PMT17-03761 City of Menifee Permit No.: PMT17-03761
29714 HAUN RD. Type: Residential Alteration
!t - CCEL/ MENIFEE, CA 92586
MENIFEE Date Issued: 1 212 812 01 7
PERMIT
Site Address: 29625 CALLE DE CABALLOS, MENIFEE, Parcel Number: 327310-026
CA 92585 construction Cost: $150,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of REBUILD ENTIRE HOME AND GARAGE DUE TO FIRE DAMAGE,2016 SF DWELLING,630 SF
Work: GARAGE, NO FIRE SPRINKLERS'DEFFERED TRUSS CALCS'
Owner Contractor
YADIRA JUAREZ ,
29625 CALLE DE CABALLOS
MENIFEE, CA 92585
Applicant License Number:
YADIRA JUAREZ
29625 CALLE DE CABALLOS
MENIFEE, CA 92585
Phone: 9517966372
Fee Description QtV Amount(SI
Building Permit Issuance 1 27.00
Additional Plan Review Building 549 548.74
GREEN FEE 1 6.00
SMIP RESIDENTIAL 1 20.00
New Construction Permit Fee 1 1,186.47
General Plan Maintenance Fee-New 1 59.32
Construction
$1,847.53
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_Permil 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 MCI)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractors 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
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 workers 7044 of the Business and Professions Code,is available upon requestwhen
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 www.le info.ca. o /calaw.html.
this permit is issued.
Policyk ftA Date 1 2�
o I have and will maintain workers compensation
RAUTH EDAGENTn insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which pBy my slgnatu elow 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 an the property owners 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 construction.I authorize representatives of this city or county to
Policy g Expires 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 emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE K
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 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 TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN,SECTION3706 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 perjurythat 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.S oYes o 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 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 fRRPI
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 practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
_Y,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.eoa.aoy/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions I-BOD-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 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.
J
N/lenifee
DATE: PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 051 enifee
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICATUIIding & S Ifety Dept.
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES OCT i - 201;
DESCRIPTION OF WORK V'1 Actj'G '{ p_ tl;Z, `Q ' Low
PROJECTADDRESS L J b725 ZIP 9 5?5
ASSESSOR'S PARCEL NUMBER &Q• LOT TRACT
OWNER NAME , VQ
ADDRESS �� C'r(��.G J-?i CL � /�L(�' "lI >°
PHONE 961 `791p EMAIL
APPLICANT NAME �, r
ADDRESS m Z3 FX cc-D CU -Ac_1G ott a"
PHONE BOO, :jgt a,Cj"72_ EMAIL GAKft?Ajr]7G�7 l.iS&,? .CA kA
CONTRACTOR'S NAME OWNERBUILDER? &YESONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ r — r SQ FT L SQ FT
APPLICANT'S SIGNATURE ' DATE �O • L 1�{
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE oto -1 SMIP
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE 4 NOTARIZED LETTER 0 YES 0 NO
PERMIT: PMT17-03761
OCCUPANCY: R-3/U-1
CONSTRUCTION TY VB
SQUARE FOOTAGE: 2106 LIVABLE/630 GARAGE/90 PORCH
DESIGNER: MICHAEL CARPENTER
EMAIL: caroenterdesiens@aoLoom
PHONE: (909)724-9572
CITY OF MENIFEE
BUILDING&SAFETY FEE SCHEDULE
ELECTRICAL,PLUMBING,& MECHANICAL FIXTURE FEES
QTY TOTAL
ELECTRICAL PERMITS
Residential Appliance,up to 1 HP 2 232
Non-Residential Appliances,up to 1 HP 0
Power Apparatus(less than 100 HP,KW,KVA,or KVAR) 0
Power Apparatus(100+HP,KW,KVA,or KVAR) 0
Solar,Residential or Small Commercial 0
Temporary Power Pole 0
Services,Switchboards,Control Centers&Panels(up to 400 amps)
SFR 1 116
Non-SFR 0
Services,Switchboards,Control Centers&Panels(400+amps) 0
Receptacle,Switch,Outlet&Fwture(first one) 1 115
Receptacle,Switch,Outlet&Fixture(ea additional) 144 720
Pole or Platform Mounted Fixtures(first one) 0
Pole or Platform Mounted Fixtures(ea additional) 0
Swimming Pool/In-Ground Spa 0
Meter Reset 0
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL 148
QTY TOTAL
PLUMBING PERMITS
Plumbing Fixtures and Vents,fixtures t-3(total cost) 3 348
Plumbing Fixtures/P-Traps(ea additional) 0
Grease Interceptor 0
Gas System(1-meter per system) 0
Pip Re ipin (Water)
Single Family Residential 1 163
Multi Family Residential(first dwell tg unit) 0
Multi Family Residential(ea additional unit) 0
Water Heater 0
Solar Water Heating System 0
Sewer(i per parcel/apn) 0
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL 4
QTY TOTAL
MECHANwAL PERMf15
Forced-Air or Gravity-Type Furnace or Burner 1 149
Suspended/Recessed WaU/Floor Mounted Heater 0
Air Handling/Condensing Units 0
SFR 0
Non-SFR 0
Hood Served by Mechanical Exhaust(Commercial ONLY) 0
Boilers,Compressors,and Absorption Systems 0
Ml Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL 1
Designer Signature I Date