Loading...
PMT17-01902 City of Menifee Permit No.: PMT17-01902 29714 HAUN RD. �/-�CCELA? MENIFEE,CA 92586 Type: Commercial Electrical `"".. MENIFEE Date Issued: 06/28/2017 PERMIT Site Address: 29983 TIERRA SHORES LN, MENIFEE, Parcel Number: 34D500-082 CA 92584 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of REPLACEMENT OF 3 EXTERIOR LIGHT FIXTURES FOR CODE CASE CE17-0924 AT TIERRA Work: SHORES HOA Owner Contractor TIERRA SHORES HOA ENGLISH ELECTRIC 29758 TIERRA SHORES LN 28837 SUNNY VIEW DRIVE MENIFEE,CA 92584 MENIFEE, CA 92584 Applicant Phone:9519418790 EDWARD ENGLISH License Number:960817 TIERRA SHORES HOA 28837 SUNNY VIEW DRIVE MENIFEE, CA 92584 Phone:9513016614 Fee Description OQt Amount ISI Receptacle,Switch, Outlet& Fixture 3 126.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 129 129.07 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 6.30 $289.37 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 r I 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 ❑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 ' /0 License No. ?I( 7 By my signature below I acknowledge that,except for my personal residence i Expires 5'"3/ "/ lc 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 built as an owner-builder if it has not been constructed in its entirety by in 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 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 which this permit is issued. www.leuinfo.ca.eov/calaw.html. Policy# Date ❑1 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 ❑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 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 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT ,N 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# W. 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,1 shall foo/rthwith comply �'with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant G�C✓A�t/ C/�4�r� Date G —3 D—/7 mixture containing a hazardous material equal to or greater that the ! amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 9',No 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(SCAO,MD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes KNo 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 .ki(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 California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous materialreporting. Business and Professions Code).Any city or county that requires a permit to KYe5 :: Qf Date �7 construct,alter,improve,demolish or repair any structure,prior to 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(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.eoa.xov/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. ❑No EPA Lead-Safe Certified Firm is required for this project because: ci 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 Cn of Menifee Menifee Buildingg & Safeafety Dept. DATE 1UN 14 / PERMIT/PLAN CHECK NUMBER Fv1T(9 _0110t"->_ TYPE: O' r ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION C%ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 0. &z PROJECTADDRESS Zq95f.