PMT17-03530 City Of Menifee Permit No.: PMT17-03530
29714 HAUN RD. Type: Residential Electrical
-( KCCEL/> MENIFEE,CA 92586
Wr-, MENIFEE Date Issued: 1 110 3/2 01 7
PERMIT
Site Address: 29761 PAINTED DESERT DR, MENIFEE, Parcel Number: 340-140-009
CA 925B4 Construction Cost: $1,500.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 225A
Work:
Owner Contractor
JC&ELAINE BUENAVISTA SEMPER SOLARIS CONSTRUCTION INC
29761 PAINTED DESERT DRIVE 1805 JOHN TOWERS AVENUE
MENIFEE, CA 92584 EL CAJON, CA 92020
Applicant Phone:6197154054
ALICIA ANDREWS License Number.978152
SEMPER SOLARIS CONSTRUCTION INC
1805 JOHN TOWERS AVENUE
EL CAJON, CA 92020
Fee Description OOt Amount 1E1
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 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_Pernil_Templatespt 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 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 1 am exempt from Ifcensure under the Contractors5tate License Law for
Professions Code and�my licensIe�is in f II force and effect. the following reason:
License License No.A SZ By my signature below I acknowledge that,except formy personal residence
Expires l( I Y Signature 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
D 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 w,n„n,,leeinfo.ca.eav/calaw.html.
this permit is issued.
Policy# Date
se�yLrl have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
dan 3700 of the Labor 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 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 DI�l'C/n with all applicable city and county ordinances and state laws relating to
f/ q� building construction.I authorize representatives of this city or county to
Policy# —�,I a 0211L; Expires 0 f 0 l 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, i�j
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# ✓ c C�v F't>
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of5ection 3700 of the Labor
Code,I shall forthwith comply with those provisions Will the applicant or future building occupant handle hazardous material or
Applicant Date � S mixture containing a hazardous material equal to or greater thatthe
amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE W 'S COMPENSATIO COVERAGE 15 ❑Yes gpv0
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
IN SECTION 37060FTHE ADDITION TO THE FT COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
HE LABOR[ODE,INTEREST,AND ATTORNEYS FEES Coast
es
CONSTRUCTION LENDING AGENCY 0Yes [jWa
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) ayes )lo
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
Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes a
Business and Professions Code).Any city or county that requires a permit to Date 5 /
construct,alter,improve,demolish or repair any structure,prior to its p TY OWNER OR AU B GENT
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 IRRPI
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 fora 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
0I,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.eva.gov/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 he responsible for this project
propertywho,through employees'car 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. D 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 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 outthe RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL [I MECHANICAL
❑NEW [-]PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK WCN yZsA z 00 At KWtl y%qS w 600 GO A
PROJECTADDRESS jt4N-t:V &i6F-T
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME G 1N-ir {�
ADDRESS Ji-{ 4.0 j
PHONE �?!� 2qq'?1 1 1(1,3j�I 1 EMAIL
APPLICANTNAME ALICIAANDREWS
ADDRESS 1218 SPRING ST.RIVERSIDE,CA 92507
PHONE (619)357-0383 EMAIL alicia.andrews@sempersolaris.com
CONTRACTOR'S NAME SEMPER SOLARIS OWNER BUILDER? ❑YESONO
BUSINESS NAME
ADDRESS 1805 JOHN TOWERS AVE. EL CAJON,CA 92020
PHONE (619)357.4142 EMAIL
CONTRACTOR'S STATE LIC NUMBER 978152 LICENSE CLASSIFICATION B.C10,C46,C36
VALUATION$ !�,400.190 SO FT L SO FT
APPLICANT'S SIGNATURE DATE V� all
I.
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I 1 0CASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haan Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213