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PMT17-03971 City of Menifee Permit No.: PMT17-03971 29714 HAUN RD. Type: Commercial Electrical -1;kCCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 11/09/2017 PERMIT Site Address: 29532 STARRING LN, MENIFEE, CA Parcel Number: 92585 Construction Cost: $500.00 Existing Use: Proposed Use: Description of INSTALL(1)200AMP UfG TEMP POWER POLE FOR CONSTRUCTION USE Work: TR30422-3 Owner Contractor LENNAR HOMES S R BRAY LLC 980 MONTECITO DRIVE SUITE 300 1210 N RED GUM STREET CORONA,CA 92879 ANAHEIM, CA 92806 Applicant Phone:7145071881 MENIFEE,CA License Number:980589 Phone: 9512931333 Fee Description 0tv Amount(SI Services, Switchboards, Control Centers&Panels 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 148 148.37 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 9.15 $368.52 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_Pernit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects With a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full farce and effect. G,s the following reason: License Class c/o License No. 9� 0 Dq 1 By my signature below I acknowledge that,except for my personal residence Expires 3/ in which 1 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 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 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.leginfo.m.eov/calaw.html. Policy 9 Date [a'(have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,for the performance of the work for which D By my signature below I certify to each of the foliowing: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 Carrie,,X 0= A�s"1 rNJW4L Cr wAyf with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy gGL.61'7JIJ 3 67D z- Expires 317 j hg enter the above identified property for inspection purposes. (This section need not to be completed is the permit Is for one-hundred Date dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT O I certify that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner soasto become subject tothe CITY BUSINESS LICENSE# 035y2S- 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 wit hl n.ovisions. Will the applicant or future building occupant handle hazardous material or —� �r�ll? mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes e-Ko UNLAWFUL,AND SHALLSUB1ECr 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($100,00D),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 forguidellnes CONSTRUCTION LENDING AGENCY D Yes el4o I hereby affirm that under the penalty of perjurythere is a construction Will the proposed building or modified facility he 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) D Yes willo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements underthe State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous material reportr checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 C Business and Professions Cade).Any city or county that requires a permit to �� Date construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY OWNER ORAUTHORIZED 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 IRRP3 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 D 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.eov/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: ❑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. DATE: 1 1/3/17 PERMIT/PLAN CHECK NUMBER iO I TYPE: , COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION LECTRICAL O MECHANICAL ,") NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Install one 200amp U/G temporary power pole for construction use at Lennar's tract#3DYZ?--3 I'I AWA PROJECTADDRESS f jj5l - 41.( ZIP ASSESSOR'S PARCEL NUMBER LOT 3 TRACT# 30YZ2 3 OWNER NAME LENNAR HOMES ADDRESS 980 MONTECITO DR STE#300, CORONA, CA 92879 PHONE 951-817-3500 EMAIL APPLICANT NAME Mike McGee ADDRESS PHONE 951-293-1333 EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES <O BUSINESS NAME S.R. Bray LLC, Elba PowerPlus ADDRESS 1210 N. Red Gum St,Anaheim, CA 92806 PHONE 714-765-7551 EMAIL CONTRACTOR'S STATE LIC NUMBER 980589 LICENSE CLASSIFICATION C10 VALUATION$ 500.00 SQ FT L SO FT APPLICANT'S SIGNATURE DATE 11/3/17 CrTY STAFF USE ONLY _- DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIEEE SINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE `�. �,� SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES � NO C.b Of Mpn fee City o Ivienl ee Buildin 8 Sa et -672-bn� D9pf. J t g f y s�f�+Aecyfe Naun Rd. Menifee, CA 92586 951-672-67 7 BUWk*W ni/ee.us NOV 0 3 2017 ; �L� Received s , vT m H N V V m m J o m ° Ny +_ JI N � 1 I N ❑ 1 L ` N - m N W � D N zn UU N rJ w H• wma � 0Dz o ,� PONG m : o 7 r. N � m n m 3 O Z $ •c m m AN E n AON � � � m m p ;dap 6u p pe (n aa}ivaW}o ho