PMT17-02686 City of Menifee Permit No.: PMT17-02686
29714 HAUN RD. T Residential Alteration
�EL/-> MENIFEE, CA 92586 Type:
`"'-1%1'""" MENIFEE Date Issued:
08/08/2017
PERMIT
Site Address: 32293 ASCOT WAY, MENIFEE, CA 92584 Parcel Number: 360-370-004
Construction Cost: $600.00
Existing use: 1 &2 Family Residence Proposed use:
Description of REHAB EXISTING 30'X 32'BARN
Work: REFERENCE CE17-0088
Owner Contractor
JOSE ALVAREZ
22520 SANTA CLARITA CORTE
Applicant License Number:
JOSE ALVAREZ
22520 SANTA CLARITA CORTE
PERRIS, CA
Phone: 9512881112
Fee Description CHY. Amount($I
Building Permit Issuance 1 27.00
Inspections not specified 258 258.14
Additional Plan Review Building 148 148.37
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
New Construction Permit Fee 1 113.84
General Plan Maintenance Fee-Building 1 12.91
$562.26
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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as a n 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 appljcation' submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which �ywtvl info.[ Rov/calaw.html.
this permit is issued.
Policy# / Date
❑I have and will maintain workers compensation Insurance,as required by PROERTY R 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 worker's 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
Carrier with all applicable city and county ordinances and state laws relating to
building onstruction.I authorize representatives of this city or aunty
Policy# Expires enter ab.vV identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less pR E: l OR AUTHORIZEDAGENT
❑I cerdfythat 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 CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those 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 70 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 woo 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 ❑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
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable R hazardous material reporting.em(s)(Section 7031.5 Ayes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repalrany structure,priorto its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant far the 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 IRRP)
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 Iicensure 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 or
This rental property thary($500). q P p p rty owners and property
d/ managers who do the paint-disturbing work themselves or through their
I,w owner of the proper ,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do Vall of or( )portion of the work,and the structure is www.eoa.aov/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. ❑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 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: AUGUST 1 , 2017
ADDRESS
32293 ASCOT WAY MENIFEE CA 92584
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
APN 360-370-004
REVIEWED BY A116 04 2017
DATE
`Approval of these plans shall not be construed to be a per-m for,or an
approval of,any violation of any provisions of the federal,state or city
OWNERS regulations and ordinances. This set of approved plans must be kept on the
HECTOR ALVAREZ, JC ffi' T VAREZ/ BLUE
VISION INVESTMENTS
Office Copy
BUILDING DATA
EXISTING BARN S� k
All construction shall comply with the
2016 California Residential Building Code,
which adopts the 2015 IRC, 2015 UMC, 2015 UPC
and the 2014 NEC.
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