PMT17-00909 City of Menifee Permit No.: PMT17-00909
_ 29714 HAUN RD. T Residential Addition
'5A_CCELA_. MENIFEE,CA 92586 yam'
MENIFEE Date Issued: 05/01/2017
PERMIT
Site Address: 31243 EASTRIDGE AVE,MENIFEE, CA Parcel Number: 372-290-008
92584 Construction Cost: $39,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of 400 SO FT RESIDENTIAL ROOM ADDITION, BATHROOM, GAME ROOM, BEDROOM
Work:
Owner Contractor
HECTOR&DEBBIE ESPARZA MC DONALD CONSTRUCTION
31243 EASTRIDGE AVE 30752 HILLCREST DR
MENIFEE, CA 92584 TEMECULA. CA 92591
Applicant Phone:9515381411
WILLIAM MCDONALD License Number:537433
MC DONALD CONSTRUCTION
30752 HILLCREST DR
TEMECULA, CA 92591
Fee Description aty Amount t5l
Receptacle, Switch,Outlet&Fixture 42 321.00
Plumbing Fixtures and Vents, fixtures 5 126.00
Gas System 1 116.00
Piping/Repiping Single Family Residential 1 163.00
Sewer 1 150.00
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 542 541.81
Additional Plan Review Building 45 45.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 6.00
New Construction Permit Fee 1 179.40
General Plan Maintenance Fee-Mechanical 1 14.10
General Plan Maintenance Fee-Plumbing 1 27.75
General Plan Maintenance Fee-Electrical 1 16.05
General Plan Maintenance Fee-New 1 8.97
Construction
$2,026.08
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 pennit 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 2
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 Contactors 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. the following reason:
License Class 8 License No Z e m signature below I acknowledge that,except for m
p,� y y g g p my personal residence
Expires f'0l�r 2010 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 1
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by
in 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 cy�y�y leainfo.ca.Rov/calaw.html.
this permit is issued.
Policy# 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 workers 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
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 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
KI 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 Californi gree that if I should become
subject to the workers compe do rovision of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I shall forth w'f comply it h se provis ns. ^-� Will the applicant or future building occupant handle hazardous material or a
Applicant / Date 5—��j / mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECUR WORKER'S COMPENSATION COVERAGE IS ❑Yes KIND
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 r o ion occupant require a permit for the construction modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCion or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oYes 1b 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 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
Contractors License Law for the reason(s)indicated below by the California Health&Safe e, ion 5S05 and 25534 concerning
checkmark(s)I have placed nett to the applicable item hazardous mat re rtin
s)(Section 7031.5 bpYes N e —7
Business and Professions Code).Any city or county that requires a permitto Date _�—Z� /
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY 6—WN-6 OR DAGENT
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 RE AIR 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($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement Is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required forthis project because:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
Menifee PMT17-00909 }—
April 5, 2017 1
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT17-00909
PREPARED BY: Abe Doliente DATE: April 5, 2017
BUILDING ADDRESS: 31243 Eastridge Ave
BUILDING OCCUPANCY: R3/U
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Addition 393
Air Conditioning
Fire Sprinklers
TOTAL VALUE 39,000
Jurisdiction Code mnf Manual Input
Bldg.Permit Fee by Ordinance $1,282.40
Plan Check Fee by Ordinance $833.56
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Repetitive Fee ❑ Other
Repeats ❑ Hourly Hr. @
EsGil Fee $541.81
Comments: In addition to the above fee, an additional fee of $45 is due (1/2 hour @
$90/hr.) for the CalGreen review.
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