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PMT18-02402 City of Menifee Permit No.: PMT18-02402 29714 HAUN RD. Type: Residential Electrical 'ACCELI\? MENIFEE, CA 92586 MENIFEE Date Issued: 0511612018 PERMIT Site Address: 26135 ST MARY'S ST, MENIFEE, CA Parcel Number: 337-021-041 92586 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of DERATE MAIN PANEL TO 100A Work: Owner Contractor DEBBIE YOUNG PEAK POWER SOLUTIONS INC 26135 ST MARY'S STREET 151 KALMUS DR STE L2 MENIFEE, CA 92586 COSTA MESA, CA 92626 Applicant Phone:7142583900 JAY PERSON License Number.973253 PEAK POWER SOLUTIONS INC 151 KALMUS DR STE L2 COSTA MESA, CA 92626 Fee Description Qy Amount 1$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 builiding operations tieing carded 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_Pennit 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 contrector(s)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7000)of Division 3 of the Business and O I am exempt from Iicensure under the Contractors State License Law for Professions Code and my license is in full force and effect the following reason: License Class ef— 10 License No. S By my signature below 1 acknowledge that,except for my personal residence Expires •-3 I— /<Signature .25 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 c3 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 workers 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.leginfo.c2.gov/calaw.htmi. Policy# C4:P— r Date i ❑1 have and will maintain workers 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 1 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 numberare: application and the information I have provided is correct.I agree to comply Carrier S•1T C C)-', n fT --5-- ' with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Polity# `170 C,ri 27 O/-Expirns enter the above identified property for inspection purposes. (This section need fnot to be completed is the per it i for one-hundred d tars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT i 13 1 certify that in the performance of the work for which this permit is issued, ® �� I shall not emolov any personsin any manner so as to become subject to the CITY BUSINESS LICENSE N workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply withwith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant (�� u mixture containing a hazardous material equal to or greater that the pp ._.,ic- cU 2� Date amounts s ified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes No 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($100,000),IN occupantrequirelApermit for the construction or modification from South IN SECTIODITION N 3 THECOSTOABOR CODE,INTERTION,DAMAGES DATTORNEYS OVIDED FOR Coast Air Qua Yy Management District(SCAQMD)?See permitting checklist IN SECTION 37060F7HE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidele s CONSTRUCr1ON LENDING AGENCY ❑Yes No I hereby affirm that under the penalty of perjury there is a construction Will the propos building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boun ryofaschool? (Section 3097 Civil Code) o Yes 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 Contractors License Law for the reason(s)indicated below by the Caiifo sa Health&Safety Code,Section 2550S and 25534 concerning checkmark(s)I have placed next to the applicable Items)(Section 7031.5 has rdous material reporting. Business and Professions Code).Any city or county that requires a permit to es ❑No construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROS Ti WNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors 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 Iicensure receiving compensation for most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving or childcare facility to beork t at disturbs firms and comply with than 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 1,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( )portion of the work,and the structure is www.eoa.eov/lead orcontact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80DA24-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a DAn 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: ❑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.