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PMT15-02721 City of Menifee Permit No.: PMT15-02721 F 29714 HAUN RD. Type: Residential Electrical ACCELh> MENIFEE, CA 92586 MENIFEE Date Issued: 11/02/2015 PERMIT Site Address: 29050 GARBANI RD, MENIFEE, CA Parcel Number: 372-090-012 92584 Construction Cost: $200.00 Existing Use: Proposed Use: Description of ELECTRICAL PANEL UPGRADE TO 400AMP Work: Owner Contractor ROBERT PUSCH 29050 GARBANI RD MENIFEE, CA 92584 Applicant License Number: ROBERT PUSCH 29050 GARBANI RD MENIFEE, CA 92584 Phone: 9513016919 Fee Description QQtt( Amount IS) Receptacle, Switch, Outlet&Fixture 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 5.80 $149.80 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 ❑ 1 am exempt from licensure under the Contractors'State License Law for tF I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion License Class License No. improvements covered by this permit, I cannot legally sell a structure that I ha% Expires Signature built as an owner-building if it has not been constructed in its entirety by license contractors. I understand that a copy of the applicable law, Section 7044 of tl• WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: hftp://www.leginfo.ca.gov/calaw.html.have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the proper ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read th section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comp permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city_and coun ordinances and state laws relating to buildir construction:I�aGt�iorize represe wes of this city or county to enter the above Carrier identified:pro erty for tb�in be on p oses. Policy# Expires Date ropert Owner or Authorized Agent (This section need not be completed if the permit is for one-hundred dollars($100)or less) City Business License# ❑ I certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or: workers' compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. ❑YES ❑NO Applicant; Date; Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklis COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS DYES ❑NO ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the oute DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ❑NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. OWNER BUILDER DECLARATIONS DYES ❑NO I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work, and the structure is 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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: 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). Firm Certification No.: ❑ 1, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fin out the RRP Acknowledgement. CITY OF MEIVIFEE BUILDING ARID SAFETY DEPARTMENT office copy PLAN APPPV'!IL F �. NOV 0 2 2015 REVIEW(D -- IP>L>f� -DE8!gN7gP T>«»FOR LETTER OFAlrPTHORMATION *Approval of these plans shall not be construed tc'ie a r^:mil for,or an ��r�AUb�lt*ti Ili 14�ii` fi i sa) �2611�pn �a�nn ordinnagqces, This set of approved plans must be,, ;.;on the I t5 d ds that for facilities designed in accordance with BCE's Rules 13, 15,and/or 16,the Applicant tlI complsetion. Option(1) SCE to design the distribution and/or service extension; or Option(2) A Competitive Bidding Procedure for the distribution and/or service extension design. Under Option(A)above,SCE completes the project design. BCE's design costs are included in the total project cost to serve subject to refund/allowance. Under Option(2)above,Competitive Bidding,Applicant shall receive a bid amount from SCE and secure Competitive Bids from Qualified Designers for the design of the distribution and/or service extension. The SCE bid amount provided will be used as the job -speck cost estimate for design services. Either SCE or a Qualified Designer can design the distribution line and/or service extension and er Option(2). The Applicant should have a°thorough understanding of the Applicant Design Terms and Conditions prior to choosing Option(2)—Competitive Bid. Copies are available upon request. If Applicant elects SCE to design the distribution and/or service extension and then later secures a third -party