The URL can be used to link to this page

PMT16-02932 City of Menifee Permit No. PMT16-02932 29714 HAUN RD. 'C—ACCIELJ't> MENIFEE,CA 92586 Type: Commercial Electrical MENIFEE Date Issued: 09/16/2016 P E R M I T Site Address: 29738 FINGERLING DR,MENIFEE,CA Parcel Number: 92585 Construction Cost: $500.00 Existing Use: Proposed Use: Description of INSTALL ONE 200AMP/UG TEMP POWER POLE TO POWER LAKEVIEWTRACT HOME Work: PRODUCTION Owner Contractor CALATILANTIC GROUP S R BRAY LLC 355 E RINCON ST#300 1210 N RED GUM STREET CORONA,CA 92879 ANAHEIM,CA 92806 Applicant Phone:7145071881 MIKE MCGEE License Number:980589 S R BRAY LLC 1210 N RED GUM STREET ANAHEIM, CA 92806 Fee Description City Amount 1$ Services, Switchboards, Control Centers& Panels 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 148 148.37 GREEN FEE 1 0.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 9.15 $368.52 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 perimill for construction under which no work is commenced within six months after irsuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AkB1dg2e"il-TeMpIate.rpt Page I 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 contractor(s)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 underthe Contractor'sSlate License Law for Professions Code and my license is in full force and effect. the following reason: License Clas C_ ,> License No. 3 el By my signature below I acknowledge that except for my personal residence Expires I Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ci I hereby affirm on der penalty of perjury one of the following decla rations: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 by Section 3700 of the Labor Code,for the performance of work for which this application Is submitted or at the following website: this permit is issued. ww%v.leRinfo.ca.gov/caIaw.htmI. Policy# Date .u4-fiave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's beha If.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier )<4 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this City or county to Policy JICL�0-2- -Expires j!/7 th enter the above identified property for inspection purposies. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER ORALITHORIZED AGENT ci I certify that in the performance of the work for which this permit is issued, I shall not em Ploy any persons in a ny manner 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 the workees compensation provisions of Section 3700 of the Labor Code,I shall fbrth��rovlslons. Will the applicant or future building occupant handle hazardous material or a Appli Date mixture containing a hazardous material equal to or greater that the ?<- =�,�— amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes P-No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or futu re building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO TH E 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 for guidelines CONSTRUCTION LENDING AGENCY o Yes GW6` I herebyaffirm that underthe penalty of pedurythere 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) a Yes urfTo 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 a in exem pt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous mat ' I rt, checkma rk(s)I have placed next to the a pplica ble item(s)(Section 7031.5 eiYe's ci No Business and Professions Code).Any city or county that requires a permit to e Date construct,alter,improve,demolish or repair any structure,prior to its PR 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 IRRPI License Law JChapter 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 licensure 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 childca re facility to be RRP-certified firms and comply with an Applica nt for a permit 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 ci 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 ww%v.epa.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 Contractor's State License Law does not apply to an owner of a o 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. o No EPA Lead-Safe Certified Firm is required for this project because: ci 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. & SAFETY PERMIT/PLAN CHECK APPLICATION "'Men if ee DATE Z PERMIT/PLAN CHECK NUMBER Polio, (DR9 TYPE: OCOMMERCIAL P-<ESIDENTIAL CMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION (!I-�ECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES— DESCRIPTION OF WORK —j1Jr-rA1L &Ve- 2�00,+LV9 414i 7A%4A41?-11,4tW lAeC -70 bEwev- _r4qC-11 /1%A-le 64�OJJ- PROJECTADDRESS ZI-775 JPF- ASSE55OR'5 PARCEL NUMBER LOT TRACT OWNER NAME 4��z "ffz,4w1-- Klga-e ADDRESS PHONE EMAIL APPLICANT NAME ADDRESS PHONE 5 5- -13 3 3 EMAIL 4C 1411ACA e�AA, CONTRACTOR'S NAME 131UY IQ6 A�� ?0y4Vt-"-r OWNER BUILDER? 0 YES Q,� BUSINESS NAME ADDRESS jl*. 4,v,4#wA, cA PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C16 VALUATION$ 5i)b— SO FT L SO FT APPLICANTS SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION OF MENIFEE BUSINESS LICENSE NUMBER BuxDiNG PLANNiNG ENGiNEERiw FiRE GREEN SMIP INVOICE F- AMOUNT ;p�j I PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES I PAIDAMOUNT OCASH C)CHECK# OCREDITCARD VISA/Mc OWNER BUILDER VERIFIED 0 YES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityojmenifee.us Inspection Request Line 951-246-6213 �v m 0 x T x WX�Vv�v z a 0 C-4 n :g 0 rn 'o, 0 -3 a- U)7, ...... o% CD CD z OD C)CD CD cn CD 0 n im uj cl� Vi LUM, CA < H MLU 4E 'J cc C7 ui < m w m ut a 0, 3: E�! > IF"a ui C7 u CO CL C'� C-4 C7 it I -7- x- n n ill LF