Loading...
PMT16-04133 City of Menifee Permit No. PMT16-04133 29714 HAUN RD. Type: Residential Electrical <A—CCEL:A—> MENIFEE, CA92586 MENIFEE Date Issued: 01/0312017 P E R M I T Site Address: 28386 ELLER WAY, MENIFEE, CA 92585 Parcel Number: 329-070-044 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 200A Work: Owner Contractor MARTY SYLVESTER 619 28386 ELLER WAY 7493 FOLEY ROAD MENIFEE, CA 92585 OAK HILLS,CA 92344 Applicant Phone:7609470313 AARON ALVARADO License Number., 1014033 619 DBA UNIVERCITY SOLAR ELECTRIC 7493 FOLEY ROAD OAK HILLS, CA 92344 Fee Description On? Amount 1$1 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 effors in the plans and specifications or from preventing builiding operations being canted 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 forlefted. AA BidgPermit—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 License Law for Professions Code and my license is in full force and effegt the following reason: License Class ( — ILI) License No. By my signature below I acknowledge that except for my personal residence Expire�-3u—Qfy Signature in which I 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 WORKEWS COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by '=T hereby affirm under Pena Ity of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will mainta in a certificate of consent of self-Insu m for workees 7044 of the Business and Professions Code,is available upon req uest 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 workfor which this permit is issued. www.IegImfo.ca.gov/caIaw.htmI. Policy# Date have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT tion 3700 of the Labor 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 workees compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this numberar application and the information I have provided is correct.I agree to comply Carrier co I& T.'p, _T,k 1,,Za,4 C P 1;4 with oil applicable city and county ordinances and state laws relating to 119id - building construction.I authorize representatives of this city or county to Policy# qf �1y6 Y Expires -7��—/-2 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ,)Rftertify that in the performance of the work for which this permit is issued, Is.hall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If workees compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or futurebuilding occupant handle hazardous material or a Applica nt ate mixture containing a hazardous material equal to orgreater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ciYes ONO UNLAWFUL,AND$HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the build Ing by the applicant or future building AND CIVIL FINES UP TO ON E HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO TH E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Qua lity Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ci Yes m 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 ONO 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 Health&Safety Code,Section 25505 and 25534 concerning Contractoes 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 0 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 Stati 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 RAP-certified firms and comply with an Applicant for a pemn it subjects the applicant to a civil penalty of not more required practices.This includes rents I 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 mom information about EPA's Renovation Program visit; compensation,will do I I all of or I I portion of the work,and the structure is www,.epa.iroy/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions I-BOD-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a n 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 so le. ci 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 your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement.