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PMT16-02621 City of Menifee Permit No.: PMT16-02621 _ 29714 HAUN RD. 'i_CCELA�. MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 07/2612017 PERMIT Site Address: 28028 WATSON RD, MENIFEE, CA 92585 Parcel Number: 329-330-008 Construction Cost: $7,600.00 Existing use: 1 &2 Family Residence Proposed use: Description of CONSTRUCT 2 OPEN PATIO COVERS 2X 9X56 DETACHED POST/BEAM Work: Owner Contractor JOSE MENDOZA 3411 BEVOS ST SAN DIEGO, CA 92111 Applicant License Number: JOSE MENDOZA 3411 BEVOS ST SAN DIEGO, CA 92111 Phone: 6195724454 Fee Description Q Amount Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 Additional Plan Review Building 148 148.37 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $317.02 The issuance of this permit shall not prevent the building official from thereafter requidng the correction of errors in the plans and specifimtions 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. CONDITIONS Condition Comment 1 Code Case-Compliance Agreement AA_Bldg_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION roperty who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors Stale License Law). I hereby affirm under penalty of perjury that I am under provisions of 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. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires 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 DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑1 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have 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 of the Labor Code,for the performance of work for which www.leginfo.ca.goy/calaw.html.permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ❑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 ❑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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply 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# Expires entert ove identified property for inspection purposes os . (This section need not to be completed is the permit is for one-hundred Date 7 /6 /,7- dollars($100)or less OPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit Is issued, 1 shall not emolov 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 Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 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 IS o Yes D 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 ❑Yes ❑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? ,ction 3097 Civil Code) ❑Yes D No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I 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 hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes ❑No Business and Professions Code).Any city or county that requires a permitto Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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(RRP) 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 exempt from licensure 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 ❑1,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.eoa.gov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a o 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: ❑1,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. CITY OF MENIFEE CODE ENFORCEMENT DIVISION eNiFe 29714 Haun Rd., Menifee,CA 92586 P: 951-672-6777 1 r: 951-679-3843 COMPLIANCE AGREEMENT May 31,2017 TO: JOSE MENDOZA RE: 28028 WATSON RD,MENIFEE,CA 92587 (PROPERTY ADDRESS) CASE NO: CE-13-1133 This is an AGREEMENT between City of Menifee and Jose Mendoza made as of May 31,2017, by and between the undersigned Parties. I.CONSIDERATION The undersigned hereby form a Compliance agreement in,that the incurred costs of$5,002.24 for code enforcement activities at 28028 Watson Rd will be paid in 3 monthly payment installments. 11.TERMS OF PAYMENT The following terms of payment will be paid in installments of$1,667.41 except for the last installment which will be$1,667.42 In addition a onetime administrative fee of$126 will be paid with the first payment installment. III.CONDITIONS The conditions of this agreement are;after the second Payment, City of Menifee Building&Safety department will release responsible parties permit once the third and final payment is made and cleared with finance,City of Menifee will Release Notice of Pendency. ACKNOWLEDGEMENT I hereby acknowledge that I have read, understand and agree to comply with the City of Menifee's Compliance agreement conditions and terms. oG - CV zo/ ignature Date J 0sz A . Print Name City of Menifee Code Enforcement Division 129714 Flaun Rd, Menifee,CA 92586 P: (951)672-6777 1 17: (951) 679-3843 Menifee DATE PERMIT/PLAN CHECK NUMBER ' - 02 TYPE: O COMMERCIAL !RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0SIGN SUBTYPE: *ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL C NEEW'''O PP. l'�T LUU�MBING C RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORKLoob-�rr Ill GIA 71Q{ 2 ^ " t Sol PROJECTADDRESS 1l Ar'C�v'pl� Me-Ll GAS ASSESSOR'S PARCEL NUMBER ?jZ J "33O 005LOT 3 TRACT 02 (031. OWNER NAME J t6s tstowtio-ttl ^ Q ADDRESS 34`� ��. tl S �c Lav,D C,Ps 12 t k ^7 PHONE `(p�-L> 'S (2 - 454 EMAIL On Dlla C ( & Q/1- /y APPLICANT NAME k ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? BYES NO BUSINESS NAME ADDRESS PHONE EMAIL CON c TRACTOR'S STATE LIC NUMBER 'L LICENSE CLASSIFICATION UATION$ (�Q. QO SO FT �I.J y L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE 1/� PAIDAMOUNT AMOUNT `�y • OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# OCREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Sofet;l tmen``t..29714 Houn Rd. Menifee, CA 92550'951-672-6777 ottwenlrrOPY r tion Request Line 951-246-6213