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PMT18-00973 City of Menifee Permit No.: PMT18-00973 29714 HAUN RD. Type: Residential Electrical �AhCCEL/� MENIFEE, CA 92586 MENIFEE Date Issued: 03/05/2018 PERMIT Site Address: 28228 DANBURY DR, MENIFEE, CA Parcel Number: 339-062-024 92586 Construction Cost: $1,200.00 Existing Use: Proposed Use: Description of ELECTRICAL PANEL UPGRADE FROM 100AMP TO 200AMP FOR SOLAR PERMIT PMT18-00257 Work: Owner Contractor RICHARD&IRENE HOOD-VIGUERIA GREEN WAVE ELECTRIC INC 28228 DANBURY DR 13837 LA JOLLA PLAZA MENIFEE, CA 92586 GARDEN GROVE, CA 92844 Applicant Phone:6572966319 DIEGO MORAN License Number. 1003996 GREEN WAVE ELECTRIC INC 13837 LA JOLLA PLAZA GARDEN GROVE,CA 92844 Fee Description Qty Amount(St Receptacle, Switch, Outlet&Fixture 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 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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for Professions Code and my Ifc/apse is in full ford d effecct. the following reason: License Class• —\Q�/(.al b Uc nse Nc 1op3�� By my signature below I acknowledge that,except for my personal residence Expires 3�3�—\3 Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 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 cave and will maintain a certificate of consent of self-insure for worker's 7044 oft s and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this a lication is su mild Drat the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www. info.ca.gov Gal . tml. Policyp Date I have and will maintain worker's compensation insurance,as required by PROPERTY OWNE RIZED 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 ,�2C � \\�� W 2='LTt`-«S witL[ra-p—p—lic-aabi ty ordinances and state laws relating to Carrier e representatives of this city or county to Polity#���JC -Trj2.SJ Expires 3— c��JJ anterty for inspection purposes. fs� (This section need not to be completed is the permit is for one-hundred Dale 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 emolov an persons in any manner so as to became subject to the CITY BUSINESS LICENSE q worker's comp sation la of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject to the orker's com ei ation provisions of Section 3700 of the Labor Code,I shall fo hwith corn y those provisions. Will the applicant or future building occupant handle hazardous material or a Applican Date 3-`S—��} mixture containing a hazardous material equal to or greater that the amountsl��sQ[ecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO ER'S COMPENSATION COVERAGE IS ❑Yes No 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(SC construction or See permitting cationfrom checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast Airl�j es CONSTRUCTION LENDING AGENCY ciYes dM0 1 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 b dary of a school? (Section 3097 Civil Code) o Yes , o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that am exempt from the permitting ch ist.I de stand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California H Ith&Safe ode,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous aterial repo g.Cl- pp Business and Professions Code).Any city or county that requires a permit to gpes pNo Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OW AUTH RIZED 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 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 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 o 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.eoa.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 Contractor's State License Law does not apply to an owner of a ❑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: ❑1,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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �s' MENIFEE _...�! DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL ,-RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Cx-\ L NC L :vao L1 OO P�M1'S PROJECTADDRESS 'b22;b �j /�/�AvJJ13�/U�R-�I' 4'_"Q ZIP y2 ASSESSOR'S PARCEL NUMBER 3 ✓ �-0b'*: ^^�J P L 4 LOT TRACT OWNER NAME 2�C}VlQ D �(ttJt E7C)�- �I 1 C7VL�t A ADDRESS 2P622b p 6v(Z� �J�C �v CiTI � PHONE BSI- 2SO' y 1b2 EMAIL APPLICANT NAME ADDRESS PHONE EMAIL L CZ CONTRACTOR'S NAMErFI ,C� C OWNER BUILDER? O YES NO BUSINESS NAME C413 v�V'v GIG i c ADDRESS )3ba1 LN ::� QL7A - p,G (�A C�2b PHONE Q51- 2 lb - (n' A a EMAIL CA VJANA v CW CONTRACTOR'S STATE LIC NUMBER 1OO J 1Q1(!' LICENSE CLASSIFICATION C-10 c,'4 l0 VALUATION$ SQFT LSQFT Q O APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL ,80 GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92S86 (951)672-6777 www.cityofmenifee.us tv!