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PMT16-01313 City of Menifee Permit No.: PMT16-01313 29714 HAUN RD. Type: Residential Electrical �CC iUA-- MENIFEE, CA 92586 c-'4`A— MENIFEE Date Issued: 0412 612 01 6 PERMIT Site Address: 26690 BRADDOCK RD, MENIFEE, CA Parcel Number: 338-183-007 92586 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of MAIN PANEL REPLACEMENT 125AMP Work: Owner Contractor JACK QUIGGLE SUNRUN INSTALLATION SERVICES INC 26690 BRADDOCK ROAD 775 FIERO LANE STE 200 MENIFEE, CA 92586 SAN LUIS OBISPO,CA 93401 Applicant Phone:8886576527 DAVID VITELA License Number.750184 SUNRUN INSTALLATION SERVICES INC 775 FIERO LANE STE 200 SAN LUIS OBISPO, CA 93401 Phone:9096091604 Fee Description Oft Amount(SI 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_Bldg_Pemiit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the pr jecTs with a licensed contractor(s)pursuant to the Contractors state License Law). I hereby affirm under penalty of perjurythat I am under provisions of Chapter!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. [ By my signature below I acknowledge that,except for my personal residence Expires r 11 Signature in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a stmctum that I WORKER'S COMPENSATION DEC RATION have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the labor Code,for the performance of work for which ,,,,ww,leeinfo.ca.eov/calaw.html. this permit is issued. Policy## Datey-24/, "/nZ ve and wi Will maintain worker's compensation insurance,as required by PROPER AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By signature bel I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owne or oact on the property owners behalf.lhave read this number are: / application and the information I have rovided is correct.I agree to comply Carrier 2 U i7 C_.-[/' with all applicable city and coun inances and state laws relating to building construction. out ze representatives of this city or county to Policy# Z' 43 o!M45�MExpires le,> l l enter the above iden property for inspection purp`oosses.'I (This section need not to be completed is the permit is for one-hundred Date 'f•d!K e-e� dollars($100)or less PROPS ' WNE R AUTHORIZED AGENT in certifythat in the performance of the work for which this permit is issued, 0 ;j5_M I shall not emolov any persons in any manner so as to become subject to the CITY 8U F vim+ workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provision of Section 3700 of the Labor Code,I shall forthwith com s provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amountsNpecified on the Hazardous Materials Information Guide? WARNING:F URETO SECU ORKER'S COMPENSATION COVERAGE Is ❑Yes 0 0 UNLAWFUL, UBIECT AN EMPLOYER TO CRIMINAL PENALTIES Will the int nded use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCrION LENDING AGENCY ❑Yes p No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes 4\No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand the SCAQMD I herebyaffirm under penalty of perjury that I am exempt from the Permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous material checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes s,L o Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPI OW R OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State E RENOVATION PAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the T n,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or.that he or she is exempt from licensum receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not Intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING : PERMIT/PLAN Menifee DATE �. CD / PERMIT/PLAN CHECK NUMBER TYPE: C: COMMERCIAL ;LCRESIDENTIAL O MULTI-FAMILY O MOBILE HOME :% POOL/SPA �%SIGN SUBTYPE: O ADDITION O ALTERATION OCEMOLITION XELECTRICAL :: MECHANICAL ONEWW OPLUMBING ON RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK i (�.h 4kl ( rr/ .0 /� t" s PROJECTADDRESS 0 ASSESSOR'S PARCEL NUMBER 33 LOT TRACT OWNER NAME ADDRESS 2, pQ PHONE �ly3Z.� �� J^ EMAIL APPLICANT r'N7AMMEEj� ADDRESS !d j��S GL[.� L.•C_ Tt-z 9 PHONE `ff. 3S3.9a3 EMAIL CONTRACTOR'S NAME J(14 OWNER BUILDER? 0 YES O NO BUSINESSNAME`�,S ADDRESS 3 a b PHONE D F. . a EMAIL CONTRACTOR'S STATE LIC NUMBER �_! LICENSE CLASSIFICATION U VALUATION$ 2lCE5.� SO FT L SQ FTQ� APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I I SMIP INVOICE l 1fG. PAID AMOUNT AMOUNT _ 1 OCASH OCHECK# G'CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH :%CHECK# 0 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 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213