The URL can be used to link to this page

PMT17-00601 City of Menifee Permit No.: PMT17-00601 29714 HAUN RD. T Residential Electrical �CCELI� MENIFEE, CA 92586 Type: MENIFEE Date Issued: 0 310112 01 7 PERMIT Site Address: 24072 DEPUTY WAY, MENIFEE,CA Parcel Number: 358550-003 92584 Construction Cost: $1,300.00 Existing Use: Proposed Use: Description of 34 L FT GAS LINE&28 L FT ELECTRIC LINE FOR FUTURE FIREPLACE Work: Owner Contractor CHARLES&ENEDINA FEINER VELASQUEZ LANDSCAPE 24072 DEPUTY WAY 29389 LEE LANE MENIFEE, CA 92584 MURRIETA, CA 92563 Applicant Phone:9516347993 JOSE MISAEL VELASQUEZ License Number: 983547 VELASQUEZ LANDSCAPE 29389 LEE LANE MURRIETA, CA 92563 Phone:9516347993 Fee Description gyt Amount I$ Plumbing Fixtures and Vents, fixtures 1 116.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 General Plan Maintenance Fee-Electrical 1 0.00 $265.80 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 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 LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 1 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 underthe Contractor's State License Law for Professions Code and my license is in full force and effeect. the following reason: License Class -7 License No. '1 S J -1 By my signature below I acknowledge that,except for my personal residence Expires d ignature 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 ❑I 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 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 issu www.leginfo.ca.eov/calaw.html. ed. Policy# "a= r` '� 1 AxcA'g�- Date ❑I have and will maintain workers 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 owners behalf.I have read this number are: /jam application and the information I have provided is correct.I agree to comply Carrier �-f-(1 ctnm with all applicable city and county ordinances and state laws relating to �j building construction.I authorize representatives of this city or county to Policy# Expires day 2 0( Fi 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 ❑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 Code,I shall forthwith hccomply with those provisions. WIII the applicant or future building occupant handle hazardous material or a � Applicant Y/I/ V ` Date b 3/,/)r 87 mixture containing a hazardous material equal to or greater that the amounts s ecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes Zo 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY oYes i'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) ❑Yes XNo 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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to DYes Y,40 construct,alter,improve,demolish or repair any structure,prior to its 4 Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT 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 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 Iicensure 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 than($500). required practices.This includes rental property owners and property 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.epa.aov/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 ❑An EPA Lead-Safe Certified Renovator will be responsible forthis 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 • PERMIT/PLAN CHECK ♦ • • ICATION Menifee DATE (,� ( PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION VELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 06 tICIr (fIf {�lY` PROJECTADDRESS 9ZIO {�, I�'t Pj ) -ems ASSESSOR'S PARCEL NUMBER � LOT _ TRACT OWNER NAME f V z ADDRESS O Q a-- e v 2 i � / PHONE EMAIL d APPLICANT NAME fL KJ' . (fL ' / C),AA C� C ADDRESS /�� j- -e-�- vv PHON `7 Gf EMAIL CONT OR'S NAME e_ ,lj11 V OWNER BUILDER? O YES NO BUSINESS NAME l ADDRESS p (/ / ✓tl�l2--� CG PHONE `7 �� L EMAIL CONTRACTOR'S STATE LIC NUMBER ��L�y- LICENSE CLASSIFICATION p VALUATION o © /SQ/�} LSQ FT2 APPLICANT'S SIGNATURE / DATE C J u DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLAN G ,,ENWffING FIFE GREEN SMIP INVOICE PAID AMOUNT O AMOUNT CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# �'CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O. NO DL NUMBER NOTARIZED LETTER YES C NO City of Menifee Builaing& Safety Deportment 29714 Houn Rd. Menifee, CA 92585 951-671-5777 www.cityofinenifee.us Inspection Request Line 951-246-6213 I CD a � � I o z �' r CDCD o l �G Jo ,i I 1 z C X0 C a ➢ , z m a m d 0 I a o O r 1 o T m � A s o ( N a rrnlip 0 3 two x m� li c� PM"Cl"1 - 00