PMT18-01385 City of Menifee Permit No.: PMT18-01385
29714 HAUN RD. Type: Commercial Electrical
<ACCELA MENIFEE, CA 92586
MENIFEE Date Issued: 04/0 31201 8
PERMIT
Site Address: 27686 PARK PLAZA DR, MENIFEE, CA Parcel Number:
92584 Construction Cost: $1.000.00
Existing Use: Proposed Use:
Description of INSTALL(1)400AMP 1PH 120/240V UNDERGROUND TEMPORARY POWER POLE TO PROVIDE
Work: POWER TO CONSTRUCTION TRAILER AND FUTURE PRODUCTION FOR LENNAR THE VILLAGE
AT MENIFEE TOWN CENTER"TR37179 DA4.
Owner Contractor
LENNAR HOMES S R BRAY LLC
980 MONTECITO DRIVE SUITE 102 1210 N RED GUM STREET
CORONA, CA 92880 ANAHEIM, CA 92806
Applicant Phone:7145071881
S R BRAY LLC License Number.980589
1210 N RED GUM STREET
ANAHEIM,CA 92806
Phone:7145071881
Fee Description -0ty Amount 1$1
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_Permit Template.rpt Page 1 of 1
v �c, Bona- P f'I"S
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 D 1 am exempt from[!censure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class /9ClQA l Li s No. L ��
By my signature below I acknowledge that,except for my personal residence
Expires Signatur, --ll� 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
❑1 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.[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 car at the following wehsite:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.eov/calaw.html.
Policy# Date
a 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 D By my signature below I certify to each of the follovdng:I am the property
this permit is issued.My workers compensation insurance carder 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 U�j�G with all applicable city and county ordinances and state laws relating to
�1 building construction.I authorize representatives of this city or county to
Policy#/.�-/5MR2!j�SI7200 Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the per isf tune-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
01 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 do la s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the orker mpensation provisions of5ectian 3700 of the Labor
u de,ishal or' omp it those pro visions. 2 Will the applicant or future building occupant handle hazardous material or
Applica Dale J mixture containing a hazardous material equal to or greater that the
amounts spe " ed on the Hazardous Materials Information Guide?
WARNING:F URE T C RE WORKER'S COMPENSATI N C ERAGE IS D Yes An
UNLAWFUL,AND SHALLSUBIECT 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 Air require
permit for
Districtconstruction
or See permitting from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Alrli
CONSTRUCTION LENDING AGENCY 0 Yes 0 No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed ui[ding 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) 0 Yes Na
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjuryhat 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 Healt Safety de,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous ter p ng.
Business and Professions Code).Any city or county that requires a permit to oyes ON
construct,alter,improve,demolish or repair any structure,prior to its �— Date 3 Z
issuance,also requires the applicant for the permit to file a signed statement PR ERTY OW RORA O L`D AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION.REPAIRAND PAINTING(RRPI
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 ficensure 78
receiving compensation for most work that disturbs painlina pre-19 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and complypre-19h than an
fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and roe rty
than($S00). managers who do the paint-disturbing work themselves or through heir
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.epa.gov/lead or contact the National Lead Informaton 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 0 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:
01,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.
AL1�v
enifee
DATE: )-2? ' J PERMIT/PLAN CHECK NUMBER v I D
TYPE: 0 COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME o POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ^ ELECTRICAL MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Install a 400amp 1 Ph 120/240v U/G TPP to provide power to construction
trailer and future production for Lennar's "The Village @ MTC" project, tract#37179 DA-4.
PROJECTADDRESS ZZG&(• P4F,nc. gG 4ZA / ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT#37179 DA-4
OWNER NAME LENNAR HOMES
ADDRESS 980 MONTECITO DR STE 102, CORONA, CA 92880
PHONE 951-817-3500 EMAIL MIKEM@POWERPLUS.COM
APPLICANT NAME Mike McGee
ADDRESS
PHONE 951-293-1333 EMAIL MIKEM@POWERPLUS.COM
CONTRACTOR'S NAME OWNER BUILDER? O YES ONO
BUSINESS NAME S.R. Bray LLC, dba PowerPlus
ADDRESS 1210 N. Red Gum St,Anaheim, CA 92806
PHONE 714-765-7551 EMAIL
CONTRACTOR'S STATE LIC NUMBER 980589 LICENSE CLASSIFICATION C10
VALUATION$ 1000.00 SQ FT L SQ FT
APPLICANT'S SIGNATURE --� DATE
CITYSTAFF USED
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUS710ENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: n t/
PERMIT FEE ?j/fir/ , I SM P GREEN
PLAN CHECK FEE v v INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee
City of Menifee Building&Safety Deportment 29714 HDun Rd. Iblenifee, CA 9258jpd( 1 �,
www.cityofinenifee.us
Office Copy MAR 2 7 2918
Received'
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