PMT18-03308 City of Menifee Permit No.: PMT18-03308
29714 HAUN RD.
MENIFEE, CA 9258E Type: Residential Electrical
MENIFEE MENIFEE Date Issued: 07/03/2018
PERMIT
Site Address: 33094 RED ROCK CIR, MENIFEE, CA Parcel Number: 388-031-008
92584 Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 225A
Work:
Owner Contractor
CHAD CHRISTENSEN WEST HILLS CONSTRUCTION INC
33094 RED ROCK CIRCLE 423 JENKS CIRCLE STE 101
MENIFEE,CA 92584 CORONA,CA 92880
Applicant Phone:8005155270
STEPHANIE WOOD License Number: 578578
WEST HILLS CONSTRUCTION INC
423 JENKS CIRCLE STE 101
CORONA, CA 92880
Fee Description QtV Amount ISI
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 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.
Akl31dg_Pennfl_Ternp1ate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION propertywho 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 contractors)pursuant to the Contractors State License Law).
Chapter-9(commencing with section 7DDO)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractors State License Law for
Professions Ca`d�.ca,nd my license is in full force and effe the fallowing reason:
License Class V � Gk"3 License No. LY CJ By my signature below I acknowledge that,except for my personal residence
Expires O 1 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
❑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 �y�y�y.Ieginfo.ca.gov/calaw.htmi.permit is issued.
Policy# 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 ❑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
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# �W ICJ I �11 W Expires �\ OL\ 1 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
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#
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
Cade,I shall forthwith comply 'th 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 ❑Yes ❑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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑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 ❑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
Business and Professions Code).Any city car county that requires a permitto DYes ❑No
construct,alter,improve,demolish or repair any structure,prior to its Date
PROPERTY OWNER 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 Iicensure 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
❑1,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.epa.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).
Cade;The Contractors State License Law does not apply to an owner of a ❑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. in No EPA Lead-Safe Certified Firm is required for this project because:
❑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 outthe RRP
Acknowledgement.
PERMIT/PLANBUILDING & SAFETY APPLICATION
- ,Menifee
DATE:07/02/18 PERMIT/PLAN CHECK NUMBER O
TYPE: a COMMERCIAL ESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION OtLECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
Upgrade the exisiting electrical panel to a 225 AMP service
DESCRIPTION OF WORK
PROJECTADDRESS 33094 �R,reY,d� Rock��Cii�rpp ZIP 92584
ASSESSOR'S PARCEL NUMBER ✓pV �jN-c...(rr/7 LOT TRACT Building Dept.
OWNER NAME Chad Chistensen JUL 03 2018
ADDRESS 33094 Red Rock Circle
PHONE 951-285-3001 EMAIL stephanie@whc.us. o
eceived
APPLICANT NAME West Hills Construction, Inc
ADDRESS 423 Jenks Circle, Suite 101 , Corona, CA 92880
PHONE 888-767-5654 EMAIL stephanie@whc.us.com
CONTRACTOR'S NAME Ross Wood OWNER BUILDER? O YES O NO
BUSINESS NAME West Hills Construction, Inc
ADDRESS 423 Jenks Circle, Suite 101, Corona, CA 92880
PHONE 888-767-5654 EMAIL Stephanie@whc.us.com
CONTRACTOR'S STATE LIC NUMBER 578578 LICENSE CLASSIFICATION C &C-10
VALUATION$ 2000 SO FT L SO FT
APPLICANT'S SIGNATURE DA 07/02/18
DEPARTMENT DISTRIBUTION „ ,n CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE SMIP GREEN ( —
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES ONO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www. 0of nenifee.us
WestHills
CONSTRUCTION INC
ENERGY OIVISIOtJ
City of Menifee
Building Dept.
JUL 0 3 2018
July2, 2018 Received
City of Menifee
Departments of Building & Safety& Business License
29714 Houn Road
Menifee, CA 92586
Dear Sirs:
This letter authorizes Stephanie Wood to pull permits or obtain a business license from the City of
Menifee on behalf of West Hills Construction, Inc. for 90 days from the date of this letter.
Please call me directly if you have any questions at 310-990-3378.
Respectfully Yours,
W
Ross Wood, President
West Hilts Construction, Inc.
423 Jenks Circle #101 Corona, CA 92880 Ph 800-515-5270 Fax 800-515-5260 Lic.#578578