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PMT15-02529 City of Menifee Permit No.: PMT15-02529 29714 HAUN RD. Type: Residential Electrical W CJELA. MENIFEE, CA 92586 MENIFEE Date Issued: 0 812 0/2 01 5 PERMIT Site Address: 28900 TULITA LN, MENIFEE, CA 92584 Parcel Number: 388-053-017 1 Construction Cost: $2,600.00 Existing Use: Proposed Use: �I Description of ADDING 6 SWITCHES,4 CEILING FANS, 8 RECESSED CAN LIGHTS Work: Owner Contractor DUSTIN& KAIT PUNZEL GEROLD CONSTRUCTION INC 28900 TULITA LANE 33109 YACAIPA BLVD MENIFEE, CA 92584 YUCAIPA, CA 92399 Applicant Phone: 9092242274 GEROLD CONSTRUCTION INC License Number: 947045 33109 YACAIPA BLVD YUCAIPA, CA 92399 Fee Description Qtv Amount($) Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $303.18 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 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 _License No. Oq�� who builds or improves thereon, and who contracts for the projects with a Expires S ( 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 ❑ 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 .LF' I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon requestwhen 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.[eginfo.ca.gov/caIaw.htmI. permit is issued.My workers'compensation insurance carrier and policy number are: Property Owner or Authorized Agent Date Carrier `yTtayTC FVr--3'� Expires 031&111(P Policy# ❑ By my Signature below, I certify to each of the following: I am the properly Name of Agent Phone# ��5�5 zr��/97 Z- 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 with all applicable city and county ordinances and state laws relating to building one-hundred dollars($100)or less) construction. I authorize representatives of this city�•--- to enter the abuvs-- ❑ 1 certify that in the performance of the work for which this permit Is issued,I identified 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 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; � �K' /0— Applicant; �'7`�---t' (✓Y�`"'� 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 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 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 []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 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, ❑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($500).) CODE, SECTION E S MATERIAL I505 25O3'AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETY • • APPLICATION - 3: F Menifee DATE 08/12/2015 PERMIT/PLAN CHECK NUMBE TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILE'HOME POOL/SPA ❑SIGN SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION QELECTRICAL []MECHANICAL ❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Change out existing can lights to LED Title 24 compliant and change out existing ceiling fans PROJECT ADDRESS 28900 Tulita Lane, Menifee,Ca.92586 ASSESSOR'S PARCEL NUMBER I ft Z� Q I-_ LOT TRACT z� OWNER NAME Dustin 8 Kait Punzel ADDRESS 28900 Tulita Lane Menifee,Ca.92586 PHONE (619)944-6429 EMAIL APPLICANT NAME Gerold Construction,Inc. ADDRESS 33109 Yucaipa Blvd.Yucaipa,Ca.92399 PHONE (909)374-7971 EMAIL tom@geroldconstructioninc.com CONTRACTOR'S NAME Brandon Gerold OWNERBUILDER? ❑YES❑✓ NO BUSINESS NAME Gerold Construction,Inc. ADDRESS 33109 Yucaipa Blvd.Yucaipa,Ca.92399 PHONE (909)374-7971 EMAIL tom@geroidconstructioninc.com CONTRACTOR'S STATE LIC NUMBER 947045 LICENSE CLASSIFICATION General B VALUATION$ $2,600.00 SQ FT 1733 L SO FT 1.19 acres APPLICANT'S SIGNATURE `� DATE 0 8/1 212 01 5 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT OCASH OCHECK# OCREDn'CARD VISA/MC PLAN CHECK FEES PAID AMOUNT ^CASH 0CHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER C YES O NO City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofn7enifee us Inspection Request Line 951-246-6213 CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROV AUG 1 a 1015 REVIEWED B DATE *Approval of these plans shall not be construed to be a permit for,Oran approval of,any violation of any provisions of the federal,state or city regulations and ordinances.This set of approved plans must be kept on the jobsite until completion. 1 -- � l Fbw Y4V i i v I - j Office r� � � z� 7, Commercial Electric 5 in.and 6 in. 2700K White LED Recessed Trim with 90 CRI-CER6... Page I of 2 Your Store - \` � wore edngC Beaumont,CA 98987 tcn.nezl Commercial Electric Model•CER673oBWH27 Intemet s 2o4726945 Store SKU S t26878 6 In. and 6 in. 2700K White LED Recessed Trim with 90 CRI ****,A (266) Write a Review Questions a Answers(32) W 1 9.97 leach IN STOCK AT YOUR SELECTED STORE G • Beaumont CA/1811 89 In Stock - Beaunwnt,CA 92223 Aisle 45,Bay 004 Open Expanded View Click to Zoom [T� _. :I PRODUCT OVERVIEW Model i CER67308WH27 Internet x 204726945 Store SKUi 126878 The Commercial Electric 5 in.and 6 in.Recessed LED Trim with dean and elegant design is ideal for glare free lighting in any room of the house.This ETL classified high efficiency dimmable Trim has received Energy Star Certification for year-round energy savings.Compatible with dimmer switch for different illumination needs and increased energy saving.This LED Trim is for use with 5 in.and 6 in.IC and non-IC recessed housings and will retrofit 5 in.and 6 in.incandescent housings to energy saving LED down lights.Reduce energy consumption to 11-Watt LED-comparable to BR30165-Watt incandescent bulb.Rated for wet location make it applicable for shower and exterior application. • 2700K soft white light,670 Lumens,90 CRI • For use With 5 in.and 6 in.IC or non-IC recessed housings(housings not included) • Dimming range between 10%to 100%and compatible with most household dimmers • Rated for wet and damp location and certified airtight per ASTM F283-04 if• Can be used for CA title 2AUgb efficacy compliance • 65-Watt bulb equivalent light output-II-Watt energy used • IC rated for direct contact with insulation • Save on bulb replacement up to 50,000 hours lamp life • Medium base socket adapter included • Retrofits 5 in.and 6 in.incandescent housings to energy saving LED down lights • Designed to install in other incandescent housing by other major brands,please refer to instruction sheet for list of additional compatible housing SPECIFICATIONS DIMENSIONS /✓ •a L52 http://w-ww.homedepot.com/p/Commercial-Electric-5-in-and-6-in-2700K-White-LED-Rece... 8/6/2015 Commercial Electric 5 in.and 6 in. 2700K White LED Recessed Trim with 90 CRI-CER6... Page 2 of 2 Aperture width(in.) 6.0 Assembled Wish(in.) TED in Assembled Depth gn.) 7.50 in Size 6 in. — — Assembled Height(in.)_ 2.75 in DETAILS Actual Color Temperature(K) 2700 Fixture finish family White Adjustable Lamp Head No Light Output(lumens) 670 Color Rendering Index 90 Light Source LED Color Temperature Soft While Product Weight(Ib.) 1.25m Fixture Finish White Returnable 90-Day WARRANTY I CERTIFICATIONS Certifications and Listings 1-UL Listed,ETL Listed Manufacturer Wananty 6-Year Limited Warranty SHIPPING AND DELIVERY OPTIONS Standard Shipping includes delivery by small parcel service.Processing time varies by product. Orders for mis hem may be expedited for an additional fee. Other Delivery Options: Expmss and Expedited shipping options are also available.Estimated arrival times are available in checkout. If product is eligible for shipping to AK,HI and US Territories additional transit time and remote surcharges may apply. /1w,45, http://www.homedepot.com/p/Commercial-Electric-5-i n-and-6-in-270OK-White-LED-Rece... 8/6/2015