< ASSESSOR'S PARCEL NUMBER LOT � TRACT P77 OWNERNAME lee124 F4 ADDRESS 297Sg rteica v SNoy2t5 f.-, Mciv.GEt n 2 O PHONE al5t - 3dt -tott,ly EMAIL ear- APPLICANT NAME -To azua Swoe NoA ADDRESS 29-I5 Tie I+o2e5 IFc'E QP. qw: o, { PHONE 951 - got EMAIL TEp Arl - ",cc A_ mm CONTRACTOR'S NAME oGd�.� .,{�. OWNER BUILDER? O YES ONO BUSINESS NAME ,SLj /tom i ADDRESS � ,3'J,f' ,(�j. - Ca PHONE (�serz) EMAIL Pn I.rti 72u.' CONTRACTOR'S STATE LIC NUMBER A� ,JP /f LICENSE CLASSIFICATION C/O VALUATION$ 2,000 • 0 O SQ FT L SO.FT APPLICANT'S SIGNATURE DATE 4 � DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN ICO SMIP INVOICE 3(7 PAID AMOUNT AMOUNT 1(oQ. OCASH UCHECK# UCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# UCREDIT CARD VISA/MC OWNER BUILDERVERIFIED OYES U NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection RegUest Line 951-246-6213 d WF z o �+ 0g SE O �• I S5 IF 9 A >° la o m (D CLCD �i (Z CIS (D a I I 6 _ 9 1 m t• o 0 1�1�)I O• o+ N P 4 a.�a� Y=ca relo ti 3RS�; S � T w / Imo• � i0 LJ V A A - emu All ��y y�ig y3'y3 1 N• � p I N• _ gg dd3 0 � of ti � o• _ o tr q2 �! o !! ! §\/ | I ! ! /§0 . . . . . | ! ! § k | « : ) III \� \ §A |? . ! I§ $! �� � q§ !& \| At }||| !| . ® |d %! RR Ra y ƒ| ƒ {� ƒ � d % M |/ / y " ! mar' �> mN -3� y yy � 3 CEr w 0 LR e n M1I ttl a y R —� e = > 1p I $ 3 •�3 E 3 m3 -� Q �'�NK °r u =�•2 mP A v� b mZL z pp Ro O 'paw k RF�sXE LI '^ C g� oR B O D O O q 3 W � C M a 3 HE N p c y O _ � bb ; ap 5 N ' j 8 a E b o. 3 C Ca C ¢�(S yOy LpB YgyS y3y335g �p A y P grill g33S% � F n qa g d F o w Fngs sga3 e Q C3 ds SY 3 H`e C • 1 11 4 111 d11 9 '0 gg Dm Fj €€ 3 ve z a3 p: d aea ge¢' set T- pz;qi �� aeesP!if fit y ilk 2S "d a3'E s�p8 sjZ=9 382s4 53�3 3� 3 3S RiC +d ^6Q g6 gnu¢2v d3� R¢ @42 a9 3 €pkk� 33 �: dS3 6 aj YF Hi la^R Hi li 11 R-1 s'4 `x � 1RI €€t s Ina cg&gg`c IN gg 1g3s 41 �§ s05 6 Yl 8& ae flud €� — gY�€ � 3C R eogou lnoµllm ewe Aue le x6uego of loa!gns ale suollea0!aadS:aloN panlasGa sp!61LI IIV'ou!Bup4H!19V1l VLOZ©Ri6u6doO Z10 L Good wm•gemgermMm:allsgaM woa gamgw�jsaius:!lew3 o00L-SVM(££S)mu!I dieµ 40al idla4 PaN -suoi nopo IZ-Wl Pus sensor O9-Wl S31 uo poseq uedsa)il 0311no4-000'00L :uedsolll leogd0 'weaA S to Poped AN OND-l'7l'AAV N-1 e jol pajanoo ale 4slug luled pus uopwado aml<ld :uollaaloud a61ng sopdo palw6alui 10!A+sua!allAae leap :Alueuaem Palluall uA 9 '%OL se mol se swlO l!nm!o 6uiwwlP :seal OO AOI.O alwedes sallnbaa-swalsRs 6ulww!p 1a470 -pass sl joldepV a!od Ieslanlun leuopdo 11 solod puns AOL-O u01 BOPIM lonuoo 6u!wwlp sapnpu!1anpO 'SLOZ PUB aienbs Ile of slunoyy•selod wenbs BVH ul slunoW ;uaA1J0 6ulwwl0 -LLE'9L0 1SNV'slonPald(lSS)Bu!14611 BIGIS PROS :SugunoW 10 g1011ew0140 s41 m1 su0pe09!0adS Jol PrepuelS ALLZ 1e%V96'AM 1e%9'66 !euoOaN ueapaury aµllo saullOPlnb 8µ1 sm0001 •Bulsnoµ wnulwnle lseo-a!p uOISPa1d :lo;aed LaMod (wmwadwel uoloo polelauoo)lOO to allue1 s.SVH :6uisnOH ALLZ 1e%9'OI'OZl le%L Aivulollun lo!oo •salnleladwal :OHl •pouad 1ea6 S e lano lOO ul NOOZ ue41 lualqure(O.04)d.VO L ul asn jolalgel!n5 