PMT18-03224 City of Menifee Permit No.: PMT18-03224
pf�p 29714 HAUN RD. Type: Residential Electrical
® MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 06/26/2018
PERMIT
Site Address: 28558 AVENIDA ESTRELLA, MENIFEE, Parcel Number: 341-082-026
CA 92587 Construction Cost: $5,260.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 125A
Work:
Owner Contractor
LOLA NOPPER A R S AMERICAN RESIDENTIAL SERVICES OF
28558 AVENIDA ESTRELLA CALIFORNIA INC
MENIFEE,CA 92587 965 RIDGE LAKE BLVD.#201
Applicant Phone:9512769744
CHRISTINA CALHOUN License Number:765074
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNII
965 RIDGE LAKE BLVD.#201
MEMPHIS, CA 38120
Fee Description Oft Amount($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 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 o I am exempt from licensure under the Contractor's State License Law for
Professions Cade and my license is in full force a ffect. he following reason:
License Class ( 20 C3� Uc s o.1�O By my signature below I acknowledge that,except for my personal residence
Expires Signature In which l 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 DE LA 71O have built as an owner-bullder 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 worker's 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 tabor Code,for the performance of work for which www.leeinfo.ca.Rov/mlaw.html.
this permit is issued.
Policy If Date
PROPERTY OWNER OR AUTHORIZED AGENT
Tdthave and will maintain worker's compensation insurance,as required by
section 37130 of the Labor Code,for the performance of the work for which o 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
numberare: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier ct building construction.I authorize representatives of this city or county to
Policyp '1�0?]IS�O ��Ixpfres It, enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is(or 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, O �LA
shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE d
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject W the wor a{s compe aat�np ' Clts of5 370D of the Labor
Code,I shall f 'th co _Z ose visa Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applican Date 7 amounts specified on the Hazardous Materials Information Guide?
WAR N ILURETO SEC WORKER'S COMPENSATI COVE GE 15 oYes gfPlo
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 70 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(SCAQMDI?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oYes 1'9Olo
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) in Yes ` 41c,
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 quire under the State of
Californ' a Ith&Safe sec/tton nd 25534 tooter ing
Contractors License Law for the reason(s)indicated below by the haze ous aerial r //
checkmarkls)I have placed next to the applicable Items)(Section 7031.5 s !�
Business and Professions Code).Any city or county that requiresapermitto Date
construct,alter,improve,demolish or repair any structure,prior to its PROP N ORIZED 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 RRENOVATION,REPAIR AND PAINTING(RRPI
Ucense 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 RAP-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
❑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 1s www.eoa.govAead 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 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 bemuse:
o 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 RAP rule please fill out the RRP
Acknowledgement.
!y I "� x ?
4;c a yfh
1 *
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DATE: IQIo�l11 PERMIT/PLAN CHECK NUMBER
TYPE: COMMERCIAL PRESIDENTIAL ) MULTIFAMILY O MOBILE HOME a-: POOL/SPA ' SIGN
SUBTYPE: -'ADDITION ' ALTERATION DEMOLITION ELECTRICAL - MECHANICAL
NEW :. PLUMBING " RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK �CL(A�LP._
I 11 ff p
PROJECTADDRESS Z8SS8 �t�I,e%Li E.S�-f? ZIP / ZSQj�
ASSESSOR'S PARCEL NUMBER 1)41 •Ma.-CGl0 LOT TRACT City Of Menifee
OWNERNAME NCJVQ.L,r, Lplq UI ��
ADDRESS SAME AS JOBSITE JUN Z �QI�rr
PHONE / p zt-12_ EMAIL _ r.%
APPLICANTNAME l r,ST
ADDRESS oab4m�tc�
PHONE 70 f 3/Z 9 EMAIL ``
CONTRACTOR'S NAME RIGHTIME HOME SERVICES OWNER BUILDER? YES /1�J0
BUSINESS NAME ARS
ADDRESS 3030 MYERS ST RIVERSIDE CA 92503
PHONE 800 660 0675 EMAIL CCALHOUN@ARS.COM
CONTRACTOR'S STATE LIC NUMBER 765074 LICENSE CLASSIFICATION C10 C20 C36
VALUATIONS -7 SQ/FT, �_ L SO FT
Z/
APPLICANT'S SIGNATURE �-i �� �� DATE %/ 2CcLi �8
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION By: � CITY OF NIENIFEE BUSINESS_LICENSE NUMBER
ACCEPTED
BUILDING DL1NNING nVGlNEEFING F/RE
PERMIT FEE I SMIP �(, I GREENTi
PLAN CHECKFEE I IPIVOICETOTAL
O1NNER BUILDEA VERIFIED YES :: NO DRIVERS LICENSE'. NOTARIZED LETTER YES NO