PMT17-03732 City of Menifee Permit No.: PMT17-03732
29714 HAUN RD. Type: Residential Re-Roof
'�>xccr-L/-> MENIFEE, CA 92586
MENIFEE Date Issued:
10/17/2017
PERMIT
Site Address: 28610 DEL MONTE DR, MENIFEE, CA Parcel Number: 337-202-016
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of REMOVE ALL EXISTING ROOFING LAYERS, INSTALL NEW COOL ROOF SHINGLES
Work: *'CRRC#0890-0011 "
Owner Contractor
JONATHON MOORE B&B GENERAL CONSTRUCTION SERVICES INC
28610 DEL MONTE DRIVE 4071 E LA PALMA AVE SUITE P
MENIFEE, CA 92586 ANAHEIM, CA 92807
Applicant Phone:7145169667
WILLIAM CARR License Number:779844
B&B GENERAL CONSTRUCTION SERVICES INC
4071 E LA PALMA AVE SUITE P
ANAHEIM, CA 92807
Fee Description Oft Amount I81
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
I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 70D0)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 `7)L'T1 License No. 1 " By my signature below I acknowledge that,except for my personal residence
Expires Tg�Signature t-y/ V 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 of the Labor Code,for the performance of work for which mm leginfo.ca:¢ov/calaw.MOLL
this permit is issued. -- --
Policy# Date
n,Yfiave 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 width ❑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 t with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# W� ZU' 1�42 Expires 6106 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#
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 fortrt�h�wiP comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant U/Lf Date )d('I b( mixture containing a hazardous material equal to or greaterthat 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 ❑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 ❑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 1 am exempt from the
Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed nett 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 OWNER OR AUTHORIZED AGENT
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 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 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 Applicantfor 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 theirsole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or O portion of the work,and the structure is www.pp.gio 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:
in 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: I ll7 Z�l�D PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL r"ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: " ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING d RE-ROOF NUMBER OF SQUARES • -1
DESCRIPTION OF WORK p gs=flAze aoto&c
q
PROJECTADDRESS Z�S4�16 &_I Ma,+je_ Ol1 ' ZIP / Z
ASSESSOR'S PARCEL NUMBER -R077- e'Q-o%LV LOT TRACT �ulllll"e& Safety
(1) pt
S
OWNERNAME o 4L:.. TOI(
ADDRESS 44e e_
PHONE qog . %"b- seuz EMAIL t(G°' e uLe a'...) " ua . C cN1
APPLICANT NAME (1,l( ,an C44, v i1
ADDRESS 467 1 f. lope let,/W' S_ C (' 4'f4lerr7 Eq
PHONE '] I LI- 576 -7 0,C.7 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O:YES (TWO
BUSINESS NAME r�^
ADDRESS f , l!c h S4.7e �,,/6/e•/! !h ..
PHONE Iy_s/6-146-7 EMAIL A#pfr &p /ji✓g
CONTRACTOR'S STATE LIC NUMBER _77 LICENSE CLASSIFICATION
p '
VALUATION $ SO FT ZAk L SO FT
APPLICANT'S SIGNATURE' "w DATE td l l i
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE \ �O SMIP x GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED 0 YES L3 NO DRIVERS LICENSE if NOTARIZED LETTER 0 YES 0 NO
J y s 0 3 zO n n n w D v fl m X 1
w iv N 3 m o, J O .° o m o 3 O 3 a� ry 0 A A nm -�i
„ O c H 3 » O M a fll n -{ 0 fn m
0 2. T J Q a m o -o T F+ a 1D ao a n Z z O
X O O 3 N 3 N O o m 'ry' m w O A N PI R f71 9 T •� v T
a o o 0 3 0 0 ° 5 d o m ° �a- ° m m D G D =+ m r
. n w - m 3 0 a ° a r 1
° m a (1
O w m ax n .a < y v v z O 2, T
aX 3 o °y o m ° N 0D
e r
° 0 R m
O N '-` 3 w O m m � D m
O � 'a
.-
�- a md=
Df)
DZ o
O - a J o v Ei. m z
n O O -I
o mN
m a m ,o� a a 3 m c
f.
