The URL can be used to link to this page

PMT17-01739 City of Menifee Permit No.: PMT17-01739 _ 29714 HAUN RD. 'ACCEL/k MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: O6/0212017 PERMIT Site Address: 25749 RIDGEMOOR RD, MENIFEE, CA Parcel Number: 339-332-004 92584 Construction Cost: $4,600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 15-6 X 22 SOLID ATTACHED(6FT)FREESTANDING PATIO WITH 2 FANS Work: Owner Contractor JOSEPH GALLOWAY M W BEST CONSTRUCTION 25749 RIDGEMOOR 345 JUEL LANE MENIFEE,CA 92585 HEMET, CA 92544 Applicant Phone:9519279534 MENIFEE,CA License Number:614364 Phone:9513148836 Fee Description 9!Y Amount tEl Receptacle,Switch, Outlet&Fixture 2 121.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 6.05 $295.70 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_Bldg_Pernit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds cr 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 L' Professions Code and my l/icense is in full force and effect. the following reason: r License Class `I License No. By my signature below I acknowledge that,except for my personal residence Expire Signature04 A_ in which I must have resided for at least one year prior to completion of' 43improvements 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 Cade,for the performance of work for which www leeinfo.ca xov/calaw.html. this permit is issued. Policy q Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensa lion insurance,as required by 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 It 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 ( iltertlfy that in the performance of the work for which this permit is issued, I shag not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N 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 fprthwit ly with ose provisions. Will the applicant or future building occupant handle hazardous material or a Applicant�/ Date 1� mixture containing a hazardous material equal to or anon Guid the amounts s ecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE Is ❑Yes ;0 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)7 See permitting checklist IN-SECTION-3706 OF THE LABOR-CODE,INTEREST AND ATTORNEYS FEES - for guidelines- - --- -- - ---- - --- ---- -CONSTRUCTION LENDING AGENCY ❑Yes tLNo 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 1,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 al Safety Cade,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 'Dyes �QSo Business and Professions Code).Any city or county that requires a permit to II Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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(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 in 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.aovllead 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. in 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. - — C & SAFETY . IT/PLANAPPLICATION 'Menifee DATE (P PERMIT/PLAN CHECK NUMBER FM L I 11-01769 TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL DESCRIPTION OF WORK O NEW OPLUMBING 2O RE-ROOF-NUMBERo�F 54�FRGEST� - Gi e-4 r�rt��vS . s��j��-ham _�---�-1- PROJECTADDRESS a- -7z/ 71 i D 1E1 m 2� ASSESSOR'S PARCEL NU--MBBER '��7CI•�j��1L,•/�b'tLOT 2.r TRACT -2-95r1 D--I OWNER NAME V O 4� j4LC.t�(.r>j4 ADDRESS PHONE �j/'� a 7'- 4/77 EMAIL APPLICANT NAME 1711KE 2 C-L!5 `�/— ADDRESS �]FI S Ga. L,, PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES ` NO BUSINESS NAME /' 7- 05GY/JD/ AU4�7-/L' ADDRESS 1,N. PHONE EMAIL VM6&sr1 3 ! • CO CONTRACTOR'S STATE LIC NUMBER �j ��j�pt-j jLICENSE CLASSIFICATION VALUATION$ (p�j-P� CS �O_L / LSO FTp�, f APPLICANT'S SIGNATURE / <' / l..Yi'T DATE 6P! 2— DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 1'oO SMIP •dam 0 3 INVOICE 2a9 '� PAID AMOUNT AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Meno�"eq,I J51-672-6777 www.cityofinenifee.us Inspection Request Lineva"-62132 `t`l �VN p 1. PLOT/SITE PLAN r REAR PROPERTY LINE t� o,, � I -- - — — - o a H � I a w — Z ^. _{ e In t 5 CIT OF MENIFEE BUI DING AND SAFETY DEPARTMENT PLA APPROVAL O REVIEWED BY U DATE U 'Approval of these plans shall not be construed to be a permit for,or an �j,� approval of,any violation of any provisions of the federal,state or city ►.L egulations and ordinances. This set of approved plans must be kept on the O obsite until completion. FRONT PROPERTY LINE Property Owners Name Z:!a, F 1> l-( (5�7 AIk—CW14 Property Address 'C� 6—E4/I0K9 nt Meniteo Building&Safety Dept. JUN o z 2017