The URL can be used to link to this page

PMT17-02197 City of Menifee Permit No.: PMT17-02197 29714 HAUN RD. 47%CCEL/� MENIFEE, CA 92586 Type: Residential Alteration MENIFEE Date Issued: OSI15/2017 PERMIT Site Address: 29020 WATSON RD, MENIFEE, CA 92585 Parcel Number: 327-250-082 Construction Cost: $10,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of REPAIR EXISTING GARAGE DUE TO CAR ACCIDENT, STRUCTURAL ONLY, NO ELECTRICAL,400 Work: SF Owner Contractor JAMES LONG BROWN'S PROTECH CONSTRUCTION INC 29020 WATSON ROAD 11626 GOLDRING ROAD MENIFEE, CA 92585 ARCADIA, CA 91006 Applicant Phone:6263598283 MENIFEE,CA License Number: 972016 Fee Description QtV Amount I$) Building Permit Issuance 1 27.00 Inspections not specified 387 387.21 Additional Plan Review Building 110 110.00 GREEN FEE 1 1,00 SMIP RESIDENTIAL 1 2.00 New Construction Permit Fee 1 46.00 General Plan Maintenance Fee-New 1 2.30 Construction $575.51 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_Bldg_Perrnit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). 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. the following reason: License Class 15. License Nog-,I120m. By my signature below I acknowledge that,except for my personal residence ExpireAIM120M 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 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 ofthe Labor Code,forthe performance of work forwhich www.leginfo.ca.gov/calaw.htmi.permit is Issued. Policy# Date x1 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which jQ 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 owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply CarfierNPE aWV9%CAN=MSV)%%V44E d'AV• with all applicable city and county ordinances and state laws relating to �� building construction.I authorize representatives of this city or county to Policy#Rw�y1�'1��{� Expires enter the above identified pr perty for inspection purposes. �L (This section need not to be completed is the permit Is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT in I 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# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensaton provisions of Section 3700 of the Labor Code,1 sha p y ith h e provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date , 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 )(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($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes I(No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes Ymo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the.SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law forthe reason(s)indicated below by the California Health al Safety Cade,Section 25505 and 25534 concerning F�zardous material reporting, checkmark(s)I have placed next to the applicable Item(s)(Section 7031.$ s Business and Professions Code).Any city or county that requires a permit to \6 Date `� l construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant forthe permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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)orthat 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 applicantto 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 ❑1,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 Contractor's 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. XNo EPA Lead-Safe.Certified Firm is required for this project because; ❑1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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. DATE 06/27/2017 PERMIT/PLAN CHECK NUMBER — A TYPE: []COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: []ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW [—]PLUMBING El RE-ROOF-NUMBER OF SQUARES REPAY DESCRIPTION OF WORK Emergency Vehicle Impact Repair to an existing residential garage PROJECTADDRESS 29020 Watson Road, Romoland CA 92585 Df Menifee ASSESSOR'S PARCEL NUMBER 327-250-082 LOT BUIITTRACT& Sa ty ep . PROPERTY OWNER'S NAME James Long JUN 2 7 20V ADDRESS 29020 Watson Road, Romoland CA 92585 Received PHONE (951)833-1202 EMAIL APPLICANT NAME Donald Hylton ADDRESS 228 East Badillo Street, Covina CA 91723 PHONE (626)938-1595 EMAIL don@ghl-ae.com CONTRACTOR'S NAME OWNERBUILDER? ❑YES©NO BUSINESS NAME Protech Construction ADDRESS 11626 Goldring Road,Arcadia CA 91006 PHONE (800)884-6999 EMAIL CONTRACTOR'S STATE LIC NUMBER 452024 LICENSE CLASSIFICATION VALUATION$ $ 10,000.00 SQ FT 400 L SO FT APPLICANT'S SIGNATURE - - � -" - DATE 06/26/2017 DEPARTMENT DISTRIBUTION CITV O� F ly}ENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP �/ INVOICE .-7Q, �/� PAIDAMOUNT d AMOUNT 1 �/• �.�C! 5 •:30 i'CASH '-'CHECK# '%CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT i CASH '%.'CHECK# OCREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES ;` NO DL NUMBER NOTARIZED LETTER 0 YES C^ NO City of%vtenifee Building&Safety Department;_19r'14 tioun`e. ivtenifee, A 92586951-672-6777 www.cityofrnernifee.us lnspec'tiarl Request One 951-240-62-13