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PMT14-00474 City of Menifee Permit No.: PMT14-00474 29714 HAUN RD. MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 0 612 512 01 5 PERMIT Site Address: 25747 ROUNDUP CIR, MENIFEE, CA Parcel Number: 92584 Construction Cost: $13,000.00 Existing Use: Office Proposed Use: Office Description of MODEL HOME SALES OFFICE CONVERSION 395 SO FT Work: Owner Contractor RICHMOND AMERICAN HOMES RICHMOND AMERICAN HOMES OF MARYLAND INC 5171 CALIFORNIA AVE STE 120 5171 CALIFORNIA AVENUE IRVINE, CA 92617 IRVINE, CA 92671 Applicant Phone: 9494672600 RICHMOND AMERICAN HOMES OF MARYLAND INC License Number:487535 5171 CALIFORNIA AVENUE IRVINE, CA 92617 Phone: 7604688844 Fee Description Oft Amount l$1 Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $884.25 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_Templatarpt Page 1 of 1 i i City Of Menifee LICENSED DECLARATION i I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class License No Li 61 S?z GJ who builds or improves thereon, and who contracts for the projects with a Expires q/ p / Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Y Section 3 of the Labor Code, for the performance of work for which this permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have Policy# built as an owner-building if it has not been constructed in its entirety by licensed / contractors. I understand that a copy of the applicable law, Section 7044 of the j; I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:bttp'//www.leginfo.ca,gov/calaw,html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier X (_ SPer" fY INK(4vtce C0"" ­�� Property Owner or Authorized Agent Date Expires 7! / Policy# G ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I identified �perty for the inspection urposes. shall not emolov any persons in any manner so as to become subject to the workers'compensation laws of California, and agree that if I should become _ subject to the workers'compensation provisions of Section 3700 of the Labor pro er1y-©caner o uthorized Age Date Code,I shall forthwith comply with those provisions. f�.,.� City Business License# ®1 Date; ZS��� Applicant; /"' WARNING: FAILURE TO SECURE WOR CERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE � MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address fNO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT WJ DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reasons)indicated below by the checkmark(s)I have placed AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, 'U1 NO SCHOOL? or repair any structure, prior to its 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 License Law (Chapter 9 (commencing with �// I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or ,r/�yE6 INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any ��rr--' CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPORI'ING, compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORI ED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X ✓�,�' a d' who, through employees' or personal effort, builds or improves the property, _ .y provided that the improvements are not intended or offered for sale, If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). PROJECT: PLAN: c:AqC9 CITY OF MENIFEE BUILDING&SAFETY FEE SCHEDULE MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES CITY ELECTRICAL PERMITS Residential Appliance,up to 1 HP Non-Residential Appliances,up to 1 HP Power Apparatus(less than 100 HP,KW,KVA,or KVAR) Power Apparatus(100+HP,KW,KVA,or KVAR) Solar,Residential or Small Commercial Temporary Power Pole Services,Switchboards,Control Centers&Panels(up to 400 amps) SFR Non-SFR Services,Switchboards,Control Centers&Panels(400+amps) Receptacle,Switch,Outlet&Fixture(TOTAL) Pole or Platform Mounted Fixtures(TOTAL) Swimming Pool/In-Ground Spa Meter Reset Misc.Permit,Flat Fee,or Hourly as determined by staff TOTAL CITY PLUMBING PERMITS Plumbing Fixtures and Vents,fixtures (TOTAL) Grease Interceptor Gas System Piping/Repiping Single Family Residential Multi Family Residential(first dwelling unit) Multi Family Residential(ea additional unit) Residential Water Heater Solar Water Heating System Sewer Misc.Permit,Flat Fee,or Hourly as determined by staff TOTAL QTy- MECHANICAL PERMITS Forced-Air or Gravity-Type Furnace or Burner Suspended/Recessed Mounted Heater Air Handling/Condensinging Units Units SFR 1 Non-SFR Hood Served by Mechanical Exhaust Boilers,Compressors,and Absorption Systems Misc.Permit,Flat Fee,or Hourly as determined by staff TOTAL City of Menifee PMT14-00474 3/12/14 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Menifee PLAN CHECK NO.: PMT14-00474 PREPARED BY: Doug Moody DATE: 3/12/14 BUILDING ADDRESS: 25771 Roundup Circle BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Junsdiction Code mnf Manual Input Bldg.Permit Fee by Ordhance � Plan Check Fee by Ordinance � $281.25 Type of Review: ❑ Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats Hourly 2.5 li @ stir I Fee $90.00 $225.00 Based on hourly rate Comments: Sheet of 1 macvalue.doc+