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PMT17-01893 City of Menifee Permit No.: PMT17-01893 29714 HAUN RD. Type: Residential Electrical �A-CCEL/-> MENIFEE, CA 92586 MENIFEE Date Issued: 0611312017 PERMIT Site Address: 28950 BRADLEY RD,MENIFEE,CA Parcel Number: 336-080-006 92586 Construction Cost: $1.800.00 Existing Use: Proposed Use: Description of MAIN PANEL UPGRADE 225A Work: Owner Contractor JANET GREEN MYERS ELECTRIC CO 28950 BRADLEY ROAD 425 W LA CADENA DR#21 MENIFEE,CA 92586 RIVERSIDE, CA 92501 Applicant Phone:9516628769 RAQUEL VALDEZ - License Number:972274 MYERS ELECTRIC CO 425 W LA CADENA DR#21 RIVERSIDE, CA 92501 Fee Description Oft( Amount(Sl 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_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 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 o I am exempt from licensure underthe Contractols5tate License Lawfor Professions Code and.my license is in full force and effect. ^ the following reason: License Class4 I?P..f(2u�; License No. /J By mysignature below l acknowledge that,except formy personal residence Expiresr0-1-';;t-17_ Signature in which l must have resided forat leastone year priorto completion of improvements covered by this permit.I cannot legallysell 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:) licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Cade,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 whichw,leeinFo.ca.eov/calaw.html. this permit is issued. Polity g Date - have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the tabor Code,for the performance of the work for which o By my signature below l certify to each of the following:I am the property this permit is issued.My warkers compensation insurance carrier and policy owner or authorized to act on the property owners behalf,1 have read this number are: I ,, application and the information I have provided is correct.I agree to comply Carrier l"t�.�- F,(��l-,'a� tl`)w) ��-Q.. with all applicable city and county ordinances and state laws relating to L /+ -.r1fy building construction.I authorize representatives of this city or county to Policy# , all ��7°)S1iJ�rp7�rX;l xpiresr��'-�� enter the above identified properly for inspection purposes. (This section need not to becoahpieted is the permit forane-hundred �1111,r//fi/ NL DateId- 7-lsa' dollars($100)or less PROPE OWNER OR AUTHORI DAGENT o I certify that in the performance of the work forwhich this permit is issued, I shall not employ any persons in any mannerso as to become subjectto the CITY BU51NESS LICENSE p workers compensation laws of California,and agree that if 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 Applicant'i%`2 ./� (/ Date �� _ mixture containing a hazardous material equal to or greater that the amountsspecified on the Hazardous Materials Information Guide? WARNING:FAIL RETO SECURE WORK. 'S COMPENSATION COVERAGE 15 o Yes o No UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,00D),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 IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES farguidelines CONSTRUCTION LENDING AGENCY oyes ONO I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within100D 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) o Yes a No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklisL l understand my requirements under the State of I hereby affirm under penalty of perjury that lam exempt fromthe Contractors License Law for the reason(s)indicated below by the hazardous HealthalSafety Code,Section 25505 and 25539 concerning hazardous material reporting. checkmark(s)I have placed next lathe 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 PROPERTY OWNER OR AUTHORIZED AG T 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 IRRP) License Law(Chapter 9(commencing with Section 700D)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 childare 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 themselvesor through their a1,as owner of the property,or my employee with wages as theirsole 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.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 aAn 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 applyto an owner of a If your project does not comply with EPA RRP rule pleasefill otatthe RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION °"' Menifee DATE 6/12/17 PERMIT/PLAN CHECK NUMBER �- 1 TYPE: O COMMERCIAL 21 RESIDENTIAL - MULTI-FAMILY O MOBILE HOME O POOL/SPA n SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION OL ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK (N) 225A Main panel ButldtnC(ty gDf Menifee PROJECT ADDRESS 289SO Bradley Road 0 �1' ASSESSOR'S PARCEL NUMBER jq"- i S0 -(= j7 LOT TRACT OWNERNAME Janet Green ADDRESS 28950 Bradley Road PHONE EMAIL APPLICANT NAME Holly Thompson ADDRESS 7100 W Florida Ave PHONE 951-537-6859 EMAIL holly.thompson@horizonsolarpower.com CONTRACrOR'S NAME OWNER BUILDER? O YES NO BUSINESS NAME Myers Electric ADDRESS 425 W La Cadena Dr#21 PHONE 951-662-8769 EMAIL CONTRACTOR'S STATE LIC NUMBER 977274 LICENSE CLASSIFICATION C-10 VALUATION$ 1,800.00 SO FT L SO FT �ryy� �� 1a/_ _ 6/12/17 APPLICANT'S SIGNATURE ',elf///// i/iL//fir' DATE I DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAID AMOUNT r, (.. AMOUNT I • qQ CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT <; CASH i%CHECK p CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213