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PMT17-02508 City of Menifee Permit No.: PMT17-02508 29714 HAUN RD. Type: Residential Electrical -5A—CCEL/k� MENIFEE,CA 92586 cR�.-,moo sMa�e MENIFEE Date Issued: 07/18/2017 PERMIT Site Address: 26041 MURRIETA RD, MENIFEE, CA Parcel Number: 330-210-014 92585 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of REPLACE MAIN PANEL,200A, REPLACE ALL BROKEN WINDOWS LIKE FOR LIKE, MINOR Work: DRYWALL REPAIR Owner Contractor ALLIED CAPITAL INV MIRAMONTES CONSTRUCTION 5661 BEACH BLVD,#201 103 E 48TH ST BUENA PARK, CA 90621 SAN BERNARDINO, CA 92404 Applicant Phone:9518093542 JOE MIRAMONTES License Number:941885 MIRAMONTES CONSTRUCTION 103 E 48TH ST SAN BERNARDINO, CA 92404 Fee Description Qtv Amount($) Services, Switchboards, Control Centers&Panels 1 116.00 Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 5.80 $278.87 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 sic months,shall expire,and fees paid shall be forfeited. AA_BIdg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho 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 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 under the Contractor's State License Law for Professions Code and license Is in full force and effect. the following reason: License Class 2-2 Licens lo. By my signature below I acknowledge that,except for my personal residence Expires 0/'>1 gnature in which l must have resided forat least one year priorto 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 o 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 www.leginfo.ca.gov/calaw.htmi.permit is issued. Policy q Date ❑I 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 o 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 owner's behalf.I have read this number are: application and the information 1 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 N 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 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 p worker's compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I II f ith c pl ith those ro isi is. Will the applicant or future building occupant handle hazardous material or a Appiic Date /-6 - G � mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNIN AILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes bPIO 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin ps CONSTRUCTION LENDING AGENCY oyes ^No 1 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 bounpry of a school? (Section 3097 Civil Code) o Yes 20,10 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 Co 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 0 Business and Professions Code).Any city or county that requires a permit to Date 1_m'-1011 construct,alter,Improve,demolish or repair any structure,prior to its PR PERTY 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(Chapter9(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 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 wwmeoa.gov/lead or contact the National Lead information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80D-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 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION t= Menifee DATE ' $ PERMIT/PLAN CHECK NUMBER Om TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION -4-ELECTRICAL O MECHANICAL O NEW -kP-LUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK wi �, C PROJECTADDRESS & O 2 -e.d'u} 4� JI/Vt r ASSESSOR'S PARCEL NUMBER �'-��-D1�( LOT TRACT OWNER NAME (p _ n k ADDRESS 1 -{ City at ennee PHONE EMAIL Building & Safety Dept APPLICANT NAME ADDRESS Received PHONE /��' EMAIL CONTRACTOR'S NAME I iti0 Tk ks OWNER BUILDER? O YES'NO BUSINESS NAME t6 E Y S e-ex- vcm D t 01 PA CA q,7g0L ADDRESS PHONE � Y V��-�j S�z (�- EMAK/ Ue-Llof, CONTRACTOR'S STATE LIfC�NUMBER LICENSE CLASSIFICATION VALUATION$ U SO FT L SO FT APPLICANT'S SIGNAT DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I-- SMIP INVOICE 4 PAID AMOUNT AMOUNT p '�� O CASH O CHECK# O CREDIT CARD VISA/MC LPLAN CHECK FEES PAID AMOUNT OCASH ^CHECK# 0 CREDIT CARD VISA/MC OWNIRBUIIDERVERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.Lis Inspection Request Line 951-246-6213 City of fdenifee Buildln 8, Safet Dent. JUL 8 2017 t S k 2t1 l t CITY OF MENIFEE Ul DING AND SAFETY DEPARTMENT PtAN APPROVAL REVIEWED RY-1 6 6 ti to DATE `Approval of these plans shall n9t be construed to be a permit for or an approval of,any violation of any provisions of the federal,state or city jobsite until completion. Ws must be kept on the