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PMT18-01007 City of Menifee Permit No.: PMT18-01007 29714 HAUN RD. Type: Commercial Electrical �ACCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 03/1612018 PERMIT Site Address: 24827 S AUDIE MURPHY SOUTH RD, Parcel Number: MENIFEE,CA 92584 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of INSTALL U/G TEMP POWER WITH 2O0A METER,51 POLES WITH CANS AND 8 SPAN POLES FOR Work: TR 36485-4 KINGSTON Owner Contractor MERITAGE HOMES SPRINT ELECTRIC INC 17701 COWAN ST, STE 140 10441 ARLINGTON AVE IRVINE,CA 92614 RIVERSIDE,CA 92505 Applicant Phone:9513549520 SPRINT ELECTRIC License Number: 747175 MENIFEE,CA Fee Description gty Amount($) Services, Switchboards,Control Centers& Panels 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 148 148.37 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 9.15 $368.52 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_Pennit_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)pursuanttothe Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and in I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. ��7 the following reason: License Class C`1 O Li /icceense No. r 7.S ,f By my signature below I acknowledge that,except for my personal residence Expires .�.3�—'% Zi Signature/,}�,�� Y%i .ir 1 in which I must have resided for at least one year prior to completion of improvements covered bythis 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 workers 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 we6site: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.html. Policy# l p 0 y 0/9 Date ❑I have and will maintain workers 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier SG f<� Cal^1;� �t^5 �7L^� with all applicable city and county ordinances and State laws relating to building construction.I authorize representatives of this city or county to Policy#e :.4�4- %t%(fd Expires /' Z�r n+ enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT r ❑I certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant v /'"/' Date 3-/6-/8 mixture containing a hazardous material equal to or greaterthat the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS ❑Yes t 0 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 Aidir Quality Management District(SCAQMD)?See permitting checklist —IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES - — forguelines - CONSTRUCTION LENDING AGENCY o Yes 1)(\No I hereby affirm that under the penalty of perjury there is a construction I 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 kNo 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 California Health al Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyu" 0 No �7 Business and Professions Code).Any city or county that requires a permit to 24-i 4 a ^ Date 3—�'6 ��0 construct,alter,improve,demolish or repair any structure,prior t0 its PROPERTY OWNE R AUTHORI 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors receiving compensation for most work that disturbs paint in a ply with and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility a re RRP-certified firms and comply wth 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 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( I 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-BOD-424-LEAD(5323). Code;The Contractors 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 provingthat it was not built or improved for the purpose of sale. In No EPA Lead-Safe Certified Firm is required for this project because: ❑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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �` MENIFEE DATE: PERMIT/PLAN CHECK NUMBER n PLANNING CASE NUMBER TYPE: O COMMERCIAL JeRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION Ji ELECTRICAL O MECHANICAL C NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORu p av U eC PROJECTADDRESS 0-45 T D/E /%UN ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT~ L OWNER NAME ADDRESS / 5* SCc,'FL O ZL PHONE j 5_i EMAIL Building Dept. APPLICANT NAME e ��C ✓✓ /VC. MAR 0 6 2018 ADDRESS CA L{ 4P_Lj1V6 r0nt ✓� ✓e✓5��- +Q=A`}= r PHONE 17.S/ .33,;e-qS2_ a EMAIL MULAdIvIldu CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME j �G J I C ADDRESS / YJi n ' U Ave 1` ✓P(Sf PHONE ZJsI 3S51 95-ZO EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C -(O VALUATION$ /,S Jl� SOFT LSQFT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL 1 GREEN 1� SMIP IC OWNER BUILDER VERIFIED O YES C NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us L . T � 4 d ,'y�.: �,,• s y^: to a � � .e�"�C'.O'. -^ .~ r' �; • /;��tY. ' �` \ems a'�� i �='�5f� `t' T° .+._ H tY V1-t ✓1 +� Va. JIC %Al r y' 4 Y J tY \\ d a r CL - -17 R .y VV �l tf ✓ j7' 4 fa CD I CD rtst qy \•- ON N CD TIT 14� ��310�1