PMT18-01758 City of Menifee Permit No.: PMT18-01758
29714 HAUN RD. Type: Residential Electrical
4}K�CEi./�\. MENIFEE,CA92586
'wt—, MENIFEE Date Issued: 0411912018
PERMIT
Site Address: 27748 MONROE AVE,MENIFEE, CA Parcel Number: 329-184-012
92585 Construction Cost: $1.500.00
Existing Use: Proposed Use:
Description of REPLACE UTILITY POLE AND METER SECTION 100A-FIGURE 2-15-ELECTRICAL SERVICE
Work: REQUIREMENTS
Owner Contractor
MARCIE NAVARRO A PLUS ELECTRICAL
MENIFEE,CA 92585 1536 SOUTH STATE STREET SP 171
HEMET,CA 92543
Applicant Phone:9515379472
A PLUS ELECTRICAL License Number:886043
1536 SOUTH STATE STREET SP 171
HEMET,CA 92543
Phone:9515379472
Fee Description _qt( Amount(E)
Pole or Platform Mounted Fixtures 1 183.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Electrical 1 9.15
$221.15
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 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
i.ICENSED 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 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:
Ucense Class C--\O License No.5 8 b`y-'say'3— By my signature below I acknowledge that except for my personal residence
Expires\\�o-2a\b Signature s _ in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION have
covered by this permit.!cannot legally sell a structure that i
have built as an gRNW-builder if it has not been constructed In its entirety by
❑1 hereby affirm under penalty of perjury one of the following declarations:I license I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 11oeQy �s and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for thQ� ¢anon is sued or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which www.le info a o ' .html.
this permit is issued. AO
Policy R NC Date
I have and will maintain worker's compensation insurance,as required by PROPERTY OWNE I� AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑B � ow I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy own norized to act on the property owner's behalf.I have read this
number are:
` `` L ` application and the information I have provided is correct.I agree to comply
Carrier�}-A¢ \ M� with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
PolitypC�'11y (rj?—`l \S Expires 4 —3�—�A\$ 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
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 p
workers compensation laws of California,and agree that if I should become sa�RDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I sh hwith comp! with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date fir—\ok mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILUREiii,SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes _9LNo
UNLAWFUL,AND SHALL SUBIECr 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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECOON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY 0Yes -4 No
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) ❑Yes �A No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
1 hereby affirm under penalty of perjurythat I am exempt from the
Contractors License Law for the reason(s)indicated below by the California Heat al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have glared next to the applicable Rem(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Aye&:)p"o_&__ _ Date
construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY DOM ER OR AUTHORIZED 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(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 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 1-80D-424-LEAD(5323).
Code;The Contractors 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 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: - lq- $ PERMIT/PLAN CHECK NUMBER ' I
PLANNING CASE NUMBER
TYPE: O COMMERCIAL �S*RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN
SUBTYPE: O ADDITION O ALTERATION C DEMOLITION A ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS o�/.� ^ - ZIP
ASSESSOR'S PARCEL NUMBER ��• a u •y1 ate• LOT TRACT
OWNER NAME
ADDRESS
PHONE Bay-1 O 1 Z B S A- nn\\ EMAIL N
APPLICANT NAME t 7"" C U S \ �+
ADDRESSn V5 3\.p0.Zsy�—
PHONE EMAIL
CONTRACTOR'S NAME
In ^ OWNER BUILDER? C%YES �10
BUSINESS NAME k 'C�v..S \��
ADDRESS \-) Coo' R2sy-�
PHONE :n\` j\ - EMAIL �Q\�•S�z�e���o2 —`)m0.��_
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
W
VALUATION$ "�I- \.Soo Q FT L SQ FT
APPLICANT'S SIGNATURE DATE 4- \C\-1 S
myswirusEomy
DEPARTMENT U15TRIBUTION ACCEPTED BY: CITY OF MENIFEE 1INESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE E V/
INVOICETOTAL I � GREEN SMIP
OWNER BUILDER VERIFIED OYES O 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
City of Menifee
Building Dept. NIF
APR 19 2018
Receiver
SOUMERN CAUFORNI.A
EDISON'
M,fUl(OI'I1 R N.g 11UC. .
