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PMT18-03937 City of Menifee Permit No.: PMT18-03937 29714 HAUN RD. Type: Residential Electrical MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 0 810 812 01 8 PERMIT Site Address: 25255 SPRINGBROOK WAY,MENIFEE, Parcel Number: 339-442-003 CA 92584 Construction Cost: $13,560.00 Existing Use: Proposed Use: Description of DERATE PANEL TO 100A Work: Owner Contractor BROCKBROTEMARKLE SUNLUX 25255 SORINGBROOK WAY 800 S ROCHESTER AVE UNIT B MENIFEE, CA 92584 ONTARIO,CA 91761 Applicant Phone:7144549815 SUNLUX License Number: 1008374 800 S ROCHESTER AVE UNIT B ONTARIO, CA 91761 Fee Description ,OQt Amount f$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 bulliding operations being carded 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_Permil_Template.rpt Page 1 of 1 i CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who tonlricts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the ContractonState License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's Slate License law for Professions Codee�7�nd my license is in full force and effecL the following reason: License Class L�''I t/ Uens No. loo 037L ) 1 By my signature below l acknowledge that,except for my personal residence Expires !G Sgnature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by 1 hereby affirm under penalty of perjury one of the following declarations:) 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 I this permit is issued. www.leRlnfo.ca.eov/mlaw.html. Policy It Date O I have and will maintain workers compensation insurance,as required by PROPERTY OWNER ORAUTHORIZED AGENT i section 3700 of the Labor Code,for the performance of the work for which O By my signature below l certify to each of the following:)am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.l have read this number are application and the Information I have provided is correct.I agree to comply Carrier_( fie . a with all applicable city and county ordinances and state laws relating to /,1 / f building construction.I authorize representatives of this city or county to Policy#_ V//S —/s Expires ':7 enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Dale dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑Icertlfy that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wo (s carr ensation provisions of Section 3700 of the Labor Code,I shall fa 11 c i h those provisions. WIII the applicant or future building occupant handle hazardous material or A Z O7 !J mixture containing a hazardous material equal to orgreaterthatthe pPlicant � /�— Oate & amounts specified on the Hazardous Materials Information Guide? WARNING:FAILUR E'CURE WORKER'S COMPENSATION COVERAGE IS O Yes `'<No UNLAWFUL,AND SHALL SUB1ECr 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)7 See permitting checklist IN SECTION 5706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgui-n1��fj es CONSTRUCTION LENDING AGENCY aYes 1 a I hereby affirm that under the penalty of perjury there Is 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 outerb999u,,,((P��daryofaschool? (Section 3097 Civil Code) D Yes IjS N I have o i OWNER BUILDER DECLARATIONS read the Hazardous Material Information Guide and the SCAQMD permitting checklist l understand my requirements underthe State of Iherector'sby rmunse Lawfotyof pereason(s)ry in Tam ex cated belowmpt ythe California Health&Safety Cc e,Section 2550S and 25534 concerning Contractors License Law fonextr the to the applicable item(s) below by the hh{J�a�;;ardousma!aria report! checkmark(sJ I have placed next to the applicable i[em[s)(Section 7031.5 "S� O No Business and Professions Code).Any city or county that requires a permit to "`"'�C... Date UZ 02 �� construct,alter,improve,demorish or repair any structure,prior to its PROPERTY' ORA H ED 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 RENOVA71 N.RE AIR AND PAINTING(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 paint In a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031S 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.eoa.gov/lead or contact the National Lead InformaBon 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 DAn 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 ur 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. a 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 If your project does not comply with EPA RRP role please fill out the RRP I ?�e—V I4� 6u 7Q � S t�x Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE A. ......... - ,u �3i t1,liU lM1iliY C9S:aiF,li?iYyp� DATE: 08/02/2018 PERMIT/PLAN CHECK NUMBER -( GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: ® COMMERCIAL 8 RESIDENTIAL ®MULTI-FAMILY ®MOBILE HOME 0 POOL/SPA ® SIGN SUBTYPE: (E)ADDITION ®ALTERATION ®DEMOLITION ®ELECTRICAL MECHANICAL ©NEW ©PLUMBING ©RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK De-rate main to 100 amp OCCUPANCY GROUP CONSTRUCTION TYPE solar SPRINKLERS ) YES ()NO PROJECTADDRESS 25255 Springbrook way Menifee zIP92584 ASSESSOR'S PARCEL NUMBER 339-442-003 LOT TRACT OWNER NAME Brock Brotemarkle ADDRESS 25255 Springbrook Way Menifee CA 92584 PHONE (909) 767-7159 EMAIL Lgutierrez@sunlux.com APPLICANT NAME Berlyn Yamas / Sunlux ADDRESS 800S Rochester Ave Unit B Ontario CA 91761 PHONE (909)757-0834 EMAILLgutlerrez@sunlUx.com CONTRACTOR'S NAME Sunlux OWNERBUILDER? ®YES&O BUSINESS NAME Sunlux ADDRESS 800S Rochester Ave Unit B Ontario CA91761 PHONE (909)757-0834 EMAILLgutierrez@sUniux.com CONTRACTOR'S STATE LIC NUMBER 1008374 LICENSE CLASSIFICATION C10 VALUATION$ 13,560 SOFT 414 L SQ FT APPLICANT'S SIGNATURE .[--�2P"yLCL "� DATE O8/O2/201 8 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BU SS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED OYES D NO DRIVERS LICENSE# NOTARIZED LETTER % YES NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us