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PMT17-01359 City of Menifee Permit No.: PMT17-01359 29714 HAUN RD. '5A—CCELAk7. MENIFEE,CA 92586 Type: Commercial Electrical MENIFEE Date Issued: 0 5104/2 01 7 PERMIT Site Address: 29263 ROSE MEADOW DR, MENIFEE, Parcel Number: CA 92584 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of INSTALL ONE 200 AMP U/G TEMPORARY POWER POLE TO PROVIDE POWER TO TWO ONSITE Work: CONSTRUCTION TRAILERS FOR HERITAGE HEIGHTS TR 31582 Owner Contractor LENNAR HOMES OF CA S R BRAY LLC 980 MONTECITO DR#302 1210 N RED GUM STREET CORONA,CA 92879 ANAHEIM, CA 92806 Applicant Phone:7145071881 MIKE MCGEE License Number:980589 S R BRAY LLC 1210 N RED GUM STREET ANAHEIM, CA 92806 Fee Description city Amount fSl Services,Switchboards,Control Centers&Panels 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 148 148.37 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 9.15 $368.52 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_eldg_Pennit_Templalespt 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 Contractors5tate License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class DA, _D License No.S&TQS9 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 prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have buIt as an owner-builder if it has not been constructed in its entirety by ❑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,for the performance of work for which www.leginfo.ca.gov/calaw.litm]. this permit is issued. Policy H Date ❑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 ❑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 owners behalf.I have read this number are: application and the Information I have provided is correct.I agree to comply Carrier_ X G- SpZ.Gir11 with all applicable city and county ordinances and state laws relating to UU building construction.I authorize representatives of this city or county to Policy N�'1U0'j� Expires 3 31-1& enter the above identified pr ty for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER ORA RIZED AGENT o 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 If O Jet workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith compl 'th those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date Cl'"1'11 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SE E WORKER'S COMPENSATION COVERAGE IS ❑Yes XNo UNLAWFUL,AND SHALLSUBIECTAN 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 COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OFF THE HE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines 1�'� CONSTRUCTION LENDING AGENCY ❑Yes / 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) ❑Yes .410 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 Contractors License Law for the reason(s)indicated below by the California ma al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes Business and Professions Code).Any city or county that requires a permit to Date. construct,alter,Improve,demolish or repair any structure,priorto 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencingwith 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 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 ❑I,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.eoa.gov/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). Code,The Contractors 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 itwas 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. APPLICATIONBUILDING SAFETY PERMIT/PLAN CHECK rrI city of Menifee - I/Ienifee Building & Safety Dept. OAT, E 4-27_ PERMIT/PLAN CHECK NUMBER jW:j ,n)2&T TYPE: COMMERCIAL VRESIDENTIAL 0 MULTI-FAMILY O MOBILE HO vRl iqc f "" ,! C SIGN SUBTYPE: O ADDITION , ALTERATION O DEMOLITION .ELECTRICAL O MECHANICAL O NEW O PLUMBING ;.) RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Install one 200Am U/G Temporary Power Pole & two sub-poles to provide power to two onsite construction trailers." PROJECTADDRESS Need address Mf&s VOY& kx ASSESSOR'S PARCEL NUMBER LOT TRACT 31582 OWNER NAME Lennar Homes ADDRESS 980 Montecito Dr Suite #302 Corona, CA 92879 PHONE _ 500 EMAIL n h APPLICANT NAME ecktenwald 4`�` ADDRESS PHONEEMAIL G ,, CONTRACTOR'S NAME Power Plus OWNER BUILDER? O YES ONO BUSINESS NAME ADDRESSPerris Blvd Perris CA 92571 PHONE 951-293-1333 EMAIL CONTRACTOR'S STATE LIC NUMBER 98058g LICENSE CLASSIFICATION B C10 & D31 VALUATION$ 2.000.00 SQ FT L SQ FT APPLICANT'S SIGNATURE I DATE 4-27-17 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT O CASH O CHECK H O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT O-CASH CG CHECK OCREDITCARD VISA/MC OWNER BUILDER VERIFIED :,YES NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 297i4 Hain Rd. Menifee, CA 92586 951-672-6777 Ivww.cityofineni/er.us Inspecrion Request Line 951-2,16-5213 v4e�( IIIIOC.c&j M fie, ma`s �AVAk_4 c _ t ��2k:' Sl(]W z w Y! 14 Ul 0 w JV OD 3:: 4 aj IA ao ;x ti (ng CL VR Mm -i O .q ZT 0 17 -q aw ofIDO� ;= 4 m m 0 m M m z Zm SL a q m Z m m ir TIM ol m 0