Loading...
PMT16-03461 City of Menifee Permit No.: PMT16-03461 29714 HAUN RD. Type: Residential Electrical <A-CCIELA> MENIFEE,CA 92586 MENIFEE Date Issued: 10120/2016 P E R M I T Site Address: 30557 BAYPORT LN, MENIFEE, CA Parcel Number: 364-133-011 92584 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 200A Work: Owner Contractor BRIAN SHAFFER PACIFIC SUN TECHNOLOGIES INC 30557 BAYPORT LANE 42045 REMINGTON AVENUE#113 MENIFEE,CA 92584 TEMECULA, CA 92590 Applicant Phone: 9513081800 JOSE MANZANO License Number:896158 PACIFIC SUN TECHNOLOGIES INC 42D45 REMINGTON AVENUE#113 TEMECULA, CA 92590 Fee Description Qtv Amount($ 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 errors in the plans and specifications or from preventing builiding operations being carded 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 BldgPemill-Templafte.ript Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts forthe 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). Chapterg(commencing with section 7000)of Division 3 of the Business and ci 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 CAO License N gq By my signature below I acknowledge that,except for my personal residence Expires 511LW—k& Signature_ inwhich I must have resided for at least one year prior to completion of Improvements covered bythispermit.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 o 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 www.leginfo.ca.gov/calaw.htmi. this permit is issued. Policy If Date ,41 have and will maintain workerrs compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the La bor Code,for the performance of the work for which ci By my signature below I certify to each of the following:I am the property this permit is issued.My worker's com pensation insura nce carrier and policy owner or authorized to act on the propertV owner's behalf.I have read this number are: application and the Information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# -i 4L 6;11 -Expires. L(—C)I— tf� 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 l.certify that in the performance of the work for which this permit is issued, I sha 11 not employ:tn,,y I o as to become subject to the CITY BUSINESS LICENSE# ci�rsori,sf n in ners workees compens ivs C:Iifyc rrl.n and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's 15�mpensation provisions of Section 3700 of the Labor Code,I shall forthwith ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the 'f amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO`SE�RE WORKER'S COMPENSATION COVERAGE IS a Yes a No J UNLAWFUL,AND SHALL SUB ECT AN 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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATrORNEYS FEES for guidelin es CONSTRUCTION LENDING AGENCY ciYes allo I hereby affirm that under the penalty of perjury there Is a construction Will the proposed building or modified facility be within 2000 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 a 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 California Health&Safety Code,Section 25505 and 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 oYes o 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 OWNER 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(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 Rcensure receiving compensation for most work that disturbs paint in a pm-1978 and the basis for the alleged exem pion.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certiffed 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). managirs who do the paint-disturbing work themselves or through their o 1,as owner of the propeft or my em ployee 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 1-80D-424-LEAD(5323). Code;The Contractin's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employeee or persona I effort,builds or improves the property provided that the improvements are not Intended or offered for Certified Firm Name: sa le.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 sa le. u 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 you r project does not comply with EPA RRP rule please fill out the RRP Acknowledgement.