PMT16-02845 City of Menifee Permit No.: PMT1 6-02845
29714 HAUN RD.
<A-CCIELX—> MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0813012016
P E R M I T
SiteAddress: 30792 STONECREEK CT, MENIFEE, CA Parcel Number: 360-501-020
92584 Construction Cost: $1'500�00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 225A
Work:
Owner Contractor
ELIZABETH ODUNJO HELIOPOWER INC
30792 STONECREEK COURT 25747 JEFFERSON AVENUE
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9516777755
SAL VILLEGAS License Number: 915598
HELIOPOWER INC
25747 JEFFERSON AVENUE
MURRIETA, CA 92562
Fee Description ON Amount($
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 enors in the plans and
specifications or from preventing buitiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of MeniYee.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_Penrit-Ternplate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractods)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractoes State License Law for
Professions Code and my license Is in full force d ff ct, the following reason:
License Class Licen 01 By my signature below I acknowledge that�except for my personal residence
Expires Signature in which I in ust have resided for at least one year prior to completion of
ents covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPI ION improvern
have built as an owner-builder if it has not been constructed in its entirety by
u 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 workees 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,far the performance of work for which
this permit Is issued. www.IeRinfo.ca.Rov/calaw.htmI.
Policy# —Date
PROPERTY OWNER OR AUTHORIZED AGENT
ave and will maintain workees compensation insurance,as required by
�2t,on 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's com pensation insurance ca rrier and policy owner or authorized to act an the property ownees behalf.I have read this
number a re: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier G, 0641-- 1&4 CFW�Plow:f building construction.I authorize representatives of this city or county to
Policy# tol lCe enterthe above identified propertyfor inspection purposes.
(This section need not to be completed is the permit is(forone-hundred Date
dollars($100)or ten PROPERTY OWNER OR AUTHORIZED AGENT
a I certify that In the performance of the work for which this permit is issued,
I sha 11 not employ any persons in any ma nner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to" n provisions of Section 3700 of the Labor
Code,I shall se 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 amounts specified on the Hazardous Materials Information Guide?
WARNIING-�F�AE TIO'SECURE WORKER'S COMPENSATIO COV RAGE 15 a Yes �Ao
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of th e building by the applicant or futu re building
AND CIVIL FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),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(SCAQM D)?See perim itting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORN EYS FEES to r g u k!e;1le 5
CONSTRUCTION LENDING AGENCY ri Yes 0
1 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 b d ry of a school?
(Section 3097 Civil Code) ci Yes 0�4
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous nAterial reporting.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 ciYes
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
PRO�bWKE11—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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRIRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from ficensure receiving compensation for most work that disturbs paint in a pre-1978
a nd the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-mrtified firms and comply with
a n Applicant for a Perin it subjects the applicant to a civil pena Ity 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
a 1,as owner of the p ropeft or my employee with wages as their sole employees.For more information about EPA!s Renovation Program visit:
compensation,will do I )all of or I I portion of the work,and the structure Is www.epa.goy/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business a nd Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator wfli be responsible for this project
property who,through employees'or persona I 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. o No EPA Lead-Safe Certified Firm is required forthis project because:
ri 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.