PMT17-02729 City of Menifee Permit No.: PMT17-02729
29714 HAUN RD. Type: Residential Electrical
<ACCELA7. MENIFEE, CA 92586
MENIFEE Date Issued: 08103/2017
PERMIT
Site Address: 26963 MIRABELLA CT, MENIFEE, CA Parcel Number: 360-480-047
92584 Construction Cost: $1,500.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A
Work:
Owner Contractor
KAREN EBY ABOVE ALL CONSTRUCTION INC
26963 MIRABELLA COURT 3343 DURAHART STREET
MENIFEE,CA 92584 RIVERSIDE, CA 92507
Applicant Phone:9517427156
VIOLETA BARAJAS License Number:933062
ABOVE ALL CONSTRUCTION INC
3343 DURAHART STREET
RIVERSIDE, CA 92507
Fee Description City Amount(SI
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 Marilee.Except as otherwise staled,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 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 in I am exempt from licensure under the Contractor's State License Law for
Professions Cade and my license is in full force and effect.. ��** the following reason:
License Class_Lic nse NRA3 0 b� By my signature below I acknowledge that,except for my personal residence
Expires Signature r 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 DECLARATIONNhave 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 ,r,,,r,,w,le¢info.ca.¢ov/calaw.html.
this permit is issued.
Policy q
Date
Yhave and will maintain worker's[ompensadon insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the workfor which ❑By my signature below I certify to each of the fallowing: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
numberar�e: /+ application and the information I have provided is correct.I agree to comply
Carrier erng S-Ln� with all applicable city and county ordinances and state laws relating to
�, lT— building construction.I authorize representatives of this city Or county to
Policy qq��DX M ys' ( 7 Expires ; ( r3 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 q
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall fort kith comply—with those provisions. �y Will the applicant or future building occupant handle hazardous material or a
Applicant - Date 1G/ 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 vym.
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 SECTION3706 OF:THE LABOR CODE,INTEREST,AND ATTORNEYS FEES - - ---- ___--- -- ., _-
for guide8hes---—
CONSTRUCTION LENDING AGENCY ❑Yes vivo
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 _r0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material re orting.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 � No
Business and Professions Code).Any city or county that requires a permit to , Date
construct,alter,improve,demolish or repair any structure,prior to its PR P RT OWNER OR AU IZED 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 Contractor's 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 orthrough 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 wW W.epa.9Oy/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 Contractor's 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:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7D44,Business and Professions
Code:The Contractor's 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.
w_
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee 9331��a
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL 1Z'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 01 LECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
l
PROJECTADDRESS ��" 1t)r� V2t' Cj
C� l
ASSESSOR'S PARCEL NUMBER ✓U0-L4W-C.!—� 1 LOT TRACT QUilding gtSa ltee
OWNERNAME / f2 n�
ADDRESS Pl.1C� �J v� .
PHONE EMAIL eQ..°�.ive1>d��,,..��77
APPLICANT NAME
ADDRESS
PHONE CC�Sj (0Sjo—G1 fjL}Zj EMAIL
CONTRACTOR'S NAME ✓ OWNER BUILDER? 0 YES E40
BUSINESS NAME 5 ("
ADDRESS
PHONE �Cj�I� (O:Sta—�!/.(�bC� EMAIL
// AI
CONTRACTOR'S STATE LIC NUMBER a.�`�1 Oj ICENSE CLASSIFICATION
VALUATION$ 1 _ SQ FT L SQ FT
c
APPLICANT'S SIGNATURE �- a DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN , SMIP X
INVOICE PAIDAMOUNT n
AMOUNT I�ACASH OCHECK# CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD MSA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-677 7
www.cityofinenifee.us Inspection Request Line 951-246-6213
License# 933062
243
ABOVEALLCONSTRUCTIONINC. Fax# #951-613-61
Office#951-413-6102
Menifee
Building 8f Safety Dept.
Above All Construction AUG 0 3 201?
3343 Durahart Street
Riverside, Ca, 92507 Received
To Whom It May Concern:
We at Above All Construction Authorize Violeta Barajas to Pull Permits on Our Behalf.
Thank You
James Eggleston 1'it1e:CE0
CONTRACTORS
dC� - STAAE LICENSE
CTIVE L CENSERD
�,.., 933062 CORP
ABOVE ALL CONSTRUCTION INC
B C46 C39
E �� 12/31/2017 ww .cslb.ca.gov