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PMT18-03079 City of Menifee Permit No.: PMT18-03079 29714 HAUN RD. Type: Residential Electrical MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 06/20/2018 PERMIT Site Address: 26140 SNOW CREEK DR, MENIFEE, CA Parcel Number: 338-272-014 92586 Construction Cost: $2,500.00 Existing Use: Proposed Use: Description of MAIN ELECTRICAL PANEL UPGRADE FROM 1 OOAMP TO 200AMP FOR FUTURE INSTALLATION OF Work: ABOVE GROUND SPA Owner Contractor ROBERT SHEEDY ALPHA AND OMEGA ELECTRICAL SERVICES 26140 SNOW CREEK DR 5072 CHESTER STREET MENIFEE, CA 92586 LOS ANGELES,CA 90032 Applicant Phone: 3239214293 DANIEL LUCERO License Number:956827 ALPHA AND OMEGA ELECTRICAL SERVICES 5072 CHESTER STREET LOS ANGELES, CA 90032 Fee Description ON Amount I$1 Receptacle,Switch, Outlet&Fixture 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 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 I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(5)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. ^7. the following reason: License Class ( � Uc se 5, Q2 7 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 DECLARATI have built as an owner-builder if it has not been constructed in its entirety by ❑1 hereby affirm under penalty of pe ury 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 wwwleeinfo.ca.gov/calaw.htmI. this permit is issued. rs Policy#9" SIJ li7 re C,— /'� Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers 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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier L S with all applicable city and county ordinances and state laws relating to qbuilding construction.I authorize representatives of this city or county to Policy# ��cs ZL��j-- / Expires 0151,31119 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# 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,I shall forthwith co31—ywith thos rovisions. Q Will the applicant or future building occupant handle hazardous material or a Applicant - Date �� —/v mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAIL •TO SECU}}�� WORKER'S COMPENSATION COVERAGE IS tyres ❑No UNAWFUL,A SNALLSyB1ECf AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND UVIL FI ES UP TO p E 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 guidelines CONSTRUCTION LENDING AGENCY o Yes 0440 1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous mated reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 r s o N Business and Professions Code).Any city or county that requires a permit to - Date 106 construct,alter,improve,demolish or repair any structure,prior to its pR OWNER 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 EP RENDVATI REPAIR AND PAINTING RRP 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 7032.5 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( )all of or( )portion of the work,and the structure is www.eoa.aov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not 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 issold 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: ❑1,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--- y;, ;r: MENIFEE DATE: Ox- -;Z&- (95 PERMIT/PLAN CHECK NUMBER I�� PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME ON POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION -*--ELECTRICAL O MECHANICAL O NEW O PLUMBING // RE-ROOF NUMBER OF SQU/ARES DESCRIPTION OF WORK o AAipS PROJECT ADDRESS ,z.0 /qc) jnOUI C/'�Ge- (tY - ZIP Z. a ASSESSOR'S PARCEL NUMBER 33fS-ala - ()14 LOT 14 TRACT �d5 OWNER NAME erJ6 Y t' 'jk1�b ADDRESS PHONE EMAIL APPLICANT NAME D CL VAA(j( 'ro - t ADDRESS `07Z- kbS� Sf ' S�� /in G[6S (2�A 003 PHONE _ �j2 3"p 3 3•' �-.�-- EMAIL �1I i'Gc O act l,6cf rlcs c� yyq J CONTRACTOR'S NAME A( h'L OVO d/"jLfje"6'� �LFj C -OWNER BUILDER? O YES >� BUSINESS NAME 4 �C'((7 �Lzcl-/"- 'CC5 -- ADDRESS 5 C) �Z f�/h.€`3 �� /-o `s Ac G ICG+� A 0 1 3 PHONE 323 . -7-6 2 EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ � 5a0 SQ FT L SQ FT APPLICANT'S SIGNATURE DATE XITY.STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED CITY OF MENIFEE BUSINESS SE NUMBE BUILDING PLANNING ENGINEERING FIRE INVOICE INVOICE TOTAL ) �,v GREEN '� SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 i , www.cityofinenifee.us " �,J NIF 'i', 9