Figure 2-15: Customer-Owned Permanent or Temporary Service Pole CITY OF
M NIFEE
Note(s): BUILDING ND
1. The preferred location for customer-owned perman nt q�am omry SAFEY
II I service poles shall be located where there is Com ny PP
access. OV
-�15"lam- access.If Company vehicle access cannot be ob ad,contact the A
local Service Planning Office for meter spot locati .Service drop
1 I and wire holder or service rack shall be furnished nd I�by D
I 3 the Company.The Company's service drop maxi m Y
100 feel
2. Wire holder or rack furnished and installed by th ustomer.
5 3. Customer's line. 'Appmyajoire
4. Not less than 18 inches of wire outside service h ad. tSAlNept(k
4 5. Weatherproof service entrance caps. a11pmval0(any V.
6 6. Minimum 3/4-inch PVC conduit Sch.40. fppul a �
7. A 25-foot pole with a five-inch minimum top dia etef Stee1� 9fd�y
chemical preservative. 10 Site 0nivic11Rl
7 8. Fasten conduit securely to pole.
9. For type of meter receptacle,and the number of socket terrains ,
8 see ESR-5.
10.Meter will be fumished and installed by the Company.
2 Self-contained 300/400 A(Class 320)type meter panels are not
q acceptable for temporary service.A safety socket box with factory
in installed tesVbypass blocks,as detailed in ESR-5,shall be provided
for all three-phase installations.
11.Weatherproof boxes and receptacles.41
12.Armored ground wire or minimum of 1/2-inch rigid conduit or wood
molding over ground wire.
N 13.Ground wire to be#8 AWG minimum. � �
m V
14.Where customer's feeder is to be underground,install conduit as
� indicated by dashed lines and as required by the NEC.
m 15.Approved ground clamp and fitting must be accessible.Conduit
9 must extend to ground rod to protect ground wire from mechanical ' ^
injury. ,vl
16.Ground wire from pole to electrode shall be enclosed in galvanized
ridged conduit,or equivalent mechanical protection.If a ground rod
is used,the following minimum requirements apply:
❑ Diameter of rod:3/4 inch,if iron rod or galvanized pipe
i? 1 ❑ 112 inch,if solid rod of brass,copper,or copper-covered steel.
io ❑ Drive to minimum depth of 8'-0"below ground surface.
o I I ❑ Refer to the local inspection agency for alternate or additional
requirements.
Removable
� I 17.A 6'x 3/4"Sch.40 PVC conduit will be furnished and installed by
o I Cap the customer.This conduit must be permanently secured with three
I pipe straps to the butt and flush to the bottom of the pole.The
bottom of the conduit must be permanently capped and the top cap
must be removable.
� A 18.The customer must set the service pole in natural soil.The backf II
must be
of tamped f t a pole. m compaction of 90 percent within a
two-foot radius of the pole. —
4 i I City of Menifee
Building Dept.
Permarmrd
Cap APR 19 2018
Received Pr
41 Refer to the local inspection agency and the"California Electrical Safely Order"for ground fault circuit protection requirements.
EFFECTIVE DATE
ESR-2 Overhead Service Connections 0-600 V 1-29-2016
PAGE Electrical Service Requirements APPROVED e,
2-32 ►SCE Public-4 1
PLOT/SITE PLAN
REAR PROPERTY LINE
IEPARTMENT
N-ig120
DATE
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enifee
Building Dept.
APR, i i 2018
FRONT PROPERTY LINE
Property Owners Name Maw crQ tJ.�.r rkc r��
Property Address 2' -jtkB Nkc�fe_
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