Qualified Designer under�.,Option(2)Competitive Bidding,Applicant shall pay to SCE any and all costs incurred by SCE for design work already performed as a result of Applicant originally requesting BCE's design. Regardless of the design option chosen,all speculative projects are subject to the advance collection of engineering fees. Applicant understands the above Options and hereby elects the following by initialigg the Option selected: Option(1)Design by SCE Option(2)Competitive Bidding for Applicant Design The elected Option is for the distribution line and/or service extension to be located at and/or described as follows: 8' ` ���i3 nIP h/�!9 .?�2c,L'A-1PJ _a sxe 5'—aA; Al -�� 54 31.E t C o1z:z� /! d-i2jMR6900 /¢;y1P� g=e7:� g Kia l�'aZ'f (I�b� vvJi 44P�I f4 f S�T�� ci,5 �- D Applicant understands that by signing below,additional charges Mqy apply if SCE incurs interim design costs as a result of Applicant first electing Option(1)and subsequently securing a third-party Qualified Designer and electing Option(2). . 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Si';/, L r C�P.of ',"; �L� '� 08 F�M2f1 J 1 w _ rArt;,A.J'r,�fa'��? •Z?-e=�___�..><.QE:S�'Sui�- �li r 1 � es 14 t e f �'`�N Siemens WP4212 400A 4 Jaw 200A Per Position2 Position Ring Type Cover - - Amazon <../cep/he?p/customer/di spl aye.html refrT:foote r_p ri\,aCy?i e--UTP8&nodeId=468496s :; interest-Based Ads r/intere,tba'sedads> 0 1996-2015, Amazon.com, Inc. or its affiliates v </siemens-WP4212-Position2-Position-cover/dp/BOOK245PN6/ref=pd_sim_sbs_60_5/uedata/n vp/unsticky/182-2627566-8021825/Detail/ntpoffrw?tepes=l&id=1ZWCN5N65YOR2TAY82CA> SYentells NIOdel#11T'4212.10 Internet, store SI.`t?#too13935-0 Uni-PAK 2-Gang 225 Amp Tenant Main Breaker Meter 116 Socket 1 � I Click Image to Zoom _ w",Y2i�'Ri �s�ctaCe�14'$'vet� j _ r--4c�zI�. Adr- /,� its *4117-- t o G - � TO b0wd e49tae.A,; I r' `�C (yJ U4,MIA Si G.—Q1CtelLFtfLCdaCl Siemens WP4212 400A 4 Jaw 200A Per Position2 Position Ring Type Cover - - Amazon </gp/help/customer/display.html/ref=footer_privacy?ie=UTF8&nodeld=468496> Interest-Based Ads </interestbasedads> © 1996-2015, Amazon.com, Inc. or its affiliates v </Siemens-wP4212-Position2-Position-Cover/dp/BOOK245PN6/ref=pd_sim_sbs_60_5/uedata/n vp/unsticky/182-2627566-8021825/Detail/ntpoffrw?tepes=l&id=1ZwCN5N65YOR2TAY82CA> Product Description Siemens all new Unit-PAK Metering offers maximum flexibility and ease of installation to meet the service requirements of multiple position metering projects. The outdoor/indoor rated devices are available in 2-6 gang set-ups which consist of a pull section with main lugs or stud terminations and 4/5 jaw meter sockets with tenant main circuit breaker provisions. The units operate on 120/240V AC lo- 3w systems and are available with either 125 or 200 ampere meter sockets to meet a wide variety of small apartment and commercial building applications. A fifth jaw accessory kit is available for use on 120/208YV AC 10-3w network systems. The attractive Unit-PAK devices accept overhead or underground service terminations Ad are designed for wall-hung surface or semi-flush mounting. The devices are factory pre-bussed in a compact enclosure to ensure ease of handling and installation and to maximize wall-space efficiency. Features and ratings include: 1) Siemens' exclusive 200 ampere/position QS breaker for quicker wiring, 2) Removable knock-out plate for back exit, 3) Mounting rail for wall hanging, 4) UL Listed for service Equipment, 5) UL Listed for use with 60/75 Degree wire, 6) UL Listed for short circuit ratings up to 100,000 RMS symmetrical amps at 240V AC, 7) Front accessible 4 or 5-jaw sockets with individual ring or ring less type meter covers, 8) All unmetered bus is barbered and sealable to prevent unauthorized access, 9) Fifth jaw field installable at 6 or 9 o'clock, 10) Lever Bypass models, 11) Galvanized steel with electrodeposited paint provides uniform coverage for long-lasting protection and sharp appearance. ------------------------------------------------------------------------ Product Information Technical Details Item weight 75 pounds Product Dimensions 9 x 30.6 x 28.8 inches Item model number WP4212