PMT16-02804 City of Menifee Permit No. PMT1 6-02804
29714 HAUN RD. Type: Residential Addition
<A-CCF-LA—> MENIFEE, CA 92586
MENIFEE Date Issued: 0812612016
P E R M I T
Site Address: 25627 SOLELL CIR, MENIFEE, CA 92584 Parcel Number: 329-380-028
Construction Cost: $17,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 540 SO FT SOLID PATIO&ENCLOSED DURALAM ROOM ENCLOSURE WELECTRICAL 4
Work: FANS,3 POSTLIGHTS,4 OUTLETS, 1 220AMP FOR A/C,2 100& 120 L FT UNDERGROUND
ELECTRIC CONDUITS FOR FUTURE ELECTRIC
Owner Contractor
STEVE STEFCHAK S A E BUILDERS
25627 SOLELL CIR 28810 BROKEN ARROW CIRCLE
MENIFEE, CA 92585 MENIFEE,CA 92584
Applicant Phone:95165135807
SCOTT EGBERT License Number:625328
S A E BUILDERS
28810 BROKEN ARROW CIRCLE
MENIFEE,CA 92584
Fee Description Qtv Amount 1$)
Receptacle, Switch, Outlet&Fixture 12 171-00
Building Permit Issuance 1 27.00
Deck/Patio, non-standard 1 133.00
Inspections not specified 116 116.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 3.00
General Plan Maintenance Fee-Building 1 12.45
General Plan Maintenance Fee-Electrical 1 8.55
$472.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of effors in the plans and
specifications or from preventing buillding 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_Bldg_Perdit—TernpIate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION propertywho builds or improves thereon,and who contracts forthe 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 a I am exempt from ilcensure under the Contractor's State License Law for
Professions Code and;licenseis'in full force and effect. the following reason:
License Class Ucens By my signature below I acknowledge that,except for my personal residence
'c
Expires Signature in which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legally sell a structure that 1
166 N have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under pe V one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
ha ve a nd wi I I m a in ta in a zi fi5c;")t�,'ofric.-rris ent of s a]f-insu re fo r 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
this permit is issued. vvvvw.Ieginfo.ca.Roy/caIavvJitmL
Policy# Date
ci I have and will maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ci By my signature below I certify to each of the folloviing:I am the property
this permit Is Issued.My workees compensation insurance carrier and policy owner or authorized to act on the property ownees behalf.I have read this
number are: application and the information I have provided Is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires Q�= 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
ci I certify that in the performance of the work for which this permit is issued, CITY BUSINESS LICENSE#
I shall not employ any persons in any manner so as to become subject to the
worker's compensation laws of California,a me I at If I should become HAZARDOUS MATERIAL DECLARATION
'forn of 5:
f S�
subject to the wo ,�S.Il�=,,..ns o ction 3700 of the Lab
Code,I sha r1r6wi o ith those provisions Will the applicant or future building occupant handle hazardous material or a
I mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FWWRE TO SECURE WORKER'S COMPEN ON COVERAGE IS o Yes 0 0
UNOWAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the
A ILF-INES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0110),IN intended use of the building by the applicant or future building
WWI occupant require a permit for the construction or modification from South
,�"ITION 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 forguidelines
CONSTRUCTION LENDING AGEN a Yes 114 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) ci Yes No
OWNER BUILDER DECLARATIONS I have r
ead the Hazardous Material Information Guide and the SCAQMD
permitting checklist I understand my requireme"U ertheStateof
I hereby affirm under penalty of perjury that I am exempt from the California Health&Sa�fety Code,Section
P 4�, �ancl 25534 concerning
Contractor's License Law for the rearson(s)indicated below by the hazardous ;a!te®r'!� po
ct OYU 7N�
checkmark(s)I have placed next to the applicable item(s)(Se ion7031.5
Business and Professions Code).Any city or county that requires a permit to Date
construct alter,improve,demolish or repair any structure,prior to its P�=RCPR 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 Contractoes State E EPAIR AND PAINTING RIRPJ
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-certiffed firms and comply with
an Applica nt for a permit subjects the a ppficant to a civil penalty of not more required practices.This includes renta I property owners and property
than($SOO). managers who do the paint-disturbing work themselves or through their
ci 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.epa.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 contractoes State License Law does not apply to an owner of a 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 req uked for this project beca use:
o 1,as owner of the property a na exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law duo not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement
en ifee
DATE 08/26/2016 PERMIT/PLAN CHECK NUMBER
TYPE: F-1 COMMERCIAL RESIDENTIAL E]murn-FAMILY []MOBILEHOME [—]POOL/SPA [:]SIGN
SUBTYPE: R]ADDITION []ALTERATION F -1 MECHANICAL
]DEMOLITION Z ELECTRICAL
[-]NEW .F1 PLUMBING [IRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Proposed 10'6"x 20'6"Room Enclosure with 12'x 45' Insulated solid Duralum cover
electrical for(4)ceiling fans/lights, (3)post lights,(4)outlets,(1)220 outlet for AC and(2)buried conduits for future electric
PROJECTADDRESS 25627 Solell Circle,Menifee, CA92584
ASSESSOR'S PARCEL NUMBER 329-380-028 LOT 11 TRACT 29495-7
OWNERNAME SteveStefchak
ADDRESS 25627 Solell Circle, Menifee,CA 92584
PHONE (619)796-8075 EMAIL
APPLICANT NAME Scott Egbert
ADDRESS 28810 Broken Arrow Circle,Menifee,CA 92584
PHONE (760)567-0709 EMAIL scott@saebuilders.corn
CONTRACTOR'S NAME Scott Egbertdba SAE Builders OWNERBUILDER? OYESZNO
BUSINESSNAME SAEBullders
ADDRESS 28810 Broken Arrow Circle, Menifee,CA 92584
PHONE (951)658-5807 EMAIL scoft@saebuilders.com
CONTRACTOR'S STATE LIC NUMBER 625328 LICENSE CLASSIFICATION B
VALUATION$ $ 17,500.00 SO FT 540 L SO FT 7840
APPLICANT'S SIGNATURE DATE 08/2612016
DEPARTMENT DISTRIBUTION (00 CITY OF MENIFEE E NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE LM 69 PAIDAMOUNT
AMOUNT —11. to% 1 0 CASH 0 CHECK# 0 CREDIT CARD VISAIMC
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZ'ED LE17ER 0 YES 0 NO
City Df Menifee Building&Safety Department 29714 Houn Rd.Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213