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PMT14-02415 1 i City of Menifee Permit No.: PMT14-02415 !, �''•�y,� 29714 HAUN RD. Type: Residential Electrical '�iCCIEL r MENIFEE, CA 92586 MENIFEE Date Issued: 09/08/2014 i PERMIT Site Address: 25801 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-123-011 92586 Construction Cost: $8,037.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 200 AMP Work: Owner Contractor MIKE PUIG CANDLE LIGHT ELECTRIC INC DBA:RIGHTIME 25801 BALTRUSTROL DRIVE ELECTRIC MENIFEE, CA 92586 3030 MYERS STREET Applicant Phone: 9512769744 LAURA YENULONIS License Number: 961404 CANDLE LIGHT ELECTRIC INC DBA:RIGHTIME ELECTRIC 3030 MYERS STREET RIVERSIDE, CA 92503 Fee Description Qy 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 Templatespt 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 fujl4orce and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class C _License No.U1 'LEI who builds or improves thereon, and who contracts for the projects with a Expires ^�P Signatu ` licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION D ACLAATION ❑ I am exempt from licensure under the Contractors'State License Law for the [II 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. Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the I I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is sbc'Cion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http//www.Ieginfoc@.qov/caIaw.htmI, permit is issued.My workers'compensation insurance carrier and policy number are: Carrier � � f+ _ %P- we-5y.�\ Property Owner or Authorized Agent l_,d's Date Expires �'-�"��7 Policy#qN ar)C (3(O tc) Name of Agent_ ❑ By my Signature below, I certify to each of the following: I am the property owner 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 have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I entified property for the inspection purposes. 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 m � — �� subject to the workers'compensation provisions of Section 3700 of the Labor Property r or Authorized Agent � "Y�1 Date Code, I shall forthwith comply with those provisions. City Busines nse# Date; Applicant; WARNING: FAILURE TO C E WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UN WF , AND SHALL SUBJECT AN EMPLOYER TO CRIMIN �- NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA 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 underthe 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 []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES 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 ❑YES 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 provisions of the Contractor's State License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or []YES 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 ($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL t EPORItING. compensation, will do ( )all of or( ) porting of the work, and the structure is PRQPERTY OWNER ORAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; _`15 The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY O MENIFEE City of PLCK NO Permft NO: ,CJ 29714 Haun Road BUtidtng & S Menifee atety Dept, Date: D ala Menif(951 6e, CA72-6777 8 2011 Amount: Amount:92586 Phone: SEP 0 Fax:(951)679-3843 Ck Ck#: m Received Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: IL: Rt: R: Property Address: Sgo Assessor's Pa I Number. ©l Project/Tenant Name:•-J Unit`#: Floor#: Name: \ hone Fax No.�. 1±5 OwneProperty Address: Unit Number Zip Cod —Y aJY Email Address: Name: 1 ` ' _ h No— , y F No. Applicant Adtlres c, S nit Number Zfp Codes — EmailAtldress: 3[' rt s Ui LLD Nam ', 1 Phone No. F o r - -� earn Contractor Address: to Zi e ontractor s City usmess tense No. Contractor' ity State.[ tifordi Liceoa No. CIa55ificatfon' lip Number of Squares: Square Footage Description of Work: r Cost of work:$ Applicant's Signature r<NJTo Be ConnNgttli By City Staff Only Indicate As R•Received or NIA-Not Applicable 5 Compleles sels o1 fully dimension dra to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo TecfdSoils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x tt) ❑ Foundation Plan ❑ Plumbing Plan ❑ Structural Calculations ❑ Cross Section ❑ Single Line diagram for elec,services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan 8 NIA, ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition- Means/Methods Work Type: Repair" Retrofir Revision to EXislinfg Perm$'Required? YES NO Proposed Building Use(,): Existing Building Use(,): #Buildings: N Units: #Stories- Will the Building Have a Basement? Y of N Ind tgte d YES or NO Indicate all Geo-lach.Haz,Zone At Project S Bldg.Code Occupancy Gmup Indicate pdnkicred that Completion: Construction apply: Coastal Zone Type(s): C of O YES or NO Noise Zone Required? I r Listed on Historic Resources Irventory 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 DPatlA Cane:Bldg 0pfZIA mval Expedite Project(sg Child Care City Project Green Building landmark Affordable Housing For Staff Use Only 8u11dmp!Salel' Permh Specialist City Planning Ci»I En ineenng I EPWM-AtlmnI Lansporlal'o-Milani, Hart 0 t THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY