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PMT17-02316 City of Menifee Permit No.: PMT17-02316 29714 HAUN RD. �CCELI? MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE Date Issued: 07/05/2017 PERMIT Site Address: 27353 PINEHURST RD, MENIFEE, CA Parcel Number: 336-142-006 92586 Construction Cost: $9,390.00 Existing Use: Proposed Use: Description of REMOVE EXISTING ROOF&REPLACE W/30#FELT AND CLASS A SHINGLES OWENS Work: CORNING-SHASTA WHITE COOL ROOF Owner Contractor DENNIS LEATON GARDNER ROOFING COMPANY 27353 PINEHURST RD 594 WEST SEVENTH STREET MENIFEE, CA 92586 SAN JACINTO, CA 92382 Applicant Phone: 9516542794 LEE BLOOMER License Number. 528309 GARDNER ROOFING COMPANY 594 WEST SEVENTH STREET SAN JACINTO, CA 92382 Fee Description Qtv Amount t$1 Building Permit Issuance 1 27.00 Inspections not specified 98 98.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 4.90 $130.90 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_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the 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 myy^license is in full force and effect. Q j the following reason: License Class C-=�t,3�1—l License No By my signature below I acknowledge that,except for my personal residence Expires t2�A� l Signatur in which I must have resided for at least one year prior to completion of improvements covered bythis permit.I cannot legally sell a structure that 1 WORKER'S COMPENSATION DE ATION 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 of the Labor Code,for the performance of work for which this permit is issued. www.Igginfo.ca.gov/mlaw.htm1. Policy It 6WZ1 3Sr--17 Date o I 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 ofthe 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 l ✓�� building construction.I authorize representatives of this city or county to Policy*a= �7 Expires 2�� 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 employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If 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 forthwith co p se 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 sggecified on the Hazardous Materials Information Guide? WARNING:F E TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the int nded 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 forgui a nes CONSTRUCTION LENDING AGENCY ❑Yes to 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 CWII Code) O Yes ,L N0 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 Code,Section 25505 and 25534 roncerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 aYeshaza oal pp ng. Business and Professions Code).Any city or county that requires a permit to Oyes CoLTPI 3 construct,alter,improve,demolish or repair any structure,prior to its Date `7 PROP OWNER OR AUTHORZED AGEM 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 O 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.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 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 bemuse: O 1,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. . i Menifee DATE PERMIT/PLAN CHECK NUMBER I TYPE: ❑COMMERCIAL ORESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION []ELECTRICAL ❑MECHANICAL ❑NEW []PLUMBING RE-ROOF-NUMBEROFSQUARES--3j_ DESCRIPTION OF WORK ggfA MIted- Class PROJECTADDRESS 2 ASSESSOR'S PARCEL NUMBER 3 -��� LOT TRACT PROPERTY OWNER'S NAME ADDRESS 2. 3S3 Q PHONE �� 18 EMAIL APPLICANTNAME C,5wIII Lop �?160ftvw ADDRESS Sew �' J ' 2-5 3 PHONE SI) &5(1-27q EMAIL CONTRACTOR'S NAMME • , — OWNER BUILDER? []YESZNO BUSINESS NAME �/ ADDRESS 5 `p , 42S'S3 PHONE ��7Q EMAIL CONTRACTOR'S STAATELILICC NUMBER SQ.gj�j©� LICENSE CLASSIFICATION Gr n VALUATION$ )Zqo •� SOFT 3��VO L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CTY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT C CASH ="CHECK# C'CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT (D CASH GCHECKp vCREDIT CARD visa/Mc OWNER BUILDER VERIFIED YES O NO DLNUMBER NOTARIZED LETTER O YES C, NO City of Menifee Building&Safety Department 29714 Hqun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 �2 �. �2 • • • Z n n n m m V! D S PI m y w N I+ C 3 m 'o m 0 o m A ° 3 O w °- '� w 0 N A n m m 3 _ c ao w o. m < o A m 9 � D m 0 .. o. p N m 3 n a < ° 3 n n N o m a m n .. y T O 0 0, o a m 3 m "' Z 0 m z x 3 � " ° ? m -°o '< y ^< vaA Z �"` ❑ 3 O C. 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