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PMT14-03068 City of Menifee Permit No.: PMT14-03068 MENI EE, C 92 Type: Commercial Electrical MENIFEE, CA92586 MENIFEE Date Issued: 1 112112 01 4 PERMIT Site Address: 29578 CHELTON WAY, MENIFEE, CA Parcel Number: 364-190-010 92584 Construction Cost: $500.00 Existing Use: Proposed Use: Description of INSTALL ONE 200 AMP U/G 120/240V TEMP POWER POLE FOR TRACT PRODUCTION Work: Owner Contractor LENNAR HOMES S R BRAY LLC 380 MONTECITO DR#300 1210 N RED GUM STREET CORONA, CA 92879 ANAHEIM, CA 92806 Applicant Phone: 7145071881 MIKE MCGEE License Number: 980589 S R BRAY LLC 1210 N RED GUM STREET ANAHEIM, CA 92806 Fee Description Oft r Amount($) T a1, a 8 0: Services, Switchboards, Control Centers&Panels 1 183.00 IN Additional Plan Review Building 148 148.37 Q+ $426.37 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_Templaterpl 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 IQ0 License No.No. CF805;?9 who builds or improves thereon, and who contracts for the projects with a Expires I 1 JS SignatA�'"'"—' 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 ❑ 1 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 -N" 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:hftp,//www.leainfo.ca.ciQvlcalaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier XL ac-lY /v"Jli rF �• Property Owner or uthodze gent Date f�fC!Expires 3/I I y/� Policy# U.�r-7�'0 &By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# 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- El I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not emolov 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 Property Owner or Authorized Agent Date Code,I shall forthwith comply with those provisions. // ��.��' City Business License# Date; //'2-��7 Applic 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, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA 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 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 DYES 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, D 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 (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL 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($500).) CODE SECTION E 3 ION 25505RIALff 5533 AND 25534 CONCERNING HAZAKDO❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION -ra.? Y r'% Building & Safety Dept. Menifee MR I DATE �� I�7 —/�/ PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL -eRESIDENTIAL O MULTI-FAMILY :> MOBILE HcWr ` : 'POOL/Sq C>SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 4-1ELECTRICAL MECHANICAL O NEW O PLUMBING ORE-ROOF APPLICATION NAME DESCRIPTION OF WORK /NSTALL 6Nf twja /20Z ',Fv , LJt,�c f6e D4 6 - or/ON DP I/4,�-T/6/I/Y PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER 3� L�./g 6 • O/ (.) LOT 3 -7 TRACT -// 30/ZZ - OWNER NAME L%+uNAK /,/11-0—S ADDRESS 396 /f"A17-4e /TD 62. S'�,qE$DD Cy2o/U//- c4 YZe77 PHONE q-5-1- P7--3Sb0 EMAIL APPLICANT NAME /tr/A!� 1*46i115`E ADDRESS PHONE '?51- Z5.3—/373 EMAIL CONTRACTOR'S NAME 59 6M LLG DaA OWNER BUILDER? 0 YES <t-NO BUSINESS NAME ADDRESS Z/D ,fib 6;OA 141U,41161A c4 'i28J(� PHONE 7/d/- 76S- 1 EMAIL CONTRACTOR'S STATE LLIIC NUMBER �Cp osfl LICENSE CLASSIFICATION C/Q VALUATION $ .ADO- Qb SO FT L SO FT 4 APPLICANT'S SIGNATURE DATE jjffLF DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE SMIP GREEN INVOICE PAID AMOUNT AMOUNT *%CASH 0CHECK# !.%CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH •DCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES C% NO LICENSE NUMBER g T IZE <<: NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-677-077 www.cityofinenifee.us Inspection Request Line 951-246-6213 ro U7 r— ah -3 2- o M (D Cn, to� n —f Z < sp e { M Z N wF w .3 .'V m O to OD r4;oA•. c m N O %O N L %O �' Kl Ofl to 1--r 3 01 M. It, GZI ll = • { ttt N 99'S9'09 £ 08 T £� act 40Z ; att iIt { qs, at at -ZOZ•Obt-L£L L LL Kt r i� eet rot ' T at N oa IV 65 Gm !OZ-L6L 'OL-LB 6 u u t O 59l tt 84 L-LbL 6 1 su o pU OZL-ELL 9 Aft Z5i V , .. C5l O Eft OR It [El oGt � jj,, BOL Olt gf iS ezL tzL e t // OOl SOt a .eyL 6t a L i T -99L`ZLL-60L 8 OL mt 0 9 Y Z i rol YL r4 ht '10L tal _. �. T 89L zsL sot e a t� 69L'96'Z8 9 �} l6t .1 sfi` es� O y 9rL st fa at c6z O L6-b8 8 .5t Mt Ln ; SLL-OLL '£9-ZB B �t 66L 69 v -. 6at 98t Lat pat 69l O6� 89VLBL 8 T sa - i6i cc N� b6L Mt s6� ,: -69L'OHt-6Gl 9 t e] L6L T BLL-9LL'LfiLL H M a Z6 oLt >ro4 Lat -- � z,. `�,� N 96L,6L '9L-lL 8 ca GLL �L ost lit 49'E9 Z M 06 aL4 9LL at aL4 Sat ' 311S3WOH uo 3StlHd Y5t �TT� Ui 7 to so ro a to w u u a4 sL rL 2 REVIEWED ce `�' p DATE 'Approval of these plans shall not be construed to be a permit for,0r aq approval of,any violation of any provisions of the federal,state or "' regulations and ordinances. This set of approved plans must be kept o jobsite until completion.