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PMT17-04368 City of Menifee Permit No.: PMT17-04368 _ 29714 HAUN RD. Type: Residential Re-Roof � EL/t_rCC MENIFEE, CA 92586 r„,..�.lk4kx " MENIFEE Date Issued: 1 211 112 01 7 PERMIT Site Address: 26826 INVAREY ST, MENIFEE, CA 92586 Parcel Number: . 335-322-016 Construction Cost: $9,400.00 Existing Use: Proposed Use: Description of TEAR OFF EXISTING ROOF, REROOF W/BLACK DIMENSIONAL,ADD R-1 9 INSULATION TO ATTIC Work: OF HOUSE,NOT COOL ROOF Owner Contractor JUDY MCNATT HOUSETOP ROOFING 26826 INVAREY ST 31760 BRIGGS ROAD MENIFEE, CA 92586 MENIFEE, CA 92584 Applicant Phone:9516798369 RICH CARROLL _ License Number: 371783 HOUSETOP ROOFING 31760 BRIGGS ROAD MENIFEE,CA 92584 Fee Description 2y Amount 1$) 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_81dg_Permg_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 1 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 D I am exempt from licensure under the Contractor's5tate License Law for Professions Code and my license is in full force and effect, 7 C 2 the following reason: License Class Cz ` License No. By my signature below I acknowledge that,except formy personal residence Expires )Z Signature '� in which I must have resided for at least one year pdorto completion of WORKER'S COMPENSATION DECLARATI J improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 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 ,,,,r.leeinfo.ca.¢ov/calaw.html. this permit is Issued. Policy# Date W'�iave 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 which ci By my signature below I certify to each of the following:1 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 construction.I authorize representatives of this city or county to Policy# Expires /Z 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 �ertify,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# ( 31fJJT 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 provisio s. Will the applicant or future building occupant handle hazardous material or Applicant Date Z mixture containing a hazardous material equal to orgreater thatthe amounts specified on the Hazardous Materials Information Guide? WARNING:FaLURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D YesKo UNLAWFUL,AND SHALLSUB1ECfAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture 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(SCAQM tionor odiee permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo guid Coast Air CONSTRUCOON LENDING AGENCY ayes 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 5wo 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 item(s)(Section 7032.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to oyes W / construct,alter,Improve,demolish or repair any structure,prior to its Date 2� issuance,also requires the applicant for the permit to file a signed statement PROPEg INNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RE OVATION,REPAIR AND PAINTING(RRP) License Law(Chapter9(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 Itcensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7032.5 by residence or childcare facility to be RRP-certified firms and comply with than Applicant fora permit subjects the applicanttoa civil penalty of not more required practices.This includes rental property owners and property than($S00). managers who do the paint-disturbing work themselves or through their D1,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.eva.eov/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 aAn 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: D 1,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. BUILDING • FETY PERMIT/PLAN CHECK APPLICATION DATE: /Z /Il/7 PERMIT/PLAN CHECK NUMBER T yD TYPE: O COMMERCIAL ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN ;SUBTYPE: O ADDITION O ALTERATIIONN O DEMOLITION O ELECTRICAL O MECHANICAL ONEW //OPLUMBING kf'/iEROOFNUMBEROFSQUU'AR//ES�47 DESCRIPTIO�N,�OFnWORK /?6-- ILdYJ ,/ U-f� TI / /�/[�.�/SO.✓ �' A47 PROJECTADDRESS 9Z2�i �I�N••�,U.i�IY�de ,'c ZIP ASSESSOR'S PARCEL NUMBER ✓✓✓.;,b{pLV� LOT TS TRACT OWNER NAME ADDRESS PHONE ',23"/'�,lj Z) EMAIL APPLICANT NAME lelc e &?,eA-GeIL ADDRESS / 7&0 734/G S Q11 • PHONE -7 EMAIL 00r I tAf COA-7 CONTRACTOR'S NAME Q/G1� rn / OWNER BUILDER? O YES O'NO BUSINESS NAME (/•Sg7T/jA /COL/if/�i ADDRESS PHONE Ff(f'S —17/I EMAIL ✓Ir� I '/L gCO��I CONTRACTOR'S STATE LIC NUMBER 3 7/7�'� /_ LICENSE CLASSIFICATION VALUATION$ �i 7 UC7 SO FT L SO FT APPLICANT'S SIGNATURE C-ZA% "' DATE CITY STAFF USE ONLY _ DEPARTMENT DISTRIBUTION CITY OF fNIFEE QyJ51N[S$LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE O ACCEPTED BY: ";50 PERMIT FEE : 1 SMIP GREEN PLANCHECKFEE I INVOICETOTAL .9�0 OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityof,menifee.us Z U' N G m a u s z w m a o a d c s 0 oO m o a a c a U N N a m ._N m Y y W a ¢ F. U m o E o c E m n r m Y C 0 W r 9 y E O t w O N z ei m y c K Q a O L a n C V a Q N 0 c w E u E 0 a LL K N V m O u u v o o 1 « u a N m o s o Y m .ta• d o c N� a.i .Lu! 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