PMT18-00988 City of Menifee Permit No.: PMT18-00988
29714 HAUN RD. Type: Residential Electrical
S�CCEL/> MENIFEE,CA 92586
MENIFEE Date Issued:
03/06/2018
PERMIT
Site Address: 27960 WASHINGTON AVE, MENIFEE, CA Parcel Number: 329-192-003
92585 Construction Cost: $404.00
Existing Use: Proposed Use:
Description of INSTALL REPLACEMENT POWER POLE PER SCE SPECS, INSTALL NEW 100A PANEL
Work:
Owner Contractor
RUDY ALVAREZ
27960 WASHINGTON AVE
MENIFEE, CA 92585
Applicant License Number:
RUDY ALVAREZ
27960 WASHINGTON AVE
MENIFEE, CA 92585
Phone: 9096452226
Fee Description QtV Amount(Sl
Pole or Platform Mounted Fixtures 1 183.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 9.15
$220.15
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_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 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 Ucense 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
cow info.ca. o ala .html.
this permit is issued. /
Polity# Date
❑I have and will maintain worker's compensation insurance,as required by PROPER WNER OR AUTHO ED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By m ignature below ce ify 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 a to above id nttR d propertyfor inspection purposes.
(This section need notto be completed is the permit is for one-hundred Date
dollars($100)or less ROPERT WNER OR AUTHQb1ZED 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
subject to 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 ayes ❑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 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)?See permitting checklist
IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑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 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 o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the 5CAQMD
I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements underthe State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Cade).Any city or county that requires a permit to oyes D No Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permitto file a signed statement
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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
❑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.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 ❑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. ❑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 MENIFEE
DATE: , th PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER City Of Menif 3e
8ullaing Dej it
TYPE: O COMMERCIAL ESIDENTIAL O MULTI-FAMILY *TMOBILE HOME 0 POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANICAMAR O 6 2018
0 NEW 0 PLUMBING 0 RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK . i ed
Q , 11
PROJECT ADDRESS ,� Iy/� 5 �,',y, Crll ZIP
-7� �� ter'
� �
ASSESSOR'S PARCEL NUMBER -p(/a - j LOT TRACT
iri
OWNER NAME - I^
ADDRESSIq IC.•
n
PHONE _ ^ , EMAIL , Y"✓I
_.
APPLICANT NAME (/?A
ADDRESS_ /t rr ; - - �
PHONE(CIIL%) ��`T� -2���, EMAIL - CJ , yl n!v
J
CONTRACTOR'S NAME OWNER BUILDER? OYES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ ,L SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ACCEPTED CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL ;paa ,1C� GREEN SMIP
OWNER BUILDER VERIFIED YES 10, NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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9
UILDING AND SAFETY
P AN APPROV L
--" R VIEWED BY
�n provalof these plans s I riot becm
approval of,any violation anypmvsion
regulations and ordinances Thla$#0fap
^I jobsite until completion,
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Figure 2-15: Customer-Owned Permanent or Temporary Service P{�ao�rlleYY�r�r
Note(s): MAR 0 6 2018 T71
;n 1. The preferred location for customer-owned permanent or temporary a�
II I service poles shall be located where is corn y vehicle, i
+15"� access.If Company vehicle access c t t�, .corita,t,&
` i
local Service Planning Office for mete �tion.Service drop
1 II and wire holder or service rack shall be furnished and installed by
I the Company.The Company's service drop maximum span length is `
100 feet. Cr/
2. Wire holder or rack furnished and installed by the customer.
3. Customer's line.
4. Not less than 18 inches of wire outside service head. ov
4 5. Weatherproof service entrance caps.
5 6. Minimum 3/44nch PVC conduit Sch.40.
7. A 25-foot pole with a five-inch minimum top diameter treated vdth a -
chemical preservative.
7 8. Fasten conduit securely to pole.
9. For typq of meter receptacle,and the number of socket terminals,
see ESR-5.
10.Meter will be furnished and installed by the Company.
Self-contained 3001400 A(Class 320)type meter panels are not
o acceptable for temporary service.A safety socket box with factory
ih installed test/bypass blocks,as detailed in ESR-5,shall be provided
—� for all three-phase installations.
11.Weatherproof boxes and receplacles2u
12.Armored ground wire or minimum of 1/2-inch rigid conduit or wood
\" molding over ground wire.
m 13.Ground wire to be#8 AWG minimum.
F14.Where customer's feeder Is to be underground.install conduit as
„ Indicated by dashed lines and as required by the NEC.
m 15.Approved ground clamp and fitting must be accessible.Conduit
9 must extend to ground rod to protect ground wire from mechanical
injury.
16.Ground wire from pole to electrode shall be enclosed in galvanized
Xridged conduit,or equivalent mechanical protection.If a ground rod
G is used,the following minimum requirements apply:
❑ Diameter of rod:314 inch,if iron rod or galvanized pipe
M 1 ❑ 1/2 inch,if solid rod of brass,copper,or copper-covered steel.
io ❑ Drive to minimum depth of V-0"below ground surface.
o u ❑ Refer to the local inspection agency for alternate or additional
requirements.
Removable LPARTNi -NT
17.A 6'x 3l4"Sch.40 PVC conduit will be furnished and insta
i Cap the customer.This conduit must be permanently secured with three
0
d, r pipe straps to the butt and gush to the bottom of the pole.The
bottom of the conduit must be permanently capped and the top cap
must be removable. /�
18.The customer must set the service pole in natural soil.T fz�t)ackfill
must be tamped to a minimum compaction of 90 percent m a
two-foot radius of the pole.
I� DATE
j A to be a pern l for,or an
Permanent the federal,sto,e or city
Cap ved plans most a kept on the
41 Refer to the local inspection agency and the"California Electrical Safety Order'for ground fault circuit protection requirements.
EFFECTIVE DATE
ESR-2 Overhead Service Connections 0-600 V 1-29-2016
PAGE Service 2-32 Electrical Sice Requirements APPROVED e
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