slaw ou 414s of poilueuem sl angwedwal lobo Oil ;aJnleLadWaJ•lUaigWtl VSZ'O:ALLZ VBZ'O:AOVZ b£E'6:A9BZ'VSS'O :A711!galS lopO :AM'zH 09/09 ALLZ-00 L'Z ssOID yueuno luelsuoO (O.OV-)d.Ob-sl alnlwadwal 6ulpels wnwlulW :0aAl1Q sO3l 6ugunow ooellns Aoualo0la-µ6Iq'alli-Bual :6ulve3g ua4leam plop [83- 031 BM A61B1al3 :s 'LE'9ELO ISNVrad 6upw uopwgin'JS Buipeal-AgsnPul legel.sloed eu0411au3 sopsua;,eae4O pal :Bupe>d uolleOglA 10 luawpedaO an paAIMGJ Oneµ PUB'09 PUB 6L -slalaw 6Aeaµ apcol uo ooA1a asn -Wl VNS31411m aoueplmoe ul tio7wagel luopuadepui a411no1p!m pale!nuuol 4siug leoa lapmod uOlsoliod 9'O=Vd3 ue Lq palsol uaeq Oneµ sai!eulwnl Oil SVH •sluouadwoo 1ue!Idw03 SHOU'aw)An PUB AnwaV4 :eaJV pa;oafoud OAll3a"3 :Bu);sal 09-Wl VNS318 6L-WI VNS31 :A6olou4oal uaa10 •sewe Supped to uelewusd pus sllem IHCIVZ8Hd:apoO lanpwd 010 uo!m Bupsei Buoi pue N!I!gwnp-4BI41o1 Pelelnuuod 10 sOulPlinq to sopls uo Bupunow ual peons Lllepadso 'saplipn legweyy Ol0 sY pue'a1nq,Ns!p leinw!o!wes a saonpwd(mwµy wolf salegal jol elcollee sl PUB Ion sionPwd PagpenO :49luld pmmlod a se umouy asle)uogngpls!P Al OdAl e41 (OlO)wniPosuoo sW6!l uH!sea a41 uo si lonpwd siyl ,slagse6 auooi is amlwadwal 4611-1 :uol;eaylsselo S31 :pals!l Ol0 :slallseE) u0g3tu;su00 •suonuoal lam iol alcloons lalem pue lsnp jo)99dl to 6upw uopoalad ssul l •sluawwlnbal/u!s 1pep Lom uuolum sopdo Bolno ilnd :Bu s n Il In :Bunea di :11olno llnd SBUlIsl1 suogeogpedg feofuLloal sql 6'OZ:1461aM azuwa uoloO Y4uw1eM le9A S'Bupw uollwq!A O-S sselo-u!-15G6'Geeie Supped to uelewpod e4l Bupeuiwn!ll jol PUB•spem pue s6u!penq to saps eµl uo Bupunow %66 :LaugIoWa ual pG11ns'suopngpislP Al adAl S3i ul olgellene s!4Bp ewe apwB uopeagpedS Mdl VOI :Aoeapy M99 :speMIndul 1.I99 :suawnl V9Z'O :ALLZ 000001. :uedsal!I OLI Vl 'AOVZ IHO ZL :buuwoVjoloo tl££'0 :ASOZ N0009 :dwal loloo V99'0 'AOZL M99 :sgeM luauno luelsuoo :odAj- Null 03-1 olul 19nll0 LNL1,/9 VIDO :01e0 :AS Pauedwd e lol AU sw04S wiay :edAl :laafmd a MU 0 0/991ti1®l 600uu lno4pm aw0 Rue le c011mlo of loa(gns we suoOeoOloadS mjaM pemasa8 sl4618 IIV'oul Buo4Bl�SVH ptOZ 074Bp6doO Z to Z aBed uwrga:ayer:uArA:all`sgDM soles:I1eu13 nou t-uvu(09e):aull dla4 4oal 4d1a4 POON ALLZ -OZ t'BUI W W ICI lanai-IS=JEll lOd ou'aloeldaoaH uld-L=HdO lod ou'aloeldaoaH uld-S=Hd9/ ALLZ-OZt'sual p06+iosuaS jaddolspeM=65M/ (uueW MS9 ALLZ-M'sual NOOOE=A =99 UOZ+losueS jaddolspeM=ZSM/ loldepV BuIwWIO (IepnaN) MOtt spIa14S-aMs Od N3011slml A09V=Y13dl clod leslaAlun Vd11/ AM-0'A084=Ot IMI 9114M=M N0004=N =0t1 -asnOH Z=SHI Od Noollslml ALLZ-OZL=1Odl salod aienbs (piepuels)oulwwla azuwg (I000)N0009 MM Al adRl auoN=lluelg auoN=yuela 9VH of slunoA=4uele AOVO'ALLZ-OZL=OIOI =4usle =MuelEl =09t =14 0M/ 99 14 10l sapossaaoV suopdo uosueS BupunoW suopdo uanpO 4sryld dwal loluo ascuum OdAl 931 Fllwed xluleyy Bulaapi0 WWOEE .