Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PMT16-00458
City of Menifee Permit No.: PMT16-00458 29714 HAUN RD. T Residential Re-Roof �CCEL/' MENIFEE,CA 92586 yam' ro,,.., eSMPxxn MENIFEE Date Issued: 02/23/2016 PERMIT Site Address: 28231 WESTOVER WAY, MENIFEE, CA Parcel Number: 337-183-035 92586 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of REMOVE EXISTING COMP ROOF, INSTALL NEW COMP SHINGLE COOL ROOF OVER 30#FELT Work: Owner Contractor SHERYLSCHEEL GUNBYINC 28231 WESTOVER WAY 5474 RANCH GATE ROAD MENIFEE,CA 92586 RANCHO CUCAMONGA, CA 91701 Applicant Phone:9099808400 PETE GUNBY License Number: 937732 GUNBY INC 5474 RANCH GATE ROAD RANCHO CUCAMONGA, CA 91701 Fee Description ,[City Amount t51 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 contraction 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 I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. r� the following reason: License Classc kiLWeNo. By my signature below I acknowledge that,except for my personal residence Expires t-in 1`� Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATIO have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that copy of the applicable law,Section have and will maintain a certificate of consent of self-insure far worker'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 www.Iegjnfo.ca.Roy/caIaw.htmI.permit is issued. Policy# C L_l 52 317 fS Z_ Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier C" r"'JS CO with all applicable city and county ordinances and state laws relating to �fi� —7 building construction.I authorize representatives of this city or county to Policy#469 070 t O y Expires 2 enter the above identified property for inspection purposes. (This section need notto be completed is the permit i/fr one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certifythat in the performance ofthe work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject the orkers compensation provisions of Section 3700 of the Labor Code,] hall fo hwith erlSAIV w h those provisions. -r� Will the applicant or future building occupant handle hazardous material or a Applicant Date 23 ' mixture containing a hazardous material equal to or greater that the amount�,specified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SE 'SCOMPENSATI NCOVERAGE Is ❑Yes kj No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS($100,000),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 '"o 1 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) ❑Yes t�No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of hereby affirm under penalty of perjury that I am exempt from the California Contractor hazardous s License Law for the reason(s)indicated below by the ardealth&safety Code,Section 25505 and 25534 concerning u s mat ria epartin . checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes [\No 2 Business and Professions Code).Any city or county that requires a permit to ate Z construct,alter,improve,demolish or repair any structure,prior to its PROPER OWNE OR AGE 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 Contractors State EPA RENOVATION D PAINT] RP 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 or she is exemptfrom licensum 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 facility to he RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property omen 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 their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 70",Business and Professions 1-800.424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑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 will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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 DATE Ol o��J So PERMIT/PLAN CHECK NUMBER Qi' l \� ' cc TYPE: O COMMERCIAL .RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NNEEW�,�O� "PLUMBING O RE-ROOF-NUMBER OF SQUARES 2� 1 DESCRIPTION OF WORK � rvCF rlotxa I I 11STG�11 ✓ 42-u-) i,a.,,', ?e Q-- PROJECTADDRESS 23j 1.JE,3Tou 2 L,rf�-V (l'1i.