PMT18-03443 City of Menifee Permit No.: PMT18-03443
29714 HAUN RD.
MENIFEE, CA 9258E Type: Commercial Electrical
MENIFEE MENIFEE Date Issued: 07126/2018
PERMIT
Site Address: 30313 TOWN CENTER DR, MENIFEE, Parcel Number:
CA 92584 Construction Cost: $500.00
Existing use: Proposed use:
Description of INSTALL 200 AMP U/G TEMPORARY METER
Work: FOR FUTURE PRODUCTION FOR TR 37178 THE TOWNES
Owner Contractor
LENNAR HOMES OF CA S R BRAY LLC
980 MONTECITO DR 1210 N RED GUM STREET
CORONA, CA 92879 ANAHEIM, CA 92806
Applicant Phone:7145071881
VIC LUNA-AGENT License Number:980589
S R BRAY LLC
1210 N RED GUM STREET
ANAHEIM, CA 92806
Fee Description gtv Amount I$1
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 staled,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 ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the fallowing reason:
License Class gr C 031 Lic a I0.490's By my signature below I acknowledge that,except for my personal residence
Expires Z 2/ / 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 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 Labor Code,for the performance of work for which www.lesinfo.ca.gov/calaw.html.
this permit is issued.
Policy p Date
❑I have and will maintain worker's 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 worker's 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 �G.O dfjC/ C with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Palicyp7A1ew;i7yS1,w Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit i for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the workfor which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE K
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worms compensation provisions of Section 3700 of the Labor
Code,I shall fo fi�cam ly with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 7 Z (/ mixture containing hazardous material equal to or greaterthatthe
amounts sped ied on the Hazardous Materials Information Guide?
WARNING: IL TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes W7o
UNLAWFUL,AND SHALLSUBIECTAN EMPLOYERTO CRIMINAL PENALTIES _Will the intended-use ofthe-building by-the applicant or-future buildingAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS($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 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin3�'
CONSTRUCTION LENDING AGENCY ❑Yes ❑AQo
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 bound of a school?
(Section 3097 Civil Code) ❑Yes ❑ o
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 HealthfSeWCode,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous matering.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 es ❑No
Business and Professions Code).Any city or countythat requires a permitto Date Yl
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWKER OLNGTHORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 llcensure 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 far 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
D 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.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).
Code;The Contractor's 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 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. ❑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 Contractor's 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 ®, MENIFEE
DATE: // PERMIT/PLAN CHECK NUMBER , ) O 1 '
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA ®SIGN
SUBTYPE: (E)ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
()NEW ®PLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 7- C. L Z
OCCUPANCY GROUP 2 CONSTRUCTION TYPE SPRINKLERSOYES ONO
PROJECTADDRESS �/,7 ;JAl / ZIP FZ,4;3 ry
ASSESSOR'S PARCEL NUMBER LOT TRACT b
OWNER NAME
ADDRESS /7
PHONE 95` ( ( / 3.Soo EMAIL 7
APPLICANT NAME
ADDRESS �SQ A Q L./�- / / / NY //�� l e?
PHONE e,7F 1' 0-5/ �-5G EMAIL G.0 y ynAlL ,G
CONTRACTOR'S NAME � //�/p�S,', OWNERBUILDER? OYESONO
BUSINESS NAME 2/ SO YV
ADDRESS /�/L/S C qZ� 7/
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER �` g LICENSE CLASSIFICATION cI 3
VALUATION$ 5,90 SO FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL I �� IS I GREEN l SMIP
OWNER BUILDER VERIFIED O YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO
City of Menifee Building &Safety Department 129714 FQjty IW.Md &BB, CA 92586 (951)672-6777
www.cityofinenifeBudding Dept.
JUL 1 1 2018 NIF
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