PMT17-01524 City of Menifee Permit No.: PMT17-01524
29714 HAUN RD. Type: Commercial Addition
<—ACCELA> MENIFEE, CA 92586
MENIFEE Date Issued:
O5/31/2017
PERMIT
Site Address: 28349 BRADLEY RD, MENIFEE, CA Parcel Number: 377-230-013
92586 Construction Cost: $5,000.00
Existing Use: Proposed Use:
Description of INSTALL 166"x 18'SOLID&LATTICE ALUMAWOOD COVER, 7'x 166"AND Tx 8'10"LATTICE
Work: ALUMAWOOD COVERS, NO ELECTRICAL
Owner Contractor
CITY OF MENIFEE R I C CONSTRUCTION CO INC
29714 HAUN ROAD 10675 EAST AVENUE SUITE 1
MENIFEE,CA 92586 HESPERIA, CA 92345
Applicant Phone:7602447749
GILBERT CASTILLO License Number:747268
R I C CONSTRUCTION CO INC
10675 EAST AVENUE SUITE 1
HESPERIA, CA 92345
Fee Description OQt Amount l5)
Building Permit Issuance 1 27.00
Deck/Patio, non-standard 3 399.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Building 1 19.95
$447.95
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_Bidg_Perrnit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State 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. Uu the following reason:
License Class License No. 3�Hq N"I By my signature below l acknowledge that,except for my personal residence
Expires `3-g1-)� 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
❑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 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
this permit is issued. www.leginfo.m.gov/calaw.htmi.
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
Cartier +1a.r�.�V with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 7 bUE 7-97Z51j Expires )2.-1-17 enter the above Identified property for inspection purposes.
(This section need not lobe 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, ��OI IJ.
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If �l
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 forth com I ith those provisions. t Will the applicant or future building occupant handle hazardous material or a
Applicant Date J-31-h 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 0 Yes ED&
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($10D,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 4No
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) Dyes yrNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
hereby affirm under penalty of perjury that I am exempt from the j permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
chsiness and
I have placed nett to the applicable items)(Section permit pYes�
Business and Professions Cade).Any city or county that requires a permit to Date (]S-3)- 17
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(RAP)
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.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80"24-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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
o 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 & SAFETY PERMIT/PLAN CHECK APPLICATIONfZ.
Menifee
DATE 151 PERMIT/PLAN CHECK NUMBER ?VvW k,
TYPE: QCOMMERCIAL RESIDENTIAL MULTI-FAMILY OMOBILE HOME POOL/SPA 171SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL [_]MECHANICAL
NEW (PLUMBING FIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK } ,v S I
PROJECTADDRESS3�1�t pv p as City of Me fee
uI Ing D pt
ASSESSOR'S PARCEL NUMBER ?j�7 - �� -Q('lj LOT TRACT
PROPERTY OWNER'S NAME e-e MAY 16 2 t
ADDRESS JC--) 114 Mp � Reeek e ✓y^
PHONE 9SI - 323- 3731 EMAIL � h
APPLICANTNAME . C. - Ck J1
ADDRESS
PHONE I( f - 210- sOCD EMAIL CCl- �,j 1
CONTRACTOR'S NAME , ,•� CD. SV�C OWNER BUILDER? YES NO
BUSINESS NAME
ADDRESS �0(D-7 R
-7 lr
PHONE / o- ,y,H+-J t-i i EMAIL Yawn-v o�Co 0 ✓�r-cor 5kvuy
CONTRACTOR'S STATE LIC NUMBER Tj � ),WA LICENSE CLASSIFICATION B 10
VALUATION$ S. bull SQ FT L SO FT
APPLICANT'S SIGNATURE / DATE -
0
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSIN SLICENSE NUM BER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP D L
INVOICE PAID AMOUNT
AMOUNT `-CASH '%CHECK# CREDfTCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH '+CHECK# OCREDITCARD VISAIMC
OWNER BUILDER VERIFIED OYES NO DL NUMBER NOTARIZED LETTER 0 YES 'v NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityof,nenifee.us Inspection Request Line 951-246-6213
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