PMT15-02810 City of Menifee Permit No.: PMT15-02810
'i
29714 HAUN RD.MENIFEE, CA92586 Type: Residential Electrical
c xsaw,�P MENIFEE Date Issued: 09/10/2015 i
PERMIT
Site Address: 29766 AVIDA DR, MENIFEE, CA 92584 Parcel Number: 339-282-007
Construction Cost: $1,400.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 125A
Work:
Owner Contractor
WILLIAM MCGUIRE SMITH ELECTRICAL CONTRACTORS INC
29766 AVIDA DRIVE 8733 N MAGNOLIA AVE 112
MENIFEE, CA 92584 SANTEE, CA 92071
Applicant Phone: 6197589829
EMILY FOSTER License Number: 871200
SMITH ELECTRICAL CONTRACTORS INC
8733 N MAGNOLIA AVE 112 -.
SANTEE, CA 92071
Fee Description Qtv Amount($)
e ,
Building Permit Issuance 1 27.00
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 ❑ I am exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed u following reason:nder provisions of ,
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 in
Professions Code and my license is in full force and eff-ect. which I must have resided for at least one year prior to completion of
License Cl a s �`-"I a License Nn �Q improvements covered by this permit, I cannot legally sell a structure that I have -.
Expires 1 �I I 0 Signature ya.�r 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
:1hereby affirm under penalty of perjury one the following declarations: htto://Www.leginfo ca oov/calaw html.
I have and will maintain a certificate of consentt 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 property ',
74 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 this
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 comply
permit is Issued.Myworkers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
Wit,. construction.I authorize representatives of this city or county to enter the above-
Carrier FVer�S'i- �.GU.I'OI")�I identified,property for the inspection purposes.
Policy#119 000101.4013 I Expires 10 "23—I S Date
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less) y
❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not ample any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a -
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 com y ith those provisions. ❑YESYO
Applicant;l'�JA Date; I/1 0/1 S 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 checklist
COMPENSATION COVERAGE ISUNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES ENO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN :SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES ,92J0
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 `i-.WES NO C 5
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 10 S
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable fem(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
❑ 1, 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-
Builderwill have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.:
❑ I, 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 fill out the RRP
Acknowledgement.
i
i�
DATE QI I ID I 5 PERMIT/PLAN CHECK NUMBER —
TYPE: 0 COMMERCIAL 'x RESIDENTIAL - MULTI-FAMILY C MOBILE HOME C POOL/SPA 0 SIGN
SUBTYPE: C ADDITION C ALTERATION O DEMOLITION Q(ELECTRICAL C MECHANICAL City of enifee
C NEW O PLUMBING C- RE-ROOF-NUMBER OF SQUARES Buildiing & S Ifety Dept.
DESCRIPTION OF WORK EXISTING ELECTRICAL PANEL UPGRADE TO I2-5 AMPS SEp 2015
�J nece ved {
PROJECT ADDRESS LLP Lp v i d A D Y. M e n j Fe IF CA qTS g
ASSESSOR'S PARCEL NUMBER 33:j- M -00j LOT TRACT
OWNER NAME W� I I �j(,{')') McGwrto
ADDRESS 'I d a r, Z Jr gL}
PHONE -714- 93LO - L93TI EMAIL
APPLICANT NAME SMITH ELECTRICAL CONTRACTORS,INC 1
1
ADDRESS 206 GREENFIELD DR#G,EL CAJON,CA 92020
PHONE 619-758-9829 X101 EMAIL pe"itupdates@smithelectfl sd.com
CONTRACTOR'S NAME SMITH ELECTRICAL CONTRACTORS,INC OWNER BUILDER? 0 YES kNO
BUSINESS NAME SAME
ADDRESS SAME AS ABOVE j
I
PHONE SAME EMAIL SAME ±
CONTRACTOR'S STATE LIC NUMBER _ 871200 LICENSE CLASSIFICATION C-10
VALUATION$ 1400.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE -1 �S j
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X
INVOICE G� ((yy PAID AMOUNT
AMOUNT 1� 1'DO .$ CCASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH %CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER C YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.Cityofinenifee.us inspection Request Line 951-246-6213