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PMT15-03263 City of Menifee Permit No.: PMT15-03263 29714 HAUN RD. Type: Commercial Electrical <ACCELA> MENIFEE, CA 92586 MENIFEE Date Issued: 11/06/2015 PERMIT Site Address: 26660 ENCANTO DR, MENIFEE, CA Parcel Number: 331-120-065 92586 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of REROUTE 9 EXISTING ELECTRICAL CIRCUITS FROM UNDERGROUND TO OVERHEAD&ADD 7 Work: NEW RECEPTACLES IN KITCHEN AREA FOR PACKLINE. Owner Contractor EDD INV CO SUPERIOR ELECTRICAL MECHANICAL& 173 E FREEDOM AVE PLUMBING INC ANAHEIM, CA 928011006 8613 HELMS AVE Applicant Phone: 9093579400 DANNY CANTERO License Number: 911185 SUPERIOR ELECTRICAL MECHANICAL&PLUMBING INC 8613 HELMS AVE RANCHO CUCAMONGA, CA 91730 Fee Description Q_yt Amount($) Receptacle, Switch, Outlet&Fixture 16 191.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 9.55 $228.55 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 ❑ lam exempt from licensure under the Contractors'State License Law for the following reason: I hereby affirm under penalty or perry that I am licensed under provisions of Chapter 9(commencing with sect' 000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code d m 'cense is in II fo nd e e t. I which I must have resided for at least one year prior to completion of Licens ass LI en e No. improvements covered by this permit, I cannot legally sell a structure that I have Expire Signa re 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 D CL N Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one f the following declarations: submitted or at hftp://www.leginfo.ca.gov/calaw.html. site: I 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 property 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.My workers'com nsation insurance carrier and policy number are: 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- identified property for the inspection purposes. �Policy#lC���'�1 Expires I l 1 L Date Property Owner or Authorized Agent'7 (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) ElI certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ a persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a wo rs'co ns do laws al nia, and agree that if I should become mixture containing a hazardous material equal to or greater that the s je to t e w ers' ensation revisions of Section 3700 of the Labor amounts specs ied on the Hazardous Materials Information Guide? C e, sha I forth ' co Iy with tho e provisions. El YES 1� O Ap is te; �l b 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 IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ❑YES 0 ($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 as hool? LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES L�. O CONSTRUCTION LENDING AGENCY I have read the Hazardous Material I on Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending per 'tti hcklist.I and s n y requirem nts under the State of agency for the performance of the work which this permit is issued (Section Ca ifor Safet C e,Section 2550 and 25534 concerning 3097 Civil Code) h ard o ing. OWNER BUILDER DECLARATIONS IS9 Date k\ 0 b I hereby affirm under penalty of perjury that I am exempt from the Contractor's L License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPER OWN R 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 RENOVATI N.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- Builder will 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 Acknn ilarinamant BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE I 2 1 PERMIT/PLAN CHECK NUMBER TYPE: ❑✓ COMMERC AL []RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [—]SIGN SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL ❑NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Reroute 9 existing electrical circuits from underground to overhead and add 7 new receptacles in kitchen area for Packlline. Preventive Maintenance. PROJECT ADDRESS 26660 Encanto Drive Sun City, Calif.92585 ASSESSOR'S PARCEL NUMBER �j��—��Q— Q�4� LOT 11 TRACT PROPERTY OWNER'S NAME ADDRESS _F7;— A PHONE EMAIL APPLICANT NAME Danny Cantero �j ADDRESS 8613 Helms Ave Rancho Cucamonga, Calif.91730 PHONE (909)244-4994 EMAIL dcantero@superioremp.com CONTRACTOR'S NAME Superior Electrical Mechanical &Plumbing Inc. OWNER BUILDER? ❑YES❑NO BUSINESS NAME ADDRESS 8613 Helms Ave. Rancho Cucamonga, Calif.91730 PHONE (909)357-9400 EMAIL CONTRACTOR'S STATE LIC N MBER 911185 NSE CLASSIFICATION C-10 VALUATION$ $ 1,500.00 SQ T L SQ FT APPLICANT'S SIGNATURE DATE `v — I �J b,I V DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE A AMOUNT PID AMOUNT CASH %CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH CHECK# CREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES C% NO DL NUMBER NOTARIZED LETTER NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213