PMT16-00896 City of Menifee Permit No.: PMT16-00896
29714 HAUN RD.
<AACCELA? MENIFEE, CA 92586 Type: Commercial Addition
MENIFEE Date Issued: 06/08/2016
PERMIT
Site Address: 29775 HAUN RD, MENIFEE, CA 92584 Parcel Number: 336-380-074
Construction Cost: $100,000.00
Existing Use: Proposed Use:
Description of CONSTRUCT WATER FOUNTAIN FEATURE
Work: NO FINAL UNTIL PLANNING APPROVES STONE FINISH
Owner Contractor
MENIFEE UNION SCHOOL DIST NEFF CONSTRUCTION INC
30205 MENIFEE RD P O BOX 1488
MENIFEE, CA 92584 ONTARIO, CA 91762
Applicant Phone:9099473768
RON KOUSESERIA' License Number:790576
P O BOX 1488
ONTARIO, CA 91762
Phone:9092236775
Fee Description gtv Amount f5l
Non-Residential Appliances, up to 1 HP 2 232.00
Power Apparatus 2 300.00
Receptacle, Switch, Outlet&Fixture 9 156.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 545 545.45
GREEN FEE 1 4.00
SMIP COMMERCIAL 1 28.00
New Construction Permit Fee 1 460.00
General Plan Maintenance Fee-Electrical 1 34.40
General Plan Maintenance Fee-New 1 23.00
Construction
$1,809.85
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications orfrom 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_Template.rpt Page 1 of 1
CITY OF MENIFEE
ICENSED 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).
Chapter!)(commencing with section 7000)of Division 3 of the Business and n 1 am exempt from licensure under the Contractors State License Law for
Professions Code and my¢license is in full farce and effect. the following reason:
License Class F/ License No. 7_ O S7 to By my signature below I acknowledge that,except for my personal residence
.Expires INU Signature , i�-_ in which l must have resided for at least one year prior to completion of
7Z improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
ave and will maintain a certificate of consent of self-insure for workers 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 ofthe Labor Code,for the performance of work for which www.leainfo.ca.aov/calaw.html.
this permit is issued.
Policy#
Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain workers compensation Insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: I f application and the information I have provided is correct.I agree to comply
'50* homml t L T`( �C lN�81(-(ry (0L T�� AL /��J((-try (10. with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# I�oOoo�bbf Expires 4(/17 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I 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 CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
I shall forth ' co ,ply wit those provisions. ` Will the applicant or future building occupant handle hazardous material or a
licant Date "ell mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes ❑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 UP TO 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 o Yes o No
I 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) o Yes D No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors license Law for the reason(s)indicated below by the azardous material rep rting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Y n No
Business and Professions Code).Any city or county that requires a permit to Date 6/e116
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY115AEA OR AUTHORIZED AGENT
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,REPAIR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 70D0)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 exempt from Rcensure receiving compensation for most work 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 be 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 owners and property
than($500). managers who do the paint-disturbing work themselves or through their
D 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 7044,Business and Professions 1-800424-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. o No EPA Lead-Safe Certified Firm is required for this project because:
n 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
.heck A License-License Detail Page 1 of
Contractor's License Detail for License # 790576
DISCLAIMER:A license status check provides information taken from the CSLB license database. Before relying on this
information,you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law(B&P 7124.6)If this entity is subject to public complaint disclosure,a link for complaint disclosure will appear below.Click on the
link or button to obtain complaint and/or legal action information.
Per B&P 7071.17,only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload,there may be relevant information that has not yet been entered onto the Board's license database.
Business Information
NEFF CONSTRUCTION INC
P 0 BOX 1488
ONTARIO, CA 91762
Business Phone Number:(909)947-3768
Entity Corporation
Issue Date 01/29/2001
Expire Date 0113112017
License Status
his license is current and active.
II information below should be reviewed.
Classifications
GENERAL BUILDING CONTRACTOR
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with OLD REPUBLIC SURETY COMPANY.
Bond Number: WL11206081
Bond Amount: $15,000
Effective Date: 01/01/2016
Contractors Bond History
Bond of Qualifying Individual
he qualifying individual EDWARD CURTIS MIERAU certified that he/she owns 10 percent or more of the voting stock/membership
nterest of this company;therefore,the Bond of Qualifying Individual is not required.
ffective Date: 01/29/2001
Workers' Compensation
his license has workers compensation insurance with the STARR INDEMNITY&LIABILITY COMPANY
olicy Number:1000001681
ffective Date: 04/01/2016
Expire Date: 04/012017
orkers'Compensation History
Other
Personnel listed on this license(current or disassociated)are listed on other licenses.
ttps://www2.cslb.ca.gov/OnlineServices/CheekLicenseII/LicenseDetail.aspx?LicNum=790576 6/8/201