PMT16-02361 City of Menifee Permit No.: PMT16-02361
29714 HAUN RD.
�CCEI/k�. MENIFEE, CA 9258E Type: Residential Electrical
MENIFEE Date Issued: 07/2212016
PIE RMIT
Site Address: 28828 LOIRE VALLEY LN, MENIFEE, CA Parcel Number: 364-121-013
92584 Construction Cost: $1,200.00
Existing Use: Proposed Use:
Description of ELECTRICAL PANEL UPGRADE 100AMP TO 200AMP
Work:
Owner Contractor
MICHELLE BELLMEYER PEACE OF MIND ELECTRIC
28828 LOIRE VALLEY LN 45405 VIA JACA
MENIFEE,CA 92584 TEMECULA, CA 92592
Applicant Phone: 9516347389
STEPHEN MOLACEK License Number:883823
PEACE OF MIND ELECTRIC
45405 VIA JACA
TEMECULA, CA 92592
Fee Description gty Amount
Receptacle, Switch, Outlet 3 Fixture 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 5.80
$149.80
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Perrnit_Template.rpt Page 1 of 1
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Menifee
DATE ! PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION yELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK "1./'1 a= Gin? q D D -o �0
PROJECFADDRESS
ASSESSOR'S PARCEL NUMBER �����3 LOT TRACT a�
OWNERNAME �r-
ADDRESS
PHONE ! S/ - �D -Sg, � EMAIL/
APPLICANTNAME
ADDRESS ,3�� G` ?'i f � C� ��, [ 2
PHONE Ysrl—�31V ^k% "� / EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES O
BUSINESSNAME =�(L� {' 1 � .G.
,mil G`
ADDRESS ��/{ 7� nl/p�/ � r �� �.� �
PHONE /cst " [j/ �- 3 p C EMAIL /-
CONTRACTOR'S STATE LIC NUMBER �2- LICENSE CLASSIFICATION C�
VALUATION$ �C7� SO FT L SO FT
APPLICANT'S SIGNATURE --DATE /
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY O MENIFEE B IN S LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE {�.yv/�� LSD PAIDAMOUNT O
AMOUNT I L 1' O[A5H CHECK# O[REDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Sofety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213