The URL can be used to link to this page

PMT16-02992 City of Menifee Permit No.: PMT16-02992 29714 HAUN RD. Type: Residential Electrical <A_CCIELA> MENIFEE,CA 92586 MENIFEE Date Issued: 0910812016 P E R M I T Site Address: 27250 LA PRADA WAY, MENIFEE, CA Parcel Number: 336-011-038 92586 Construction Cost: $1,800.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 125A Work: Owner Contractor ROXANE WANAMAKER SERVICE TEAM OF PROFESSIONALS TEMECULA 27250 LA PRADA WAY 33794 WAGON TRAIN DR MENIFEE, CA 92586 WILDOMAR, CA 92595 Applicant Phone:9512461001 KENNY KLOTZ License Number:976252 SERVICE TEAM OF PROFESSIONALS TEMECULA 33794 WAGON TRAIN DR WILDOMAR, CA 92595 Fee Description Amount($1 Services, Switchboards, Control Centers&Panels 116.00 Building Permit Issuance 27.00 GREEN FEE 1.00 General Plan Maintenance Fee-Electrical 5.80 $149.80 The issuance of this permit shall not preventthe building official from thereafter requiring the correction of emors 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.BldgPean[L-Fernplate.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 perjurythat I am under provisions of with a licensed contraCtOT(S)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7000)of Division 3 of the Business and a 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 Ciao e. I b LicenseNo. 976ZI-7 By my signature below I acknowledge that,except for my personal residence Expires Signature 1�� in which I in ust have resided for at least one year prior to completion of 0 C'1�5 improvements covered bythis permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by a 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 vvwvv.Ieninfo.ca.gov/caIavv.htmI. this permit is issued. Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date irl have and will maintain workees compensation insurance,as required by section 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 compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: 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 1z,0C 4�7",r�r building construction.I authorize representatives of this city or county to Policy# f�NZ�3 4 6 0005"(—Expires_ 1/[// 7 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT in I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any 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 worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those 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 114,114 amounts specified an the Hazardous Materials Information Guide? MLARNING.-IFAILUF[Ed�IE64 WORKER'S COMPENSATION COVERAGE IS o Yes grNo UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future 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 THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECrION 3706 OF THE LABOR CODE,INTERESI�AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGEN oYes "a I hereby affirm that under the penalty of perjury them 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) DYW 011110 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 Contratctor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to ayes o Noe 100, _Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWZ"OtHORIZED 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 Contractoes State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 licensure receiving compensation for most work that disturbs paint in a pre-1978 a nd the basis for the a Ileged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with a n Applica nt for a permit subjects the applicant to a civil pena Itv of not more req uired practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves orthrough their ri 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 I )all of or( )portion of the work,and the structure is www.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 cr 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. a No EPA Leac!�Safe Certified Firm is required for this project because: a 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 1111 out the RRP Acknowledgement. BUILDING &SAFETY PERMIT/PLAN CHECK APPLICATION _44 PERMIT/PLAN CHECK NUMBER 0 CG!90G DATE 4 TYPE: Q COMMERCIAL ;,VRESIDENTIAL 0 MULTI-FAMILY MOBILE HOME POOL/SPA 0 SIGN SUBTYPE: 0 ADDITION 0 ALTERATION 0, DEMOLITION POELECTRICAL, C MECHANICAL - NEW 11 PLUMBING - RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK _z, nfll _Jz PROJECTADDRESS Z7 TRACT ASSESSOR'S PARCEL NUMBER LOT OWNER NAME W%A L ADDRESS -7-7Z536 �_n_#� C �4:t7 qtj;,�C�rgY Of Menifee PHONE el 57 EMAIL I�.Mly pl. -�7 7-0 P 0 8 201 APPLICANT NAME KCnn" ADDRESS 557tc( Reneiv PHONE EMAIL CONTRACTOWS NAME OWNER BUILDER? 0 YES �!MIO BUSINESSNAME 4&F ADDRESS PHONE - Z0 EMAIL CONTRACTOR'S STATE LIC NUMBER 47 LICENSE CLASSIFICATION VALUATION $ 1.5cn SO,FT LSQFT APPLICANT'S SIGNATURE DATE CITY OF MENIFEE BUSINESS LICENSE NUMBER T r DEPARTMENT DISTRIBUTION BUILDING PLANNING ENGINEERING FIRE GREEN st.... M" I 'CASH -,CHECK# CREDIT CARD VISA/MC INVOICE PAID AMOUNT C' A MOU MOUNT PLAN CHECK FEES PAID AMOUNT "CASH QCHECK# "CREDITCARD VISA/MC 0 NOTARIZED LETTER - YES 0 NO OW UIL V Y 0 L NER B DER ERIFIED 0 ES N D NUMBER city of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www,cityofmer)ifee.us Inspection Request Line 951-246-6213