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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 J:117g yl/ slilcln; 1if�:, G ;J'^ri 117°.'i 7,�,';1c ;i(i.L N 'G°. 1'G, 1_ °, •� . '�. J , >�=- S1J LO /% 01,42 ' I � X �92-38 �A2n2c.L �• I R7 I Gt -Z227 d4;fwrcTnifee I C,: OUTLINE OF Building Dept. ED I Q OVER PATIO 10 \ - -__ FEB 28 2018 I IPRG�POSED /06/Ct r I AD��RI�TPION I FA 0 TO ALiEMOI.ISHTED I I I I ke ------------ I' I EXISTING / I I SUNROOM TO 6E OONVERTED' / I TO(n) LIVIW AR✓6A EXISTIDNG RESIENOE I ---�� - --------------- I I I T i I I I EXISTING I GARAGE I I / EXISTI � I — ---� FOR / I _ ahff MENIFEE � I 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