( l F 6- &— CA 282-3 111 ASSESSOR'S PARCEL NUMBER +j-J51- LOT �0 TRACT -1)05 OWNER NAME ADDRESS q29 2 'v+�0 �`/ , r"ViJN 2� 2- PHONE 1`jl 6-?�j 24,O5 EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME CYt/`IV OWNER BUILDER? O YESJi'NO BUSINESS NAME C3V N P,y / NJC ADDRESS 5 L. r�-^NC14 C+`I�`TC- ��'� ��{ +' L� r-A� -70 / PHONE 15) 3) 2 ©963 EMAIL C CONTRACTOR'S STATE LIC NUMBER /'3-7-7S Z LICENSE CLASSIFICATION 3 w VALUATION$ 8�d SO FT `aLtcJn L SQ FT APPLICANT'S SIGNATURE DATE a Z3 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN I SMIP INVOICE �jO PAIDAMOUNT AMOUNT O CASH O CHECK R O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECKN OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 N o `e 0F • " Z n mm � �! y a (1 Oily G w ti N 3 DO c o0 m o 3 O m n ynmgm ^-' 0' m n -i 3— m VI A ?. T p m d D �. F+ .n N w a n Z '! O n C 0 A h C O » 9 O W j 6 IAiI O •G O u0i A w f7D m CJ 9 0 T S D 3 O O r O' n N O 9 O N N ',' y �O O y� G 5 3 n m u m' 0 m a m n Z 71 I7 m - m 0 � � D m — R m n p 1 N O' O m m n m Q 0 O m r x 3 0, x o N m N < y ^ < N _? A z �' 0 3 N ."0 O. <.D z 0� 3 w n . r O O Z 0 o O' 6 n n .0^ �, n O D m m O O N m _. 3 w m 'a m H w n n v a D A 3 O n O' G N W AO 3 y^ Z ; D v ZO -on N n 0 O v a m ^w ,., O •c m z -i O A D 3 D S M °� M N j Oa D O w O • O .f (7 c o N r m O m v N m' m a m O F ``,, O T O N m a of0r a Y '0^ -D-i a O N O 3 K o v M vmi .^. n ❑ Ri T n n c m o F O O O p y w m 1Sn 'm 2 uNi ?m Q c 7(` _O-^ O m F 1D 3 £ m 3 'm iv N T I" �• 0 mm ^Z^ o � 9 x r o D V o x m 0 w T m a N 3 m m 0 0 0 a 0 N 0 m 0 ° m T N w 0 � � N n0 n n m N A 63 S. m u m O Oa T o »o ^- F N c . 0 a ao m O o c -' fD 'm = N A O 0 n ry N n N m D d % y d V W — iva 3 C) r a 0 m 0 a o N » 3 A W o c m o m in n -O.. N �-« 'm m �• o --� D < m m �n D o o Z N CA) CD 0 0. 0 00 oY m 0 F c m 3 m w e 1 m a� S n 3 - ^• 3 -O.. i a. n O0 O �nl y s o ; o oA _ nN ,� -o c w _ RLQ c yr N ew F. T N N n N j o o a E n ~ r r Nd 6 0 T m n o O 3 ^ N D z o A y 0 m m a y 0 m "' m c• ry L m O 3 a' x 3 a n LO a W O T m M K n N N m m p ` z m m � N � Z � a �^ u O ¢m t o0 a) E 217 C Oq N W O u H n o « E -c o a o a a `w u d 0 O N V Q W J L m a a N e+1 U o U o c 0« w c0 Ci a+ p « a a v E v m e o o N '" v a O m y a u O , a s m E '.= 0 00 ` s m „ m o c r _ m 3 tt ^I r m o d LV O a c _ d U O 1 ti 3 « 3 m « ¢ a m c id' ` 3 0 a 0 c m 3 a « w % m u _ x N in V n C o 0 o ff s u a d a c o Z L > c N EO = o b c , - > Q o n a a m v u Yi m ? u. u �° O M ¢ d 1O a m c �' O O rj N •O C15 V O V m eq d d V , c1 Z m O d d ^c d O M d W W C VI U d y R' O d d a « u a N d m C td. uu o. m u c « a vm-i o -°N c E m x c Y.� c a w 1° O =' mi O m 0 v y « U cO w K > ri0i c 0 u •p `O m N t U 'O O t m a O " O �° m C « c « m 0 m E � a �' Z v a Y 9 c n O' y 0 N O w o c C d Q d a s ¢ oi a o o �^ c c N w °� c o a M O m o u r «U w o 'a' 0 3 y v t z L > a o '� r E w c m c C .. « o v z q l7 a u o ` a w F 9 a w _ u m v 3 u G o L C Y m V O a 0 L 3 9 < V G « NS O � W W O ❑ a O , a > t « -O a c O' O 2 O Q t'i v�i m 0 c m �° s° > E m N -° « o m �'' a -a , a m v o :° a 4h m m o a a a « y , w E �( .. m m v co m " i° u .di 0 - m a u_ a `d N c m "o a m f o C z m m m c y w = V _^ $ « r Ymi u .0 a s H a a O 0 0 o a ° m : u w O ¢ £ a c a ¢ m v .c o u u J 'o s K Z z o s c n m `p ci �Eo, '`o m m E u `' « a o 0 u w a v c - m E E `w W u a Z Y a r.. m s E c -` u c 10 c y 'O `� S E O Q Q a Z o 0 0 z m « 0 0 m s 0 y E w m u E Q 33 ¢ r o „c0 o w � �m°n m o w Uc° q x c z 'd^ = « m a z E r 3 •a U m o m aYr `� w O O r 0 0 0i s N m m d t C • d d K a Q U A , , y. N Z 6 a a N C W Q vdi �. y u a �' Q D V .O m D 9 L O o O « 1F V ~ 7 u C 9 N 0. W 0. m N 0. 6 in E E E L O •• N G umaO` c -E O O y C c c w w Litl 0 N m N LL ' r u m , d a c6 of .m-i �+ N ti Z « O - m o v m w c z u Q ii uo. u a