Loading...
PMT17-01827 City of Menifee Permit No.: PMT17-01827 29714 HAUN RD. Type: Residential Addition 'cXCCEL/!� MENIFEE, CA 92586 MENIFEE Date Issued: 0 610 912 01 7 PERMIT Site Address: 25786 ROUNDUP CIR,MENIFEE,CA Parcel Number: 358-510-008 925B4 Construction Cost: $2,200.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 46 X 12 ALUMAWOOD PATIO COVER WITH ELECTRICAL-3 FANS. ISTALL 3/4 POLY GAS Work: LINE FOR FIREPIT. Owner Contractor JORGE GAETA A M CUSTOM CONCRETE&DESIGN INC 25786 ROUNDUP 32800 WOODHEAVEN COURT MENIFEE, CA 92584 LAKE ELSINORE, CA 92530 Applicant Phone:9514459224 HUMBERTO CHAVEZ License Number: 1002871 A M CUSTOM CONCRETE&DESIGN INC 32800 WOODHEAVEN COURT LAKE ELSINORE, CA 92530 Fee Description Ply Amount IS1 Receptacle,Switch,Outlet&Fixture 3 126.00 Plumbing Fixtures and Vents,fixtures 1 116.00 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 6.30 $416.95 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of enors 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.ryt Page 1 of 1 CITY OF MENIFEE LENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I ereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). hapter9(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 a ct. / the following reason: License C��lavvsls `�` � ��' —L' nse No. By my signature below 1 acknowledge that,except for my personal residence Expiresgnature r in which I must have resided for at least one year prior to completion of ��77 ,�� __ - 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 www.leeinfo.m.eov/mlaw.html. this permit is issued. {� Co Polity# ACM W C' ( 1 l O,7 I 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 N r,��,vG�d with all applicable city and county ordinances and state laws relating to c r p building construction.I authorize representatives of this city or county to Polity# Expires ] ��� 2 o (7 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT D I certffy that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the 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 shal rthwith corL(ply with those provisions. / Will the applicant or future building occupant handle hazardous material or a y Applicant 7 ear' Date©R7 © 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 ❑Yes ANo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or futu re 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 forguldelines CONSTRUCTION LENDING AGENCY ❑Yes )tfNo 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 lioNcr OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 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 hazardous ma erial 4ortincheckmark(s)I have placed next to the applicable item(s)(Section 7031.5 Yes o NoBusiness and Professions Cade).Any city or county that requires a permit to - Date construct,alterimprove,demolish or repair any structure,priorto its ROP— ER7Y 6 NER ORIZ - GENT 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(RRPJ License Law(Chapter 9(commenting 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 7032.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant fora 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 orthrough 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.eov/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 O 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 bemuse: ❑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 role please fill out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee Gjq r PERMIT/PLAN CHECKNUMBER7M"rrl-0l$2— TYPE: O COMMERCIAL ORESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL <MEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Y � 1 k v"e -vy pi F ►M PROJECT ADDRESS 7 � C ASSESSOR'S PARCEL NUMBER ?b/gyp • [_7 'D'ZV LOT 1 TRACT OWNERNAMEy ADDRESS R PHONE 9,51 -5 91 - 18 31 EMAIL APPLICANT NAME - ADDRESS PHONE -"l J I - �j l^(.,(� 7 EMAIL CONTRACTOR'S NAME Lye I I OWNER BUILDER? VYES O NO BUSINESS NAME " 7 01 ADDRESS S I y Z PHONE (�A J ( . -q 'I fi EMAIL I 141 CONTRACTOR'S STATE LIC NUMBER �. O�? 1 (1 LICENSE CLASSIFICATION - /r` VALUATION $ SO FT ,5 5 't�i . 1 L SO FT p 1006 T APPLICANT'S SIGNATI IRES /' DATE DEPARTMENT DISTRIBUTION I �{'1 CITY OF MENIFEE BLI INESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN �' SMIP ` 00 -1 INVOICE 4ql LIG PAIDAMOUNT AMOUNT �P',,JJ 0CASH 0CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK 0 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO j of Menifee i�fIdinje&'tSfe3YiE(0PJ&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 JUN 0 9 2017 Received now 'V, FQf i0i _EDGER & "TRACK GSPECTION REQUIRED Ilyke, 10 � r 2 v L) X 1U • �' LL . - . • " i (A � 14p, CA • CITY OF MENIFEE �1 BUILDING LAr-N�D� � SAFETY DEPARTMENT PLAN APPR�A �' 1 i-- REVIEWED LP •� �-I 1 DATE �h *Approval of these plans shall not be construed to be a per nk f w oran approvafof,any*Won ofairy provisions ofthewadl,ita6eadty regulations and wd m6s. This set of appreved'pi>f►s nwst be bpt on the /\ I AFT City of t e L�r 3 Building & Safeafety Dept. `v IUN 09 2C 17 ` ' L�^iC l2vNrYiY6 A001V Received n1a i uR �c �c.SS ano/ eK�/yQ oar /� �.,�v tom•c �n O