PMT17-01576 City of Menifee Permit No.: PMT17-01576
_ 29714 HAUN RD.
SACCELA? MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE Date Issued: 0 5/1 912 01 7
PERMIT
Site Address: 25262 LONE ACRES RD, MENIFEE, CA Parcel Number: 358-420-015
92584 Construction Cost: $1,800.00
Existing Use: Proposed Use:
Description of PANEL UPGRADE TO 225A MAIN PANEL FOR PMT17-01339
Work:
Owner Contractor
PAUL CHEBAT MYERS ELECTRIC CO
25262LONE ACRES RD 425 W LA CADENA DR#21
MENIFEE, CA 92584 RIVERSIDE,CA 92501
Applicant Phone:9516628769
MENIFEE,CA License Number.972274
Phone: 9515376859
Fee Description City Amount 1$)
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 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_Bldg_Pennit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)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 ❑I am exempt from licensure under the Contractors 5tate License Law for
Professions Code and my license is in full force and effect the following reason:
License Class LTA,Y� Ld U License No. By my signature below 1 acknowledge that,except for my personal residence
Expires Signature�(u.o. Cris,.�`_ _ 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 DECLARATION
have built as an owner-builder if it has not been constructed in its entirety by
D I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applimble law,Section
have 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,for the performance of work for f which ,„N,�,.leeinfo.ca.eov/calaw.lstml.
this permit is issued.
Pollry# L— (�t? t^ - C_ r, ZZ t Date
-in irk' PROPERTY OWNER OR AUTHORIZED AGENT
D I have and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which n By my signature below I 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 an the property owners behalf.I have read this
number are: application and the information I have provided is correct I agree to comply
Cartier Or ` with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# ELi Gn G120007!�Fxp�ir�es �y.� "? s`� enter the above identified property for inspection purposes.
(This section need not to be completed�'s the pe&K is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, 09-A anct;
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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 comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant C' .r„ Dat '� o•�� mixture containing a hazardous material equal to or greater that the
--gs L ti t u+— I amounts�spe�-fled an the Hazardous Materials Information Guides
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes m.N.
UNLAWFUL,AND SHALL SUBJECT AN 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 COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin s
CONSTRUCTION LENDING AGENCY oYes
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 ho'undd fy of a school?
(Section 3097 Civil Code) o Yes a�0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand 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&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes o No
Business and Professions Code).Any city or county that requires a permit to
construct,alter,Improve,demolish or repair any structure,prior to its n'T` ' - ITGE
issuance,also requires the applicant for the permit to file a signed statement PRO RTY OWNER ORAUTHORIZEDAGE T
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI
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($500). managers who do the paint-disturbing work themselves or through their
o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.ena.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the Improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
o I,.as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
`Menifee
DATE 4/27/17 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL UJ RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION Oc ELECTRICAL O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK (N) 225A Main Panel
eX1541 ram- 20tbJN—
PROJECTADDRESS 25262 Lone Acres Rd O�2rj$'y
ASSESSOR'S PARCEL NUMBER LOT 5 TRACT 3� 1
OWNER NAME Paul Chebat
ADDRESS 25262 Lone Acres Rd
PHONE EMAIL
APPLICANT NAME Holl Thompson
ADDRESS 7100 W Florida Ave
PHONE 951-537-6859 EMAIL holly.thompson@horizonsolarpower.com
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME Myers Electric
ADDRESS 425 W La Cadena Dr# 21
PHONE 951-662-8769 Q EMAIL
CONTRACTOR'S STATE LIC NUMBER 47;7.� LICENSE CLASSIFICATION C-10
VALUATION$ 1,800.00 SO FT L SO FT
APPLICANT'S SIGNATURE 0' IIlf °-ngaaasi DATE 4/27/17
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS�LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP V/ n � v
INVOICE PAID AMOUNT O
AMOUNT � CASH `.;CHECKii CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT C:= CASH CiCHECK# O.CREDITCARD vlsA/Mc
OWNER BUILDER VERIFIED C.'.YES NO DL NUMBER NOTARIZED LETTER rz YES O NO
tta &Aonffnp .�
din ggullg & Safety Dept.
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 925R6 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213 MAY 19 2017
Received