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PMT18-02859
City of Menifee Permit No.: PMT18-02859 I ' MENI EE,C 9D2. Type: Commercial Electrical ," MENIFEE,CA586 MENIFEE MENIFEE Date Issued: 07/18/2018 PERMIT Site Address: 33748 ZEIDERS RD, MENIFEE,CA 92584 Parcel Number: 384-150-010 Construction Cost: $3,000.00 Existing Use: Proposed Use: Description of COMMERCE POINTE LANDSCAPE METER PEDESTAL IRRIGATION BOOSTER PUMP 200A Work: Owner Contractor STONEMARK CONSTRUCTION MANAGEMENT PACIFIC DESIGN DIRECTIONS INC 1209 SANTIAGO DRIVE 8171 EAST KAISER BLVD NEWPORT BEACH, CA 92660 ANAHEIM HILLS,CA 92808 Applicant Phone:7146857733 REED STONEBURNER License Number:705253 PACIFIC DESIGN DIRECTIONS INC 8171 EAST KAISER BLVD ANAHEIM HILLS,CA 92808 Fee Description Qtv Amount IEI Services,Switchboards,Control Centers 8 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 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Lawfor Professions Code/and my license is in full force and eff ct. 'ry the following reason: (%License Class C License No. 1 5—Z�3 By my signature below I acknowledge that,except for my personal residence Expires 7-21-0 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 o 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 fallowing website: by Section 3700 of the Labor Code,for the performance of work for which this permit is'F-P 'ued.�- ,N,�,�w,leein(o.ca.¢ov/calaw.html. ''') �1 Policy# C_ -7 ` "^/7 "'(p� Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain worker's compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑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 owner's behalf.I have read this number are:: application and the information I have provided is correct.I agree to comply Carrier /l- 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 above identified propertyfor inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($300)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 employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become 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 orgreater that the amounts specified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑yes "a 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelji�es CONSTRUCTION LENDING AGENCY ❑Yes If14Jo 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 boun ary of a school? (Section 3097 Civil Code) ❑Yes a 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 t Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)Indicated below by the hazardou m [e is reporting. checkmark(s)I have placed next to the appliable item(s)(Section 7031.5 oyes .�7/� Business and Professions Code).Any city or county 6 that requires a permitto Date? /3 - [ J construct,alter,improve,demolish or repair any structure,priorto its PROPERTY O 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 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 forthe 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 orthrough 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( I all of or( I portion of the work,and the structure is www.ena.gov/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 nut apply to an owner of a ❑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. In No EPA Lead-Safe Certified Firm is required for this project because: D 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. 4�C INT ;li � Eal F l a `• - O�l 0 0 o G nai' • i .-'A ?J ]c J il '�.' l -�'I E eC 4S 11 Il� �8CTIL ❑ License No.705253 C10 O Electrical Design 13 Commercial Construction July 18, 2018 City of Menifee 29714 Haun Rd. Menifee, CA 92584 RE: Paul Leyvas: Authorization for pulling Permits for Pacific Design Directions, Inc. dba Pacific Interior Electric, Inc. State License Number 4705253 SIC-10 Dear Sir or Madam: IN This letter serves as my permission to allow Paul Leyvas of Pacific Interior Electric, Inc. to pull permits in the City of Menifee. If further authorization is required, please do not hesitate to call me at 714.685.7733 ext 222. o✓ City of Menifee Sincerely, Building Dept. JUL 18 2018 Received (� Susan S. Stonebumer President Pacific Design Directions, Inc.dba Pacific Interior Electric, Inc. 8171 E.Kaiser Blvd. Anaheim Hills,CA 92808 Phone 714.685.7766 Fax 714.665•n99 CALIFORNIA ALL-PURP002 CML CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of ) On 7 //B before me, yel&7 f/I/Q—/ar Lev , A la/ie Date Here Insert Name and 17tle of the' j personally appeared Salo gAllfawr l� Nams(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personQS} whose nameKmare subscribed to the within instru ent and acknowled ad to me that h they executed the same in his4gMheir authorized capacity and that by his their signatu on the instrument the persortW, or the entity upon behalf of which the person%acte executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph HEIEN aYYA MI LEE is true and correct. Canmi661on 6 2112967 Diotary Public-California WITNESS my hand and official seal. Orange County Coffin. Tres Mn 23,20191 // / Signature //�j�/' Signature of Notary Pub iOty oflVenifee Building Dept, A 1 8 2018 Place Notary Seal Above Received OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: 4 r 1. f �-4 Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacitypes)Claimed by Signer(s) Signer's Name: SOS07 .. wmee- Signer's Name: Y,Corporate Officer— Title(s): Art/dew 6 Corporate Officer — Title(s): Partner — Limited General Partner — Limited - General Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association•www.Nationa]Notary.org-1-800-US NOTARY(1-800-876-6827) Item#5907 NIF Neil R.Winter Re: Address Assignment Date:July 10, 2018 Mayor Meter Pedestal Lesa Sobek Mayor Pro Tem District 3 Greg August Councilmember District 1 To Whom It may Concern, The following addresses have been assigned: Matt Liesemeyer Councilmember District 2 STATION APN Address Permit John V. Denver 25 + 65 384-150-010 33748 Zeiders Rd. PMT18-02859 Councilmember District 4 The address assignment is for development purposes only. Installation/Electrical Release is contingent on Permit Issuance and Final Inspection. Please contact Craig Carlson at the City of Menifee if you have any questions. office Copy Craig Carlson I Building and Safety Manager 29714 Haun Road Building and Safety Department Menifee,CA 92586 Office:(951)723-3729 1 Fax:(951)679-3843 Phone 951.672.6777 ccarlsonrdcitvofinenifee.us I www.cjtYofinenffee.us Fax 951.693843 vww.cityofinen ifee.us