contractor's City Business License o. Contractor's CiState of California License No. "7 Classification: C1O
Number of Squares:
Square Footage 10
Description of Work: rgQO n... � _ Cost of Work:$ -
Applicants Signature �`ppCC
Date: �—21—
To Be C-6mialeted By City Staff Only t n*v
Indicate As R-Received or N/A-NotAppkcable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y:x 11)
❑ Foundation Plan ❑ Structural Calculations
Founda ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Add'Ition' MeanslMethods
Work Type: Repair" Retrofit` Revision to F�eisfing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s);
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg. Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz-Zone
At Project Sprinklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C OLO YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit speclai case:emg.
OfficialA Approval Expedite Project(s): Child Care City Project Green Building Landmarki I Affordable Housing
For Staff Use Only
Building/Safely Permit Specialist I City Planning I Civil Engineer.ng EPWM-Admin Transportation Mgmt. ftenl Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY