Loading...
PMT17-02553 City of Menifee Permit No.: PMT17-02553 ` 29714 HAUN RD. Type: Residential Electrical \CCEL/> MENIFEE,CA 92586 MENIFEE Date Issued: 07/24/2017 PERMIT Site Address: 25810 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-122-017 92586 Construction Cost: $1,400.00 Existing Use: Proposed Use: Description of PANEL UPGRADE TO 200AMP FOR FUTURE SOLAR Work: Owner Contractor RONALD EDGINGTON SMITH ELECTRICAL CONTRACTORS INC 25810 BALTRUSTROL DR 206 GREENFIELD DR STE G MENIFEE, CA 92586 EL CAJON,CA 92020 Applicant Phone:6197589829 RANDY COLE License Number: 871200 SMITH ELECTRICAL CONTRACTORS INC 206 GREENFIELD DR STE G EL CAJON, CA 92020 Fee Description O_yt Amount lSl Receptacle, Switch,Outlet&Fixture 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 I hereby affirm under penalty of perjurythat 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 D I am exempt from[!censure under the Contractor's State License Law for Professions Code aa+nd my license Is in full force and effect the following reason: License Class l_2 O License No. 7 By my signature below 1 acknowledge that,except for my personal residence Expires O Signatur in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 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: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 this permit is issued. www.leelnfo.ca.aov/calaw.html. Policy# Date yz`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 workers compensation insurance carder 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 EJmr m"a-Z o+'�a.` with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to �7 Policy# 4'oopI 3<--( Expires �-41/fcY 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 D I certify that in the performance of the work for which this permit is issued, shall not emolov 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 pro isions. Will the applicant or future building occupant handle hazardous material or a Applicant Da[e� 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 D Yes XNO 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 for guidelines CONSTRUCTION LENDING AGENCY ❑Yes -9,No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet ofthe lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes CwWo 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 hazardous material reportln .j checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 R1yes D Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,priorto 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 ❑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.eoa.Rov/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 D 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 Owneo-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: D 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 rill out the RRP Acknowledgement. CITY OF MENIFE E PLCK No: P it I _ 29714 Haun Road Date: Date' 7 ��� Menifee, CA 92586 12,41 Phone: (951)672-6777 Amount: Amoun' 'A Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: � Planning Case: F: L: Rt: R: Property Address: 25810 BaltruStrol Dr Assessor's Parcel Number. Projectrfenant Name: Unit#: Floor#: Name: Ronald Edgington f(951)436-6774 Fax No. Owner Property Address:25810 Baltrustrol Dr, Menifee 92586 Unit Number Zip Code Email Address: Name: Randy Cole P 619-9334868 Fax No. Applicant Address: Unit Number Zip Code Email Address: Name: Smith Electrical Contractors Phan(619)758-9829 Fax No. Contractor Address: 8733 N Magnolia Ave#112 citl Santee IstarA zip Cod 92071 Contractors Ity ---p s e Con/ractor•s City State c 871200 lo. Classla C10 Number of Squares: Square Footage Description of Work: panel upgrade to 200Amp Cost of work:$ 1400.00 Applicant's Signature Date: To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: i set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gad Tech/Solis Report(on call only) ❑ Plot I Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(an a%x 11) ❑ ❑ Cross Section El Structural Calculations Foundation Plan ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan 6 Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate LJ New Construction Alteration* Addition' Means/Methods Work Type: I Repair" Retrofit` Revision to Existing Permit' Required? YES NO Ld Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: If Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate if Indicate all Geo-tech.Haz.Zone At Project Indicate Sprinklered YES or NO that apply: Coastal Zone Completion: Construction Type(s): C Of o YES or No Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit I special case:Bldg. OfficialApiproyal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permil Specialist I City manning 11 Civil Engineenng EPWM-Admin Transporlahon Mgmt. Ji Renl Con Vol THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY aa8�lo