The URL can be used to link to this page

PMT18-00107 City of Menifee Permit No.: PMT18-00107 29714 HAUN RD.ACCEL/7 MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 0110 812 01 8 PERMIT Site Address: 27629 GROSSE POINT DR, MENIFEE, Parcel Number: 335-252-008 CA 92586 Construction Cost: $500.00 Existing Use: Proposed Use: Description of DERATE MAIN PANEL FROM 125A TO 100A Work: Owner Contractor JUDY RAMSEY PEAK POWER SOLUTIONS INC 27629 GROSSE POINT DR 151 KALMUS DR STE L2 MENIFEE, CA 92586 COSTA MESA, CA 92626 Applicant Phone: 7142583900 HENRY AFFRE License Number:973253 PEAK POWER SOLUTIONS INC 151 KALMUS DR STE L2 COSTA MESA, CA 92626 Fee Description QtV Amount lSl 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 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_81dg_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 Chapter!)(commencing with section 7000)of Division 3 of the Business and O l am exempt from licensure under the Contractor's State License Law for Professions Code an y license is in full force and effect.. .i the following reason: License Class LI BliseNo. `' '� �� Symysignature below(acknowledge that,except formy personal residence Expires 3( IF5lgnatur in which l musthave resided for at least one year priarto completion of improvements covered by this permit.I cannot legallysell a structure that WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by O 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 Cade,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 tvaw,leeinfo.a.eav/calaw.html. this permit is issued. Policy# Date have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT sec mn 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 numberarr�e: �'� n a,0H/ application and the information I have provided is correct.I agree to comply Carrier^-�D T l� P with all applicable city and county ordinances and statelaws relating to C•j building construction.I authorize representatives of this city or county to Policygq�f74n11�1�I7 Expires Z� / �b entertheabove identified propertyforinspection 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 O l certify that in the performance of the work for which this permit is issued, �3q �� J Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# ` workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION 'subject to the workers compen ation provisions of Section 3700 of the Labor Code,is a 0t�swith co pL th hosep ovisions. Will the applicant or future building occupant handle hazardous material or Appilcan Date 1711 mixture containing a hazardous material equal to or grater that he amounts specified on the Hazardous Materials Information Guide? WARNINGSFA RET SECUREWORKER'S COMPENSATION COVE GE15 oyes )No UNLAWFUL,AN SHALLSU8JECr AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicantcrfuture 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 forguidelines CONSTRUCr10N LENDING AGENCY oYes n'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 wcirk which this permit is issued outer boundary of a school? (Section 3097 Civil Code) O Yes /No OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penal"f perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Lawforthe reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 ..oyes Business and Professions Code).Any city or county that requires a permit to I� Date r7 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OVEN O ORIZ •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(RRPI 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 7032.5 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($SOD). managers who do the paint-disturbing work themselves or through their a1,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.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1.800424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a aAn 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 ND: completion,the Owner-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 bemuse: ❑I,as owner of the property am exclusively contracting with Itcensed 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 ' L _ A or DATE: �' aa/ 7 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ZELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK — I r PROIECTADDRE55 6276�q 1.7KOSL f r1NJ i d/ ZIP ASSESSOR'S PARCEL NUMBER 335Z 009 LOT TRACT OWNER NAME 70*V 12 AHS6\' �^^ /� ADDRESS Q 7j 6 a•cl Cr )zoss 6 'Vowi- DIP, S C}JJ C/T7Z C-A I q a5 PHONE 90q - 91316 3) z 1 EMAIL APPLICANT NAME -NEA.)f-• AFFPE i�l ADDRESS S /j LP'I 5 D STE- &a- f .5- E$_,j C4 `1 n 26Zr_ PHONE (�5CCL)fo TZ .j EMAIL k)Ck -r 7'Sre 5��r v�^A.c •GofA"b CJ CONTRACTOR'S NAME P �0(,�£ �OL�/OAtJs OWNER BUILDER? O YE NO BUSINESS NAME ADDRESS 151 . US 576 . GS P64 p 26 Z 4 PHONE LOO) 265_• .�_35 7 EMAIL �TZcCONTRACTOR'S STATE LI U B� 3�� LICENSE CLASSIFICATION VALUATION$ SQ L SO FT APPLICANT'S SIGNATURE DATE / ' TIE / GTYSTAFF jUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERM IT FEE („ SMIP GREEN pa PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS UCENSE# NOTARIZED LETTER O YES O NO