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PMT18-02103 City of Menifee Permit No.: PMT18-02103 29714 HAUN RD.�CCELA> MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 05/8212018 PERMIT Site Address: 25527 KAMRAN CIR, MENIFEE, CA Parcel Number: 339-153-046 92586 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of INSTALL 80AMP PANEL,240V OUTLET, GFCI BREAKER BOX AND UNDERGROUND GAS LINE 3/4 Work: POLY 41 L FT AND UNDERGOUND ELECTRIC 110 L FT 1 1/2 PVC Owner Contractor ROBERT FELIX , 25527 KAMRAN CIRCLE MENIFEE,CA 92586 Applicant License Number: ROBERT FELIX 25527 KAMRAN CIRCLE MENIFEE, CA 92586 Phone:9519709060 Fee Description O_yt Amount I51 Receptacle;Switch,Outlet&Fixture 2 121.00 Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 General Plan Maintenance Fee-Electrical 1 6.05 $276.85 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_BIdg_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 �wiitth a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and 1XI am exempt from licensure under C�tre�c�t�ars St'at�"U nse Law for Professions Code and my license is in full force and effect. the following reason: D r ,vVi�L License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature 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 ® D 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 webslte: by Section 3700 of the Labor Code,for the performance of work for which i www.le inf ca. o I w.html. this permit is issued. _ Policy# Date S 0 I have and will maintain workers compensation insurance,as required by PROPERINVONER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which toy 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 -o ner or authorized to act an 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 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the abov id nttfiad r rty for inspection purposes (This section need not to he completed is the permit is for one-hundred dollars($100)or lessVilifieOR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE it worker's compensation laws of California,and agree that if I should become �S HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor - Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 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 ❑Yes INo 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 DO MARS($100,000),IN occupant require.a permit forthe construction or modification from South ADDITION TO THE COST OF COMPENSATION,DA AS PROVIDED FOR I Coast Air Quality Management District(SCAQMDI?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEEkl ORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY �\'�`I, \r9 pp oyes XNo epi s yyppppcccccc��,��, I hereby affirm that under the penalty oryerjury theen hstructionryy "" Will the proposed building or modified facility be within 10D0 feet of the lending agency for the performance of the wgr�yvhIbh, is permit is is outer boundary of a school? (Section 3097 Civil Cade) ��•` a Dyes "o OWNER BUILDER DECLARATIONS �Fs I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury tha from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)in c ���jjjelow by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applica le item(s)(Section 7031.5 hazardous material re rting. Business and Professions Code).Any city or county that requires a permit toe �N Date .� . construct,alter,Improve,demolish or repair any structure,prior to its PROP 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 I )all of or I i portion of the work,and the structure is www.ena.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 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 Na 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 contactors 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 fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE:S 2 a PERMIT/PLAN CHECK NUMBERFW PLANNING CASE NUMBER TYPE: O COMMERCIAL eRESIDENTIAL O MULTI-FAMILY 10 MOBILE HOME C POOL/SPA O SIGN SUBTYPE: C ADDITION C ALTERATION O DEMOLITION -,eELECTRICAL O MECHANICAL O'NEW OXU/MBING(�JJ0 RE-ROOF NUMBER OF SQUARES / ^ ,�{- T DESCRIPTION OF WORK �! FAA (ZLE C T L C,4 L oV L t� a s t/�� 3l >�D l L 41 1, PROJECTADDRESS ?,J`� 2j) (G JQ�J�II.n ? 011, ZIP Q (j^ ASSESSOR'S PARCEL NUMBER :/ I � > CML LOT l,� TRACE I I v a OWNER NAME Li Ft-� ADDRESS �) Z7 A/1^� ,C1llJ 12. NJ PHONE /�-' 10 � EMAIL TyA APPLICANT NAME an ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? ti YE5 O NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 17700 FT L SO FT APPLICANT'S SIGNATURE DATE 1 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CIN W 1MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE '�{ lI- INVOICETOTAL J _-Va_jLg, GREEN l •�� SMIP I� OWNER BUILDER VERIFIED OYES C NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us NIFE ..r . City of Menifee Building Dept. EPl2ter Sox MAY 0 2 2018 Grass/Turf 37x8 �- - open'ai-ea fL m w �"'... Received . ,�4 yard y not sure if Ymay ext d %" Spa-9x1S concrete -RV-parking m-the-fut ire. Maybe more DG? -- lant o nter_ �-. - Pi lox I ix J ` C.a t - � 3x3 concrete- -- .or pavers -. ._ LLW Concrete 15 x 40 t alkway - _ RV-Decomposed Grani v x40 House - 15x40 a DA RtMEW L _ wp1NG AND Q b.nee ne p � ne gate = w Concrete along _- drivewayfromgate to s ft alk - � -: -- J 5x O standard COntIguIu �. Control CI Re aired Spa System G F q model One 50 amp GFCI - 1222 BP501G F one 50 amp GFCI F- 1325 BP501 ; � ' F _ 1420 BP501G1 One 50 amp GFCI F- 1437 BP501X One 50 amp GFCI F-1641 BP20X One 60 amp GFCI F-1681 BP20X One 60 amp GFCI Configuration for Option OPT17- 200 (auxili Spa Control Model System GFCI Required F- 1437 BP501X One 50 amp GFCI F-1641 One 60 amp GFCI BP20X and one 30 am G FCz p Standard rR..z Imp ie sF �e City of Me nifee in CI Wiring Diagrams 13uilding Dept. GF MAY 0 2 2018 5 1 � pgram Received a, Nouse Breaker Box GFCI Breaker Be, RED(Not) BLACK Motl C Z WNITE ____ _.._ eencrl •. �j t=--- BLACK WHRE N l eutraR RED GREEN IGround) (Not) (Not) au.oYu� Bottom View of GFCI g Z One 220V circuit breaker One GFCI Four wires: WHITE(Load Neutral) Red(hot) RED(Lead Mot) Black(hot) 1 White(neutral) BLACK ILOW Not) Green (ground) Front View of GFCI Q I I 1 t � 1 Spa Control Box BP507 Gi and BP501X control boxes BP20X control box Control ) Box ' w a . ato,KL� o a ,) ester rXuraoun � e a a e.; to a oxouNoiuuswaLM�t"r`"Ouo TOOU+Ururwunou ARKN[D roouiRDEUEaTfiaat� iU gR:rUl M flfTlL sUYI r _ttYtrtU