PMT18-02653 City of Menifee Permit No.: PMT18-02653
rr 29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Electrical
MENIFEE MENIFEE Date Issued: 05/30/2018
PERMIT
Site Address: 27952 JEFFERSON AVE, MENIFEE,CA Parcel Number: 329-193-012
92585 Construction Cost: $800.00
Existing Use: Proposed Use:
Description of RELOCATE OVERHEAD PERMANENT POWER POLE PER SCE ESR-2 FIGURE 2-15
Work:
Owner Contractor
J DOLORES VERDE-UGALDE
27952 JEFFERSON AVE ,
MENIFEE,CA 92585
Applicant License Number:
CA
Fee Description QQt rr Amount(Sl
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 being 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.
.R
AA_Bldg_Permil_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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
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
improvements covered by this permit.I cannot legally sell a structure that i
WORKER'S COMPENSATION DECLARATION
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.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 svww.le info.ca. ov calaw.html.
this permit is Issued. 7 r�
Policy# 'r f g'7 Date
❑I 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 m By my signature below I 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
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 8 Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred / Date_5 (�
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑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 JAZARDOUS MATERIAL DECLARATION
subject to the workers 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 in Yes a(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 occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECTION 17060F THE lABORCODE,INTEREST,AND ATTORNEYS-FEES for guidelines
CONSTRUCTION LENDING AGENCY oYes of 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 oaf 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
California Health al Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reasons)indicated below by the
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Y Business and Professions Code).Any city or county that requires a permit to
construct,alter,improve,demolish or repair any structure,prior to its rY Date
Issuance,also requires the applicant for the permit to file a signed statement ^ PROPERTY OWNER OR AUTHORIZED AG ENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION-REPAIR AND PAINTING IRRIP
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
)l 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 I 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 Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible forthis 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 ofthe 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
� J-"Af
DATE: rPERMIT/PLAN CHECK NUMBERPMT $-b
PLANNING CASE NUMBER
TYPE: O COMMERCIAL X RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION 0 DEMOLITION )K ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK C k1m nca I n a, P �r C-
V _
PROJECTADDRESS `� q�`L �Tnl�lc-c- rC!\n �Ic' _ ZIP g J
ASSESSOR'S PARCEL NUMBER 12G— /9.3-- U J7 _ LOT TRACT
OWNER NAME � c. y
ADDRESS. h A fre n t Q
PHONE 951 - 7666 - 1�256. EMAIL _,�, _ CO ,
APPLICANT NAME :1 ye-s
ADDRESS r r O V� e. C � `Z c- JCS
PHONE q EMAIL - coro ,
CONTRACTOR'S NAME City of Menifee OWNER BUILDER? AYES O NO
BUSINESS NAME Building Dept.
ADDRESS MAY 3 0 2018
PHONE ;, E
CONTRACTOR'S STATE LIC NUMBER g '� 9 ~ LICENSE CLASSIFICATION
VALUATION$ SQ FT
// L SQ FT
APPLICANT'S SIGNATURE ` l L`y. DATE ' D'- I R�
CITY STAFF USE ONLY 6i'hlMM MM16--
DEPARTMENT DISTRIBUTION ACCEPTED Y: CITY OF MENIFEEBrUoSINESS LICENSE—
INVOICE NUMBER
BUILDING PLANNING ENGI EERING FIRE PIG i I-
TOTAL 140+, GREEN • SMIP '
OWNER BUILDER VERIFIED AS O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES ` 0
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777G o0
www.cityofinenifee.us
ENIFE
SOUDIERN CALIFORNIA
EDISONO
1n E0150NINIERNAUO.\'A/.04.mry Y
Figure 2-15: Customer-Owned Permanent or Temporary Service Pole
f Note(s):
in 1. The preferred location for customer-owned permanent or temporary
15 �_T service poles shall be located where there is Company vehicle
�I access.If Company vehicle access cannot be obtained,contact the
2 local Service Planning Office for meter spot location.Service drop
1 I and wire holder or service rack shall be furnished and installed by
I 3 the Company.The Company's service drop maximum span length is
100 feet.
2. Wire holder or rack furnished and installed by the customer.
5 3. Customers line.
4. Not less than 18 Inches of wire outside service head.
4 5. Weatherproof service entrance caps. q_
6 6. Minimum 314-Inch PVC conduit Sch.40.
7. A 25-foot pole with a five-inch minimum top diameter treated with a
chemical preservative.
7 8. Fasten conduit securely to pole.
9. For type of meter receptacle,and the number of socket terminals,
6 see ESR-5.
10.Meter will be furnished and installed by the Company.
Self-contained 3001400 A(Class 320)type meter panels are not
o acceptable for temporary service.A safety socket box with factory
in Installed test/bypass blocks,as detailed in ESR-5,shall be provided
—� for all three-phase installations.
11.Weatherproof boxes and receptacles.4r
12.Armored ground wire or minimum of 1l24nch rigid conduit or wood
A molding over ground wire.
13.Ground wire to be#8 AWG minimum.
14.Where customer's feeder is to be underground,Install conduit asCOO
m indicated by dashed lines and as required by the NEC.
rn 15.Approved ground clamp and fitting must be accessible.Conduit
9 must extend to ground rod to protect ground wire from mechanical
injury.
16.Ground wire from pole to electrode shall be enclosed in galvanized
CL ridged conduit,or equivalent mechanlWArotection.If a ground rod
is used,the following minimum requ' a apply:
❑ Diameter of rod:3l4 inch,'rfi rod org anized pipe
in ❑ Drive
inch,if solid rod of b ,copper,orr o per-covered steel. r\\
fo ❑ Drive to minimum de of 8'-0"below grown urface.
o I ❑ Refer to the local' pection agar for altema or additional
requirements r"
Removable
17.A 6'x 3/4"S 0 PVC con be furnished and in fled by
o Cap the cuslo .This cend ' be permanently secured 'ih three
pipe s s to the bu ush to the bottom of the :T
bo of the con 't ust be permanently pe a to ap
s mo `v
to dust set the service p tural soil.ThVackfill
b moped to a minimum co n of 90 perqW4lwln a
o ad' the pale. b 4
�QS�.
cap
\ac�r1`�o�Qg `®1Q
-§Aao�a`
4/ Refer to the local inspection agency and the"California Electri 19 a \ r nd t circuit protection requirements.
EFFECTIVE DATE
ESR-2 Overhead Service Connecti s 0- 0 V 1-29-2016
PAGE 2-32 Electrical Service Requirements APPROVED
►SCE Public
SOUTHERN CALIFORNIA
EDISON*
An ONSUA'IATIiRA'ATIUN'AL®CumPun,
Figure 2-16: Optional Customer-Owned Service and Meter Pole
Permanent or Temporary
1t5"MIN Top DIA
II �30�
Unobstructed
Climbing 5"DIA MIN Treated Stub or
Space 4"x 4"Treated Post
r
•
Polyvinyl Chloride Plastic Conduit
Sch.40
_z
t4
to
Meter board shall be 3/4"MIN thickness,
' 6 weatherproof-treated exterior grade material,
x such as marine plywood.
2 Grounding Note:Customer's service pole
R System per shall be 6'or more
NEC away from any well.
IIdI
q ;j Seel
j Figure 2-15,
t Note 17 I,
"
/I7 \
EFFECTIVE DATE
1-29-2016 Overhead Service Connections 0-600 V ESR-2
APPROVED 1 Electrical Service Requirements PAGE
►SCE Public-4 2-33
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