PMT18-04548 City of Menifee Permit No.: PMT18-04548
I" �` 29714 HAUN RD. Type: Residential Electrical
1 A MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 09/1812018
PERMIT
Site Address: 25505 AQUILA CT,MENIFEE,CA 92586 Parcel Number: 339-213-019
Construction Cost: $1,500.00
Existing Use: Proposed Use:
Description of MAIN PANEL UPGRADE 100A
Work:
Owner Contractor
ANDY OWEN SHARP ELECTRICAL SERVICES
25505 AQUILA COURT 2191 RANCHWOOD PLACE
MENIFEE, CA 92586 RIVERSIDE,CA 92506
Applicant Phone:7342777991
BENJAMIN SHARP License Number: 1031312
SHARP ELECTRICAL SERVICES
2191 RANCHWOOD PLACE
RIVERSIDE,CA 92506
Fee Description ON Amount IS)
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 Mantles.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_PermR_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 Contractors State License Law for
Professions Code and my license Is in full force and effect. the following reason:
License Class p0 n Ucen Y
No. 3 17 By my signature below I acknowledge that,except for my personal residence
Expires 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
this permit is issued. www.leginfo.ca.gov/calaw.htmi.
Policy A Date
khave 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: ,t 11 ./�y/ application and the Information I have provided is correct.I agree to comply
Carrier Se('ur' ! Ja t- with all applicable city and county ordinances and state laws relating to
(—• _ c, building construction.I authorize representatives of this city or county to
Policy N 3wC r I ��ZO�Expires 5 ^ 29--1 r 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 p
workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall fort,,with comply with those provisions. q, c� Will the applicant or future building occupant handle hazardous material or a
Applicant Date / —�� /rJ mixture containing a hazardous material equal to or greater thatthe
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
UNLAWFUL,AND SHALLSUBIECT 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 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 al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 pYes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its 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 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 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
❑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 Contractors 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:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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 out the RRP
Acknowledgement.
AM AIL
PAL&SAFETY pEWR& ? 'L N CHFCK.APPLICATION ._„ h MENIFEE..
DATE:9118/18 PERMIT/PLAN CHECK NUMBER M
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL IE)RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOLISPA O SIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION (E)ELECTRICAL MECHANICAL
ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Electrical meter panel upgrade 100A
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS OYES ONO
PROJECTADDRESS 25505 Aquila Ct 21P92586
ASSESSOR'S PARCEL NUMBER Z,7A- q LOT TRACT
OWNER NAME Andy Owen City Of ern ee
Rupiriing Dept.
ADDRESS 25505 Aquila Ct, Menifee CA 92586
PHONE (619) 456-1610 EMAIL
APPLICANTNAME Sharp Electrical Services Received
ADDRESS 2191 Ranchwood PI, Riverside CA 92506
PHONE (951) 323-3677 EMAIL
CONTRACTOR'S NAME Benjamin Sharp OWNER BUILDER? OYESQNO
BUSINESS NAME Sharp Electrical Services
ADDRESS 2191 Ranchwood PI, Riverside CA 92506
PHONE (951) 323-3677 EMAIL
CONTRACTOR'S STATE LIC NUMBER 1031312 LICENSE CLASSIFICATION C10 & B
VALUATION$ 1,500.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 9/18/18
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: nn CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE %-'
INVOICETOTAL 1 <60 GREEN SMIP k
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
NI