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PMT17-01337 City of Menifee Permit No.: PMT17-01337 29714 HAUN RD. Type: Residential Electrical <A—CCELA?' MENIFEE, CA 92586 MENIFEE Date Issued: 07/21/2017 PERMIT Site Address: 27164 CELTIC CIR, MENIFEE, CA 92585 Parcel Number: 331-461-034 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 200A Work: Owner Contractor JOSE VELASCO SST CONSTRUCTION LLC 27164 CELTIC CIRCLE 2731 CITRUS ROAD SUITED MENIFEE, CA 92585 RANCHO CORDOVA, CA 95742 Applicant Phone:9168796648 ADAM YUNT License Number: 1009107 SST CONSTRUCTION LLC 2731 CITRUS ROAD SUITE D RANCHO CORDOVA,CA 95742 Fee Description ply Amount I51 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 carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise slated,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. CONDITIONS Condition Comment 1 C-10 AA_Bldg_Permit_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 ❑1 am exempt from licensure under the Contractor's State License Law for Professions Code d my license is In full force and effect the following reason: J License Class —f 6 Licens 9o. 16 By my signature below I acknowledge that,except for my personal residence Expires / 3U I Signature In which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if It has not been constructed in its entirety by ereby affirm under penalty of perjury one ohh owing declarations:I licensed contractors.I understand that a copy of the applicable law,Section ave and will maintain a certificate of consent of self-insure for workers 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 p,,,t,ty,leeinfo.ca.eov/calaw.html. this permit is issued. Policy g Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance c rier and policy owner or authorized to act on the property owners behalf.I have read this number are- 1[n' 1,, /� application and the information I have provided is correct.I agree to comply Carrier '�"[d r` lk/mil/C l`.Ze with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy q /T I G!U✓�I v(i✓ Expires �.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 �n PROPERTY OWNER OR AUTHORIZED AGENT W certify that in the performance of the workfor which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p workers compensation 0 Calif ia,and agree that if I should become i HAZARDOUS MATERIAL DECLARATION subject to the woJt s com an ion provisions of Section 3700 of the Labor Cade,I shall fo,rthwith c pl a provisions. tt —7 Will the applicant or future building occupant handle hazardous material or a Applican / Date mixture containing a hazardous material equal to or greater that the - , amounts1s cified on the Hazardous Materials Information Guide? WARNING:FAILU TO EC-URE WORKER'S COMPENSATION COVERAGE IS ❑Yes ]dM0 UNIAWFUL,AN SHp1LSULUECT AN EMPLOYER TO CRIMINAL PENALTIES ((( AND CIVIL FINES UP40 ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airfi es Management District(SCAQMD)7 See permitting checklist _ for gudeli es CONSTRUCTION LENDING AGENCY ❑Yes 79No 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 bpu ary of a school? (Section 3097 Civil Code) ❑Yes o 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& ty Co Section 25505 and 25534 concerning Contractor's License Law for the reasons)indicated below by the hazard m tal fort/ `'_ checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 °yes / 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 O ER OIZ`Al `ORIZED 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 Contractors State EPA RENO ATIQN:REPAik.AND PAINTING 1RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the ' -_�_— Business and Professions Code)or that he or she Is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors 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 than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their ❑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.aov/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 Contractors State License taw does not apply to an owner of a p °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. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑1,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 If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement.