The URL can be used to link to this page

PMT16-00270 City of Menifee Permit No.: PMT16-00270 29714 HAUN RD. Type: Residential Addition <A_CCEL/_> MENIFEE,CA 92586 MENIFEE Date Issued: 02/18/2016 PERMIT Site Address: 28375 CIDER ST, MENIFEE, CA92585 Parcel Number: 329-381-009 Construction Cost: $1,900.00 Existing use: 1 &2 Family Residence Proposed Use: Description of WALL TR 29495-1 JASPER PLACE Work: 6'x 20 L FT BLOCK WALL,235 LFT VINYL LOT 25 Owner Contractor FH II, LLC FH II HOMEBUILDERS INC 8300 UTICA AVE#300 8300 UTICA AVENUE 300 RANCHO CUCAMONGA, CA 91730 RANCHO CUCAMONGA, CA 91730 Applicant Phone:9093548000 SUSAN PARADISO License Number:985046 FH II HOMEBUILDERS INC 8300 UTICA AVENUE 300 RANCHO CUCAMONGA,CA 91730 Fee Description O_yt Amount l$1 Building Permit Issuance 1 27.00 Wall/Fence, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $168.65 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 carded 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_aldg_Permit Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'Slate License Law for the 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 in Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of License Co�l,a{{s��s��,1 License to b I-t!- improvements covered by this permit,.I cannot legally sell a structure that I have Expires-, Signature — built as an owner-buiiding if it has not been constructed in its entirety by licensed �1� 101 contractors. I understand that a copy of the applicable law.Section 7044 of the WORKERS'COMPENSATION DECLARATI Business and Professions Code,is available upon request when this application is submitted or at the following W,eb site: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto://www.leoinfo.ca.00v/calaw.html. I have and will maintain a certificate of consent 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. Properly Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following:I am the property 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 this 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 comply permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to building �1.,,La Vl c'onstruction.I authorize representatives of this city or county to enter the above- Carrierablki identified property for the Inspection purposes. Date Policy QNnL�k Dip Expires ua Property Owner or Authorized Agent (This section need not be completed if the permi(is for City Business License# one-hundred dollars($100)or less) HAZARDOUS MATERIAL DECLARATION ❑ 1 certify that in the performance of the work for which this permit is issued,I 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 s3pecified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions.-r' DYES !`NO Applicant- / Date; --��` Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNIN FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL forguldelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES �NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS Will the proposed building or modified facility be within 1000 feet of the outer ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 9 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ONO 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. r DYES qNO OWNER BUILDER DECLARATIONS I hereby affirm under penalty 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 O 9& RIZED AGENT r 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(RRP) 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($500).) employees.For more information about EPA's Renovation Program visit www.epa.gov/lead or contact the National Lead'Infonnation Center at 7 I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). xrmpensaffon,will do( )all of or( )porting of the work,and the structure is iot intended or offered for sale.(Section 7044,Business and Professions Code; fhe Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project vino, through employees' or personal effort, builds or improves the property, )rovided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: he building or improvement is sold within one year of completion,the Owner- 3uilder will have the burden of proving that it was not built or improved for the Firm Certification No.: mrpose of sale)- :] I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because: xmtractors to construct the project(Section 7044,Business and Professions :ode:The Contractor's License Law does not apply to an owner of a property vho builds or improves thereon, and who contracts for the projects with a qr+.. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION —�6 Menifee DATE — PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL <RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK f PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER 3a9 3S1 -vo9 LOT S TRACT 2 - OWNERNAME ADDRESS a �. (..Cf, �' ✓I 17 PHONE /[/ %3'�Y - �?blY EMAIL •( l ' 1�.�1� ,, (yLX•� APPLICANT NAME�+ ADDRESS i PHONE I 1 EMAIL CONTRACTOR'S NAME Q. Yl I IQ OWNER BUILDER? O YES ONO BUSINESS NAME I ADDRESS L iv� PHONE EMAIL CONTRACTOR'S STATE 'LICCNUMBER �L/ LICENSE CLASSIFICATION VALUATION$ 60 V SO,FT LSQFT '"[V ILA- APPLICANT'S APPLICANT'S SIGNATURE '/.i DATE DEPARTMENT DISTRIBUTION CRY OF MENIFEE BU5INESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FlRE GREEN SMIP INVOICE PAIDAMOUNT AMOUNT OCASH OCHEIX# OCREDIT CARD NSA/MC PLAN CHECK FEES PAIDAMOuP1T OCASH OCHEa# O.CREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO