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PMT18-03167 City of Menifee Permit No.: PMT18-03167 29714 HAUN RD. MENIFEE,CA 92586 Type: Commercial Electrical MENIFEE MENIFEE Date Issued: 0711012018 PERMIT Site Address: 30380 SILICATE DR, MENIFEE,CA 92584 Parcel Number: Construction Cost: $445.00 Existing Use: Proposed Use: Description of NSTALL TEMP POWER,200A TEMP POLE, PACIFIC COMMUNITIES Work: Owner Contractor PACIFIC COMMUNITIES TEMP POWER SYSTEMS 1000 DOVE STREET SUITE#100 625 S FEE ANA STREET NEWPORT,CA 92660 PLACENTIA, CA 92807 Applicant Phone:7142235607 TEMP POWER SYSTEMS License Number:696713 625 S FEE ANA STREET PLACENTIA, CA 92807 Fee Description Qtv Amount fEl Services, Switchboards,Control Centers&Panels 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 74 74.18 Additional Plan Review Building 1 1.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 9.15 $295.33 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 slated,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(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 Cade and my license is in full force and effect. the following reason: License Class 1I117 Um o. Wr-r(°-J/3 By my signature nature below I acknowledge that,except farm g p y personal residence Expires IOA-)13CIfr Signature in which l must have resided for at least one year priarto 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 ❑I hereby affirm under penalty of perjury one of the fallowing 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 by Section 370D of the Labor Code,for the performance of work for which this application is submitted or at the following website: this permit is issued. www.IeeinFo.ca.eov/calaw.html. Policy g Date WI have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 370D of the Labor Code,for the performance of the work for which o By my signature below l 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 {ILA a-A- G:Vy PL0,4 tyh Cry• with all applicable city and county ordinances and state laws relating to / building construction.I authorize representatives of this city or county to Policyg?,niyv-rc-O t3S1�� Expires /0/r C yam• enter the above identified property for inspection purposes. (This section need not to be completed Is the permit is far one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o 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 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,l shall fo hwr comply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date /IQ mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE 705E RE KEi'S COMPENSATION COVERAGE 6 D Yes UNLAWFUL,AND SHALLSU 1ECT EMPLOYER TO CRIMINAL PENALTIES Will the Intended use of the building by the applicant or future building ANDCIVILFINESUPTOON UNDftED THOUSAND DOLLARS($1o0,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fa[°Bind Quality Management District(SCAQMD)7 See permitting checklist foe CONSTRUCTION LENDING AGENCY � Oyu Yes o s 0 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agencyfor the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) oyes &NO OWNER BUILDER DECLARATIONS i have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Cade,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazarclouyiidlerial reporting. Business and Professions Cade).Any city or county that requires a permit to DY ° _ construct,alter,Improve,demolish or repair any structure,prior to its -7" Date 3 z if / issuance,also requires the applicant forthe permit to rile a signed statement PROPERTY HOR, D A ENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION REP 1 AN P INTING RRP License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paintinapre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be work that firms and comply with than n($S Applicant fora permit subjects the applicant too civil penalty of not more required practices.This includes rental property owners and property than($SOD). p party managers who do the paint-disturbing work themselves or through their al,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.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 OAn 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. D No EPA Lead Safe Certified Firm is required for this praject because: o 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 ro our ect does not corn Y P j ply with EPA RRP rule please Poi out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE WON&& DATE: PERMIT/PLAN CHECK NUMBER �,�� D —C?Slqq 017 GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: X COMMERCIAL ORESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION YELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK I N -'ram ae�� rip Building Dept. OCCUPANCY GROUP pp��, CONSTRUCTION TYPE JUN 2 5 2018SPRINKLERS O YES O NO PROJECTADDRESS _ �j rJC/ `�7<CJt a Z�pIjP 15g ASSESSOR'S PARCEL NUMBER 3'�� -03�— c7sS LO 1-! � TRACT ;2 5--7sr OWNER NAME ?i1CIP)c_ ADDRESS i7b Z) s , cT@ -4 1D0 dUV1j90e7T- 'jSL-74 1 CA PHONE 9 Liq -Who - S-9818 EMAIL APPLICANT NAME ��A) a(0 ADDRESS (Pz7 Ax- Awiq �T. NA-CEn/rIA Cia. PHONE -7 )4-- EMAIL w 0. nc 4-,r ,o oA,4r- WAA CONTRACTOR'S NAME � p }moo S OWNER BUILDER? O YES 0 BUSINESS NAME y ADDRESS I.oZS - f-A s ?L-Amlyraj q J PHONE 7Iv- s- EMAIL n J wu. mac. CONTRACTOR'S STATE LIC NUMBER Loc)(p 3I j LICENSE CLASSIFICATION t)d VALUATION$ ggig" SO FT L SO FT )) APPLICANT'S SIGNATURE - DATE to!'ZS�oZGi� CITY STAFF USE ONLY A DEPARTMENT DISTRIBUTION ACCEPTED Y: CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE 11 NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF' `a- 'm u x „ a m C " D (D c c o, SL rC^C Z p O � 30 CD cr p v o c m ni ZiF N0 CD CD o s r— m s = cn m o m R04D ta 9 N 3 at 6 N (o O 0 m _ m � Ay a � s a s to a a X a � 4 A _ •� 8 o r� 73�7 ffi '1 _N00 X \L 00 �l N.q� a a v $ \4 ti at M a � r b yg N `� N ® S 4 C CD a ° � -NP s e s �k To t_ x It s � : a 00 6 & g �4 C w7