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PMT16-03009 C4 of Menifee Permit No. PMT16-03009 29714 HALIN RD. Type: Residential Electrical <A-CCIEC^1 MENIFEE, CA 92586 MENIFEE Date Issued: 10/1312016 P E R M I T Site Address: 30638 LAKE POINT DR, MENIFEE, CA Parcel Number: 364-064-027 92584 Construction Cost: $1,800.00 Existing Use: Proposed Use: Description of MAIN PANEL DERATE 125A TO IOOA Work: Owner Contractor MAVERICK JONES NEW POWER INC 30638 LAKE POINT DRIVE 24619 WASHINGTON AVE#201 MENIFEE,CA 92584 MURRIETA, CA 92562 Applicant Phone:8009809835 BECKY PACK License Number., 1013855 NEW POWER INC 24619 WASHINGTON AVE#201 MURRIETA, CA 92562 Fee Description Ply. Amount I$ Services, Switchboards,Control Centers&Panels 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1.00 General Plan Maintenance Fee-Electrical 5.80 $149.80 The issuance of this permit shall not prevent the 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 BidgPermit-Template.rpt Page 1 of I 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 contmctor(s)pursuant to the Contractors State License Law). Chapter9(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 m license s In. 11 r e and effect the folloWing reason: License Class Z 6 T a f 6 C9 C1 I License No. I V I By my signature below I acknowledge that except for my personal residence Expires ?2 1 I-L"SYgnature in which I must have resided for at least one year priorto completion of improvements covered bythis permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION L") 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 this Fermi '' e www.lepilinfo.m.govIcalaw.litiril. W&Z Al Date Policy#- W — PROPERTY OWNER OR AUTHORIZED AGENT n I have and will maintain worker's compensation insurance,as required by 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 a rn 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 numberare* application and the information I have provided is correct.I agree to comply , U building construction.I authorize representatives of this city or county to Carrier �w PtqyQJ"14' with all applicable city and county ordinances and state laws relating to. Policy# Expires 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 - o I certify that In the performance of the work for which this permit is issued, Ishallnotempf 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,lshallfo hwith compV"h those erovisions. Will the applicantor future building occupant handle hazardous material ora Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAIL R I EIVSECIJRE WOR S COMPENSATION COVERAGE IS ci Yes o No r. LL ES TNLZWFUL,AN LOYER TO CRIMINAL PENALTI Will the intended use of the building by the applicant or future building AND CIVIL FINES U 19TPHOUSAND 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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY o Yes ri No I hereby affirm that under the pena Ity 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) o Yes n No 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 Ca lifornia Health&Safety Code,Section 25505 a nd 25534 concerning Contractor'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 ciYes a No 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 PROPERTY OWN ER OR AUTHORIZED AGENT issuance,also req ulres the a pplfcant 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(RRP) 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 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 o 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( I portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Inforniation Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractoes State License Law does not apply to an owner of a ci 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 pu rpose of sale. o No EPA Lead-Safe Certified Firm Is required for this project bemuse: o 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.