PMT16-04037 City of Menifee Permit No. PMT16-04037
29714 HAUN RD. Type: Residential Electrical
<A-CCEL:A—> MENIFEE, CA 92586
MENIFEE Date Issued: 1211212016
P E R M I T
Site Address: 29041 HOGAN DR, MENIFEE, CA 92586 Parcel Number: 338-043-006
Construction Cost: $350.00
Existing Use: Proposed Use:
Description of INSTALL ONE LIGHT, ONE OUTLET CIRCUIT FROM EXISTING SUBPANEL
Work:
Owner Contractor
EARLWPHILLIPS
29041 HOGAN DR
MENIFEE, CA 92586
Applicant License Number
EARLWPHILLIPS
29041 HOGAN DR
MENIFEE, CA 92586
Phone: 9516721072
Fee Description ON Amount(S)
Receptacle, Switch,Outlet&Fixture 3 126.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 6.30
$160.30
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 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 mntracts 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).
Chapterg(commencing with section 7000)of Division 3 of the Business and ci I am exempt from ftensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires_Signature In which I must have resided for at least one year pTiorto 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
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,forthe performance of work for which
this permit is issued. www.leRInfo.ca.gov/calaw.html.
Policy# Date
u 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 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 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 building constEgridon.I authorLize representatives of this city or county to
Policy# Expires enter the abilve identi pe y for inspection purposes.
(This section need not to be completed is the perm it is for one-hun d red F41�� M Q -Date (0
dollars J$100)or less PROPERTY OWNER-0-M-THOOZED'AbENT
cr 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#
workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workees compensation provisions of Section 37GO of the Labor
Cadeo I shall forthwith comply 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
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS in Yes in No
UNLAWFUL,AND SHALL SUBJECT 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 ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY a Yes o 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) o Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Heafth&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 Itemrs)(Section 7032.5 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 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 Hcensure 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( )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 70",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:
cr 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",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.
CITY OF MENIFEE PLCK No: Pp"(0 , OL(I)J5-7
29714 Haun Road Date: Da :
Menifee, CA 92586 1,-Yf((D
Phone: (951)672-6777 Amount: Arri Urft:
Fax:(951)679-3843 F
Ck Ck
Building Combination Permit
To Be Completed By Applicant
Legal Description: TR 2364 Lot 404 1 Planning Case: F: I L Rt: R
Property Address:29041 Hogan Dr., Menifee, CA 92586-3125 JAssessorl Parcel Number 338-043-006
Project/Tenant Name: Earl W. Phillips, Jr. I Unit#: I Floor#:
Name: Earl W. Phillips, Jr "hone No-951.672.1 0721 FaxNo.951.672.1072
Property Address:29041 Hogan Dr., Menifee, CA Unit Number Zip Code 92586-3125
Owner
EmailAddress.
'earlphillips@verizon.net
Name: Earl W. Phillips, Jr. Phone No 951.672.10 .1072
Applicant Address:29041 Hogan Dr., Menifee, CA I I Number Zip Code 92586-3125
Email Address: eariphillips@verizon.net
Name: Self ne No.
Contractor Address: Same as above city State--- I Zip Code ....
sta
—Efor's City State of Ca fom nse Classification:
Contractor's City Business License No. Ii ia Lice No is
- 4c
Number of Squares; N/A
Square Footage N/A
Description of Work:Install one 1i ne outle��uit from existing subpanel Cost of Work:$
Applicant's Signature Dale: 350.00
12 Dec 2016
YTo Be Cbrnf�oletecl By City Staff Only
Indicate As R-Received or N/A-NotApplicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
Title Sheet El Elevations Electrical Plan 0 Gen Tech/Soils Report(on cd only)
Plot/Site Plan El Roof Plan Mechanical Plan [I Ttle24 Energy(on 8%x 11)
0 Structural Calculations
D Foundation Plan El Cross Section Plumbing Plan El Single Line diagram for elec.services over 400 AMP
FIJI Floor P..Ian [] Structural Framing Plan&Details Shoring Plan 1 0 Sound Report-Residential
"a Code Indicate Ll New Construction Alteration* Addition* Means/Methods
Work Type: Repair* Retrofit* Revision to Existing Permir Required? YES NO
1 11 H H
Proposed Building Use(s): I Existing Building Use(s):
#Buildings: 4 Units: fl Stories: I Will the uilding Have a Basement? Y of N
Bldg. Code Occupancy Group Indicate Snpd I Indicate all �--lGeo-tech.Haz-Zone
At Project that apply: Coastal Zone
Completion: Construction nmkler.d YES or NO
Type(s): C Of 0 YES o Noise Zone
Required? 31 �--1 Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss L.�Arch.Review Board Landmark Comm. I �Pltmlng Comm.lZoning Administrator
Fee Exempt: City Project [Elec.Vehicle Charger Landmark Seismic Retrofit
Offid.[Appro�al
Expedite Project(s): Child Care City Project Green Building Landmarkl I Affordable Housing
For Staff Use Only
Building/Safety I verma 5peciaiist I City Planning D RM-Admin I Transportation mgmt. Rent C
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Permit No PT12-125e
SITE PLAN
Name: Earl W. Phillips, Jr. PHONE: (951) 672 1072
Address: 29041 Hogan Dr., Sun City/Menifee, CA 92586-3125
Assessor's Parcel Number: 338-043-006
PROJECT 05JECTIvES
INSTALL ONE LIGHT CIRCUIT AND TWO OUTLET CIRCUITS IN DEN AND
FUTURE OFFICE SPACE
PROJECT NOTE5
1. CONTRACTOR TO INSTALL APPROPRIATE WIRING CONNECTIONS
FROM EXISTING 5U5PANEL LOCATED IN GARAGE.
2. WIRING FROM SU5PANEL TO CONTROL 5OX AND JUNCTION 50X TO
5E INSTALLED IN THE ATTIC. ELX WIRING RUNS IN ROOMS TO 5E
COVERED 5Y WALL PANELING AFTER INSTALLING.
3. OWNER WILL PROVIDE WIRE, LIGHT FIXTURE, DUPLEX RECEPTACLES,
FITTINGS, MISC. PARTS, ETC.,
city of Menifee
Building & safety Dept-
DEC 12 201b
Received
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