PMT17-01642 City of Menifee Permit No.: PMT17-01642
29714 HAUN RD.
�flCCEL/� MENIFEE, CA 92586 Type: Commercial Electrical
MENIFEE Date Issued: 0 912 912 01 7
PERMIT
Site Address: 29401 HOLLAND RD, MENIFEE, CA Parcel Number:
92585 - Construction Cost: $7,000.00
Existing Use: Proposed Use:
Description of INSTALL ONE 200A TEMP POWER POLE WITH 12 SPAN POLES AND TWO 100A SUB-RISERS FOR
Work: TR 32277-1 &32277-3
Owner Contractor
PARDEE HOMES TEMP POWER SYSTEMS
1250 CORONA POINTE COURT,#600 625 S FEE ANA STREET
CORONA, CA 92879 PLACENTIA, CA 92807
Applicant Phone:7142235607
MITCH BLUMAN License Number:696713
TEMP POWER SYSTEMS
625 S FEE ANA STREET
PLACENTIA, CA 92807
Fee Description OQt Amount lSl
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_Bldg_Perrnit Template.rpt Page 1 of 1
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE `Ly (� PERMIT/PLAN CHECK NUMBER - 'y
TYPE: [-]COMMERCIAL RESIDENTIAL MULTI-FAMILY DMOBILEHOME POOL/ ��nn
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ELECTRICAL ❑MECHA kAsafeW6ept
[]NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK C' 2-00 C_d',A o-tx-�
vi l2 (( wb �afCS Gceivecl
PROJECTADDRESS p Ho ( I a+�s O . Nka
ASSESSOR'S PARCEL NUMBER{{77 ll LOT TRACT :5
PROPERTY OWNER'S NAME TaR/re tIo, e-s 3gol-1 aj
ADDRESS a /�y� /`� Q� �-7Q�
um
PHONE �rj( - a{ Z.� - `l''f0� EMAIL COGc�I tom`i `�' `� (:%
APPLICANT NAME It _ fJI d Mo ADDRESS P/ La a a b• . � 213 -ilLL��
d� CA )3jO-L
PHONE 51 73;� EMAIL {��
CONTRACTOR'S NAME b � J ��` ^ OWNER BUILDER? ❑YES❑NO
BUSINESS NAME f�jj CO%A ,! - L :5
ADDRESS p /� CA
PHONE -114- 0 1 �I(�-r EMAIL
CONTRACTOR'S STATE LIC NUMBER p-(�O ( J LICENSE CLASSIFICATION Cl�
VALUATION $ 1 00 Q FT L SO FT
APPLICANT'S SIGNATURE DATE 2L? l
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X
INVOICE PAID AMOUNT
AMOUNT C!' CASH %CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT - CASH ..'CHECK# <:_:"CREDITCARD VISA/MC
OWNER BUILDER VERIFIED - YES -'e NO DL NUMBER NOTARIZED LETTER 4YES NO
City of Menifee Building&safety Department 29714 blaun Rd. Menifee, CA.92585 951-672-6777
www.cityofrnenifee.us Inspection Request Line 951-246-6213
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