PMT17-01546 City of Menifee Permit No.: PMT17-01546
29714 HAUN RD. Type: Commercial Electrical
�ACCELA7. MENIFEE, CA 92586
MENIFEE Date Issued: 05/22/2017
PERMIT
Site Address: 24901 PARADISE MEADOWS DR, Parcel Number: 358-682-005
MENIFEE,CA 92584 construction Cost $7,520.00
Existing Use: Proposed Use:
Description of 1-200A TPP W/9-50A SUBPANELS W/18 SPANS AERIAL.
Work:
Owner Contractor
ANDY GUMP INC
26954 RUETHER AVENUE
SANTA CLARITA, CA 91351
Applicant Phone:6619773851
MANNY HERNANDEZ License Number:357789
ANDY GUMP INC
26954 RUETHER AVENUE
SANTA CLARITA, CA 91351
Phone:4942890149
Fee Description ON Amount I$1
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 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_Perrnit_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 contactor(s)pursuant to the Contractors State 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. 7 p r� the following reason:
License Class I —I a Li No. 2�(O '1 By my signature below I acknowledge that,except for my personal residence
Expires R_3 p -!'.Signature iZ]� 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 built 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
this permit is issued. www.leginfo.ca.eov/calaw.html.
Policy# Date
54 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 D 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: 1�1 (� /' application and the information I have provided is correct.I agree to comply
carrier A LAVCA 1 V `'T(p N C/ with all applicable city and county ordinances and state laws relating to
Wes" building construction.I authorize representatives of this city or county to
Policy# Ja C� Expires 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
❑I certify that in the performance of the work far which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the woe rer compensation provisions of Section 3700 of the Labor
Code,Ishall fo i co ly with those provisions. Will the applicant or future building occupant handle hazardous material Ora
mixture containing a hazardous material equal to or greater that the
Applicant Date '— amounts specified on the Hazardous Materials Information Guide?
WARNING:F ILURE TO ECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes lyWo
UNLAWFU ,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the in✓✓tended 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 COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
INSECDON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes y 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 far the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes '�No
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 Health& afety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous ri r p sting.
Business and Professions Code).Any city or county that requires a permitto oYes �E ^�'1
Date
construct,alter,Improve, applicantsh for heperystto file ,signets its PROPERTY/ WNER 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,REPAIRAND 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
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
❑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.eua.¢sv/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 improvesthe
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:
❑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 If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
C & SAFETY PERMIT/PLAN APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER (rj/
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION X ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOF
APPLICATION NAME MANNY HERNANDEZ
DESCRIPTION OF WORK INSTALLTEMP POWER POLE �¢ Bwe
PROJECT ADDRESS
-ASSESSOR'S PARCEL NUMBER LOT 134 TRACT 32025
OWNER NAME RICHMOND AMERICAN HOMES
ADDRESS 5171 CALIFORNIA AVE,#120,IRVINE,CA 92617
PHONE 949-467-2685 EMAIL TPADMIN@ANDYGUMP.COM
APPLICANT NAME MANNY HERNANDEZ
ADDRESS 26954 RUETHER AVE,SANTA CLARITA,CA 91351
PHONE 949-289-0149 EMAIL TPADMIN@ANDYGUMP,COM
CONTRACTOR'S NAME ANDY GUMP,INC. OWNER BUILDER? X YES ONO
BUSINESS NAME ANDYGUMP,INC.
ADDRESS 26954 RUETHER AVE,SANTA CLARITA,CA 91351
PHONE 661-977-3865 EMAIL TPADMIN@ANDYGUMP.COM
CONTRACTOR'S STATE LIC NUMB 357789 LICENSE CLASSIFICATION C10
VALUATION$ _ 7 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION I CTTY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE SMIP GREEN
INVOICE �����QQ r PAIDAMOUNT
AMOUM' "MA. OCASH OCHECKN OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECKY O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO LICENSE NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee,CA 92586 951-672-6777
Offteefeu16ec_tion Request Line 951-246-6213
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Posted to Buz zsaw under"Canyon Cove"/Community Specific Info/Phase Release Info/Sequence Sheets
The Ridge @ Audie Murphy Ranch
Menlfee,CA 92584 'a
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PH. LOT GARAGE
ADDRESSES PLAN ELEVATION ORIENTATION COLORSCHEME
P It (RIGHT/LEFT)
5 113 24740 Hidden Hills Or 5696 C R 11A
5 114 24752 Hidden Hills Or 5697 B R 7E
5 115 24764 Hidden Hills Or 24P A R 8D
5 116 24776 Hidden Hills Or S696 A R 7O
5 117 1 24788 Hidden Hills Or 24P B R 2E
5 118 24800 Hidden Hills Or 5697 C R 10A
6 119 24812 Hldden Hills Or 5696 B R 6E
6 120 24824 Hidden Hills Or 24P C R 9A
6 121 24836 Hidden Hills Or 27J A R 7D
6 122 24848 Hldden Hills Or 27J C R 11A
9 123 24860 Hidden Hills Or 5697 A R 3D
9 124 24872 Hidden Hills Or 27J B R 2E
9 125 24884 Hidden Hills Or 24P A R 3D
9 126 24896 Hldden Hllls Or 5696 B R 7E
8 127 24908 Hidden Hllls Or 27J C R IDA
8 128 24920 Hidden Hills Or 24P B L 2E
8 129 24845 Paradise Medows Or 24P A L 8D
8 130 24857 Paradise Medows Or 27J B L 7E
8 131 24869 Paradise Medows Or 5697 C L 9A
7 132 24881 Paradise Medows Or 24P C L IDA
7 133 24893 Paradlse Medows Or 5696 A L 3D
7 134.i 24905 Paradise Medows Or 24P B L 7E
7 135 24917 Paradise Medows Or 5697 A L 8D
7 136 24929 Paradise Medows Or 27J C L 9A
7 137 24941 Paradise Medows Or ; 27J B L 2E
3 138 30614 Falcon Nest Or 24P A R 7D
3 139 30626 Falcon Nest Or S697 B R 6E
3 140 30638 Falcon Nest Or 24P C R 11A _
3 141 30650 Falcon Nest Or 5696 A R 7D
3 142 24939 Remington Or 27J B L 7E
3 143 24927 Remington Or 5696 C R 10A
4 144 24915 Remington Or 24P A L 3D
4 145 24903 Remington Or 27) C R 11A
4 146 24891 Remington Or 24P B L 6E
4 147 24879 Remington Or 5697 A L 7D
4 148 24874 Remington Or 27) A R 80
4 149 24886 Remington Or 5696 B L 7E
4 150 24898 Remington Or 24P C L 9A
4 151 24910 Remington Or 273
B R 2E
56 3 152 24922 Remington Or 97 A L 8D