¢ J p
=Noo JmNT O
J 3
O <aue CQ, wJO.'mOy17
,
TT
x p a � ❑ h O
o a- 3 0 °
n £ m m
yo m n m
Om n Y1111
0 m
S m 0 3 iT ? °° z °° w f0 0 3 c m w m N
3 o Q m m
£ - o m m 0 ID
o O o J
°- 0. O. N S d d - ° a A d -
3 O J
O �, m °1 a n ON w x w °' a' Moog
3 ° n' . 3 ^
w o J d d J m 0 a
m N o 0 o m H 3
n o 0 0 0 m ,
1i 0 3 A
D � m N m o w
a m w m Q °° e c a m x
0 n m _ � � T
�vrti OG j � J J D• N N .° O J
y 3 p1 Il O m 0 0 oG
m m n m w $ 3 s n m a < w
a c m 3 3 w c m °-'
w
a m o m x v n
c � T
c m m u o o w w
m w m N a o o .^. w a " D D
J w + r
p
o n
w x mom ? R7 m
n A o ^ c r m
0 - m O w N N ? 3 3 N ' C
O - A
w C) 3
J N V N
a - - m
o a = m fD m m o A w M Z O
O m F' w y N G) z
m
� d
V
ti 0 d m 01 $ c E
O N J Q
O
b0 L d c N
m J d p E t
a m d
E N y a u
LV z Q 3 m E
ty Y d d C C
o u
K u _ 4 -
N U p
VO C E d N d d OL
vi O jp U = 0 C J
m m m n
ui c in o o
E `d a . et w ^ a w
E a
m J m o
O YO C s U
N O W �.
J
d o d c
-
C 7 u d a+ d —
O N i 1O L a0 a'C+ U p Y
v 3 0 y a w e o c o « c c 0
u a o
o m '-°
ao o f u -uo a n � o
Z E
o u>> J O ¢ y w m ? m
U O m o o j m p 1 G u m a W n
o v o c n w d Q `d u
d R V a C T '�O d m V O N C ❑ ~
N a C Y 1' y C Cl Z dl p p
O d d f: w 0 m O W C VI d i'i d
bB
`d w y°-.
'❑ ynci j `mC ud O wo 0 « yl
aN aJ Ea'Ho
io
Cp O w 0
o d c o
S
o �.
N U a o a dl a « 17 '—" O d a C L C
m O n N E C d Z M j W
d Q d
❑ �I N
y d W V N p O
_•.•.� m a ymdw aao> d"yd' O¢d d C rn '°, yW0 = 0 a ¢ Y C d
u
o 0 p d m° E
7 o cF «m m Wc
J7 «ud
° w f
o u o w G ° a cc O0 'a o
> O
O c v 0 0 2 m ❑ C /�. m
a $ y m y o
v = '° o " _ m ° i>n.
N ° a C U 0 N N ♦CND LL p. d N C m a d E f O V� UC
n m E m « a > v w E d > d Y c 3 T O c Y w
00 0 o v v o c p `o u u x c o d p n: E w v Q
'° a i� m
w `w p ¢ Ydi o ti c9• oa ma E Ed o
v U d d — Nw d UZ muC c ` wc E p om Zmo o °
O . = 3 N d o m V YUm E
CcmC
'm 1°n
V a 0 LLQWQ •Ndd Z6 o « c c w
CC p- >dc Z� EU O
LL o 0 0 0 o
wd
y 0 o o o
U aoa ` w ;Za ui hOdum'
LL F r
V "J' d E Vl N
Ili ^ oo m .+ .+ .i z « G u m E a > d
W L u G Z Q lJ I°0
u a