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PMT15-03238 City of Menifee Permit No.: PMT16-03238 29714 HAUN RD. Type: Residential Re-Roof <A_CCEL/? MENIFEE, CA 92586 MENIFEE Date Issued: 1 011 912 01 5 PERMIT Site Address: 31555 HAUN RD,MENIFEE, CA 92584 Parcel Number: 360-240-033 Construction Cost: $15,000.00 Existing Use: Proposed Use: Description of TEAR OFF EXISTING LAYERS, INSTALL NEW CONCRETE TILE Work: `•CRRC 0918-0049" Owner Contractor DEAN REHAUME KNITTER CONTRACTING INC 31555 HAUN ROAD 11615 OLD CASTLE ROAD MENIFEE,CA 92584 VALLEY CENTER, CA 92082 Applicant Phone:7607497448 MICHAEL KNITTER License Number:732776 KNITTER CONTRACTING INC 11615 OLD CASTLE ROAD VALLEY CENTER, CA 92082 Fee Description Qtv Amount lEl Building Permit Issuance 1 27.00 Inspections not specified 98 98.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 4.90 $130.90 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_Pemiit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law forth I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence i Professions Code and my license is In full force and effect. which I must have resided for at least one year prior to completion e License Class 13'11 G=3 y Uokkse No. 7 01- improvements covered by this permit, I cannot legally sell a structure that I hav Expires �7 Signature built as an owner-building if it has not been constructed in its entirely by license contractors. I understand that a copy of the applicable law, Section 7044 of th WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application i submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one the following declarations: httoJ/www.leginfb.m.gov/calaw.htmi I have and will maintain a certificate of consentt of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the proper) l" I have and will maintain workers' compensation Insurance, as required by owner or authorized to act on the property owner's behalf. I have read thi section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comp) permit is issued.My workers'compensation insurance carer and policy number are: with all applicable city and county ordinances and state laws relating to bulldin rf--� ` r construction.I authorize representatives of this city or county to enter the above Carrier� I d-O aUgL" �1 S(,6-r,� C.e-- Identified property for the inspection purposes. Policy# ! AS GS3 RL7 Expires a—/fJ Date Property Owner orAuthorized Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. DYES ❑NO Applicant; I ate;�/� /�- 5 Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAIL E TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVE GE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ❑NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. OWNER BUILDER DECLARATIONS DYES ❑NO I hereby affirm under penally of perjury that I am exempt from the Contractor's Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING Ill 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint In a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property Violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: ❑ I, as owner of the property, or my employees with wages as their sole www.epa.govAead or contact the National Lead Information Center at compensation,will do( )all of or( )porting of the work,and the structure is 1-800-424-LEAD(5323). not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractors State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: 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 Finn Certification No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Cade:The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK ®PMenifee DATE I PERMIT/PLAN CHECK NUMBER TYPE: []COMMERCIAL RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA []SIGN SUBTYPE: ❑ADDITION []ALTERATION [-]DEMOLITION [—]ELECTRICAL []MECHANICAL [-]NEW [-]PLUMBING ❑5tE-ROOF-NUMBER OF SCLUARES _� s i DESCRIPTION OF WORK cl� C /�Y { N'PtlT C-OkicL410 , PROJECTADDRESS 3165, 5cN rne14e�:-z TfJL ASSESSOR'S PARCEL NUMBER a {jp O 3 LOT TRACT PROPERTY OWNER'S NAME ct Re •p� V ADDRESS I47ee- L' .A PHONE 1� ^ ?Sj JS EMAIL n Building & Safety D t. APPLICANT NAME j'Y1 1 Lvt c't ��17 1 �L c A ''AA OCT 19 2015 ADDRESS /jcdl �- ujGG5 G �y PHONE 61q &g bty EMAIL 141,rl .er e, e,� Gvs CONTRACTOR'S NAME C 'Ip r OWNER BUILDER? ❑YES NO BUSINESS NAMES C mYG j ADDRESS � [ S j `S� -50t zL! +/1��J 4Y C,4 S C �4 D C7 7 PHONE / bo 7L/ y 7 yL/p EMAIL / CONTRACTOR'S STATE LIC NUMBER 7-32,776 LICENSE CLASSIFICATION I " C VALUATION$ I SOC96 SCL FT kAb-F -3.3 L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP K AMOUNTINVOICE 1� ,'1 O PAID AMOUNT 1 .� Ia O O CASH O CHECK k O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT \ O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. 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