£I WW 101 I fgueLem 1e9,(-S W W as CD1 IZ \ uopngplslP AI ed61 \\y uedsa111 Oil mo4-000'00 L sainyead suolsuawl0 'OPlleH lelaW M09t saoeldaH quawaneldell J0440 (penu)luoo) suo(;eoilioadS (eo(uLloal 0 MU 0 M/991ti10l mpou 1no4lyn awp hue is a6uego of loalgns Pis suopmppadS:eloN paruasaN s14BR1 IM'oul 6up4611 BV1J 4LOZ©146pAdo0 Z to L aBed :Ileu13 Mil VSVH(999):suit dIOLI 4oal 4dl04 PaaN -suopelnoleo LZ-Wl pus s Insel 09-Wl S31 uo paseq uedsepl 031 Jnoyb00'00i. :uedsolll IeOpdo •sJeaA 9l0 popad AN9 ONO-l'7l:AN4 N-1 e Jol palanm we yslug luled pus uopwado aJnlxld mado peleJ6alul gllm sual opAJoe Jeolo molyoaloJd a6Jng :Aluem]BM pallwll JA 9 :sual -%OL as mol se swi0 llnwp Bulwwlp •pasn sl JoldMV alod levanlun leuolldo 9 solod punw OO All L-0 elwedas saJmbay•swa1969 Bulwwlp Jaylp pus alenbs Ile of slunopy-selud aJenbs 9Vl l of slunoW All -0 Jo;Buplm Iwlum Bulwwlp eepnloul JOAPO 91.0Z :6u!lunoW ❑anu0 Bulwwlp -LLE'9LO ISNV'spnPwd OSS)611114611 ale1S PIIBS lo,Qppewwg0 eyl Jol suopeoppad9 Jol pJapusiS •Bulsnoy wnu!wnle lsea-alp uolspwd ALLZ Ie%Z'S6'AMI,Ie%9-68 leuopeN UMIJOWV 041JO soupapinB 041 smepoJ :Bulsnol4 :JOloed Jamad (wnleJadwal Joloo polelauo0)100;o a6uw s,aV,y :A imomun JoloO •swnleladwel ALLZ 1e%G'OL'BZL la%E'L 1ual9we(0,04)d.401 u!asn Jo;elgel!n5 :OHl pouad JeeAg eJane lOO uI NOOZ ue41 :aJnleJadula•L luaigwV V9V0-*AGLZ'V6Z'0:ADVZ'VSV0:A90Z'V99'0 wow ou 414s of papualuem sl aJnlwadwal Joloo pal (0.04-)d.04-s1 eJ14wadwalfiuNels wnupipy :AOZL'ZH 09/09'ALLZ-OOL'Z sselO'luaun0luelsue0 :Allllge)S JoloO s031 Bupunow rueyns Aaualoij4a-y6!4'apl-6uol :611111e1S JaWaM 13I00 :JOA(Jp sQ31 'LE'9E L0 ISNV Jed 6uPu uopeJgln 09 6ulpeal-Alsnpul IMIJ13813 :6ul;eN uolleJQIA 'lags)°sped Ba114611,Afuau3 SORSI pOeaeyO pal le luaulyedaO 941 paAlmaJ eney pue'09 pus 6L 'slelaw AAeay alx01 Jo 00A;o asn WO=Vd3 -INl VNS3141!m wuepJome ul,jolwogel luepuadapul 0411no49m polelnuuol yslu9lam Japmod JalssAlod :BOJV paloafad an!loall3 us Aq palsal uaaq eney swleulwnl Oil eVu ,sluawdwoo luepdwoo SHoa•awl An Pus fonwaW •pwlnbeJ :61414sa109-W1 VN93118 6L-WI VNSM :A601ouyoal UGSJD sl 14011;o lood GBJel a wa4m pus suopmpdde Bup4Bll 3ZOX0Zfd:epo0 pnpwd 010 •John fiupsel Buol Pug Al!pgeJnp-y8!y Jo;palelnuuoj 'sewe BuPped lwaueB'sAempew Jo;leap)•ewe aLn 'samign JagweW 0lO Il9 of plamino 146il ayl Gupoalwd'ewe us to ap!s ayl well salegaJ Jo;algi6lla sl Pus Isn slonpold pagpen0 :ysry!d Jaeu paleo0l eq oUueew s!uopnqulslP III edAl 841 (pl0)wnlWosuoO slyBri u6!ss0 ayl uo sponpmd e!41 'slaNse6 Mani is aJnlwadwal 46!H :U011eOWS,8910 Sal ;palsll 014 :sla)fseE) uollonJlsuo9 -suoilmol lam Jol alge4ns Jalem Pus)snp Jo,;99d1;o Bupw uolpapJd ssOlBul -sivawaJlnbw ANs NJep 411m uuolum-!Ido 0olm pnj :6ullsll l0 :6uI1eH di :Bolno llnd - s6ul)sll suoli engloadg leoluyoal sql 6'OZ:I4618M amwe:10100 -AlueueM JagA S'Bupw uopwq!A S-9 ssep-ul-Jsag,pwlnbw s16u114611 to load JeeJel a weym suopeopdde Bupy6p eam Jeylo Pus Willed Iwaue6'Aempew %66 :400013Ng Jol asn Jod•suolingplelp III adAl S31 ul algellene s14611 ewe epw6 uopmBloadS Mdl M :Aomiva M99 :sggM;ndul 49ZL :suawnl VSZ'0 :ALLZ 000001 :uedselll OLl V6Z'0 'A04Z 180 ZL :AowmoVJoloo VEE'O :A90Z N0009 :dwal Joloo V99'0 :AOZL M99 AmeM luauno luelsuo0 :adA_L olul(131 olul JOA1Jp al/ /9 VOO :alep :AS paJedwd V lot AN swo4S ewel L :adA1 :loalwd EMU 9 N9 N 1 0410/591£101