PMT18-01290 City of Menifee Permit No.: PMT18-01290
29714 HAUN RD. Type: Commercial Electrical
�ACCFIA? MENIFEE, CA 92586
MENIFEE Date Issued: 03/29/2018
PERMIT
Site Address: 31845 IVES CT, MENIFEE, CA 92584 Parcel Number:
Construction Cost: $2,500.00
Existing Use: Proposed Use:
Description of INSTALL ONE 200A TEMP METER FOR FUTURE PRODUCTION
Work:
Owner Contractor
KB HOME COASTAL, INC S R BRAY LLC
36310 INLAND VALLEY DR 1210 N RED GUM STREET
WILDOMAR, CA 92585 ANAHEIM, CA 92806
Applicant Phone: 7145071881
VIC LUNA License Number: 980589
S R BRAY LLC IDEA POWER PLUS
1210 N RED GUM STREET
ANAHEIM, CA 92806
Fee Description Qty. Amount 181
Services, Switchboards, Control Centers&Panels 1 183.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 74 74.18
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 9.15
$294.33
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 contractors)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 License law for
Professions Code and my license is In full force and effect. the following reason:
License Class t6�j01�3 U s No. L �05�
By my signature below I acknowledge that,except for my personal residence
Expires Signatur �—(iC 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
o 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 this permit is issued. www.leeinfo.ca.eov/calaw.html.
Policy# Date
o I have and will maintain worker's 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 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, ) Ulu C' with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# . lew" Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the per is f tune-hundred Date
dollars($SOD)or less 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 an ersons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compe dye
l s of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the opensation provisions of Section 3700 of the Labor
Code,Ishal orthp it those provisions. 2 Will the applicant or future building occupant handle hazardous material or
Applica Date J mixture containing a hazardous material equal to or greater that the
amounts spe ' ed on the Hazardous Materials Information Guide?
WAR LNG:F LIRE T C RE WORKER'S COMPENSATI N[ ERAGE IS o Yes o
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($10D,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 Quail permit ort econt(SCtionor odi permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airli
CONSTRUCfiON LENDING AGENCY Dyes ❑No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed ulldtng or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boun of a school?
(Section 3097 Civil Code) ❑Yes crNo
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
Contractor's License Law for the reason(s)indicated below by the California Heal!tbA Safety de,Section 25505 and 25534 concerning
our p
checkmark(s)I have placed next to the applicable item(s)(section 7031.5 oyes ❑N
Business and Professions Code).Any city or county that requires a permit to Date Z
construct,alter,improve,demolish or repair any structure,prior to its
hazards e ng.
issuance,also requires the applicant for the permit to file a signed statement pR ERN OWR OR A O E`D AGENT
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($500). managers who do the paint-disturbing work themselves or through their
o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
o 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please RII out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK a . • •
Menifee
DATE: Nzolm PERMIT/PLAN CHECK NUMBER Q
TYPE: O COMMERCIAL KRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK &qAjL$ Zoo �'. s2
a- EU7tNLc Jr
of Menifee
PROJECTADDRESS 3ia� Laos r' ZIP
ASSESSOR'S PARCEL NUMBER '^ � LOT TRACT
OWNER NAME pcolve
ADDRESS &-,2>10/ /�� jL)
PHONE q5j 6&1 / r-�� �j 2— EMAIL
APPLICANT NAME J . I
ADDRESS /��gr7� /AfOGIk-- L 1 J !�^L S r?0 ��
PHONE qSl 25CI Sb5(� EMAIL
CONTRACTOR'S NAME / OWNER BUILDER? O YES O NO
BUSINESS NAME—7 bi S
ADDRESS 2- / S// --7 2 S OLLl
PHONE t LO� C — ®� l EMAIL CONTRACTOR'S STATE LIC NUMBER C( 9U�5 Q 0 / LICENSE CLASSIFICATION
VALUATION$ 2 Sow 4ASQ FT L SQ FT /
APPLICANT'S SIGNATURE DATE Z 2S
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE SMIP k GREEN , —
PLAN CHECK FEE INVOICE TOTAL aao . S
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE It NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Naun Rd. Menifee, CA 92586 951-6 72-677 7
www.cityofmenifee.us
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