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.