PMT18-00882 City of Menifee Permit No.: PMT18-00882
29714 HAUN RD. Type: Residential Electrical
C�KCCFO MENIFEE, CA 92586
MENIFEE Date Issued: 02/28/2018
PERMIT
Site Address: 29238 CARMEL RD, MENIFEE,CA 92586 Parcel Number: 338-081-006
Construction Cost: $1,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 200A AND RELOCATION
Work:
Owner Contractor
DENNIS SATTLER DAVID E KERR
29238 CARMEL ROAD 12097 DOLLY WAY
MENIFEE,CA 92586 MORENO VALLEY, CA 92555
Applicant Phone:9512428153
DENNIS SATTLER License Number.559893
29238 CARMEL ROAD
MENIFEE,CA 92586
Phone:6192278284
Fee Description Oft Amount ISl
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_Bldg_Pemiit_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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in 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 DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑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 �y�yw le infaca. ov dalaw.h
this permit is issued.
Policy# '—i '"r`�.9 Date
❑I have 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 ❑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
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property or inspection purposes. Q
(This section need not to be completed is the permit is for one-hundred __T: ,,,,,�e.q�\�7-� - iL Date Z—z-�— tJ
dollars($300)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 emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subjectto the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
UNLAWFUL,AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building
AND CIVIL FINES UPTO 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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATiORN_EYS FEES
CONSTRUCTION LENDING AGENCY ❑Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1DDO 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) ❑Yes ❑No
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&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 ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repairany structure,priorto its PROPERTY OWNER OR AUTHORIZEDAGENT
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 EPA RENOVATION,REPAIR AND PAINTING fRRP)
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 forthe 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
in 1,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.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 Contractor's State License Law does not apply to an owner of a in An EPA Lead-Safe Certified Renovator will be responsible forthis 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. in No EPA Lead-Safe Certified Firm is required for this project because:
V as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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: 2-Z 'j^ PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME L) POOL/SPA OSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION VELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK �> /.VCR' L'C �� /-4� �jE_ [lJA1&, 070 t f 8 pt.
n�/
PROJECTADDRESS 2�L3� =1-tlI!✓1�G.1W• /'[�/Y/Ff.+E ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT pAcved
OWNER NAME �,�p' fu/1/�S (�`L...
dall
ADDRESS .�7p crf&xgA-kp'/£C_;iZd-
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES "O
BUSINESS NAME '(2f}1f r /�� $ �¢ C'[Jpltrxo
ADDRESS �. („(,,, W REN V CL� L!'t• Z.
PHONE - EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ icoo "� SQ FT 09 L SQ FT
APPLICANT'S SIGNATURE ./� —,t--4'P DATE Z- Z S r I S
CITYSTAFF USE ONLY .�_.-.
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
D
BUILDING PLANNING ENGINEERING FIRE ACCEPTE BY:
PERMIT FEE LA 50 SMIP GREEN 1 _
PLAN CHECK FEE INVOICE TOTAL so
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
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OUTLINE OF
Building Dept.
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WI-MtNG"D SAFETYDEPARTMENI
I PLAN APPROVAL
I EXISTING , ,�^
DRIVEWAY REVIEWED BY f 1JV��I�tJ I
DATE
'Approval of these plans shall not be construed to be a permit tor,or an
— — — — _ — approval of,anlvi0lation of any pwvisions*k fed., I. izte or city
ru Ira and ordinances. This set of approved plans must be kept on the
Jo�fsite until completion,
(eJ SIDEWALK
(e)GONG.GUR6
AND 6UfrER