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PMT17-00994 City of Menifee Permit No.: PMT17-00994 29714 HAUN RD. Type: Residential Electrical �f-�CCELA? MENIFEE,CA 92586 "'"""'"MVA— MENIFEE Date Issued: 0411712017 PERMIT Site Address: 32861 SECRETARIAT CT, MENIFEE, CA Parcel Number: 372-320-013 92584 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of MAIN PANEL DERATE FROM 200A TO 175A Work: Owner Contractor ALISA MIRANDA W C HEATING&AIR CONDITIONING INC 32861 SECRETARIAT COURT 41085 GOLDEN GATE CIR MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone: 9516000700 RALPH BARRON License Number:779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description 9ty Amount I$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 errors in the plans and specifications or from preventing building 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_Pennit_Template.irpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractors)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and a l am exempt from licensure under the Contractors State Ucertse law for Professions Cade and�my license Is in full farce and effect. the following reason: License Class L7 License Jo. 77RGOe/ By mysignature below l acknowledge that,except for my personal residence Expires /-�- /f, Signature '6'1s�� in which l 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 DECLA ON 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 Cade,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.Ieeinfo.ca.goy/caiaw.htm1. this permit is issued. Policy✓t Date o I have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,for the performance of the work for which o By my signature below l certify to each of the following:I am the property this permit is Issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier E- rprstis -I-I,sSV rakcc with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Polfcyfl enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT rQ I certify that in the performance of the work forwhich this permit is issued, . I shall not employ any persons in any manner so as to become subjectto the CITY BUSINESS LICENSE II workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,lshellfort ith comply with those provisions. 7 Will the applicant or future building occupant handle hazardous material cra Applicant_ Pj I � - ;Date . .. -)7" 1/ mixture containing a hazardous material equal to orgreater that the A PP amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes Ica No UNLAWFUL,AND SHALL SUBIECF AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or&lure building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($700,000),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 37BS OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY kl Yes oNo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 100D feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Cade) oyes l Nc, OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that l am exempt from the California Health&Safety Cade,S ctfon 25505 and 25534 concerning Contractors License Law for the reasons)indicated below by the hazardous riot �n checkmark(s)I have placed next to the applicable Item(s)(Section 703LS g L- IT 7 r]7 Y its' county q p Yes Jute / r !/ /( _Business and Professions Code).An c or coon that requires permit � _ construct,alter,improve,demolish or repair any structure,prior to its %6.,s,r OWNE OR H 2EDAGENT Issuance,also requires the applicant for the permit to file a signed statement 1 that he or she is licensed pursuant to the provisions of the Contractors State EPA NOVATION REPAIR ANTI PAINING(RRPi License Law(Chapter 9(com mencing with Section 70DO)of Division 3 of the The EPA Renovation,Repair and Painting(RRPj Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for mostwork 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 he 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 o1,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.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Cade,The Contractor's State License Law does not apply to an owner of a oAn 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 I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a Ifyour project does not comply with EPA RAP rule please fill out the RRP Acknowledgement.