PMT15-03560 City of Menifee Permit No.: PMT15-03560
29714 HAUN RD. Type: Commercial Electrical
SI�CCELA^? MENIFEE, CA 92586
MENIFEE Date Issued:
01/2912016
PERMIT
Site Address: 31740 MENIFEE RD, MENIFEE, CA 92584 Parcel Number: 372-090-006
Construction Cost $15,000.00
Existing Use: Proposed Use:
Description of REMOVE&REPLACE(9)PANEL ANTENNAS,ADD(6) NEW RRUS, (2)NEW RAYCAPS,AND(2)
Work: NEW HYBRID FIBER CABLES AT AN EXISTING VERIZON WIRELESS UNMANNED
TELECOMMUNICATIONS FACILITY
Owner Contractor
LD ACQUISITION COMPANY 9 ALIANTEL INC
1700 E WALNUT AVE#400 1940 WEST CORPORATE WAY
EL SEGUNDO, CA 902452609 ANAHEIM, CA 92801
Applicant Phone:8002747074
, CA License Number:911917
Phone:9497169940
Fee Description -qty Amount(SI
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
Additional Plan Review Building 148 148.37
Additional Plan Review Building 236 236.00
GREEN FEE 1 1.00
$541.44
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 carded 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_Pe"it_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the
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 in
Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class C 16 License No. 911919 improvements covered by this permit, I cannot legally sell a structure that I have
Expires',;11 11201 1. Signature UaRh� Vtr.*kfl.� 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:
❑ I hereby affirm under penalty of perjury one the following declarations, �./A�leginfo.ca.gov/calaw.htmi.
I have and will maintain a certificate of consentt for workers;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
t4 I 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'compensation insurance carrier and policy number are: with all applicable city and county ordinances and stale laws relating to building
construction.I authorize representatives of this city or county to enter the above-
Carrier M rr i i#AA r yym (o fApru,l e identified property for the inspection purposes.
Policy#WCL01W1Q3-00 Expires utlo Date
� Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License# D KJ
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ 1 certify that in the performance of the work for which this permit is issued,I
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 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 comply with those provisions. t[ [EYES ❑NO
Applicant; Date;_/IlII] 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 OYES IYNO
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 INYES ❑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 fRY S PO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
X�_� 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 firths 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 Contractors 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 Finn 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 Finn Certification No.:
purpose of sale).
❑ 1, as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Certified Finn 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
Ar.knnWlednement_
MenifeBUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
e
DATE DATE 11/12/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑✓ COMMERCIAL El RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION QALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW []PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Remove and replace(9)panel antennas,add(6)new RRUS,(2)new raycaps,and(2)new
hybrid fiber cables at an existing Verizon Wireless unmanned telecommunications facility.
PROJECTADDRESS 31740 Menifee Road,Sun City,CA.92584
ASSESSOR'S PARCEL NUMBER 372-090-006 LOT 3 TRACT Z%,
PROPERTY OWNER'S NAME L-D '4 ' r� yl '�
ADDRESS 31740 Menifee Roa�� YTUO E GJa I N LA4 IV SA✓t F1 CA
PHONE EMAIL QO?-14!�- 2 G Oct
APPLICANT NAME Tim Wolfe c/o ACO Architects, Inc.
ADDRESS 26170 Enterprise Way#600,Lake Forest,CA.92630
PHONE (949)716-9940 EMAIL tim.wolfe@acoarchitects.com
CONTRACTOR'S NAME TBD OWNER BUI E £i V"EFA®
safaty Dept,
BUSINESS NAME Verizon Wireless
ADDRESS 15505 Sand Canyon Ave., Irvine,CA.92618 3 2015
PHONE (949)286-7000 EMAIL yv r �
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ $ 15,000.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 4 t— (3— IS-
CITY
i
DEPARTMENT DISTRIBUTION //( CITY OF MtNN�IF/EEtBUNNES LILUNSE NUMBER
IL IyG PLANNING ENGINEERING FIRE GREEN b, SMIP w INVOICE
�✓1[JDDDD
AMOUNT PAID AMOUNT o� OCASH OCHECK# //YY7 OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 1S7 p7 OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd.Menifee,CA 92586 951-6 72-677 7
www.cityaf,nenifee.us Inspection Request Line 951-246-6213