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PMT17-02818 City of Menifee Permit No.: PMT17-02818 29714 HAUN RD. T Residential Re-Roof gf\CCEL/� MENIFEE, CA 92586 Type: MENIFEE Date Issued: 08/09/2017 PERMIT Site Address: 28860 HOPE DR, MENIFEE, CA 92586 Parcel Number: 337-366-010 Construction Cost: $10,870.00 Existing Use: Proposed Use: Description of REMOVE ALL EXISTING LAYERS, INSTALL NEW COOL ROOF SHINGLES Work: •'CRRC#0850-0027 Owner Contractor GREGORIO 8 JOSEFA ESPINOZA WEATHERTIGHT ROOFING INC 28860 HOPE DRIVEP 0 BOX 5281 MENIFEE, CA 92586 HEMET, CA 92544 Applicant Phone: 9519290557 GUY SCHEMBRI License Number:643691 WEATHERTIGHT ROOFING INC P 0 BOX 5281 HEMET, CA 92544 Fee Description ,city Amount 151 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_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of 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. l/Z 9 the following reason: License Class C" U rise No. I ✓� By my signature below I acknowledge that,except for my personal residence Expires 3� l Signature /' '7 in which I must have resided for at least one year prior to completion of improvements covered by this permit.)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 webske: by Section 3700 of the Labor Code,for the performance of work for which www leeinfo ca.gov/calaw.html. this permit is issued. Date Policy If PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation Insurance,as required by B signature below I certify to each of the following:I am the property section 3700 of the Labor Cade,for the performance of the work for which Y m Y g 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 �t7fC /L �y building construction.I authorize representatives of this city or county to Policy fl CU ell Z- !q_2/ 4 Expires 61ll Ilk 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 ,ptI certify that in the performance of the work for which this permit is issued, CITY BUSINESS LICENSE ri I shall not employ any persons in any manner so as to become subject to the 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 Will the applicant or future building occupant handle hazardous material or a Code,I shall forthwith comply with those rovisi -� mixture containing r hazardous material equal to or hazardousthat the Applicant Date amounts specified on the Hazardous Materials Information Guide? WAR :-FA-ILURIGO 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 ❑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 o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,Improve,demolish or repair any structure,prior to Its PROPERTY OWN ER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement EPA RENOVATION REPAIR AND PAINTING(RRP) that he or she is licensed pursuant to the provisions of the Contractors State 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,compensation,will ( )all ( )portion of the work,and the structure is www ep not intended or offered for sale. gov/lead or contact the National Lead Information Center at ale.((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 properr, %ugh employees'or personal effort,builds or improves the Certified Firm Name: 'tat the improvements are not Intended or offered for 'building or improvement Is sold within one year of Firm Certification No.: '-Builder will have the burden of proving that it was ❑No EPA Lead-Safe Certified Firm Is required for this project because: r the purpose of sale. o •rty am exclusively contracting with licensed d e project(Section 7044,Business and Professions tolle License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please RII out the RRP Acknowledgement. N o o . z n mm � any 9 n clam z � � 0 = e z m -+ m O m O L O -1 n 3 E. m 1p T n m D 3 3 ^ 0 m c o m ° O a ? a 'n ° A .^. vi in 3 m N m n n fA m 0 2. 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