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PMT17-01736 City of Menifee Permit No.: PMT17-01736 29714 HAUN RD. Type: Residential Alteration `cACCF1A? MENIFEE, CA 92586 MENIFEE Date Issued: 06/0212017 PERMIT Site Address: 26690 PAR DR, MENIFEE, CA 92586 Parcel Number: 337-363-013 Construction Cost: $6,500.00 Existing use: 1 &2 Family Residence Proposed Use: Description of REPLACE LIGHTING RECEPTACLES,VENT HOOD, NEW BRANCH CIRCUIT,APPLIANCES,SINK& Work: CABINETS Owner Contractor MARGIE POWELLO GEMSTEP CONSTRUCTION INC 26690 PAR DR 3873 OLD TOLL ROAD MENIFEE, CA 92586 ALTADENA, CA 91001 Applicant Phone:9093923555 STEPHAN FARAJIAN License Number.791985 GEMSTEP CONSTRUCTION INC 3873 OLD TOLL ROAD ALTADENA, CA 91001 Fee Description Qtv Amount(Sl Receptacle,Switch, Outlet&Fixture 11 166.00 Plumbing Fixtures and Vents, fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 General Plan Maintenance Fee-Electrical 1 8.30 $324.10 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 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_BIdg_Permit_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 Contractor's State License Law for Professions Code and my license is in full force and effect p the following reason: License Class �_License No. �� �d'S 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 ❑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 wwwle°infoca.eov/calaw.html. this permit is issued. Policy p Date A,!ave 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 with all applicable city and county ordinances and state laws relating to Carrier i (v 7 N 1 building construction.I authorize representatives of this city or county to Policy# q(���Expires gl�2q 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 o I certify that in the performance of the work for which this permit Is issued, I shall not empllo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subjectto 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 ��H�����tkY Date 2 �� 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 �(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 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) ❑yes A 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 j 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 � K��PAL Business and Professions Code).Any city or county that requires a permit to A L44 Date 6 Z- f 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 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 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 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 astheirsole 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.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80GA24-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 improvesthe property provided that the improvements are not Intended oroffered 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 Finn 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. .Menifee DATE PERMIT/PLAN CHECK NUMBER I - / —OI TYPE: O COMMERCIAL &ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL * MECHANICAL O NEW 0 PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK QYz ">(,A-eZ Ij &"7 (&)C, qq c, L (? L-LAo-f cc-S cc . PROJECT ADDRESS L E Q 2 C)OV i f' ASSESSOR'S PARCEL NUMBER �j�j' 77'O��}1T 3�D TRACT OWNER NAME ADDRESS 2 6'G -6 (- V Gil Q Z S PHONE C�%l l� LF Cl ^�Q S— EMAIL APPLICANT NAME 2 t ADDRESS g L_.,� —tv L o PHONE[, ('Z_ - i� 'Z LC"L EMAIL S e0�� Ge nst ZFJC.ChM CONTRACTOR'S NAME �' ZA- 1 koj OWNER BUILDER? O YES NO BUSINESS NAME F S i& If Q QJ S 1 i2 C7 Tt o C_ ADDRESS '?> LJ---) ( 2 d —, A-3 LC- J L c PHONE (C}ZIcl 1! T qX Zf S S� EMAIL 1 e✓cam 0 CeS V • Ccl CONTRACTOR'S STATE LIC NUMBER "�q ( CLS,�-- LICENSE CLASSIFICATION VALUATION$ , SO FT &S L SQ FT ' APPLICANT'S SIGNATURE e ` c�tie DATE Z I 7cI`ryTrAWUSE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN ( SMIP INVOICE f0 pAIDAMOUNT ' AMOUNT OCASH 0 CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 wwvv.cityofinenifee.us Inspection Request Line 951-246-6213 MAA-Z' tip "?oU/$LL _ 266 Q o ?A- J e—. City of Menifee SUN L l t Y ('A-q Z��(� Building & Safety Dept. 4 4!� - �� " JUN 0 Z 2017 CITy OF MENI e v e d BUILDING AN wA �''', PLAN APPRO' W1830L r REVIEWEd DWR DISH-104 SB30BUTT .� ta c Approval of these Ill N approval of,any viola regulations and ordil Ca ID - jobsite until complei Co GYM o 0 . N C ,03 W G 47 O N Vninsula o d1 0 C Co C p oi m C--F m /L O J$ Co Q � CoC ) W W Z - _< r vj M FLL . x � N C C O 1 f 1 I�Lv CA-a- Lc"f r-V'c t<i ts>fS Z { (Ew W^ eGj�AII dimensions size designations 1 This is an original deign and must Designed:322/2017 given are subject to verification on not be released or copied unless Printed:323/2017 �<r L job site and adjustment to fit job applicable fee has been paid or job cuod lions. 1 order placed. -- --- -- d} 32105a28.kit All Drawing ti; 1.No Scule. P e kPC U C( r� Ce- e 862 " E ,3tr SAM 16 18" 5516' 12" kL p, 2112 11 47 4 °t 17 41r Cl) a _____ — - - hall not be (� of any prm es. This set p W1830L j W3930 CO M � a dam- I C`7 t 00 MCO c� DWR: DISH—IQ4 SB30 BUTT BLB39/42L TF1 2 23°, 24" 30" 27'° 172 " 69" All dimensions size designations - - 'this is an original design and must Designed:3/22/2017 given are subject to verification on not be released or copied unless Printed:3/23P017 job site and udjummrnt to fit job applicable fee has been paid or job condition,. order placed. 32105u28.Ait CI 2R Dra.ring A: 1 No Scale. DEPA 162,F" trued to " 1s of the f 2" 39" 30" 30" 33" 27" proved p LO W3315 BUTT 0 OF W3930 W3030 BUTT W3030 BUTT to 0 UF392 m S ,r 2412 X 84 AE IT CO REF.33 m Io BLB39/42L IF) 830 BUTT B30 BUTT m 5„ 414 5 tt 30" 30" 33" 24" 3„ 6 B 118,6 43 ' " All dimensions size designations This is on original design and must Designed:3/22/2017 given are subject to verification on - not be rchased or copied unless Printed:311-3/2017 job sit.and adjustment to fit job applicable fee hug been paid or job conditions. order placed. I 32105a28.1cit —- --—_—_-_-�_ - El 1 Drawing d: I No Scale. VENT 6911 2" lot 21 " 30" 15" _ e:mit for,or an CO J "� 11,state or city N 1 must be kept on the OF W2130L VV1530R LO MW.HOOD ti CO Nt (Jz, c� C _ to CO CY) d OF DB21 RANGE.GAS.30-3 B30 BUTT CO 2rt 21 " 3011 1 1 1511 1411 1 1 16 416 3811 3111 All dimensions size designations 'I his is an original design and must Designed:3/22/2017 given are subject to verification on nol be released or copied unless- printed:323l2U]] inh site and adjustment to fit jab I applicable rec has been paid or job conditions. order placed. 32I USu2A.l;it El 2V Drawing a: 1 No Sc:dc.