PMT18-01246 City of Menifee Permit No.: PMT18-01246
r.;. 29714 HAUN RD. Type: Residential Electrical
� ! MENIFEE, CA 92586
rVIENIFEE MENIFEE Date Issued: 0 7/3 012 01 8
PERMIT
Site Address: 26937 INVAREY ST, MENIFEE, CA 92586 Parcel Number: 335-321-002
Construction Cost: $1,500.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 225A
Work:
Owner Contractor
GAIL HOUSE SOLCIUS LLC
26937 INVAREY STREET 1555 N FREEDOM BLVD
MENIFEE, CA 92586 PROVO, UT 84604
Applicant Phone: 8447652487
ARLO HULICK License Number:976336
SOLCIUS LLC
1555 N FREEDOM BLVD
PROVO, CA 84604
Fee Description ON Amount l$1
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 building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise staled,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
1 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 o I am exempt from licensure under the Contractor's State License taw for
Professions Code and my license Is in full force and effect. 2?� the following reason:
License Clas �C'' C License No. 97633 By my signature below I acknowledge that,except for my personal residence
Expires_1130 1 b Signature / ''fi',i./1.»� in which I must have resided for at east one year prior to completion of
improvements covered by this permit.l 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
o I hereby affirm under penalty of perjury one of the following declarations:) 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 websile:
by Section 3700 of the Labor Code,for the performance of work for which www.leRinfo.ca.izov/calaw.html.permit is issued.
Policy If Date-
A,have and will maintain worker's compensator insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below l 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 arp 1 I I ' D r application and the information I have provided is corred.I agree to comply
Carrier G lj� ill 010fo liq h,e, l o5 lei. with all applicable city and county ordinances and state laws relating to
I' p building construction.I authorize representatives of this city or county to
PuRCYNU96 ozsa9371z Expires 6 01 )� enter the above identified property for Inspection purposes.
(This section need not to be completed is the permit N for one-hundred Date
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENLT,
❑I certify that in the performance of the work for which this permit is Issued, D a 3�
I shall not errolov any persons In any manner so as to become subject to the CITY BUSINESS LICENSE g J U
workers compensation laws of Caf omia,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers camper ion provisions of Section 370 of the 4abar
Code,I shall forth comp) ,y ose provisions. C / Will the applicant or future building occupant handle hazardous material or a
Applicant / �� /�fiate 1 1 /� 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 o Yes ca ol —
UNLAWFUL,AND SHALLSUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant at 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(SCAQMD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality
ne
CONSTRUCTION LENDING AGENCY a Yes o 0
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 bourJdary of a school?
(Section 3097 Civil Code) o Yes r 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
California Health&Safety Code,S�coon 25505 and 25534 co ceming
Contractors License Law for the reason(s)indicated below by the hazardous material r ortin
checkmark(s)I have placed next to the applicable items)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Y1O' oNo ,� �? ,y, _fl t� /l2
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER OR AUTHORIZED AGENT ((( J
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 IRRP)
License Law(Chapter9(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 fora 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 70",Business and Professions 1.800424-LEAD(5323).
Code;The Contractors State Ucense Law does not apply to an owner of a o 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 70",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 rill out the RRP
Acknowledgement.