PMT16-03692 City of Menifee Permit No.: PMT16-03692
29714 HAUN RD. Type: Residential Electrical
<A-CClELji%> MENIFEE, CA 92586
MENIFEE Date Issued: 11/1612016
P E R M I T
Site Address: 26825 WILDFLOWER ST,MENIFEE, CA Parcel Number: 360-480-016
92584 Construction Cost: $2,500.00
Existing Use: Proposed Use:
Description of PANEL UPGRADE TO 100 AMP MAIN AND 125 AMP BUS
Work:
Owner Contractor
SCOTTYOUNG NEW POWER INC
26825 VIALDFLOWER ST 24619 WASHINGTON AVE#201
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:8009809835
COURTNEY KILGOUR License Number. 1013855
NEW POWER INC
24619 WASHINGTON AVE#201
MURRIETA, CA 92562
Fee Description Qtv Amount 1$)
Receptacle, Switch, Outlet&Fixture 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 carried on thereunder when in violalion 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 Bldg_Pemit Template.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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State Uicense Law for
Professions Code and y license is in full force and eff the following reason:
License Class D .0 �Q)o
License No. By my signature below I acknowledge that,exceptfor my personal residence
Expires Signature L'� inwhichl 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 DECLARATIO!115:�/ have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affinn 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 permit is issued. www.leginfo.ca.gov/calaw.htmi.
Policy# Date
o I have 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 forwhich a By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insuran rerand Wcy owner or authorized to act on the property owner's behalf.I have read this
nu b ,are: application and the information I have provided is correct.I agree to comply
m C r with all applicable city and county ordinances and state laws relating to
C.rriee, Pf.1 �kl�-�A building construction.I authorize representatives of this city or countryto
I —C
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
ci I certify that in the performance of the work for which this permit is issued,
Ishallnotemplo 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 370P of the 4bor
Code,I shat forthwith om w- it e rovislons. Will the applicant or 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:FAIIA;;�'TO SEOUR 'IKER'S COMPENSATION COVERAGE IS o Yes \No
UNLAWFUL,AND SHALL SUBJZ�fiAIJ I MPLOYER 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 ATTORNEYS FEES forguld lines
CONSTRUCTION LENDING AGENCY 0 Yes No
I 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 boundary of a school?
(Section 3097 Civil Code) oYes kNo
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 in t i I rt
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 y a N
Business and Professions Code).Any city or county that requires a permitto Date
construct,alter,improve,demolish or repair any structure,priorto its PROPERTY64<ERORA RIZEDAGENT
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.RE AND PAINTING fill
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
and 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 I )all of or( )portion of the work,and the structure is www.epa.govllead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(532.3).
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:
o 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contiactor'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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4 1 W
, enifee
DATE 11-15-16 PERMITIPLAN CHECK NUMBER 1p PAM(0 0 10, 109
TYPE: [-]COMMERCIAL ::RESIDENTIAL MMULTI-FAMILY E]MOBILEHOME [_]POOL/SPA []SIGN
SUBTYPE: DADDITION F]ALTERATION []DEMOUTION WELECTRICAL F]MECHANICAL
[]NEW [-]PLUMBING [_]RE-ROOF-NUMBEROF56UARES—
DESCRIPTION OF WORK Panel upgrade. Upgrading to 100 amp main and 125 amp buss
PROJECTADDRESS 26825 Wildflower Street Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER 3604ED91-6- LOT TRACT
PROPERTY OWNER'S NAME Scott Young
ADDRESS 26825 Wildflower Street Menifee, CA
PHONE (951) 704-5110 EMAIL youngsal @msn.com
APPLICANT NAME Taylor Craig
ADDRESS 24610 Washington Ave#201 Murrieta CA 92562
PHONE (303)842-7219 EMAIL toraig@newpower.net
CONTRACTOR'S NAME -Taylor Craig OWNERIBUILDER? [:]YES[:]NO
BUSINESSNAME NewPowerine
ADDRESS 24610 Washington Ave#201 MurrietaCA92562
PHONE (303)842-7219 EMAIL tcraid@newpower.net
CONTRACTOR'S STATE LIC NUMBER 1013855 LICENSE CLASSIFICATION C10
VALLIATION$ 29,53t-4U OSaFT L So FT
11-15-16
APPLICANT'SSIGNATURE DATE
CITYSTAFF U5E ONLY10"Mmr-
DEPARTMENT D15THIBUTIUN CITY OF MENIFEE B NESS E NUM BER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP 005TOR
INVOICE PAID AMOUNT
AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISAIINIC
[OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd.Menifee, CA 92586 951-672-6777
www.cityciftenifee.us Inspection Request Line 951-246-6213