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PMT14-00663
i E i City of Menifee Permit No.: PMT14-00663 29714 HAUN RD. Type: Commercial New -W6cr= A> MENIFEE, CA 92586 MENIFEE Date Issued: 0 8104/2 01 4 I PERMIT 3 Site Address: 26100 NEWPORT RD, Suite# 1-40, Parcel Number: 338-160-015 MENIFEE, CA 92584 Construction Cost: $8,800.00 !.. Existing Use: Proposed Use: Description of CONSTRUCTION OF TRASH ENCLOSURE FOR SUN CITY PLAZA Work: Owner Contractor STEVE FELDERMAN C/O SCP MENIFEE, LLC MC DANIEL CONST 1234 E 17TH ST 3929 BLUFF ST SANTA ANA, CA 92701 NORCO, CA 92860 Applicant Phone: 7144936690 MENIFEE, CA License Number: 477494 Fee Description City Amount($1 But ing:,e ���ssila� e` Inspections not specified 129 129.07 I 'sp c Ions no, eCl£ed"P 58 Additional Plan Review Building 120 120.00 GCE � z SMIP COMMERCIAL 1 2.00 $537.21 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 building 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 Templale.rpl Page 1 of 1 City Of Menifee LICENSED DECLARATION 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 I,?Licens o. 1-7 49q who builds or improves thereon, and who contracts for the projects with a Expires /D I f L( Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 1 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 Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. 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 ❑ 1 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:httr)�/lwww.leoinfo.ca.ciov/Qglaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires Policy# q1 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 a plicable city and county ordinances and state laws relating to building con uct n.I auth representative is city or county to enter the above- OdeI certify that in the performance of the work for which this permit is issued,I i ntifie propert or a inspectio urpo S. shall not employ any persons in any manner so as to become subject to the workers'compensation laws of California, and agree that if I should become j 6 //��/ subject to the workers'compensation provision of Secti 00 of the r rope tv Ow r or Al ized Agent Date Code,I shall forthwith comply with those prov' i ns. ���g Agent City Business License# tMV'!� T� $/guy Date; Applicant; �-" WARNING: FAILURE TO SECURE ORKERS' 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, OYES 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 1p NO 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 WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name [-]YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address 9LNO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affinn under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES 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, 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 [YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any 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($500).) CODE, SECTION E TM T 25505 50 R 5533I�IA D 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( ) porting of the work, and the structure is PROP OWNER AUTHORIZED T not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X /w/ who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). (--"A1TY 0F MENI7'1L' E PLCKNo: Permi No: 29714 Haun Road Date Date: I Menifee, CA 92586 Z I /`4 Phone: (951)672-6777 Amou1,5q Amau yt�� O Fax:(951)679-3843 Ck#: I J Ck#:M. Building Combination Permit G ISZ ce.a CE Mflcr3L~27 o To Be Completed By Applicant Legal Da cd lion: O Po Planning Case: N A., F: L: RL R: Property Address: Assessor's Parcel Number: 1 330 0140 a5•- -- - ProjecUl-man Name:P Unit#:— Floor#, Nam e: !c C/o� y Phone No. 460 `514_ Fax Nog 3 6 Property Address: Unit Numbed T T• ^ A92 Owner Email Addre s: - B .vc. Name: yL Phone No. Fa No. J? 6 2 Applicant Address: Unit Number Zip Cod 2121 IS. C yfiI 1-7ic/ ca._ _ - �/ V/7/02 Email Addres�)t� L °cohl - Name: / Phone No. Fax No. Contractor Address: City State Zip Code Contractor's City Business License No. Contractor's City State of Californla License No. Classification: Number of Squares: Square Foolage 202 r,�N 3�-¢r [(-Q•SU/Tf, QV ? �Z . Sl�)8. Desk lion o r G Z�yy yl/ G Cost of Work:$ 8 seki2wiQ x:).pD.00 Appitcanns Signature W� TIWWS Date:C95 �/_' 5,Z014, '; ( :r, Td Bft Completed By Clty,StaffOnly _. Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Sails Report(on cd only) Plot!Site Plan Rcof Plan ❑ Title 24 Energy(on 8 Y x 11 ❑ ❑ ❑ Mechanical Plan ) ❑ El Structural Calculations Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Metho Is Work Type: Repair" Retrofit" Revision to EMisting Permit' Requires? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: - #Units: #Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone At Project Construction Sprinklered that apply: Coastal Zara Completion: Type(s): C Of O YES or Pl0 Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Camm. Planning Comm.Zoning Administrator Fee Exempt Cily Projec[ Else.Vehicle Charger Landmark Seismic Retrofit ceoa!case:Bldg Official A royal Expedite Project(si: Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only i� Building/Safety n'-rm:t Specialist City?tanning I UVA Engineering I EPWM-Acton - Transportation:Ngml Renl Ccnlm; r'HANK YOU FOR HELPING US CREATE A BETTER COMMUNITY i' MENIFEE BUILDING PERMIT— PROPERTY OWNER'S PACKAGE Disclosures and forms for Owner-Builders Applying for Construction Permits IMPORTANTI NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of _.--- --- are providing �= _the_ptop�xt. .tt� o�tf:m,:nts_spe�lfie�:at:_ 21�OQ �(� p g you with an Owner-wilder Acknowledgement and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until y ou have re ad, Initialed your understanding of each pr ovislon, si gned, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGEMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify that you understand or verify this information. 1. t understand a frequent practice of unlicensed persons Is to have the property owner obtain an "Owner- Q/ Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as the Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner-Builder"' I am the responsible party of record on the permit. I understand that I Nr may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of nay own, �--yr 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license LZ numbers on permits and contacts. 5. 1 understand if 1 employ or otherwise engage any persons, other than California licensed Contractors, and Eg/ the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an"employer"under State and Federal law. 6. 1 understand if I am considered an "employer" under State and Federal law, I must register with the State IV and Federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. 1 understand under California Contactors' State License Law, an Owner-Builder who builds single-family 71-111, residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contact with a licensed general building Contractor. 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defeats in the workmanship or materials. 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Er Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.00v for more information about licensed contractors. 10. 1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the �a'rty�a anted ia�call responsible or proposed cons ryc�'on c wity at the following address: '/ tyfdZ g a- Ff i 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will ©/ abide by all applicable laws and requirements-that gavern Owner-_Builders as well as ern ers. 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changers to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important or you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property,you may be held liable or damages. if you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by t he property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of Property Owner: Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project(or Description of Work): a +'� 0A(J Tf�rptt- W/_1_4slGiL d5/"a7S rtt tD' Vaff_ lS pN Project Location or Address: ZVpCO �tNI(-bRT-(tp. ►.45W GONG- IS(/t8. Name of Authorized Agent: �� , pcM R ptlWT&_"?UWel No: qQn 9-L3 6093 �144! 2PtlloN Address of Authorized Agent: �� I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of Property Owner: Date: