PMT16-00281 City of Menifee Permit No.: PMT16-00281
29714 HAUN RD.
�ACCEL/> MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 02/04/2016
PERMIT
Site Address: 28241 WESTOVER WAY, MENIFEE, CA Parcel Number: 337-183-034
92586 Construction Cost: $1,800.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
ROBERT ROKES SUN-BRITE ELECTRIC
28241 WESTOVER WAY 41110 SANDALWOOD CIR STE 123
MENIFEE,CA 92586 MURRIETA, CA 92562
Applicant Phone:8888057652
CARISSA LEGG License Number.956224
SUN-BRITE ELECTRIC
41110 SANDALWOOD CIR STE 123
MURRIETA, CA 92562
Phone: 9516917022
Fee Description Amount($l
Services, Switchboards, Control Centers&Panels 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 Mendee.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_Perrnit_Templale.rpl 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 aped rtIy icense is in full force and effect. which I must have resided for at least one year prior to completion of
License Class License No. ��7 2�`�" improvements covered by this permit,I cannot legally sell a structure that I have
Expires CIO Signature !��Q built as an owner-building if it has not been constructed in its entirety by licensed
y� 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:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto!/www.lecinfo.ca.cov/calawhtml.
1 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 orAuthorized Agent
Policy# 0 ❑ By my Signature below, I certify to each of the following: I am the property
Er 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 carer and policy number are: with all applicable city and county ordinances and state laws relating to building
S&A1,, construction.I authorize representatives of this city or county to enter the above-
Carrier ff Zf7K .rr1 ' ` ✓1G� LIP
identified property for the inspection purposes.
Policy# ".J 'l� '45 y Expires `�-'` ` I LIP Date
Property Owner orAuthprized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
❑ 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 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. DYES ❑NO
Applicant; 2 � , 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 DYES ❑NO
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 DYES ❑NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
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 EPKs Renovation Program visit:
www.epa.govllead 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 Stale License Law does not apply to an owner of a property ❑An EPA Lead-Safe Cued 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 Finn is required for this project because:
contractors to construct the project(Section 7044,Business and Professions \
Code:The Contractors License Law does not apply to an owner of a property
^ho builds or improves thereon, and who contracts for the projects with a
nsed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
>'eimin
� Menifee
DATE E a 7 (o PERMIT/PLAN CHECK NUMBER kl ' a
TYPE: [:]COMMERCIAL &RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [-]ADDITION ❑ALTERATION
sy ❑DEMOLITION `ELECTRICAL ❑MECHANICAL
jIneU -LY❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUUARES '--LDESCRIPTION OF WORK Uo C
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PROJECT ADDRESS and,�L}I VK� ikk 2 �
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ASSESSOR'S PARCEL NUMBER ?2- ��-�J, LI LOT TRACT
PROPERTY OWNER'S NAME pp
ADDRESS 2�z {. vL4- .S i V-< Oq ecejved
PHONE 6ISI- (a qo - L{SZ2 EMAIL G✓n_v'. a o
APPLICANT NAME I-(-If
ADDRESS 411110 O WItio (ULI✓I lrA
PHONE gTI - 6A ( �U2Z EMAIL C4 CII I .SDK v)(ll 49- ma� 1GE.Y/
CONTRACTOR'S NAME i , �(_r.- - r'C� OWNER BUILDER? ❑YES�P10
BUSINESS NAME ✓L •I-c I'�.G )
ADDRESS Ll Cvoo GIlrI (23 /l/( Nr �IZshZ
PHONE 6)51 - 66? 1- 702-2- EMAIL r'fwJiSSA. I-r bra{-e 'I•
CONTRACTOR'S STATE LIC NUMBER q'S LICENSE CLASSIFICATION 4!f- !C7
VALUATION$ '� 7 I SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN '� SMIP x
INVOICE
AMOUNT I G .gto PAID AMOUNT '\ -�v
OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISAI
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
Clty of Al Building&Sofety Deportment 29714 Naun Rd. Menifee, CA 92586 951-672.6777
ww,).ci',vof menifee.us Inspection Request Line 951-246-6213