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PMT18-00824 City of Menifee Permit No.: PMT18-00824 /a 29714 HAUN RD. Type: Residential Electrical ' v MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 06/11/2018 PERMIT Site Address: 25795 TRADE WINDS DR,MENIFEE, CA Parcel Number: 329-263-026 92585 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of 125 AMP PEDESTAL REPLACEMENT,SAME SIZE AND SAME LOCATION-NOT LOCATED ON MH Work: APPROVED BY SCE-JOSE ANGEL HERRERA, PLANNING MENIFEE 77 Owner Contractor TONY HERRERA A R S AMERICAN RESIDENTIAL SERVICES OF 25795 TRADE WINDS CALIFORNIA INC MENIFEE,CA 92585 965 RIDGE LAKE BLVD#201 Applicant Phone:9512769744 CHRISTINA CALHOUN License Number:765074 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIi 965 RIDGE LAKE BLVD#201 MEMPHIS, CA 38120 Fee Description Oty Amount f$1 Services,Switchboards, Control Centers&Panels 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Electrical 1 5.80 $151.80 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 carded 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 I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractar(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 70001 of Division 3 of the Business and o I am exempt from limnsure under the Contractors State License Law for Professions Code and my license is in full force a ffect. r. : e following reason: License Class ( C3� Uc s o.-7t0 y my signature below l acknowledge that,except for my personal residence Expires Signature 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 DE[IA 710 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 taw,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 www.leginfo.ca.gov/olaw.htmi. this permit is issued. Policy it Date -v1t'h ve and will maintain worker's compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply ' with all applicable City and county ordinances and state laws relating to Carrier L k building construction.I authorize representatives of this city or county to Policy# 7(o3lsei?,GyonLxpires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is or 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, O � U I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE H worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wor et,s comp3jogafbrf s of5 370D of the Labor Code,I shall f 'th to r l os5 a visi Will the applicant or future building occupanthandle hazardous material or a mature containing a hazardous materialalequal equal to or greater that the Applican Date amounts specified on the Hazardous Materials Information Guide? WAR N • ILURET0 SEC WORKER'S COMPENSATI COVE GE 15 oYes VHo 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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY oYes 'Ejo 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) o Yes `n4lo 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 equire under the State of Californ a Ith&Safe ec ran nd 25534 cancer ing Contractor's License Law for the reason(s)indicated below by the haze ous aterial r checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s y A 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 PROP N ORIZED 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 A 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($500). managers who do the paint-disturbing work themselves or through their o I,as owner ofthe 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-BOD-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a o 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. o No EPA Lead-Safe Certified Firm is required for this project because: o 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. ,Menifee DATE: Z Z'Z 8 PERMIT/PLAN CHECK NUMBER MI O —O TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION V-ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK I Z a fk - PROJECTADDRESS 2.S1 �2Sy� T•rA�Q, W%Y1aS h ,ZIP 7 Z.SQj� ASSESSOR'S PARCEL NUMBER a�3 �aa LOT TRACT OWNER NAM �(E 'ef(- 71cx1 ME ADDRESS z>av.....Q_ G, PHONE -7 -7-7 q9 EMAIL APPLICANT NAME I(i5 ADDRESS p Q PHONE /�) 06LJ— 3l -9 1 EMAIL CONTRACTOR'S NAME P-\ WA-k- /I 'p %cc WNER BUILDER? O YES O BUSINESS NAME AA ` ' p. ^� ADDRESS �V �O $� I V (/Z� U PHONE SOQ UCOID Q-(( /�� EMAIL CONTRACTOR'S STATE LIC NUMBER L h /201 LICENSE CLASSIFICATION GcD IG7O /C}4 CC VALUATION$ (� OO S L SO FT APPLICANT'S SIGNATURE DATE Z 22. I CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I ACCEPTED BY: PERMITFEE G�_I •U SMIP GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED OYES '✓ NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd, Menifee, CA 92586 951-672-6777 www.cityo f inenifee.us OWNER =► �c�rey� -f`o•,—�— ADDRESS CITY ZIP 9Z58T7 PHONE (951) 8-?5- 7'7q9 LOT NO. TRACT APN# CONTRACTOR PROPOSEDADDITION(11S) IZc�CrQ, IZS , Fri lz Af 4f Irk O Q�P ��O ya �e`°��' �► aQQv�J" +cV r�G � W� ✓�-�J