PMT17-02565 City of Menifee Permit No PMT17-02565
29714 HAUN RD. Type: Residential Alteration
��CCEL/17. MENIFEE,CA 92586 yp
MENIFEE Date Issued:
07/24/2017
PERMIT
Site Address: 29291 WOODLEA LN, MENIFEE, CA Parcel Number: 340-404-006
92584 Construction Cost: $15,000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of ALTERATION TO EXISTING KITCHEN,ADD NEW 4'X 6' ISLAND,ADDING 2 ELECTRICAL OUTLETS,
Work: INSTALL 15 NEW OUTLETS/SWITCHES,6 LIGHTS UNDER CABINETS, 1 CAN LIGHT IN PANTRY, 1
NEW DIMMER SWITCH, INSTALL NEW SINK,
Owner Contractor
MARILYN EVERETTE J D F CONSTRUCTION INC
29291 WOODLEA UN 201 GEMINI AVE
MENIFEE,CA 92584 BREA,CA 92821
Applicant Phone:7145261120
NATHAN KELSEY License Number:956749
J D F CONSTRUCTION INC
201 GEMINI AVE
BREA, CA 92821
Fee Description G1yt Amount ltn
Receptacle, Switch, Outlet&Fixture 25 236.00
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 6.45
General Plan Maintenance Fee-Electrical 1 11.80
$411.32
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 he
forfeited.
AA_Bldg_Pennit_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 Contractors State License Law for
Professi*Codeand my license isin full fa and effect. the following reason:
Ucense C 7✓" tense No. q,',�' g m si nature below I acknowled a that,exce t for m
y y g g p y personal residence
Expire Signature in which I must have resided for at least one year prior to completion of
EENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
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 �v�vsv leeinfo.ca.¢ov/calaw.html.
this permit is issued.
Policy# Date
ys it have and will maintain worker's compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe performance of the work forwhich ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's 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 `L e� �l with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy if FL*W DFLOS"OU Expires 7a ls—� 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
❑I certify that in the performance of the work for which this permit is issued, U�ryJfl�wLli111_
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# _ 0
workers comp tion laws of lifornia,and agree tha if I should become HAZARDOUS MATERIAL DECLARATION
subject tot work rs compen tion provisions of Ion 3700 of41ebCode,I sha rthw th comply it hose pro ' ns. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greaterthatthe
amounu pecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WO KER'S PENSATION COV ❑Yes No
UNLAWFUL,AND SHALL SUBJECT AN E LOYER 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 for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes �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 /XNo
OWNER BUILDER DECLARATIONS 1 have read
the Hazardous Mat rial Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the perPERTYO15VNERORAATHORIZEDAt!!!
hecklis[.I underst d my requirements under the State of
Ca th&Safety Co ,Section 25505 and 4 concerning
Contractors License Law forthe reason(s)indicated below by the haa erial reportin .
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to Date M
construct,alter,improve,demolish or repair any structure,priorto Its PR
Issuance,also requires the applicant forthe 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
❑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( I portion of the work,and the structure is www.epa.zov/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. o 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.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
IVleniiee
DATE f Z f �} PERMIT/PLAN CHECK NUMBER TI 1
TYPE: ❑COMMERCIAL XRESIDENTIAL MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL
❑NNEW ❑PLUMBING ❑RE-ROOFNU M BER OF SQUARES
DESCRIPTION OF WORK k!' C- �621Z-Y OdLa - L-I I O IC-2.
•� ► s/nI��1
PROJECT AD RESS Oq -'/j C1 Lo
ASSESSOR'S PARCEL NUMBER 3L�O --CQ6 LOT too _ TRACT � I
PROPERTY OWNER'S NAME 0kW VQ.+T C
ADDRESS 9 Q/ , L I ee, mzn1 e+ s-3
PHONE qS1 30 I — �gL�IS EMAIL
APPLICANT NAME OI, 1 VlG'-U1 $R,
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? ❑YES[540
BUSINESS NAME C -1
AODRESS�0 1 CI IYt I R--• -(-eC- �On 6 r1-
PHONE ^rl �-�•�(Q/l'L� EMAIL
CONTRACTOR'S STATE LIC NUMBER C� LICENSE CLASSIFICATION 1(�cIUG20L?j`]
VALUATION$ "v SO FT L So.FT -I
APPLICANT'S SIGNATURE DATE 3- z I T
DEPARTMENT DISTRIBUTION CITY OFM U INE L Ey$�NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 7`
INVOICE PAID AMOUNT
AMOUNT . O CASH O CHECK N O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT I O CASH O CHECK# OCREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee
�f2(B�d Building & Safety Dept.
JUL 2 4 20V
OF DAERIy.F,EE ,N� Re hi^ I /
BUILDiiiG AND SAFETY &E ARTM tr
PLAN APPROVAL
tw
x N REVIEWED By DATE
N 'Approval of these plans shall not be construed to be a permit for,or an
approval of,any viAWn of any provisions of the federal,state or city
O p regulations and ordinances. This set of approved plans must be kept on the
t' joil completion.
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9-12
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Everett Final Scope
Kitchen
o
General Services �� 1
Demo &Haul Away
Frame for pantry-see drawing
Install drywall and repair
Mold under sink-unforeseen on level of treatment/change order if needed
Permits $850.00 (includes$500 retention fee)
Cabinets
Install Cabinet & Door Hardware
of Sa ety e
-see notes for install on floor plan gu{{d ng & Safety Dept.
Build cabinet with parts for the area to right of refer JUL 2 4 20VI
-due to angle needs to be built with shelves and skinned Received V
-need to cleat for countertop support
-base and wall cabinets- use pre-made face frame with doors 1
-Countertops 9
Install compost container in countertop-see picture
-countertop company will cut hole in quartz
1
Appliances
Install new Gas Cooktop-same location as current range a
tr
Install new Range Hood-existing vent
Install new refer same location
Install new dishwasher
Install new Wall oven micro combo-new location left of refer-see drawing
-Flooring
Install new vinyl plank flooring in kitchen and pantry-total 225 s.f.
Finish plumbing
Install new sink
Install new garage disposal
R/R RO water system
Rough Plumbing
Saw cut for new island location-for electrical outlets(2)
Finished Electrical
Install (15) new outlets/switches
Install (6) under cabinet lights
-existing locations for (4) on stove wall
Install (1) can light in pantry on (1) dimmer switch-new location
Rough Electrical
Move under light cabinet electrical to right side 0;__W�
Add electrical for outlet in backsplash right of refer
Install dedicated 220v for new electric wall oven micro combo
Paint
Client will paint
eMillwork
Install (4) wood shelves paint grade in pantry
-approx..15" D x 48"W-TBD by pantry size
-space 14" apart in height with bottom shelf 30" from floor
Install pre-hung door in pantry
-includes casing
Install quarter round-total 10 I.f.
Countertop type 2.... includes 4"splash for backsplash
-countertop company will install countertop brackets