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PMT18-01232 City of Menifee Permit No.: PMT18-01232 29714 HAUN RD. �A-CCELX. MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 0 311 912 01 8 PERMIT Site Address: 25976 ALAMO CT, MENIFEE,CA 92584 Parcel Number: 358-522-006 Construction Cost $1,979.00 Existing Use: Proposed Use: Description of 200 L FT OF ELECTRICAL LINE FOR 3 LOW VOLTAGE LIGHTS,3 CIRCUITS AT BBQ, 1 OUTLET Work: FOR DRAINAGE PUMP,3 OUTLETS SEAT WALL Owner Contractor CAROL CALHOUN ELECTRIC SERVICE G S C 25976 ALAMO CT 3817 W 110TH STREET MENIFEE, CA 92584 INGLEWOOD,CA 90303 Applicant Phone:3106958539 GABRIEL C SECUNDINO License Number: 1020253 ELECTRIC SERVICE G S C 3817 W 110TH STREET INGLEWOOD, CA 90303 Phone:3106958539 Fee Description MR Amount f8l Receptacle, Switch, Outlet&Fixture 10 161.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 8.05 $197.05 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 LENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class r-f U se 6. By my signature below I acknowledge that,except for my personal residence Expires Signatur 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 DEC RATION have built as an owner-builder if it has not been constructed in its entirety by olhereby affirm under penalty erjuryone 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 website: by Section 3700 of the Labor Code,for the performance of work for which this permit L I issued. www.leginfo.ca.gay/calaw.htm]. r, Policy!I V I T Date o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this numberarree:�IP '� I application and the information I have provided is correct.I agree to comply Carrier. JQ-C� l/ (-%Y\0 n� �Intl In��trnr� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# CULN^5!kS— jExpires_ ( i2�(!j� — enter the above identified property for inspection purposes. (This section need not to be completed is the permit Is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o 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# workers compensation aws of Californ and agree that if I should become AZARDOUS MATERIAL DECLARATION subject to the wa mpens i6n�pr9}�isions of Section 3700 of the Labor Code,I sha rthwi om 1 with t> hoFE provisions. Will the applicant or future building occupant handle hazardous material or a p li ant /// Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING,FAILU SE ORKER'S COMPENSATION COVERAGE 15 o Yes p No NIAWFUL,ANDSHALL JECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South 'ADDITION TO T�i COST LABOR CODE,INTERTION,DAMAGESDATTORNEYS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN5EW0 7060E THE LABOR CODE,INTEREST,AND ATTORNtYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes O/moo 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) ❑Yes6 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 Heal tffety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 h and �ateril re o m o No !' Business and Professions Code).Any city or county that requires a permit to � Date rl construct,alter,improve,demolish or repair any structure,prior to its ftOPERTy0 E�RAUTHORI2ED 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 The EPA Ije ovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receyii 1 g 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 ZEnce 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 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 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: o 1,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. MENIFEE DATE: C)3 Imt 9, PERMIT/PLAN CHECK NUMBER lPTR O J PLANNING CASE NUMBER TYPE: O COMMERCIAL .8 RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION e1E<ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK CA-!! v �' e PROIECTADDRESS 2rJ "131, /}LAM() ^ C�LnI)) CST ( ME N I.FEE ZIP 2 5 ASSESSOR'S PARCEL NUMBER � ,�ro>vO(0 LOT C _ TRACT Z,,el O N� OWNER NAME r C � � Fj' �.0(� ADDRESS 6 CA Q `L fl PHONE Q5 � 2 R Se65 EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME ADDRESS 7j1 U) 110TR 5T, C 3 PHONE l EMAIL CONTRACTOR'S STATE LIC NUMBER I `L5,11 LICENSE CLASSIFICATION VALUATION$ 1 L SQ Ff APPLICANT'S SIGNATURE C DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENI"auF BUSINESIC/ LIC/E1`FE NUMBER BUILDING PLANNING ENGINEERING FIREpp.,,, '1 i INVOICE TOTAL 10M,QS/ GREEN I SMIP OWNER BUILDER VERIFIED O YES '.' NO DRIVERS LICENSE N NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF PLOT/SITE PLAN o,1 t(ck REAR PROPIEPTY4 INE �1 �U� v0 �tl�a OX ' vC ssss � �� Bgn,y cu, City of Menifee Building Dept. MAR 19 2018 H Received W Ja 0I o a W a N 5�.. ITY OF MENIFEE UiLD(NG AND SAFETY DEPARTMENT PLAN APPROVAL o � ; l41 RE.'!EWED B 1 � DATE � �9 IX 'Approval of these plans shall not be construed to be a permit for,or an O aparowi of,any violation of any provisions of the federal,state or city rr. >.icrs and ordinances. This set of approved plans must be kept on the 1 i jor. ur`il completion. w /� � FRONT PROPERTY LINE Property Owners Nome LA V01 Ca � k_MA.d Property Address JP /- to-to (JI�� q aS&q