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PMT16-00061 City of Menifee Permit No.: PMT16-00061 29714 HAUN RD. Type: Residential Electrical '(XCCEL/� MENIFEE,CA 92586 MENIFEE Date Issued: 01/07/2016 PERMIT Site Address: 29326 KNOLL CT,MENIFEE,CA 92586 Parcel Number: 338-203-008 Construction Cost: $1,400.00 Existing Use: Proposed Use: Description of ELECTRICAL PANEL UPGRADE TO 125 AMPS FOR SOLAR PERMIT PMT15-03220 Work: Owner Contractor FREDDIE SAINZ SMITH ELECTRICAL CONTRACTORS INC 29326 KNOLL CT 206 GREENFIELD DR STE G MENIFEE, CA 92586 EL CAJON, CA 92020 Applicant Phone:6197589829 SASHA PETERSON License Number: 871200 SMITH ELECTRICAL CONTRACTORS INC 206 GREENFIELD DR STE G EL CAJON, CA 92020 Fee Description Oh! Amount t5) 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 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_BIdg Pernit_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 1 am licensed under provisions of following reason: Chapter 9(commencin with section 7000)o ivision 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Cod . icen__is in full for ,a d,eR o which I must have resided for at least one year prior to completion of License Class_ Llcen '!� . v improvements covered by this permit, I cannot legally sell a structure that I have Expires Signature ' �, 1 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 the following declarations: htto://www.leginfa.m.gov/mlaw.htmi. I have and will maintain a certificete of consent of sett-insure for workers' compensation,issued by the Director of Industdal 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 ic icy# ❑ By my Signature below, I certify to each of the following: I am the property 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 tion 3700 of the Labor Cade, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit iRAP nsurance carder and policy number are: with all applicable city and county ordinances and state laws relating to building I1' construction.I authorize representatives of this city or county to enter the above- Carde jny( identified property for the inspection purposes. ires_ I0I✓tl IV Dale Property Owner or Authorized Agent _ ,� (This section need not be completed if the permit is for City Business License# (/'J�'/✓��( one-hundred dollars($100)or less) ❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not err to any persons in any manner so as to became subject to the Will the applicant or future building occupant handle hazardous material or a workers'co nsation laws of California, and agree that if I should become mixture cont 'ding a hazardous material equal to or greater that the subject to th o r ' mpensation provisions if Section3700 of the Labor amounts s cified on the Hazardous Materials Information Guide? Code,I shall i plywi -those provis� DYES IA 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 checklist COMPENSALTION COVERAGE IS UNLAWFUL, AND SHALL for guidelllijr�€a SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,000), 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 school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES f3N0 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 Heoth&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardouVfaterial 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 EPKs Renovation Program visit: ❑ I roe www'.epa.gov/lead or contact the National Lead Information Center at , as owner of the property,rty, or my employees with wages as their sole 1-800424-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 Firm Certification No.: purpose of sale). ❑ 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 3'. Menifee DATE I PERMIT/PLAN CHECK NUMBER PO-T I (D-A OLEO I TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOVSPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 9ELECTRICAL O MECHANICAL O NEW O PLUMBING U RE-ROOF-NUMBER OF SQUARES 1 DESCRIPTION OF WORK necty codane I PROJECTADDRESS �LQ '�In2 ry� (,/ � ASSESSOR'S PARCEL NUMBER �77 u p•-v J'CDS LOT D 10 TRACT OWNER NAME ADDRESS PHONE (' EMAIL APIP LICANT NAME �" ,Jon �LI S ADDRESS ZV(n �U GLr O 0 PHONE EMAIL S B'1 CONTRACTOR'S NAME I V S I L I OWNER BUILDER? O YES ONO NI {�BUSINESS NAME -Iec-fy�CQl Confm&ftIrr , Inc. ADDRESS 20 re-e-nfjeld N, COL 0 n �JCft cI2-O2-0 J PHONE 1,91 q- "I Sg- Gi g7-9 EMAIL (a QV2SP111}� 'S I �QGFI1CSd • �t CONTRACTOR'S STATE LIC NUMBER I l n 0 LICENSE CLASSIFICATION VALUATION$ i 40 0 n FT L SQ FT APPLICANT'S SIGNATURE - DATE OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION +� CITY OF ME IFFEE�E BU�ST{y�ESS CENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN Fr SMIP V� l Y/ I INVOICE G PAID AMOUNT AMOUNT 0CASH OCHECK# UCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213