The URL can be used to link to this page

PMT18-05602 City of Menifee Permit No.: PMT18-05602 29714 HAUN RD. Type: Residential Electrical MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 11/27/2018 PERMIT Site Address: 26200 PINE VALLEY RD, MENIFEE, CA Parcel Number: 337-031-033 92586 Construction Cost: $6,290.00 Existing Use: Proposed Use: Description of PANEL UPGRADE FROM 100A TO 125A Work: Owner Contractor THOMAS CIFRODELLA A R S AMERICAN RESIDENTIAL SERVICES OF 26200 PINE VALLEY RD CALIFORNIA INC MENIFEE, CA 92586 965 RIDGE LAKE BLVD.#201 Applicant Phone: 9512769744 KENNY PEERY License Number: 765074 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNI) 965 RIDGE LAKE BLVD.#201 MEMPHIS, TN 38120 Phone: (800)660-0675 Fee Description Q�t v Amount($) 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 ❑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 following reason: License Class GOJ C20 JC✓(9—License No. C�J 3 By mysignature below I acknowledge that,except for mypersonai residence Expires X ignature in which 1 must have resided for at least one year prior to completion of improvements covered by this permit.1 cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by _V,I hereby affirm under penalty of perjury one of the fallowing declarations:I licensed contractors.I understand that copy of the applicable law,Section have and will maintain a certificate of consent of self-insure forworker'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 vA•Av.leginfo.ca.gov/calavr.html. this permit is issued. Date Policy!# PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation insurance,as required by 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 ovmer's 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 lays relating to Cariier L— building construction.I authorize representatives of this city or county to Policy tf 74?(��,(��►b tU 6 Pi — �a enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundre7 Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT- t' o I certify that in the performance of the work for which this permit is issued, o S 7 1 I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p workers compensation laws of California,and agree that iFl should become ATERIALDECLARATIONsubject to the workers compensation provisions of Section 3700 of the LaborCode,I shall forthvi comply vrith those provisions. rRD.0US e policant or future building occupant handle hazardous material or a containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO REWORK S COMPENSATION COVERAGE IS D Yes '"0 UNLAWFUL,AND SHALL SUBJECFAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAN D DOLLARS($100,0GO),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) O Yes o� OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and theSCAC1LMD permitting checklist.I understand my requirements under the State of I herebyaffirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. , checkmark(s)I have placed next to the applicable items)(Section 70315 0Y ❑No l/ Q Business and Professions Code).Any city or county that requires.apermitto �Q/jt/) Date _ ! ~( �_�U construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR ORI ED AfiVr— J 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(RRP) 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 orshe is exempt from licensure receiving compensation for mostwork that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare)acidity to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penaltyof not more iequired 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 theirsole employees.For more information about EPA's Renovation Program visit compensation,will do( )all of or( }portion of the work,and the structure is =Av.eoa.govllead 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 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 wll have the burden of proving that it was 0 No EPA Lead-Safe Certified Firm is required for this project because: not built or improved for the purpose of sale. O 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 '€t++ c --. rsY . .-3^� ,. 5r. >. DATE: ( -/ PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: COMMERCIAL SIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN SUBTYPE: ADDITION ALTERATION DEMOLITION 'ELECTRICAL MECHANICAL NEW PLUMBING n RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK �� U f" 44,66' OCCUPANCY GROUP ""7� CONSTRUCTION TYPE n SPRINKLERS YES NO PROJECTADDRESS o?ctarC)C� T1/(1F1i�r��/q�a�CNtF� ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ADDRESS PHONED"JC�p�-!�l alb EMAIL APPLICANT NAME �I ADDRESS cB6��j �4/ce-,� L r�)l (�CS�S/DC (7J sJS PHONE 75 EMAIL CONTRACTOR'S NAME C (J�'�� OWNER BUILDER? YES NO BUSINESS NAME /� ADDRESS �} � s-- v�5lz9F C4 cusn PHONE g�C� D7� EMAIL CONTRACTOR'S STATE LIC NUMBER �p 7 LICENSE CLASSIFICATION �ld CZUI C 3(o VALUATION$ q26 SQ FT !, 1 L SQ FT APPLICANT'S SIGNATURE PDATE J 0TYSTAFFUSE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: rz` w CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE kk INVOICE TOTAL L.�q GREEN ( oo __F_SMIP OWNER BUILDER VERIFIED C:: YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER YES 0 NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 na . www.cityofinenifee.us �r ENIFE