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PMT17-04150 City of Menifee Permit No.: PMT17-04150 29714 HAUN RD. �/.�CCEt /�k MENIFEE,CA 92586 Type: Commercial Electrical r,,..,..-ect MENIFEE Date Issued: 1 210 51201 7 PERMIT Site Address: 30216 TOWN CENTER DR,MENIFEE, Parcel Number: CA 92584 Construction Cost: $500.00 Existing Use: Proposed Use: Description of INSTALL ONE 200AMP U/G TEMP POWER POLE FOR CONSTRUCTION TRAILER AND ONE 100AMP Work: SUBPOLE,AT LENNAR"THE VILLAGE AT MENIFEE TOWN CENTER"PROJECT TR 37179 DA-4 Owner Contractor LENNAR HOMES OF CA, INC S R BRAY LLC 980 MONTECITO DR#302 1210 N RED GUM STREET CORONA,CA 92879 ANAHEIM, CA 92806 Applicant Phone:7145071881 MIKE MCGEE License Number: 980589 S R BRAY LLC 1210 N RED GUM STREET ANAHEIM,CA 92806 Fee Description Oft Amount i$1 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 $368.52 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7D00)of Division 3 of the Business and D I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. 9$J�8� _ the following reason: License Uass/C e o //yJ/ License No." By my signature below I acknowledge that,except farmy personal residence Expires :VillI Signature in which 1 must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by a 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 fallowing website: by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.s:ov/calaw.htmL this permit is f Policy If PROPERTY OWNER OR AUTHORIZED AGENT Date - If and will maintain workers compensation insurance,as required by 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 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 w ✓�u It�rs C- with all applicable city and county ordinances and state laws relating to Carrier A f'-'r- I� building construction.l authorize representatives of this city or county to Policy#4-/C C93 Expires 9131113 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 9 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation prop isions of Section 3700 of the Labor Code,I shall forthwith comply a o�se provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date I c) // T mixture containing a hazardous material equal to or greater that the —!L� amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO E WORKER'S COMPENSATION COVERAGE IS a Yes 6,N0 UNLAWFUL,AND SHA B1ECf 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 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY oYes PNo 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) a Yes ImNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,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 oyes �FyNo Business and Professions Code).Any city or county that requires a permit to / Date/a �-1(, �f 7 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN THORQED 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 RENOVAT ON 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 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 epa.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 D An EPA Lead-Safe Certified Renovator will he 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 D No EPA Lead-Safe Certified Firm is required for this project because: not built or improved for the purpose of sale. 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 role please fill out the RRP Acknowledgement. DATE: 11/21/17 PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION �ECTRICAL OMECHANICAL �;> NEW O PLUMBING % RE-ROOF NUMBER OF SQUARES Install one 200am U/G temporary power pole for construction trailer. ` laA 04 DESCRIPTION OF WORK P P rY P P 5 6P� at Lennar's "The Village at Menifeeee Town Center" project, tract#37179 DA-4. PROJECTADDRESS 30Z LL /0*JAI C t/J ��', ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT#37179 OWNER NAME Lennar Homes ADDRESS 980 Montecito Dr, STE # 300, Corona, CA 92879 PHONE 951-817-3500 EMAIL mikem@powerplus.com APPLICANT NAME Mike McGee ADDRESS PHONE 951-293-1333 EMAIL mikem@powerplus.com CONTRACTOR'S NAME OWNER BUILDER? O YES �"NO BUSINESS NAME S.R. Bray LLC, dba 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 SQ FT APPLICANT'SSIGNATURE DATE 11/21/17 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES NO City of f0enifee Building& Safety Deportment 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.6w0finenifee.us P m �] M � .t. A �. M c � W s r `• � * , Z $. w B _ c a !` fi . 0 o art. D N Q a z T7 S Y ^ _ I.t "O m 0 > m f o rn 0 i i 077 Rril a m 7v z v xr Z say mlid r 14 CD 0 � � 1 D CD 20 <• _CD v CD 4. m COLL v� M